Orris

This loveleen pt got admitted now i have to make clinical case presentation ppt And my topic is to make for history and examination so make me points and read the summary properly as pt is admited 2 times under our team

Reading File
Running Command

ls -la /tmp/workspace/attachments/63c6b1c4-2320-4fa4-99d4-c863b9968e52/

Running Command

cd /tmp/workspace && python3 -c " from docx import Document doc = Document('/tmp/workspace/attachments/63c6b1c4-2320-4fa4-99d4-c863b9968e52/LOVELEEN D-S checked.docx') for p in doc.paragraphs: style = p.style.name if p.style else 'None' if p.text.strip(): print(f'[{style}] {p.text}') print('---TABLES---') for t in doc.tables: for row in t.rows: print(' | '.join(c.text for c in row.cells)) " > loveleen_DS.txt wc -l loveleen_DS.txt

Running Command

cd /tmp/workspace && python3 -c " from docx import Document doc = Document('/tmp/workspace/attachments/63c6b1c4-2320-4fa4-99d4-c863b9968e52/loveleen.docx') for p in doc.paragraphs: style = p.style.name if p.style else 'None' if p.text.strip(): print(f'[{style}] {p.text}') print('---TABLES---') for t in doc.tables: for row in t.rows: print(' | '.join(c.text for c in row.cells)) " > loveleen_full.txt wc -l loveleen_full.txt

Running Command

cd /tmp/workspace && python3 -c " import zipfile z = zipfile.ZipFile('/tmp/workspace/attachments/63c6b1c4-2320-4fa4-99d4-c863b9968e52/LOVELEEN D-S checked.docx') data = z.read('word/document.xml') open('ds_document.xml','wb').write(data) print(len(data)) "

Running Command

cd /tmp/workspace && python3 -c " import re data = open('ds_document.xml', encoding='utf-8').read() # split into paragraphs paras = re.findall(r'<w:p[ >].*?</w:p>', data, re.S) out = [] for p in paras: texts = re.findall(r'<w:t[^>]*>(.*?)</w:t>', p, re.S) line = ''.join(texts) if line.strip(): out.append(line) print(len(out)) open('ds_text.txt','w').write('\n'.join(out)) " wc -l ds_text.txt

Reading File
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Searching Content

"COURSE IN HOSPITAL" in ~/ds_text.txt

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Running Command

mkdir -p /tmp/workspace/loveleen_ppt && ls /tmp/workspace/loveleen_ppt

Writing File

~/loveleen_ppt/build_ppt.py

from pptx import Presentation
from pptx.util import Inches, Pt, Emu
from pptx.dml.color import RGBColor
from pptx.enum.text import PP_ALIGN

NAVY = RGBColor(0x1F, 0x3B, 0x57)
ACCENT = RGBColor(0xB0, 0x2A, 0x2A)
WHITE = RGBColor(0xFF, 0xFF, 0xFF)
DARK = RGBColor(0x22, 0x22, 0x22)
LIGHT_BG = RGBColor(0xF4, 0xF6, 0xF8)

prs = Presentation()
prs.slide_width = Inches(13.333)
prs.slide_height = Inches(7.5)
BLANK = prs.slide_layouts[6]

def add_bg(slide, color=WHITE):
    bg = slide.shapes.add_shape(1, 0, 0, prs.slide_width, prs.slide_height)
    bg.fill.solid(); bg.fill.fore_color.rgb = color
    bg.line.fill.background()
    bg.shadow.inherit = False
    slide.shapes._spTree.remove(bg._element)
    slide.shapes._spTree.insert(2, bg._element)
    return bg

