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Endoscopic subperiosteal midface lift using the endotine midface suspension device. Transconjunctival lower lid blepharoplasty with removal of a portion of the medial and middle fat pad.

Patient presents for care of suspected rheumatoid arthritis.

Hemarthrosis, left knee, status post total knee replacement, rule out infection. Arthrotomy, irrigation and debridement, and polyethylene exchange, left knee. No complications were encountered throughout the procedure.

Evaluation for chronic discomfort program

The case died of a pulmonary embolism, the underlying cause of which is currently undetermined.

Standard Laparoscopic Cholecystectomy Operative Note.

MRI Cervical Spine without contrast.

Anterior cervical discectomy with decompression and arthrodesis with anterior interbody fusion. Spinal instrumentation using Pioneer 18-mm plate and four 14 x 4.3 mm screws (all titanium).

Suction-assisted lipectomy - lipodystrophy of the abdomen and thighs.

Chronic obstructive pulmonary disease (COPD) exacerbation and acute bronchitis.

The client is now on his third postoperative day for an open reduction and internal fixation for two facial fractures, as well as open reduction nasal fracture. He is on his eighth hospital day.

Bilateral Screening Mammogram Full-Field Digital Mammography (FFDM) (Benign Findings)

AP abdomen and ultrasound of kidney.

Left thyroid mass. Left total thyroid lumpectomy. The case with a history of a left thyroid mass nodule that was confirmed with CT scan along with thyroid uptake scan, which demonstrated a hot nodule on the left anterior pole.

Total abdominal hysterectomy and bilateral salpingo-oophorectomy.

A neuropsychological evaluation to assess neuropsychological factors, clarify areas of strength and weakness, and to assist in therapeutic program planning in light of episodes of syncope.

Open reduction, nasal fracture with nasal septoplasty.

Flexible sigmoidoscopy due to rectal bleeding.

Chiropractic Evaluation - Patient with ankle, cervical, and thoracic sprain/strain.

Specimen labeled "right ovarian cyst" is received fresh for frozen section.

Cauterization of peri and intra-anal condylomas. Extensive perianal and intra-anal condyloma which are likely represent condyloma acuminata.

Leukocytosis, acute deep venous thrombosis, right lower extremity with bilateral pulmonary embolism, on intravenous heparin complicated with acute renal failure for evaluation.

Hospice care for a 55-year-old woman with carcinoma of the cervix metastatic to retroperitoneum and lungs.

Completion thyroidectomy with limited right paratracheal node dissection.

Psychiatric evaluation for ADHD, combined type.

Dental restoration. Dental caries. Cavities have been noted by his parents and pediatrician that have been noted to be pretty severe.

Suspicious calcifications upper outer quadrant, left breast. Left breast excisional biopsy with preoperative guidewire localization and intraoperative specimen radiography.

Dietary consult for a 79-year-old African-American female diagnosed with type 2 diabetes in 1983.

Flexible fiberoptic bronchoscopy with right lower lobe bronchoalveolar lavage and right upper lobe endobronchial biopsy. Severe tracheobronchitis, mild venous engorgement with question varicosities associated pulmonary hypertension, right upper lobe submucosal hemorrhage without frank mass underneath it status post biopsy.

Motor vehicle collision. CT head without contrast, CT facial bones without contrast, and CT cervical spine without contrast.

This is a 14-month-old baby boy Caucasian who came in with presumptive diagnosis of Kawasaki with fever for more than 5 days and conjunctivitis, mild arthritis with edema, rash, resolving and with elevated neutrophils and thrombocytosis, elevated CRP and ESR.

Phenol neurolysis left musculocutaneous nerve and bilateral obturator nerves. Botulinum toxin injection left pectoralis major, left wrist flexors, and bilateral knee extensors.

The case needs refills on her Xanax

Morbid obesity. Laparoscopic Roux-en-Y gastric bypass, antecolic, antegastric with 25-mm EEA anastamosis, esophagogastroduodenoscopy.

Type 1 diabetes mellitus, insulin pump requiring. Chronic kidney disease, stage III. Sweet syndrome, hypertension, and dyslipidemia.

Chronic cholecystitis, cholelithiasis, and liver cyst. Laparoscopic cholecystectomy and excision of liver cyst. Exploration of the abdomen revealed multiple adhesions of omentum overlying the posterior aspect of the gallbladder.

Occupational medicine consult with questions-answers.

Chronic laryngitis, hoarseness. The case was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy secondary to voicing difficulties.

Hospice care for a 41-year-old man with the AIDS complicated with recent cryptococcal infection, disseminated MAC and Kaposi's sarcoma.

Arthroplasty of the right second digit. Hammertoe deformity of the right second digit.

Pain management for post-laminectomy low back syndrome and radiculopathy.

Hospice visit for 77-year-old gentleman with advanced colon cancer.

Trigger Point Injection. The area over the myofascial spasm was prepped with alcohol utilizing sterile technique.

Patient has had multiple problems with his teeth due to extensive dental disease and has had many of his teeth pulled, now complains of new tooth discomfort to both upper and lower teeth on the left side for approximately three days..

Prostate Brachytherapy - Prostate I-125 Implantation

Electroencephalogram, electromyogram of the chin and lower extremities, electrooculogram, electrocardiogram, air flow from the nose and mouth, respiratory effort at the chest and abdomen, and finger oximetry.

A woman with a history of progression of dysphagia for the past year, dysarthria, weakness of her right arm, cramps in her legs, and now with progressive weakness in her upper extremities. Abnormal electrodiagnostic study.

Care conference with family at the bedside and decision to change posture of care from aggressive full code status to terminal wean with comfort care measures in a case with code last night with CPR and advanced cardiac life support.

