model_input stringlengths 169 791 | input_sentence stringlengths 24 283 | prediction stringlengths 39 298 | gold stringlengths 24 283 |
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<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>We report a case of a 63 - year-old woman with a minute ampullary carcinoid tumor that was 7 mm in diameter , but was associated with 2 peripancreatic lymph node metastases . -> | We report a case of a 63 - year-old woman with a minute ampullary carcinoid tumor that was 7 mm in diameter , but was associated with 2 peripancreatic lymph node metastases . | <clent>We report a case of a 63 - year-old woman with a minute ampullary carcinoid tumor that was 7 mm in diameter , but was associated with 2 peripancreatic lymph node metastases .</clent> | We report a case of a 63 - year-old woman with a minute ampullary<clent> carcinoid tumor</clent> that was 7 mm in diameter , but was associated with 2 peripancreatic<clent> lymph node metastases</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Mild elevation of liver enzymes was found at her regular medical check-up . | <clent>Mild elevation of liver enzymes</clent> was found at her regular medical check-up . | Mild<clent> elevation of liver enzymes</clent> was found at her regular medical check-up . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Computed tomography ( CT ) revealed a markedly dilated common bile duct ( CBD ) and two enlarged peripancreatic lymph nodes . | <clent>Computed tomography ( CT )</clent> revealed a markedly dilated common bile duct ( CBD ) and two enlarged peripancreatic<clent> lymph nodes</clent> . | Computed tomography ( CT ) revealed a markedly<clent> dilated common bile duct</clent> (<clent> CBD</clent> ) and two<clent> enlarged peripancreatic lymph nodes</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Endoscopy showed that the ampulla was slightly enlarged by a submucosal tumor . | <clent>Endoscopy</clent> showed that the ampulla was slightly enlarged by a<clent> submucosal tumor</clent> . | Endoscopy showed that the ampulla was slightly enlarged by a submucosal<clent> tumor</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The biopsy specimen revealed tumor cells that showed monotonous proliferation suggestive of a carcinoid tumor . | <clent>The biopsy specimen</clent> revealed<clent> tumor cells</clent> that showed monotonous proliferation suggestive of a<clent> carcinoid tumor</clent> . | The biopsy specimen revealed tumor cells that showed monotonous proliferation suggestive of a<clent> carcinoid tumor</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | She underwent a pylorus-preserving whipple resection with lymph node dissection . | <clent>She underwent a pylorus-preserving whipple resection with lymph node dissection</clent> . | She underwent a pylorus-preserving whipple resection with lymph node dissection . |
<|begin_of_text|>The resected lesion was a small submucosal tumor ( 7 mm in diameter ) at the ampulla , with metastasis to 2 peripancreatic lymph nodes , and it was diagnosed as a malignant carcinoid tumor . -> | The resected lesion was a small submucosal tumor ( 7 mm in diameter ) at the ampulla , with metastasis to 2 peripancreatic lymph nodes , and it was diagnosed as a malignant carcinoid tumor . | <clent>The resected lesion</clent> was a small<clent> submucosal tumor</clent> ( 7 mm in diameter ) at the ampulla , with<clent> metastasis</clent> to 2 peripancreatic<clent> lymph nodes</clent> , and it was diagnosed as a<clent> malignant carcinoid tumor</clent> . | The resected lesion was a small submucosal<clent> tumor</clent> ( 7 mm in diameter ) at the ampulla , with<clent> metastasis to 2 peripancreatic lymph nodes</clent> , and it was diagnosed as a<clent> malignant carcinoid tumor</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The patient was a 35 - year old female who presented with urinary frequency for 2 months . | <clent>The patient</clent> was a 35 - year old female who presented with<clent> urinary frequency</clent> for 2 months . | The patient was a 35 - year old female who presented with urinary frequency for 2 months . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Her past medical history showed a nonsmoking history and no significant family history . | <clent>Her past medical history</clent> showed a nonsmoking history and no significant family history . | Her past medical history showed a nonsmoking history and no significant family history . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The physical examination was unremarkable . | <clent>The physical examination</clent> was unremarkable . | The physical examination was unremarkable . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | She was treated as urinary tract infection , but there was no improvement in her symptoms . | <clent>She was treated as urinary tract infection</clent> , but there was no improvement in her symptoms . | She was treated as<clent> urinary tract infection</clent> , but there was no improvement in her symptoms . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Urine analysis and culture were performed several times that was negative for infection . | <clent>Urine analysis and culture</clent> were performed several times that was negative for<clent> infection</clent> . | Urine analysis and culture were performed several times that was negative for infection . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Other laboratory data were also insignificant . | <clent>Other laboratory data</clent> were also insignificant . | Other laboratory data were also insignificant . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Through a routine evaluation , urinary system ultrasonography ( US ) revealed a bladder lesion measuring 7 mm . | Through a routine evaluation , urinary system ultrasonography ( US ) revealed a<clent> bladder lesion</clent> measuring 7 mm . | Through a routine evaluation , urinary system ultrasonography ( US ) revealed a<clent> bladder lesion</clent> measuring 7 mm . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>In order to confirm the diagnosis , magnetic res... | In order to confirm the diagnosis , magnetic resonance imaging ( MRI ) of the abdomen and pelvic cavity was done ; it revealed a lesion in the dome of the bladder . | <clent>In order to confirm the diagnosis , magnetic resonance imaging ( MRI ) of the abdomen and pelvic cavity was done</clent> ; it revealed a<clent> lesion in the dome of the bladder</clent> . | In order to confirm the diagnosis , magnetic resonance imaging ( MRI ) of the abdomen and pelvic cavity was done ; it revealed a<clent> lesion in the dome of the bladder</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>To confirm the diagnosis and for histopathological examination , the patient underwent Transu... | To confirm the diagnosis and for histopathological examination , the patient underwent Transurethral Resection of Bladder Tumor ( TURBT ) in April 2018 . | <clent>To confirm the diagnosis and for histopathological examination</clent> , the patient underwent Transurethral Resection of Bladder Tumor ( TURBT ) in April 2018 . | To confirm the diagnosis and for histopathological examination , the patient underwent Transurethral Resection of Bladder Tumor ( TURBT ) in April 2018 . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|beg... | Before starting the procedure , the urethra was dilated till Fr : 28 ; at first , the tumor location was specified by cystoscopy . | <clent>Before starting the procedure</clent> , the urethra was dilated till Fr : 28 ; at first , the<clent> tumor location</clent> was specified by<clent> cystoscopy</clent> . | Before starting the procedure , the urethra was dilated till Fr : 28 ; at first , the<clent> tumor</clent> location was specified by cystoscopy . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Then , it was resected by monopolar cautery from superficial to deeper parts with removal of the muscle layers . | <clent>Then , it was resected by monopolar cautery</clent> from superficial to deeper parts with removal of the muscle layers . | Then , it was resected by monopolar cautery from superficial to deeper parts with removal of the muscle layers . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Proper bleeders were taken and three way Foley catheter was applied for a continuous irrigation . | <clent>Proper bleeders</clent> were taken and three way Foley catheter was applied for a continuous irrigation . | Proper bleeders were taken and three way Foley catheter was applied for a continuous irrigation . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The patient was transferred to the recovery room with complete stability . | <clent>The patient was transferred to the recovery room with complete stability</clent> . | The patient was transferred to the recovery room with complete stability . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The histopathology slides show a well-defined mass composed of bland looking spindle cells . | <clent>The histopathology slides</clent> show a well-defined mass composed of<clent> bland looking spindle cells</clent> . | The histopathology slides show a well-defined mass composed of bland looking spindle cells . |
<|begin_of_text|>Subsequent immunohistochemistry ( IHC ) was done which showed diffuse immunoreactivity for S 100 , but other markers including smooth muscle actin ( SMA ) , desmin , cytokeratin , CD 34 and beta catenin were negative . -> | Subsequent immunohistochemistry ( IHC ) was done which showed diffuse immunoreactivity for S 100 , but other markers including smooth muscle actin ( SMA ) , desmin , cytokeratin , CD 34 and beta catenin were negative . | <clent>Subsequent immunohistochemistry ( IHC ) was done</clent> which showed diffuse immunoreactivity for S 100 , but other markers including smooth muscle actin ( SMA ) , desmin , cytokeratin , CD 34 and beta catenin were negative . | Subsequent immunohistochemistry ( IHC ) was done which showed diffuse immunoreactivity for S 100 , but other markers including smooth muscle actin ( SMA ) , desmin , cytokeratin , CD 34 and beta catenin were negative . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Ki 67 was 2-3 % , so the diagnosis of schwannoma was confirmed . | <clent>Ki 67</clent> was 2-3 % , so the diagnosis of<clent> schwannoma</clent> was confirmed . | Ki 67 was 2-3 % , so the diagnosis of schwannoma was confirmed . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Then , the neck , abdomen , pelvic and chest computed tomography ( CT ) scans were done that were normal . | <clent>Then , the neck , abdomen , pelvic and chest computed tomography ( CT ) scans</clent> were done that were normal . | Then , the neck , abdomen , pelvic and chest computed tomography ( CT ) scans were done that were normal . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Brain and spine MRI and physical examination showed no evidence of other schwannoma or evidence of neurofibromatosis . | <clent>Brain and spine MRI</clent> and physical examination showed no evidence of other<clent> schwannoma</clent> or evidence of<clent> neurofibromatosis</clent> . | Brain and spine MRI and physical examination showed no evidence of other schwannoma or evidence of<clent> neurofibromatosis</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | She had no history of neurofibromatosis in her family . | <clent>She had no history of neurofibromatosis in her family</clent> . | She had no history of<clent> neurofibromatosis</clent> in her family . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Skin examination was normal and had no caf au lait spot . | <clent>Skin examination</clent> was normal and had no<clent> caf au lait spot</clent> . | Skin examination was normal and had no caf au lait spot . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | She was not a case of von Recklinghausen disease . | <clent>She was not a case of von Recklinghausen disease</clent> . | She was not a case of<clent> von Recklinghausen disease</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>We observed a 29 y . o . female proband with the... | We observed a 29 y . o . female proband with the episode of venous thrombosis at the age of 18 and family history of thrombosis . | <clent>We observed a 29 y . o . female proband with the episode of venous thrombosis at the age of 18 and family history of thrombosis .</clent> | We observed a 29 y . o . female proband with the episode of<clent> venous thrombosis</clent> at the age of 18 and family history of thrombosis . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The antithrombin level in our patient was low , 44-48 % ( AT deficiency type I ) . | <clent>The antithrombin level in our patient was low , 44-48 % ( AT deficiency type I )</clent> . | The antithrombin level in our patient was low , 44-48 % ( AT deficiency type I ) . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>A new genetic variant c . 662 G > C ( p . W 221 S ) in the SERPINC 1 gene was detected in proband and affected father but was absent in healthy sister . ... | A new genetic variant c . 662 G > C ( p . W 221 S ) in the SERPINC 1 gene was detected in proband and affected father but was absent in healthy sister . | <clent>A new genetic variant c . 662 G > C ( p . W 221 S ) in the SERPINC 1 gene</clent> was detected in proband and affected father but was absent in healthy sister . | A new genetic variant c . 662 G > C ( p . W 221 S ) in the SERPINC 1 gene was detected in proband and affected father but was absent in healthy sister . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | We used in silico tools to evaluate the possible impact of p . W 221 S variant on protein structure and function . | <clent>We used in silico tools to evaluate the possible impact of p . W 221 S variant on protein structure and function .</clent> | We used in silico tools to evaluate the possible impact of p . W 221 S variant on protein structure and function . |
<|begin_of_text|>In mutated SERPINC 1 protein a new N-linked glycosylation site is formed , however , it is unclear if the glycosylation at 219-221 site is possible . -> | In mutated SERPINC 1 protein a new N-linked glycosylation site is formed , however , it is unclear if the glycosylation at 219-221 site is possible . | <clent>In mutated SERPINC 1 protein a new N-linked glycosylation site is formed , however , it is unclear if the glycosylation at 219-221 site is possible .</clent> | In mutated SERPINC 1 protein a new N-linked glycosylation site is formed , however , it is unclear if the glycosylation at 219-221 site is possible . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>We report a case of a male near-t... | We report a case of a male near-term neonate with gestational age of 35 weeks . | <clent>We report a case of a male near-term neonate with gestational age of 35 weeks</clent> . | We report a case of a male near-term neonate with gestational age of 35 weeks . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>He was the third born child to a ... | He was the third born child to a 27 - year-old mother with no significant past history . | <clent>He was the third born child to a 27 - year-old mother with no significant past history</clent> . | He was the third born child to a 27 - year-old mother with no significant past history . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | He was derived from a third degree consanguineous marriage . | <clent>He was derived from a third degree consanguineous marriage</clent> . | He was derived from a third degree consanguineous marriage . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>He ... | He was born by means of normal vaginal delivery with a normal extra-uterine adaptation . | <clent>He was born by means of normal vaginal delivery with a normal extra-uterine adaptation</clent> . | He was born by means of normal vaginal delivery with a normal extra-uterine adaptation . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Meconium-stained amniotic fluid was noted . | <clent>Meconium-stained amniotic fluid</clent> was noted . | Meconium-stained amniotic fluid was noted . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | His birth weight was 3030 g ( 75 th Percentile ) . | <clent>His birth weight</clent> was 3030 g ( 75 th Percentile ) . | His birth weight was 3030 g ( 75 th Percentile ) . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The baby had normal physical examination at birth aside transitory respiratory distress . | <clent>The baby</clent> had normal physical examination at birth aside transitory respiratory distress . | The baby had normal physical examination at birth aside transitory<clent> respiratory distress</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>He had been hospitalized for four days in a private clinic , for the suspicion of materno-foetal infection , where he had antibiotics for 48 hours . -> | He had been hospitalized for four days in a private clinic , for the suspicion of materno-foetal infection , where he had antibiotics for 48 hours . | <clent>He had been hospitalized for four days in a private clinic</clent> , for the suspicion of<clent> materno-foetal infection</clent> , where he had antibiotics for 48 hours . | He had been hospitalized for four days in a private clinic , for the suspicion of materno-foetal infection , where he had antibiotics for 48 hours . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | He had developed no symptoms during his hospitalization . | <clent>He had developed no symptoms</clent> during his hospitalization . | He had developed no symptoms during his hospitalization . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>The output ' s wei... | The output ' s weight was 2400 g which signify the loss of 630 g . | <clent>The output ' s weight</clent> was 2400 g which signify the loss of 630 g . | The output ' s weight was 2400 g which signify the loss of 630 g . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Back home , he received exclusive maternal breastfeeding . | Back home , he received exclusive maternal breastfeeding . | Back home , he received exclusive maternal breastfeeding . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>On his fifth day of life , he presented multiple yellowish-watery stools ( ab 12 times ) and refuse feeding with apyrexia context . -> | On his fifth day of life , he presented multiple yellowish-watery stools ( ab 12 times ) and refuse feeding with apyrexia context . | <clent>On his fifth day of life , he presented multiple yellowish-watery stools ( ab 12 times ) and refuse feeding with apyrexia context</clent> . | On his fifth day of life , he presented multiple yellowish-watery stools ( ab 12 times ) and refuse feeding with apyrexia context . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | He had clinical signs of severe dehydration without fever or vomiting . | <clent>He had clinical signs of severe dehydration without fever or vomiting</clent> . | He had clinical signs of severe<clent> dehydration</clent> without<clent> fever</clent> or<clent> vomiting</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | He lost 930 g relative to the birth ' s weight . | <clent>He lost 930 g</clent> relative to the birth ' s weight . | He lost 930 g relative to the birth ' s weight . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>The abdomen appear... | The abdomen appeared neither tender nor distended , and the rest of his physical examination was normal . | <clent>The abdomen</clent> appeared neither<clent> tender</clent> nor<clent> distended</clent> , and the rest of his physical examination was normal . | The abdomen appeared neither tender nor distended , and the rest of his physical examination was normal . |
<|begin_of_text|>The laboratory findings revealed hypernatremia of 152 mEq / L , hyperkalemia of 7 , 8 mEq / L and severe metabolic acidosis : blood PH : 7 , 1 , HCO 3 : 4 mEq / L . -> | The laboratory findings revealed hypernatremia of 152 mEq / L , hyperkalemia of 7 , 8 mEq / L and severe metabolic acidosis : blood PH : 7 , 1 , HCO 3 : 4 mEq / L . | <clent>The laboratory findings</clent> revealed<clent> hypernatremia</clent> of 152 mEq / L ,<clent> hyperkalemia</clent> of 7 , 8 mEq / L and severe<clent> metabolic acidosis</clent> : blood PH : 7 , 1 , HCO 3 : 4 mEq / L . | The laboratory findings revealed<clent> hypernatremia</clent> of 152 mEq / L ,<clent> hyperkalemia</clent> of 7 , 8 mEq / L and<clent> severe metabolic acidosis</clent> : blood PH : 7 , 1 , HCO 3 : 4 mEq / L . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The osmotic gap was 45 . | <clent>The osmotic gap</clent> was 45 . | The osmotic gap was 45 . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | There was no leukocytosis , and the serum level of C-reactive protein was normal . | <clent>There was no leukocytosis</clent> , and the serum level of C-reactive protein was normal . | There was no<clent> leukocytosis</clent> , and the serum level of C-reactive protein was normal . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The infant was treated with intravenous fluids and electrolytes as well as antibiotics after obtaining blood and stool cultures , assuming an infectious etiology . | <clent>The infant</clent> was treated with intravenous fluids and electrolytes as well as antibiotics after obtaining blood and stool cultures , assuming an infectious etiology . | The infant was treated with intravenous fluids and electrolytes as well as antibiotics after obtaining blood and stool cultures , assuming an infectious etiology . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | After 26 hours of rehydration therapy , the dehydration resolved , however , a functional acute renal failure complicated by acidosis and hyperkalemia appeared . | <clent>After 26 hours of rehydration therapy , the dehydration resolved , however , a functional acute renal failure complicated by acidosis and hyperkalemia appeared .</clent> | After 26 hours of rehydration therapy , the<clent> dehydration</clent> resolved , however , a<clent> functional acute renal failure</clent> complicated by<clent> acidosis</clent> and<clent> hyperkalemia</clent> appeared . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The chest radiograph showed " bat wings " pattern and the cardiothoracic index was 0 , 45 . | <clent>The chest radiograph</clent> showed " bat wings " pattern and the<clent> cardiothoracic index</clent> was 0 , 45 . | The chest radiograph showed " bat wings " pattern and the cardiothoracic index was 0 , 45 . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The renal ultrasound showed discretely hyperechoic kidneys cortex and the absence of renal malformations . | <clent>The renal ultrasound showed discretely hyperechoic kidneys cortex and the absence of renal malformations</clent> . | The renal ultrasound showed discretely hyperechoic kidneys cortex and the absence of renal malformations . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | On the 11 th day of life , he was transferred to the pediatric intensive care unit . | <clent>On the 11 th day of life , he was transferred to the pediatric intensive care unit</clent> . | On the 11 th day of life , he was transferred to the pediatric intensive care unit . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | He needed mechanical ventilation for three days and exclusive parenteral feeding by central catheter . | <clent>He needed mechanical ventilation</clent> for three days and exclusive parenteral feeding by<clent> central catheter</clent> . | He needed mechanical ventilation for three days and exclusive parenteral feeding by central catheter . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The evolution was burdened by cholestasis due to the prolonged parenteral feeding and nosocomial infection by staphylococcus epidermidis . | <clent>The evolution</clent> was burdened by<clent> cholestasis</clent> due to the prolonged parenteral feeding and nosocomial infection by staphylococcus epidermidis . | The evolution was burdened by cholestasis due to the prolonged parenteral feeding and nosocomial infection by staphylococcus epidermidis . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Since his admission , he had developed a slimy diarrhea with 3 to 4 stools per day . | <clent>Since his admission</clent> , he had developed a slimy<clent> diarrhea</clent> with 3 to 4 stools per day . | Since his admission , he had developed a slimy<clent> diarrhea</clent> with 3 to 4 stools per day . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | He presented a profuse diarrhea during each attempt to introduce enteral feeding by hydrolyzed milk formula . | <clent>He presented a profuse diarrhea</clent> during each attempt to introduce enteral feeding by hydrolyzed milk formula . | He presented a profuse<clent> diarrhea</clent> during each attempt to introduce enteral feeding by hydrolyzed milk formula . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | He was discharged after 32 days with output ' s weight 3250 g . | <clent>He was discharged after 32 days with output ' s weight 3250 g</clent> . | He was discharged after 32 days with output ' s weight 3250 g . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The oesophago-gastro-duodenoscopy and duodenal biopsy showed partial villous atrophy associated to the brush border abnormalities . | <clent>The oesophago-gastro-duodenoscopy and duodenal biopsy</clent> showed partial villous atrophy associated to the brush border abnormalities . | The oesophago-gastro-duodenoscopy and duodenal biopsy showed<clent> partial villous atrophy</clent> associated to the brush border abnormalities . |
<|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>The periodic acid Schiff ( PAS ) stain revealed abnormalities in the brush border characterized by loss of the linear part of enterocytes with the presence of intra-cytoplasmic PAS + band in the apical pole of enterocytes uneven thickness and sometimes with ... | The periodic acid Schiff ( PAS ) stain revealed abnormalities in the brush border characterized by loss of the linear part of enterocytes with the presence of intra-cytoplasmic PAS + band in the apical pole of enterocytes uneven thickness and sometimes with double contours pattern . | <clent>The periodic acid Schiff ( PAS ) stain</clent> revealed abnormalities in the brush border characterized by loss of the linear part of enterocytes with the presence of intra-cytoplasmic PAS + band in the apical pole of enterocytes uneven thickness and sometimes with double contours pattern . | The periodic acid Schiff ( PAS ) stain revealed abnormalities in the brush border characterized by loss of the linear part of enterocytes with the presence of intra-cytoplasmic PAS + band in the apical pole of enterocytes uneven thickness and sometimes with double contours pattern . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | In the submucosa , there were numerous Brunner glands . | <clent>In the submucosa</clent> , there were numerous<clent> Brunner glands</clent> . | In the submucosa , there were numerous Brunner glands . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | We find the existence of numerous hemorrhagic suffusions . | <clent>We find the existence of numerous hemorrhagic suffusions</clent> . | We find the existence of numerous hemorrhagic suffusions . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The CD 10 immunostain was positive . | <clent>The CD 10 immunostain</clent> was positive . | The CD 10 immunostain was positive . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Thus , a diagnosis hypothesis of MVID was raised . | Thus , a diagnosis hypothesis of MVID was raised . | Thus , a diagnosis hypothesis of<clent> MVID</clent> was raised . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The electron microscopic examination confirmed the diagnosis . | <clent>The electron microscopic examination</clent> confirmed the diagnosis . | The electron microscopic examination confirmed the diagnosis . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>Mutation analysis of peripheral blood samples of the neonate revealed a mutation at the homozygous status of MYO 5 B gene .... | Mutation analysis of peripheral blood samples of the neonate revealed a mutation at the homozygous status of MYO 5 B gene . | <clent>Mutation analysis of peripheral blood samples of the neonate revealed a mutation at the homozygous status of MYO 5 B gene .</clent> | Mutation analysis of peripheral blood samples of the neonate revealed a mutation at the homozygous status of MYO 5 B gene . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>The... | The baby died , after 97 days of life , of septic shock and multiple organ failure . | <clent>The baby died , after 97 days of life , of septic shock and multiple organ failure</clent> . | The baby died , after 97 days of life , of septic shock and multiple organ failure . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>A 12 - year-old girl presented an abdominal pain , high persistent fever of ( 40 ° C ) and se... | A 12 - year-old girl presented an abdominal pain , high persistent fever of ( 40 ° C ) and severe fatigue . | <clent>A 12 - year-old girl presented an abdominal pain , high persistent fever of ( 40 ° C ) and severe fatigue .</clent> | A 12 - year-old girl presented an<clent> abdominal pain</clent> , high persistent fever of ( 40 ° C ) and severe fatigue . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>The physical exam ... | The physical exam revealed pallor , hepatomegaly , and grade III splenomegaly . | <clent>The physical exam</clent> revealed<clent> pallor</clent> ,<clent> hepatomegaly</clent> , and grade III<clent> splenomegaly</clent> . | The physical exam revealed pallor ,<clent> hepatomegaly</clent> , and grade III<clent> splenomegaly</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>The investigation revealed an ele... | The investigation revealed an elevated white blood cell count ( WBC ) : 545 , 000 / mm . | <clent>The investigation revealed an elevated white blood cell count ( WBC ) : 545 , 000 / mm .</clent> | The investigation revealed an elevated white blood cell count ( WBC ) : 545 , 000 / mm . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>PNN : 49 , 050 / mm , hemoglobin : 11 . 6 g / dl , platelets : 328 , 000 / mm . -> | PNN : 49 , 050 / mm , hemoglobin : 11 . 6 g / dl , platelets : 328 , 000 / mm . | <clent>PNN : 49 , 050 / mm , hemoglobin : 11 . 6 g / dl , platelets : 328 , 000 / mm .</clent> | PNN : 49 , 050 / mm , hemoglobin : 11 . 6 g / dl , platelets : 328 , 000 / mm . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>The patient ' s peripheral blood smear revealed marked leukocytosis with a significant number of immature myeloid precursors and 21 % blasts . -> | The patient ' s peripheral blood smear revealed marked leukocytosis with a significant number of immature myeloid precursors and 21 % blasts . | <clent>The patient ' s peripheral blood smear revealed marked leukocytosis with a significant number of immature myeloid precursors and 21 % blasts .</clent> | The patient ' s peripheral blood smear revealed marked leukocytosis with a significant number of immature myeloid precursors and 21 % blasts . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The analysis of the BCR-ABL shows 94 % in the peripheral blood . | <clent>The analysis of the BCR-ABL shows 94 % in the peripheral blood .</clent> | The analysis of the BCR-ABL shows 94 % in the peripheral blood . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The patient was diagnosed with CML . | <clent>The patient</clent> was diagnosed with<clent> CML</clent> . | The patient was diagnosed with<clent> CML</clent> . |