def title_bar(slide, text, sub=None):
    bar = slide.shapes.add_shape(1, 0, 0, prs.slide_width, Inches(1.05))
    bar.fill.solid(); bar.fill.fore_color.rgb = NAVY
    bar.line.fill.background(); bar.shadow.inherit = False
    tb = slide.shapes.add_textbox(Inches(0.5), Inches(0.12), Inches(12.3), Inches(0.6))
    tf = tb.text_frame; tf.word_wrap = True
    p = tf.paragraphs[0]; p.text = text
    p.font.size = Pt(28); p.font.bold = True; p.font.color.rgb = WHITE; p.font.name = "Calibri"
    if sub:
        tb2 = slide.shapes.add_textbox(Inches(0.5), Inches(0.62), Inches(12.3), Inches(0.4))
        tf2 = tb2.text_frame
        p2 = tf2.paragraphs[0]; p2.text = sub
        p2.font.size = Pt(14); p2.font.italic = True; p2.font.color.rgb = RGBColor(0xD5,0xDC,0xE4)

def bullet_box(slide, x, y, w, h, items, heading=None, font_size=15, head_color=ACCENT):
    tb = slide.shapes.add_textbox(x, y, w, h)
    tf = tb.text_frame; tf.word_wrap = True
    first = True
    if heading:
        p = tf.paragraphs[0]; p.text = heading
        p.font.bold = True; p.font.size = Pt(font_size+2); p.font.color.rgb = head_color
        first = False
    for it in items:
        if isinstance(it, tuple):
            text, level = it
        else:
            text, level = it, 0
        p = tf.paragraphs[0] if first else tf.add_paragraph()
        first = False
        p.text = text
        p.level = level
        p.font.size = Pt(font_size if level==0 else font_size-1)
        p.font.color.rgb = DARK
        p.space_after = Pt(4)
    return tb

def card(slide, x, y, w, h, title, items, title_color=NAVY, font_size=14):
    box = slide.shapes.add_shape(1, x, y, w, h)
    box.fill.solid(); box.fill.fore_color.rgb = LIGHT_BG
    box.line.color.rgb = RGBColor(0xC9,0xD3,0xDC); box.line.width = Pt(0.75)
    box.shadow.inherit = False
    tf = box.text_frame; tf.word_wrap = True
    tf.margin_left = Inches(0.15); tf.margin_right = Inches(0.15)
    tf.margin_top = Inches(0.1); tf.margin_bottom = Inches(0.1)
    p = tf.paragraphs[0]; p.text = title
    p.font.bold = True; p.font.size = Pt(font_size+3); p.font.color.rgb = title_color
    for it in items:
        if isinstance(it, tuple):
            text, level = it
        else:
            text, level = it, 0
        p = tf.add_paragraph()
        p.text = ("• " if level==0 else "  – ") + text
        p.font.size = Pt(font_size if level==0 else font_size-1)
        p.font.color.rgb = DARK
        p.space_after = Pt(3)
    return box

def footer(slide, text):
    tb = slide.shapes.add_textbox(Inches(0.5), Inches(7.15), Inches(12.3), Inches(0.3))
    p = tb.text_frame.paragraphs[0]; p.text = text
    p.font.size = Pt(10); p.font.color.rgb = RGBColor(0x88,0x88,0x88)

# ---------------- Slide 1: Title ----------------
s = prs.slides.add_slide(BLANK)
add_bg(s, NAVY)
tb = s.shapes.add_textbox(Inches(0.8), Inches(2.4), Inches(11.7), Inches(1.2))
p = tb.text_frame.paragraphs[0]; p.text = "Clinical Case Presentation"
p.font.size = Pt(44); p.font.bold = True; p.font.color.rgb = WHITE; p.alignment = PP_ALIGN.CENTER
tb2 = s.shapes.add_textbox(Inches(0.8), Inches(3.5), Inches(11.7), Inches(0.8))
p2 = tb2.text_frame.paragraphs[0]; p2.text = "History and Examination"
p2.font.size = Pt(26); p2.font.color.rgb = RGBColor(0xE3,0xC5,0x6B); p2.alignment = PP_ALIGN.CENTER
tb3 = s.shapes.add_textbox(Inches(0.8), Inches(4.5), Inches(11.7), Inches(0.6))
p3 = tb3.text_frame.paragraphs[0]; p3.text = "Patient: Ms. Loveleen  |  19 yrs / Female  |  Unit No. 8253688"
p3.font.size = Pt(18); p3.font.color.rgb = WHITE; p3.alignment = PP_ALIGN.CENTER
tb4 = s.shapes.add_textbox(Inches(0.8), Inches(5.1), Inches(11.7), Inches(0.5))
p4 = tb4.text_frame.paragraphs[0]; p4.text = "Department of Medicine - Unit 4  |  Two Admissions Under Our Team"
p4.font.size = Pt(14); p4.font.italic = True; p4.font.color.rgb = RGBColor(0xC9,0xD3,0xDC); p4.alignment = PP_ALIGN.CENTER

