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Situational851601012678117164242311358397467546615654
Task1541601012693162216294
Patient851839012878140179219281351389
K.,12768390128125159194
341505839012893163
years1703839012893154216263318
old,2055839012894133203239
was23298390128125186240
admitted2604839012885155265302341381443512
to3151839012863132
the3319839012861132194
infectious3547839012863133180242303342381451521575
diseases4158839012892132186248310364427481
department4674839012893156225287334373483543613653
by5361839012894165
ambulance8511080012862173241311351412483545607
with149310800128143181220290
complaints181810800128104173281349389451490561600655
of250810800128111158
severe27011080012895160229292339401
weakness,313610800128142204266336407469524578613
severe37841080012895158228290336399
sore42181080012895166212274
throat,45271080012881151198267330369404
difficulty496610800128110149196243281344414452491561
swallowing,8511321012855156218257296366468505576646681
headache,15671321012870132194264326388457519554
and21561321012862132203
a23951321012862
rise2492132101284684138201
in27281321012839109
body28721321012870140209280
temperature31851321012839102212280343389452491561608670
to38901321012838108
39.5°C.40321321012871140176246302395429
Medical85115650126133194272311374443483
history:136915650126120158213260329392461508
She19131563012878147209
fell21571563012888151190229
acutely242215630128104165235273336374445
ill29001563012881120160
2309515630128112
days324215630128111174244297
ago,357415630128104174245281
when389015630128142212274344
weakness,427015630128143204266336405468523577612
a491715630128104
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sensation8511805012855117188242304342382451521
in14081805012849120
the15631805012850119182
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and21881805012873142213
a24371805012872
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of32581805012882129
37.8°C34221805012881151187255312406
appeared.38621805012874144213276337384446516551
She44481805012890160223
treated4706180501284996164227265328397
herself51381805012881143190244306345392
independently8512046012839110179242311374443514575646684723794
with168820460128101139179249
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and24842046012871142211
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–34282046012883
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effect.40192046012872119165228289328364
On442720460128101171
the46332046012848119182
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her8512287012870133180
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sharply:23552287012865134197244313352423460
the28512287012850120183
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rose37812287012858128183245
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the46912287012849119181
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An297727710128101171
ambulance33752771012862173241311351413482545608
team42092771012839102164272
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called.51542771012862125164203266335371
Life8513015012694133180242
history:11303015012678117171219288350421467
The16323012012886155218
patient18863012012872135173212274345383
is2304301201284195
a24343012012866
child25363012012864134173212282
from2852301201285096166276
an31613012012865135
orphanage.33323012012872119190259322391454523586621
There39913012012886154217264326
are43523012012864110172
no45603012012874144
documents47393012012872142205275385445515554608
on53823012012872143
preventive8513254012870117180249312381420459529591
vaccinations.14773254012883146207269308378441479517588657712748
In22603254012859128
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life,2751325401285290138200235
she30213254012867137200
lives3256325401285190160222276
alone35673254012876115184254317
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works418232540128101170217286340
as45573254012876130
a47233254012874
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She8513495012878148211
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medical190534950128164224294334396458497
help243734950128123186225295
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not333634950128124195233
had360534950128123186255
preventive389634950128123170233302365434473512581644
vaccinations457534950128124187249310349419482520559629698753
in53633495012894163
adulthood.8513737012862133202242280351420490561596
Objective85139810126109187234296359405443514576
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Condition19013978012894164233304342382420490561
is24973978012845100
severe.26323978012861123192255302364399
Temperature30733978012886148256324386433495534605652715
39.2°C.38233978012876146182250307401436
Skin42943978012884153193263
is45923978012846100
pale,47273978012877139178241276
cyanosis50383978012869139200270340395433487
of8514220012870117
the10034220012878147210
lips.12484220012877117186240276
Conscious,155942200128132201272326389427497567622658
agitated.225042200128102172210249311351412483518
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noisy,359642200128108177217271341375
with400642200128140179218289
difficult432942200128108148194241280343412451490
inspiration.48544220012877147202271311357419458497566637672
Respiratory8514461012894156211280320367428467537584654
rate15394461012850112151214
(RR)17884461012850144236283
is2104446101284398
2422374461012872142
per24154461012873135182
minute.263544610128109146216287326388426
Pulse30994461012878147186240303
is3437446101284297
11035694461012872142212
beats/min,38174461012872135197235289329438475546581
weak443544610128101163225296
filling.4766446101285088128166206275345380
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pressure8514702012870117180233288358405467
(BP)21184702012847140218265
90/6031844702012870141180250320
mm430447020128109217
Hg.532247020128101171207
Local8514947012694164227296335
status:12214947012668115184232310363410
Examination16674945012886155218327364435497536575645715
of24174945012884131
the25824945012853123185
oropharynx:28014945012884132201270341403449519587658697
tonsils,35334945012853123193248286325380415
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and53104945012875145215
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dense,37825186012896159228282345380
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membranes.482151860128137197307375422484555618672708
The8515427012886155218
membranes110454270128132192302370417480550613667
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a49035427012885
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surface.8515668012855125172218280343405440
The132656680128117185248
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is21015668012869123
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hyperemic.265956680128101172240303350412521558621656
There335056680128116186249295358
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swelling46045668012884186248287325365434504
of514356680128100147
the53255668012869139200
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tissue1641591101285392147201270333
of20095911012885132
the21765911012854124186
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spreading27475911012868139185247309379418488557
down33405911012885155257326
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the38605911012853124187
collarbones40805911012878148187225288335404474544607660
(grade47765911012862131178240309372
II).51835911012862109156191
A542459110128101
specific8516152012855125188249288335373436
sweetish-cloying13226152012896198260322360400454523572634673743813850921991
odor234961520128113182252299
emanates268361520128105215275345408447509564
from32826152012889136206316
the36316152012882152215
mouth.388161520128152220291330400435
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and528461520128105174244
anterior8516393012862133172234281320389437
cervical13236393012862124170240278341404441
lymph18006393012839109218287358
nodes21926393012870141210273326
are25546393012862109171
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to32756393012839109
334186393012871
cm35246393012862172
and37286393012862133203
tender.39676393012839101170241304349385
Questions85166390126109187250304351389459537592
for14796639012646115178
the16926639012647125187
task:19146639012647116170248292
1.6716877012870106
Make85168790126133202281340
a12276879012691
clinical13536879012684123163241279342411450
diagnosis18396879012699137207277355426479518573
based24506877012869132185248318
on28046877012890159
the29996877012860130193
complaints,32276877012882152262330369432471541580634670
history,39326877012890129183223292340410443
and44106877012884154223
objective46696877012891161200262324364402472534
data.52386877012891154193254289
Justify8517118012855125179219257304375
it.1259711801283978114