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Universal Dependencies - English - GENTLE

LanguageEnglish
ProjectGENTLE
Corpus Parttest
AnnotationAoyama, Tatsuya; Behzad, Shabnam; Gessler, Luke; Levine, Lauren; Lin, Yi-Ju Jessica; Liu, Yang Janet; Peng, Siyao Logan; Zhu, Yilun; Zeldes, Amir
[1] tree
Description:
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GENTLE_medical_anemia-1
Description:
[2] tree
Chronic lymphocytic leukemia (CLL), autoimmune hemolytic anemia, and oral ulcer.
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Chronic lymphocytic leukemia (CLL), autoimmune hemolytic anemia, and oral ulcer.
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The patient was diagnosed with chronic lymphocytic leukemia and was noted to have autoimmune hemolytic anemia at the time of his CLL diagnosis.
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The patient was diagnosed with chronic lymphocytic leukemia and was noted to have autoimmune hemolytic anemia at the time of his CLL diagnosis.
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CHIEF COMPLAINT:
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CHIEF COMPLAINT:
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1. Chronic lymphocytic leukemia (CLL).
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1. Chronic lymphocytic leukemia (CLL).
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2. Autoimmune hemolytic anemia.
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2. Autoimmune hemolytic anemia.
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3. Oral ulcer.
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3. Oral ulcer.
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HISTORY OF PRESENT ILLNESS:
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HISTORY OF PRESENT ILLNESS:
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The patient is a 72-year-old gentleman who was diagnosed with chronic lymphocytic leukemia in May 2008.
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The patient is a 72-year-old gentleman who was diagnosed with chronic lymphocytic leukemia in May 2008.
[10] tree
He was noted to have autoimmune hemolytic anemia at the time of his CLL diagnosis.
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He was noted to have autoimmune hemolytic anemia at the time of his CLL diagnosis.
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He has been on chronic steroids to control his hemolysis and is currently on prednisone 5 mg every other day.
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He has been on chronic steroids to control his hemolysis and is currently on prednisone 5 mg every other day.
[12] tree
He comes in to clinic today for follow-up and complete blood count.
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He comes in to clinic today for follow-up and complete blood count.
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At his last office visit we discontinued this prophylactic antivirals and antibacterial.
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At his last office visit we discontinued this prophylactic antivirals and antibacterial.
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CURRENT MEDICATIONS:
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CURRENT MEDICATIONS:
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Prilosec 20 mg b.i.d., levothyroxine 50 mcg q.d., Lopressor 75 mg q.d., vitamin C 500 mg q.d., multivitamin q.d., simvastatin 20 mg q.d., and prednisone 5 mg q.o.d.
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Prilosec 20 mg b.i.d., levothyroxine 50 mcg q.d., Lopressor 75 mg q.d., vitamin C 500 mg q.d., multivitamin q.d., simvastatin 20 mg q.d., and prednisone 5 mg q.o.d.
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ALLERGIES:
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ALLERGIES:
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Vicodin.
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Vicodin.
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REVIEW OF SYSTEMS:
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REVIEW OF SYSTEMS:
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The patient reports ulcer on his tongue and his lip.
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The patient reports ulcer on his tongue and his lip.
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He has been off of Valtrex for five days.
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He has been off of Valtrex for five days.
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He is having some difficulty with his night vision with his left eye.
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He is having some difficulty with his night vision with his left eye.
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He has a known cataract.
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He has a known cataract.
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He denies any fevers, chills, or night sweats.
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He denies any fevers, chills, or night sweats.
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He continues to have headaches.
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He continues to have headaches.
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The rest of his review of systems is negative.
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The rest of his review of systems is negative.
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PHYSICAL EXAM:
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PHYSICAL EXAM:
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VITALS: BP: 120/74.
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VITALS: BP: 120/74.
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HEART RATE: 72.
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HEART RATE: 72.
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TEMP: 97.8.
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TEMP: 97.8.
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Weight: 112.7 kg.
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Weight: 112.7 kg.
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GEN:
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GEN:
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He has a obvious cold sore on his bottom lip on the left.
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He has a obvious cold sore on his bottom lip on the left.
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HEENT:
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HEENT:
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Pupils are equal, round, and reactive to light.
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Pupils are equal, round, and reactive to light.
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Sclerae are anicteric.
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Sclerae are anicteric.
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His oropharynx is notable for ulcer on his tongue.
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His oropharynx is notable for ulcer on his tongue.
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No ulcers on his buccal mucosa.
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No ulcers on his buccal mucosa.
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NECK: Supple.
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NECK: Supple.
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He has no cervical or supraclavicular adenopathy.
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He has no cervical or supraclavicular adenopathy.
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LUNGS:
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LUNGS:
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Clear to auscultation bilaterally.
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Clear to auscultation bilaterally.
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CV: Regular rate; normal S1, S2, no murmurs.
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CV: Regular rate; normal S1, S2, no murmurs.
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ABDOMEN: Soft.
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ABDOMEN: Soft.
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He has positive bowel sounds.
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He has positive bowel sounds.
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No hepatosplenomegaly.
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No hepatosplenomegaly.
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EXT: No lower extremity edema.
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EXT: No lower extremity edema.
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LABORATORY DATA:
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LABORATORY DATA:
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His white blood cell count is 4.6, hemoglobin 14.2, hematocrit 42, and platelets 207,000.
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His white blood cell count is 4.6, hemoglobin 14.2, hematocrit 42, and platelets 207,000.
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ASSESSMENT/PLAN:
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ASSESSMENT/PLAN:
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This is a 72-year-old gentleman with chronic lymphocytic leukemia on chronic steroids for autoimmune hemolytic anemia.
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This is a 72-year-old gentleman with chronic lymphocytic leukemia on chronic steroids for autoimmune hemolytic anemia.
[51] tree
His blood counts are relatively stable at 5 mg of prednisone every other day.
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His blood counts are relatively stable at 5 mg of prednisone every other day.
[52] tree
We will plan on putting him back on the Valtrex and decreasing his steroids to 1 mg daily.
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We will plan on putting him back on the Valtrex and decreasing his steroids to 1 mg daily.
[53] tree
I will see him back in clinic in a week.
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I will see him back in clinic in a week.

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