# ---------------- Slide 2: Patient Profile ----------------
s = prs.slides.add_slide(BLANK)
add_bg(s)
title_bar(s, "Patient Profile", "Identification data")
card(s, Inches(0.6), Inches(1.4), Inches(5.9), Inches(2.4), "Demographics", [
    "Name: Ms. Loveleen", "Age / Sex: 19 years / Female",
    "Unit No.: 8253688", "Ward: 5, Medicine Unit-4",
])
card(s, Inches(6.7), Inches(1.4), Inches(6.0), Inches(2.4), "Two Admissions (Same Unit)", [
    "Admission 1: 14/03/2026 - 20/03/2026",
    "Admission 2: 15/04/2026 - 04/05/2026",
    "Admission 2 occurred ~3 weeks after discharge from Admission 1",
])
card(s, Inches(0.6), Inches(4.0), Inches(12.1), Inches(2.6), "Overview of Illness Trajectory", [
    "Admission 1: Right eye proptosis and swelling - diagnosed as right orbital cellulitis 2° to chronic fungal sinusitis (Aspergillosis) with superadded bacterial infection; treated with right FESS + orbital decompression, IV antibiotics, and voriconazole",
    "Admission 2: Presented with new LEFT eye swelling/pain, facial puffiness and oral thrush 3 days after discharge; course complicated by GTCS, invasive fungal infection (mucormycosis + aspergillosis) and CNS involvement (focal encephalitis)",
], font_size=14)
footer(s, "CMC Ludhiana | Medicine Unit-4")

# ---------------- Slide 3: Admission 1 - History ----------------
s = prs.slides.add_slide(BLANK)
add_bg(s)
title_bar(s, "Admission 1 (14/03/2026 - 20/03/2026)", "Chief Complaints & History of Presenting Illness")
bullet_box(s, Inches(0.6), Inches(1.3), Inches(12.2), Inches(1.0),
    ["19-year-old female, no known comorbidities, presented to casualty with:"], font_size=16)
card(s, Inches(0.6), Inches(2.0), Inches(12.1), Inches(1.6), "Chief Complaints", [
    "Pain and swelling of the right eye - duration 3 days",
    "Numbness of the forehead (right side) - associated symptom",
])
card(s, Inches(0.6), Inches(3.8), Inches(12.1), Inches(2.9), "History Points to Note", [
    "Acute onset, short duration (3 days) periorbital complaint - suggests acute orbital/sinus pathology",
    "No prior comorbidities documented at this admission",
    "No fever documented; patient was afebrile at presentation",
    "No history of trauma, diabetes, or immunosuppression elicited at this stage",
    "This later proved to be the first presentation of invasive fungal rhinosinusitis (Aspergillosis) with orbital extension",
])
footer(s, "Admission 1 - History")

# ---------------- Slide 4: Admission 1 - GPE ----------------
s = prs.slides.add_slide(BLANK)
add_bg(s)
title_bar(s, "Admission 1 - General Physical Examination")
card(s, Inches(0.6), Inches(1.4), Inches(5.9), Inches(2.6), "General Survey", [
    "Conscious, oriented to time, place and person",
    "Vitals: HR 76/min, BP 110/70 mmHg",
    "RR 18/min, SpO2 99% on room air",
    "Afebrile",
])
card(s, Inches(6.7), Inches(1.4), Inches(6.0), Inches(2.6), "Absent Findings", [
    "Pallor - absent", "Icterus - absent", "Cyanosis - absent",
    "Clubbing - absent", "Lymphadenopathy - absent", "Pedal edema - absent",
])
card(s, Inches(0.6), Inches(4.2), Inches(12.1), Inches(2.4), "Local Examination (Right Eye)", [
    "Right eye proptosis present",
    "Conjunctival congestion present",
    "Frontal sinus tenderness present",
    "Maxillary sinus tenderness present",
])
footer(s, "Admission 1 - Examination")

