Id |
Subject |
Object |
Predicate |
Lexical cue |
T8 |
0-25 |
Sentence |
denotes |
2 Visual case discussion |
T9 |
26-116 |
Sentence |
denotes |
A 76 year old male patient presented with his wife for altered mental status and lethargy. |
T10 |
117-211 |
Sentence |
denotes |
The patient's wife stated that for the last three days the patient ``had not seemed himself''. |
T11 |
212-275 |
Sentence |
denotes |
She described some confusion at home and decreased interaction. |
T12 |
276-391 |
Sentence |
denotes |
She reported the patient had not had fevers at home or dry cough, however she had recently experienced a dry cough. |
T13 |
392-477 |
Sentence |
denotes |
The couple spent the previous weekend at a nearby casino after taking public transit. |
T14 |
478-619 |
Sentence |
denotes |
The patient and wife had no recent long distance of international travel and no known sick contacts or known exposure to COVID-19 + patients. |
T15 |
620-674 |
Sentence |
denotes |
The patient had no known history of pulmonary disease. |
T16 |
675-776 |
Sentence |
denotes |
When vital signs were obtained the patient was found to have an oxygen saturation of 70% on room air. |
T17 |
777-920 |
Sentence |
denotes |
The patient was tachypneic to a rate of 23 but did not appear to be in respiratory distress and was able to answer questions in full sentences. |
T18 |
921-956 |
Sentence |
denotes |
Lung sounds were clear bilaterally. |
T19 |
957-1050 |
Sentence |
denotes |
The patient was moved to an isolation room and was placed on 15 L O2 via non-rebreather mask. |
T20 |
1051-1150 |
Sentence |
denotes |
The patient was then weaned and able to maintain oxygen saturation of 93% on 5 L via nasal cannula. |
T21 |
1151-1206 |
Sentence |
denotes |
Cell counts and electrolytes were within normal limits. |
T22 |
1207-1287 |
Sentence |
denotes |
The patient was negative for Flu A/B and had a negative respiratory viral panel. |
T23 |
1288-1365 |
Sentence |
denotes |
Chest X-ray obtained showed nonspecific bibasilar airspace disease (Fig. 1 ). |
T24 |
1366-1480 |
Sentence |
denotes |
Of note, the patient's D-dimer was elevated to 2574 and CT imaging was ordered to evaluate for pulmonary embolism. |
T25 |
1481-1544 |
Sentence |
denotes |
CTA of the chest with PE protocol revealed bibasilar opacities. |
T26 |
1545-1645 |
Sentence |
denotes |
The patient was admitted to the progressive care unit for respiratory support and COVID-19 rule out. |
T27 |
1646-1680 |
Sentence |
denotes |
Fig. 1 Chest Radiograph (AP view): |
T28 |
1681-1714 |
Sentence |
denotes |
Upper lung emphysematous changes. |
T29 |
1715-1857 |
Sentence |
denotes |
Nonspecific bibasal airspace disease which could represent atypical infection or pulmonary edema superimposed on chronic inflammatory changes. |
T30 |
1858-1900 |
Sentence |
denotes |
Stable mediastinal contour and heart size. |
T31 |
1901-1935 |
Sentence |
denotes |
No large effusion or pneumothorax. |
T32 |
1936-2040 |
Sentence |
denotes |
On follow-up, patient tested positive for COVID-19 with declining respiratory status over the next 24 h. |
T33 |
2041-2141 |
Sentence |
denotes |
He was upgraded to the intensive care unit for high flow nasal cannula at 25 L/min with FiO2 of 0.6. |