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492
medical_specialty
int64
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39
1,659
Closure of rectovaginal fistula, transperineal approach
38
7,825
The case was monitored for EEG, EOG, jaw and leg EMG, thoracoabdominal impedance, oral/nasal thermistors, EKG, and oximetry.
36
8,403
Followup dietary consultation for hyperlipidemia, hypertension, and possible metabolic syndrome
9
3,921
Elevated cholesterol and is on medication to lower it.
9
9,338
Elevated cholesterol and is on medication to lower it.
9
8,196
Mohs Micrographic Surgery for basal cell CA at mid parietal scalp.
8
6,294
Nephrology office visit for followup of CKD.
21
5,604
Cataract extraction with lens implantation, right eye. The lens was inspected and found to be free of defects, folded, and easily inserted into the capsular bag, and unfolded.
26
8,444
Therapeutic recreation initial evaluation. Patient is a 54-year-old male admitted with determination of CVA with right hemiparesis.
30
9,437
Autopsy - Homicide - evidence of exsanguination - multiple stab wounds.
1
4,356
A 68-year-old male with history of bilateral hernia repair, who presents with 3 weeks of diarrhea and 1 week of rectal bleeding. He states that he had some stomach discomfort in the last 4 weeks.
14
7,738
Letter on evaluation regarding extraction of mandibular left second molar tooth #18.
20
8,030
Entrapment of the Superior Gluteal Nerve in the aponeurosis of the Gluteus Medius-Left.
4
2,705
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.
3
11,867
Followup of left hand discomfort and systemic lupus erythematosus. Carpal tunnel involving the left wrist with sensory change, but no evidence of motor change.
34
357
An 85-year-old female with diarrhea, vomiting, and abdominal pain.
15
2,700
Laparoscopic assisted vaginal hysterectomy, bilateral salpingo-oophorectomy, culdoplasty, and cystoscopy. Chronic pelvic inflammatory disease, pelvic adhesions, pelvic pain, fibroid uterus, and enterocele.
24
11,834
Hospice visit for 77-year-old gentleman with advanced colon cancer.
17
9,885
Mother states he has been wheezing and coughing.
0
6,103
Bilateral L5 dorsal ramus block and bilateral S1, S2, and S3 lateral branch block for sacroiliac joint pain. Fluoroscopic pillar view was used to identify the bony landmarks of the sacrum and sacroiliac joint and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.
28
1,232
Right burr hole craniotomy for evacuation of subdural hematoma and placement of subdural drain.
38
3,428
Endoscopic-assisted transsphenoidal exploration and radical excision of pituitary adenoma. Endoscopic exposure of sphenoid sinus with removal of tissue from within the sinus.
22
11,480
Qualified medical evaluation report of a client with back pain.
18
10,096
Chiropractic IME with old files review. Detailed Thoracic Spine Examination.
18
526
A ight-handed inpatient with longstanding history of cervical spinal stenosis status post decompression, opioid dependence, who has had longstanding low back pain radiating into the right leg.
30
5,214
Chronic lymphocytic leukemia (CLL), autoimmune hemolytic anemia, and oral ulcer. The case was diagnosed with chronic lymphocytic leukemia and was noted to have autoimmune hemolytic anemia at the time of his CLL diagnosis.
16
730
Knee injection
28
2,169
Left scrotal exploration with detorsion. Already, de-torsed bilateral testes fixation and bilateral appendix testes cautery.
38
10,505
Status post brain tumor removal. The client is a 64-year-old female referred to physical therapy following complications related to brain tumor removal. She had a brain tumor removed and had left-sided weakness.
30
1,698
Dietary consult for a 79-year-old African-American female diagnosed with type 2 diabetes in 1983.
5
47
Bilateral temporal artery biopsy. Rule out temporal arteritis.
22
11,608
A 23-year-old white female presents with complaint of allergies.
0
4,195
Procedure note on Keller Bunionectomy
31
2,654
The patient continues to suffer from ongoing neck and lower back pain with no recent radicular complaints.
25
6,282
She is a 14-year-old Hispanic female with history of pauciarticular arthritis in particular arthritis of her left knee, although she has complaints of arthralgias in multiple joints. Under general anesthesia, 20 mg of Aristospan were injected on the left knee.
28
8,090
Autopsy of a white female who died of acute combined drug intoxication.
1
787
The patient 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.
11
9,582
Autopsy - Asphyxia due to ligature strangulation.
1
2,588
Patient presents to the emergency room with complaints of mid-epigastric and right upper quadrant abdominal pain for the last 14 days.
12
6,011
MRI report Cervical Spine (Chiropractic Specific)
4
1,059
Headache and diplopia.
5
10,172
Consultation for left foot pain.
4
6,917
Incision and drainage of right buccal space abscess and teeth extraction.
7
6,260
The case is status post C3-C4 anterior cervical discectomy and fusion.
30
4,560
Falls at home. Anxiety and depression. The case had been increasingly anxious and freely admitted that she was depressed at home.
22
10,147
Extraction of teeth. Incision and drainage (I&D) of left mandibular vestibular abscess adjacent to teeth #18 and #19.
7
10,813
Specimen - Lung, left lower lobe resection. Sarcomatoid carcinoma with areas of pleomorphic/giant cell carcinoma and spindle cell carcinoma. The tumor closely approaches the pleural surface but does not invade the pleura.
19
11,279
Probable right upper lobe lung adenocarcinoma. Specimen is received fresh for frozen section, labeled with the patient's identification and "Right upper lobe lung".
19
11,377
Cognitive linguistic impairment secondary to stroke. The client was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy secondary to cognitive linguistic deficits.
37
5,651
A white female with a history of fevers.