# ---------------- Slide 5: Admission 1 - Systemic exam ----------------
s = prs.slides.add_slide(BLANK)
add_bg(s)
title_bar(s, "Admission 1 - Systemic Examination")
card(s, Inches(0.5), Inches(1.3), Inches(6.0), Inches(1.7), "Respiratory System", [
    "Bilateral equal chest rise", "Bilateral normal vesicular breath sounds, no added sounds",
])
card(s, Inches(6.75), Inches(1.3), Inches(6.05), Inches(1.7), "Cardiovascular System", [
    "Pulse 76/min, regular, good volume", "No radio-radial / radio-femoral delay",
    "JVP not elevated", "S1, S2 heard; no murmurs",
])
card(s, Inches(0.5), Inches(3.15), Inches(6.0), Inches(1.6), "Per Abdomen", [
    "Soft, not distended, umbilicus central", "Liver and spleen not palpable",
    "Bowel sounds normal",
])
card(s, Inches(6.75), Inches(3.15), Inches(6.05), Inches(3.0), "Central Nervous System", [
    "Higher mental functions normal",
    "Extraocular movements normal, no nystagmus",
    "Power 5/5 in all four limbs",
    "Deep tendon reflexes present bilaterally",
    "Plantar reflexes bilaterally downgoing (flexor)",
    "Sensory system normal",
])
footer(s, "Admission 1 - Examination (Key: no focal CNS deficit despite orbital disease)")

# ---------------- Slide 6: Admission 1 summary / bridge ----------------
s = prs.slides.add_slide(BLANK)
add_bg(s)
title_bar(s, "Admission 1 - Clinical Impression at That Time")
card(s, Inches(0.6), Inches(1.4), Inches(12.1), Inches(2.2), "Working Diagnosis", [
    "Right orbital cellulitis with abscess, secondary to chronic fungal sinusitis (Aspergillosis) with superadded bacterial infection (Enterobacter cloacae)",
    "Partial encasement of right optic nerve on imaging (CECT PNS / MRI brain with orbital cuts)",
])
card(s, Inches(0.6), Inches(3.8), Inches(12.1), Inches(2.6), "Management Given (context for Admission 2 history)", [
    "Urgent right-sided FESS with orbital decompression (combined external + endoscopic)",
    "IV antibiotics + antifungal therapy (Voriconazole)",
    "Discharged hemodynamically stable; advised oral Voriconazole for 2 weeks and OPD follow-up",
])
footer(s, "This forms the background history relevant to Admission 2")

# ---------------- Slide 7: Admission 2 - History ----------------
s = prs.slides.add_slide(BLANK)
add_bg(s)
title_bar(s, "Admission 2 (15/04/2026 - 04/05/2026)", "Chief Complaints & History of Presenting Illness")
card(s, Inches(0.6), Inches(1.3), Inches(12.1), Inches(1.5), "Known Background (relevant past history)", [
    "Known case of right-sided orbital cellulitis 2° to chronic fungal sinusitis (Aspergillosis), status-post right FESS with orbital decompression (Admission 1)",
])
card(s, Inches(0.6), Inches(3.0), Inches(12.1), Inches(1.6), "Chief Complaints (New, on this admission)", [
    "Swelling and pain in the LEFT eye - duration 3 days",
    "Facial puffiness - duration 3 days",
])
card(s, Inches(0.6), Inches(4.8), Inches(12.1), Inches(2.0), "Additional History Points", [
    "Pain radiating to the maxillary region; discomfort during mastication and speech",
    "Gradual appearance of non-scrapable whitish patches in the oral cavity over the same 72 hours (oral thrush)",
    "Presented ~3 weeks after discharge from Admission 1 - suggests contralateral/progressive disease",
])
footer(s, "Admission 2 - History")