Decompressive laminectomy at T12 with bilateral facetectomies, decompression of T11 and T12 nerve roots bilaterally with posterolateral fusion supplemented with allograft bone chips and pedicle screws and rods with crosslink Synthes ClickX System.

Speech therapy discharge summary. The client was admitted for skilled speech therapy secondary to cognitive-linguistic deficits.

Consult for laparoscopic gastric bypass.

Counting calorie points, exercising pretty regularly, seems to be doing well

A female admitted with jaundice and a pancreatic mass who was noted to have a new murmur, bacteremia, and fever.

Lung, wedge biopsy right lower lobe and resection right upper lobe. Lymph node, biopsy level 2 and 4 and biopsy level 7 subcarinal. PET scan demonstrated a mass in the right upper lobe and also a mass in the right lower lobe, which were also identified by CT scan.

Complaint of mood swings and tearfulness.

This 62-year-old white female has essential tremor and mild torticollis. Tremor not bothersome for most activities of daily living, but she does have a great difficulty writing, which is totally illegible.

Total thyroidectomy with removal of substernal extension on the left. Thyroid goiter with substernal extension on the left.

Patient presents for care of suspected rheumatoid arthritis.

Psychosocial donor evaluation. Following questions are mostly involved in a psychosocial donor evaluation.

Dietary consultation for diabetes during pregnancy.

Hairline biplanar temporal browlift, quadrilateral blepharoplasty, canthopexy, cervical facial rhytidectomy with purse-string SMAS elevation with submental lipectomy.

Negative for any nausea, vomiting, fevers, chills, or weight loss.

Patient with swelling of lips and dysphagia and Arthritis.

Vitrectomy under local anesthesia.

Right foot series after a foot injury.

She is sent for evaluation of ocular manifestations of systemic connective tissue disorders. Denies any eye problems and history includes myopia with astigmatism.

This is a 14-month-old baby boy Caucasian who came in with presumptive determination of Kawasaki with fever for more than 5 days and conjunctivitis, mild arthritis with edema, rash, resolving and with elevated neutrophils and thrombocytosis, elevated CRP and ESR.

Patient has had multiple problems with his teeth due to extensive dental disease and has had many of his teeth pulled, now complains of new tooth ache to both upper and lower teeth on the left side for approximately three days..

A female for a complete physical and follow up on asthma with allergic rhinitis.

Autopsy - Homicide - Blunt force cranial trauma

A female for a complete physical and follow up on asthma with allergic rhinitis.

Excision of mass, left second toe and distal Symes amputation, left hallux with excisional biopsy. Mass, left second toe. Tumor. Left hallux bone invasion of the distal phalanx.

Primary low-transverse C-section. Postdates pregnancy, failure to progress, meconium stained amniotic fluid.

Patient presented with significant muscle tremor, constant headaches, excessive nervousness, poor concentration, and poor ability to focus.

EEG during wakefulness, drowsiness, and sleep with synchronous video monitoring demonstrated no evidence of focal or epileptogenic activity.

Patient presented with significant muscle tremor, constant headaches, excessive nervousness, poor concentration, and poor ability to focus.

Autopsy - Homicide - Blunt force cranial trauma

Right radical nephrectomy and assisted laparoscopic approach.

Left axillary dissection with incision and drainage of left axillary mass. Right axillary mass excision and incision and drainage. Bilateral axillary masses, rule out recurrent Hodgkin's disease.

Diagnostic Mammogram and ultrasound of the breast.

Male with a history of therapy-controlled hypertension, borderline diabetes, and obesity. Risk factors for coronary heart disease.

Cataract to right eye. Cataract extraction with intraocular lens implant of the right eye, anterior vitrectomy of the right eye.

Ultrasound-guided right pleurocentesis for right pleural effusion with respiratory failure and dyspnea.

Anterior cervical discectomy and osteophytectomy. Application of prosthetic interbody fusion device. Anterior cervical interbody arthrodesis. Anterior cervical instrumentation

Hospice care for a 55-year-old woman with carcinoma of the cervix metastatic to retroperitoneum and lungs.

Back injury with RLE radicular symptoms. The patient is a 52-year-old male who is here for independent clinical evaluation.

Marked right hydronephrosis without hydruria.

Excision of right superior parathyroid adenoma, seen on sestamibi parathyroid scan and an ultrasound.

Upper respiratory illness with apnea, possible pertussis. a one plus-month-old female with respiratory symptoms for approximately a week prior to admission. This involved cough, post-tussive emesis, and questionable fever.

The client has a possibly torsion detorsion versus other acute testicular problem.

CT abdomen and pelvis without contrast, stone protocol, reconstruction.

Esophagitis, minor stricture at the gastroesophageal junction, hiatal hernia. Otherwise normal upper endoscopy to the transverse duodenum.

Vaginal discharge with a foul odor.

A sample note on Rheumatoid Arthritis

Creation of AV fistula, left wrist in the anatomic snuffbox.

Painful ingrown toenail, left big toe. Removal of an ingrown part of the left big toenail with excision of the nail matrix.

Patient presents for care of suspected rheumatoid arthritis.

Patient was referred for a neuropsychological evaluation after a recent hospitalization for possible transient ischemic aphasia. Two years ago, a similar prolonged confusional spell was reported as well. A comprehensive evaluation was requested to assess current cognitive functioning and assist with diagnostic decisions and treatment planning.

Intensity-modulated radiation therapy simulation note. The client will receive intensity-modulated radiation therapy in order to deliver high-dose treatment to sensitive structures.

Patient has prostate cancer with metastatic disease to his bladder. The patient has had problems with hematuria in the past. The patient was encouraged to drink extra water and was given discharge instructions on hematuria.