<|begin_of_text|>She received a chemotherapy protocol made of hyperalkalinisation , allopurinol , hydroxyurea and a treatment based on imatinib at the dose of 400 mg per day . -> | She received a chemotherapy protocol made of hyperalkalinisation , allopurinol , hydroxyurea and a treatment based on imatinib at the dose of 400 mg per day . | <clent>She received a chemotherapy protocol made of hyperalkalinisation , allopurinol , hydroxyurea and a treatment based on imatinib at the dose of 400 mg per day</clent> . | She received a chemotherapy protocol made of hyperalkalinisation , allopurinol , hydroxyurea and a treatment based on imatinib at the dose of 400 mg per day . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>Patient achieved complete hematol... | Patient achieved complete hematological remission at three months and complete cytogenetic remission at 12 months . | <clent>Patient</clent> achieved complete hematological remission at three months and complete cytogenetic remission at 12 months . | Patient achieved complete hematological remission at three months and complete cytogenetic remission at 12 months . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>The patient was readmitted into our pediatric department with complains of severe headache , ... | The patient was readmitted into our pediatric department with complains of severe headache , vomiting , pain and bilateral visual loss since three days . | <clent>The patient</clent> was readmitted into our pediatric department with complains of severe<clent> headache</clent> ,<clent> vomiting</clent> ,<clent> pain</clent> and<clent> bilateral visual loss</clent> since three days . | The patient was readmitted into our pediatric department with complains of<clent> severe headache</clent> ,<clent> vomiting</clent> ,<clent> pain</clent> and<clent> bilateral visual loss</clent> since three days . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | On examination , patient was afebrile and appeared pale . | <clent>On examination</clent> , patient was afebrile and appeared pale . | On examination , patient was afebrile and appeared pale . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>Blood pressure was 100 / 60 mm / hg and the hear... | Blood pressure was 100 / 60 mm / hg and the heart rate 98 beat / minute . | <clent>Blood pressure</clent> was 100 / 60 mm / hg and the heart rate 98 beat / minute . | Blood pressure was 100 / 60 mm / hg and the heart rate 98 beat / minute . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | There was no lymphadenopathy and the nervous system examination was normal . | <clent>There was no lymphadenopathy</clent> and the<clent> nervous system examination</clent> was normal . | There was no lymphadenopathy and the nervous system examination was normal . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>Intraocular muscle testing was normal ; however ... | Intraocular muscle testing was normal ; however , there was an exophthalmia in both eyes . | <clent>Intraocular muscle testing</clent> was normal ; however , there was an<clent> exophthalmia</clent> in both eyes . | Intraocular muscle testing was normal ; however , there was an<clent> exophthalmia</clent> in both eyes . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | The pupil was sluggish to react to light . | <clent>The pupil</clent> was sluggish to react to light . | The pupil was sluggish to react to light . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>Fun... | Fundoscopy revealed bilateral stade III disc edema and hemorrhages of the retina . | <clent>Fundoscopy</clent> revealed bilateral stade III disc edema and<clent> hemorrhages of the retina</clent> . | Fundoscopy revealed<clent> bilateral stade III disc edema</clent> and<clent> hemorrhages of the retina</clent> . |
<|begin_of_text|>She underwent a brain computed tomography ( CT ) scan with the suspicion of leukemic involvement or any other intracranial event ( cerebral edema ) ; however , nothing was found . -> | She underwent a brain computed tomography ( CT ) scan with the suspicion of leukemic involvement or any other intracranial event ( cerebral edema ) ; however , nothing was found . | <clent>She underwent a brain computed tomography ( CT ) scan</clent> with the suspicion of<clent> leukemic involvement</clent> or any other intracranial event ( cerebral edema ) ; however , nothing was found . | She underwent a brain computed tomography ( CT ) scan with the suspicion of leukemic involvement or any other intracranial event ( cerebral edema ) ; however , nothing was found . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>A subsequent bone ... | A subsequent bone marrow exam showed no morphologic or molecular evidence of CML or acute leukemia . | <clent>A subsequent bone marrow exam</clent> showed no morphologic or molecular evidence of CML or acute leukemia . | A subsequent bone marrow exam showed no morphologic or molecular evidence of CML or acute leukemia . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>Cyt... | Cytological evaluation of cerebrospinal fluid ( CSF ) was also negative . | <clent>Cytological evaluation of cerebrospinal fluid ( CSF ) was also negative</clent> . | Cytological evaluation of cerebrospinal fluid ( CSF ) was also negative . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|beg... | The patient had no other known pathology that could be held responsible for retina edema . | <clent>The patient</clent> had no other known pathology that could be held responsible for<clent> retina edema</clent> . | The patient had no other known pathology that could be held responsible for retina edema . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>We suggested that ... | We suggested that it was a side effect of imatinib so its administration was temporary interrupted . | <clent>We suggested that it was a side effect of imatinib</clent> so its administration was temporary interrupted . | We suggested that it was a side effect of imatinib so its administration was temporary interrupted . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>The patient was put on an anti-edema therapy ( m... | The patient was put on an anti-edema therapy ( mannitol , dexamethasone ) . | <clent>The patient</clent> was put on an anti-edema therapy ( mannitol , dexamethasone ) . | The patient was put on an anti-edema therapy ( mannitol , dexamethasone ) . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>However , few months later , the ... | However , few months later , the patient presented in the emergency room with a headache and severe vomiting . | <clent>However , few months later , the patient presented in the emergency room with a headache and severe vomiting</clent> . | However , few months later , the patient presented in the emergency room with a<clent> headache</clent> and severe<clent> vomiting</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>She described a re... | She described a recurrence of the same character of headaches accompanied with weakness of extremities and seizures . | <clent>She described a recurrence of the same character of headaches accompanied with weakness of extremities and seizures</clent> . | She described a recurrence of the same character of<clent> headaches</clent> accompanied with<clent> weakness of extremities</clent> and<clent> seizures</clent> . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|begin_of_text|>Nervous system examination revealed neck rigidity , presence of meningeal signs and lower lim... | Nervous system examination revealed neck rigidity , presence of meningeal signs and lower limb paraplegia . | <clent>Nervous system examination</clent> revealed<clent> neck rigidity</clent> , presence of<clent> meningeal signs</clent> and<clent> lower limb paraplegia</clent> . | Nervous system examination revealed<clent> neck rigidity</clent> , presence of meningeal signs and<clent> lower limb paraplegia</clent> . |
<|end_of_text|><|end_of_text|><|begin_of_text|>CT of the brain revealed subdural chronic hematoma and a serpenginous gyriform enhancement around the contusion in the right parietal and occipital lobes . -> | CT of the brain revealed subdural chronic hematoma and a serpenginous gyriform enhancement around the contusion in the right parietal and occipital lobes . | <clent>CT of the brain</clent> revealed<clent> subdural chronic hematoma</clent> and a serpenginous gyriform enhancement around the<clent> contusion in the right parietal and occipital lobes</clent> . | CT of the brain revealed<clent> subdural chronic hematoma</clent> and a serpenginous gyriform enhancement around the contusion in the right parietal and occipital lobes . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Analysis of the CSF collected showed lymphoblasts in a WBC count of 11000 cells / ml . | <clent>Analysis of the CSF collected</clent> showed<clent> lymphoblasts</clent> in a WBC count of 11000 cells / ml . | Analysis of the CSF collected showed lymphoblasts in a WBC count of 11000 cells / ml . |
<|begin_of_text|>Flow cytometry of the CSF showed that blast cells were positive for a cluster of differentiation markers ( CD ) ( CD 34 , CD 19 , CD 10 , CD 22 and partially positive for CD 45 ) confirming CNS extramedullary lymphoid blast infiltration . -> | Flow cytometry of the CSF showed that blast cells were positive for a cluster of differentiation markers ( CD ) ( CD 34 , CD 19 , CD 10 , CD 22 and partially positive for CD 45 ) confirming CNS extramedullary lymphoid blast infiltration . | Flow cytometry of the CSF showed that blast cells were positive for a cluster of differentiation markers ( CD ) ( CD 34 , CD 19 , CD 10 , CD 22 and partially positive for CD 45 ) confirming CNS extramedullary lymphoid blast infiltration . | Flow cytometry of the CSF showed that blast cells were positive for a cluster of differentiation markers ( CD ) ( CD 34 , CD 19 , CD 10 , CD 22 and partially positive for CD 45 ) confirming CNS extramedullary lymphoid blast infiltration . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | A bone marrow aspiration was done to evaluate the status of her chronic myelogenous leukemia and result was consistent with a chronic phase . | <clent>A bone marrow aspiration</clent> was done to evaluate the status of her<clent> chronic myelogenous leukemia</clent> and result was consistent with a<clent> chronic phase</clent> . | A bone marrow aspiration was done to evaluate the status of her<clent> chronic myelogenous leukemia</clent> and result was consistent with a chronic phase . |
<|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end_of_text|><|end... | Fundus examination showed bilateral optic atrophy . | <clent>Fundus examination</clent> showed<clent> bilateral optic atrophy</clent> . | Fundus examination showed<clent> bilateral optic atrophy</clent> . |
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