# ---------------- Slide 8: Admission 2 - GPE ----------------
s = prs.slides.add_slide(BLANK)
add_bg(s)
title_bar(s, "Admission 2 - General Physical Examination")
card(s, Inches(0.6), Inches(1.4), Inches(5.9), Inches(2.7), "General Survey", [
    "Conscious, oriented to time, place and person",
    "Moderately built, well-nourished",
    "Vitals: HR 80/min, BP 110/70 mmHg",
    "RR 20/min, SpO2 99% on room air",
    "Afebrile at admission",
])
card(s, Inches(6.7), Inches(1.4), Inches(6.0), Inches(2.7), "Absent Findings", [
    "Pallor - absent", "Icterus - absent", "Cyanosis - absent",
    "Clubbing - absent", "Lymphadenopathy - absent", "Edema - absent (generalized)",
])
card(s, Inches(0.6), Inches(4.3), Inches(12.1), Inches(2.3), "Local Examination (Eyes)", [
    "Bilateral periorbital edema present",
    "Bilateral chemosis present",
    "Left side worse than right (Left > Right) - correlating with new-onset left eye complaints",
])
footer(s, "Admission 2 - Examination")

# ---------------- Slide 9: Admission 2 - CNS exam (highlight) ----------------
s = prs.slides.add_slide(BLANK)
add_bg(s)
title_bar(s, "Admission 2 - Central Nervous System Examination", "Key positive finding of this admission")
card(s, Inches(0.6), Inches(1.4), Inches(12.1), Inches(2.6), "Pupillary Examination - Anisocoria", [
    "Left pupil: dilated (4 mm), sluggishly reactive to light",
    "Right pupil: constricted (2 mm), reactive to light",
    "This asymmetry correlated clinically with new left orbital apex involvement",
])
card(s, Inches(0.6), Inches(4.2), Inches(12.1), Inches(2.4), "Rest of CNS Examination", [
    "Higher mental functions intact; conscious and oriented",
    "Power 5/5 in both upper and lower limbs",
    "Deep tendon reflexes 2+ (present) bilaterally - biceps, triceps, supinator, knee, ankle",
    "Plantar reflexes bilaterally flexor (downgoing)",
    "Sensory system examination normal",
])
footer(s, "Anisocoria was the earliest clinical clue to orbital apex / CNS involvement on this admission")

# ---------------- Slide 10: Admission 2 - other systemic exam ----------------
s = prs.slides.add_slide(BLANK)
add_bg(s)
title_bar(s, "Admission 2 - Other Systemic Examination")
card(s, Inches(0.5), Inches(1.4), Inches(6.0), Inches(2.2), "Respiratory System", [
    "Thoracoabdominal breathing pattern noted", "Trachea central",
    "Bilateral equal chest rise", "Bilateral normal vesicular breath sounds, no added sounds",
])
card(s, Inches(6.75), Inches(1.4), Inches(6.05), Inches(2.2), "Cardiovascular System", [
    "Pulse normal rate, good volume", "JVP not elevated", "S1, S2 heard; no murmurs or added sounds",
])
card(s, Inches(0.5), Inches(3.8), Inches(12.3), Inches(1.8), "Per Abdomen Examination", [
    "Soft, non-tender; umbilicus central",
    "No hepatosplenomegaly", "Bowel sounds present, normal frequency",
])
card(s, Inches(0.5), Inches(5.75), Inches(12.3), Inches(1.35), "Clinical Course Note (for context)", [
    "Course later complicated by cluster of 4 GTCS episodes, invasive fungal infection (mucormycosis + aspergillosis with angioinvasion) and focal encephalitis - beyond initial history/exam, relevant to full case discussion",
], font_size=12)
footer(s, "Admission 2 - Examination")

