Id |
Subject |
Object |
Predicate |
Lexical cue |
T5 |
0-20 |
Sentence |
denotes |
Patient presentation |
T6 |
21-191 |
Sentence |
denotes |
A 71-year-old African American man presented with a 3-week history of fever, productive cough and progressively worsening shortness of breath to the emergency department. |
T7 |
192-390 |
Sentence |
denotes |
An RT-PCR COVID-19 test (Xpert Xpress SARS-CoV-2, Cepheid, Sunnyvale, CA, USA) was performed via nasopharyngeal swab on arrival to the emergency department, and the patient was found to be positive. |
T8 |
391-553 |
Sentence |
denotes |
The patient had a rapidly deteriorating course with increased work of breathing and oxygen requirement and, therefore, was transferred to the intensive care unit. |
T9 |
554-775 |
Sentence |
denotes |
On presentation to the intensive care unit, his physical exam showed: temperature 102.6°F; heart rate 92 b.p.m.; respiratory rate of 30 breaths per minute; blood pressure 157/95 mmHg; and SpO2 of 95% on 2 l nasal cannula. |
T10 |
776-812 |
Sentence |
denotes |
He was in mild respiratory distress. |
T11 |
813-931 |
Sentence |
denotes |
Chest examination showed decreased breath sounds and dullness to percussion on the posterior aspect of the left chest. |
T12 |
932-1124 |
Sentence |
denotes |
Chest X-ray showed a left-sided, alveolar consolidation with air bronchograms consistent with pneumonia and a large left-sided pleural fluid collection concerning for a parapneumonic effusion. |
T13 |
1125-1466 |
Sentence |
denotes |
The pertinent laboratory tests were as follows: (i) white blood cell count of 10.3 × 103/µl (4.0–10.5 × 103/µl); (ii) lactate dehydrogenase 363 U/l (94–200 U/l); (iii) ferritin 343.2 ng/ml (22.9–336.2 ng/ml); (iv) fibrinogen 798 mg/dl (200–393 mg/dl); (v) D-dimer 1144 ng/ml (≤500 ng/ml); and (vi) procalcitonin 0.16 ng/ml (0.00–0.50 ng/ml). |
T14 |
1467-1568 |
Sentence |
denotes |
Chest computed tomography demonstrated a large left pleural effusion and mediastinal lymphadenopathy. |
T15 |
1569-1697 |
Sentence |
denotes |
A therapeutic thoracentesis with ultrasound was performed with complete drainage and removal of 1200 ml of serosanguinous fluid. |
T16 |
1698-1747 |
Sentence |
denotes |
Pleural fluid culture and cytology were negative. |
T17 |
1748-1870 |
Sentence |
denotes |
The fluid met criteria for exudative plueral fluid and the total nucleated cell count was 993 (/mm3) with 89% lymphocytes. |
T18 |
1871-2054 |
Sentence |
denotes |
An RT-PCR (Xpert® Xpress SARS-CoV-2, Cepheid, Sunnyvale, CA, USA) was performed on the pleural fluid and was positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). |
T19 |
2055-2095 |
Sentence |
denotes |
Sputum and blood cultures were negative. |
T20 |
2096-2231 |
Sentence |
denotes |
He was treated supportively for acute respiratory distress syndrome with high flow nasal cannula, dexamethasone and hydroxychloroquine. |
T21 |
2232-2308 |
Sentence |
denotes |
There was no reccurrence of the pleural effusion during his hospital course. |