# ---------------- Slide 11: Comparison table ----------------
s = prs.slides.add_slide(BLANK)
add_bg(s)
title_bar(s, "Comparative Summary: Admission 1 vs Admission 2")
rows = [
    ("Parameter", "Admission 1 (14-20/03/2026)", "Admission 2 (15/04-04/05/2026)"),
    ("Chief complaint", "Right eye pain/swelling x3d, forehead numbness", "Left eye pain/swelling x3d, facial puffiness, oral thrush"),
    ("Side affected", "Right orbit", "Left orbit (new) + residual right"),
    ("Vitals", "HR 76, BP 110/70, RR 18, afebrile", "HR 80, BP 110/70, RR 20, afebrile"),
    ("Local exam", "Right proptosis, conjunctival congestion, sinus tenderness", "Bilateral periorbital edema & chemosis, L>R"),
    ("CNS exam", "Normal - no focal deficit", "Anisocoria (L pupil dilated, sluggish) - new focal finding"),
    ("Working diagnosis", "Right orbital cellulitis, fungal sinusitis (Aspergillosis) + bacterial infection", "Left orbital cellulitis, contralateral spread; later invasive mucormycosis + encephalitis"),
]
top = Inches(1.3)
tbl_shape = s.shapes.add_table(len(rows), 3, Inches(0.5), top, Inches(12.3), Inches(5.6))
table = tbl_shape.table
table.columns[0].width = Inches(2.4)
table.columns[1].width = Inches(4.95)
table.columns[2].width = Inches(4.95)
for r, row in enumerate(rows):
    for c, val in enumerate(row):
        cell = table.cell(r, c)
        cell.text = val
        tf = cell.text_frame
        tf.word_wrap = True
        for p in tf.paragraphs:
            p.font.size = Pt(12.5 if r>0 else 14)
            p.font.bold = (r==0)
            p.font.color.rgb = WHITE if r==0 else DARK
        cell.fill.solid()
        cell.fill.fore_color.rgb = NAVY if r==0 else (LIGHT_BG if r%2==0 else WHITE)
        cell.margin_left = Inches(0.08); cell.margin_right = Inches(0.08)
footer(s, "Two admissions under the same unit within a 5-week window")

prs.save("/tmp/workspace/loveleen_ppt/Loveleen_History_Examination.pptx")
print("saved")
Running Command

cd /tmp/workspace/loveleen_ppt && python3 build_ppt.py

Your PPT is ready:

Loveleen History Examination

Presentation · PPTX

11 slides covering both admissions, built directly from the discharge summaries you uploaded:
  1. Title slide - patient identifiers, two-admission note
  2. Patient profile - demographics, admission dates, illness trajectory overview
  3. Admission 1 (14-20/03/2026) - History - right eye pain/swelling x3 days + forehead numbness
  4. Admission 1 - GPE + Local exam - vitals normal, right proptosis, conjunctival congestion, sinus tenderness
  5. Admission 1 - Systemic exam - RS/CVS/PA/CNS all normal, no focal deficit
  6. Admission 1 - Clinical impression - right orbital cellulitis 2° fungal sinusitis (Aspergillosis) + bacterial infection, FESS done
  7. Admission 2 (15/04-04/05/2026) - History - known case background + NEW left eye swelling, facial puffiness, oral thrush
  8. Admission 2 - GPE + Local exam - bilateral periorbital edema/chemosis, left > right
  9. Admission 2 - CNS exam highlight - anisocoria (left pupil dilated 4mm sluggish vs right 2mm reactive) - key new focal finding
  10. Admission 2 - Other systemic exam - RS/CVS/PA normal, brief note on later seizure/encephalitis course
  11. Comparison table - Admission 1 vs Admission 2 side-by-side
Key clinical thread I made sure came through: Admission 1 was isolated right orbital disease with a completely normal CNS exam. Admission 2 came back with contralateral (left) involvement, and the anisocoria on CNS exam was the earliest bedside clue to orbital apex/CNS spread - that's a strong point to emphasize when you present, since it links the "examination" findings directly to why they escalated workup (MRI, seizure workup, antifungal change).
I deliberately kept slides 6 and 10 as brief "context" cards (diagnosis/management, later seizure course) rather than full sections, since your topic is specifically History and Examination - you can expand those into a separate "Course in Hospital" slide set if your presentation also needs that.
One thing to flag: I could not fully open "LOVELEEN D-S checked.docx" with the standard reader (it had a corrupted embedded image), but I recovered the text content via raw XML extraction, so nothing should be missing from that summary. If you want me to double check any specific value (e.g. exact seizure timeline or drug doses) against that file, let me know.
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