10
6,617
Placement of right new ventriculoperitoneal (VP) shunts Strata valve and to removal of right frontal Ommaya reservoir.
23
2,323
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.
27
2,856
Patient with chronic pain plus lumbar disk replacement with radiculitis and myofascial complaints.
27
8,298
Dental restoration. Dental caries. Cavities have been noted by his parents and pediatrician that have been noted to be pretty severe.
7
6,396
Patient is a three years old male who about 45 minutes prior admission to the emergency room ingested about two to three tablets of Celesta 40 mg per tablets.
12
11,895
Tracheostomy and thyroid isthmusectomy. Ventilator-dependent respiratory failure and multiple strokes.
13
6,678
Acromioclavicular joint injection
28
1,700
Consultation for left foot pain.
4
4,301
Adenotonsillectomy. Recurrent tonsillitis. The adenoid bed was examined and was moderately hypertrophied. Adenoid curettes were used to remove this tissue and packs placed.
11
8,317
Patient being referred for evaluation of glaucoma.
20
3,072
The patient has a manic disorder, is presently psychotic with flight of ideas, tangential speech, rapid pressured speech and behavior, impulsive behavior. Bipolar affective disorder, manic state. Rule out depression.
5
6,634
The client is a 4-month-old who presented with supraventricular tachycardia and persistent cyanosis.
29
2,837
Direct laryngoscopy, rigid bronchoscopy and dilation of subglottic upper tracheal stenosis.
38
12,176
Hospice visit for 77-year-old gentleman with advanced colon cancer.
17
4,199
Diagnosis of benign rolandic epilepsy.
22
9,536
Patient having severe sinusitis about two to three months ago with facial discomfort, nasal congestion, eye pain, and postnasal drip symptoms.
0
6,360
Repair of ruptured globe involving posterior sclera - Sample/Template.
26
6,521
Left buttock abscess, status post incision and drainage. Recommended some local wound care
8
5,378
Difficulty with both distance vision and with fine print at near.
26
7,899
Dietary consultation for diabetes during pregnancy.
9
10,224
Vasectomy 10 years ago, failed. Azoospermic. Reversal two years ago. Interested in sperm harvesting and cryopreservation
20
7,934
Closed reduction of mandible fractures with Erich arch bars and elastic fixation. Left angle and right body mandible fractures.
7
449
She was admitted following an overdose of citalopram and warfarin. The patient has had increasing depression and has been under stress as a result of dissolution of her second marriage.
32
758
Epigastric herniorrhaphy. Epigastric hernia.
14
4,405
Occupational therapy discharge summary. Traumatic brain injury, cervical musculoskeletal strain.
30
9,245
Followup of left hand discomfort and systemic lupus erythematosus. Carpal tunnel involving the left wrist with sensory change, but no evidence of motor change.
34
7,040
Irritable baby, 6-week-old, with fever for approximately 24 hours.
29
5,311
Bilateral myringotomies with insertion of Santa Barbara T-tube.
11
1,534
Laparoscopic bilateral tubal ligation with Falope rings.
38
1,506
Hemiarthroplasty, right hip. Fracture of the right femoral neck, also history of Alzheimer's dementia, hypothyroidism, and status post hemiarthroplasty of the hip.
27
9,220
Patient having severe sinusitis about two to three months ago with facial discomfort, nasal congestion, eye pain, and postnasal drip symptoms.
0
12,583
Is it BNP or BMP?
19
10,580
The case died of a pulmonary embolism, the underlying cause of which is currently undetermined.
1
10,119
Breast flap revision, nipple reconstruction, reduction mammoplasty, breast medial lesion enclosure.
6
3,104
Sigmoidoscopy performed for evaluation of anemia, gastrointestinal Bleeding.
14
8,685
Followup after a full-night sleep study performed to evaluate her for daytime fatigue and insomnia. This client presents with history of sleep disruption and daytime sleepiness with fatigue. Her symptoms are multifactorial.
36
3,925
Squamous cell carcinoma of right temporal bone/middle ear space. Right temporal bone resection; rectus abdominis myocutaneous free flap for reconstruction of skull base defect; right selective neck dissection zones 2 and 3.
38
11,959
First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury.
18
6,978
Right sacral alar notch and sacroiliac joint/posterior rami radiofrequency thermocoagulation.
28
6,649
Newborn circumcision. The penile foreskin was removed using Gomco.
29
9,629
Hospice care for a 41-year-old man with the AIDS complicated with recent cryptococcal infection, disseminated MAC and Kaposi's sarcoma.
17
6,793
Vitreous hemorrhage, right eye. Vitrectomy, right eye. A Lancaster lid speculum was applied and the conjunctiva was opened 4 mm posterior to the limbus.
26
1,654
Followup evaluation and management of chronic medical conditions. Congestive heart failure, stable on current regimen. Diabetes type II, A1c improved with increased doses of NPH insulin. Hyperlipidemia, chronic renal insufficiency, and arthritis.
15
363
Patient with several medical problems - mouth being sore, cough, right shoulder pain, and neck pain
35
201
Laparoscopic cholecystectomy. Gallstone pancreatitis. Video laparoscopy revealed dense omental adhesions surrounding the gallbladder circumferentially.
38
10,467
Work restrictions and disability evaluation
4
587
Noncontrast CT scan of the lumbar spine. Left lower extremity muscle spasm. Transaxial thin slice CT images of the lumbar spine were obtained with sagittal and coronal reconstructions on emergency basis, as requested.
22
3,121
The patient is a 39-year-old gravida 3, para 2, who is now at 20 weeks and 2 days gestation. This pregnancy is a twin gestation. The patient presents for her fetal anatomical survey.
33
9,608
Hospice care for a 41-year-old man with the AIDS complicated with recent cryptococcal infection, disseminated MAC and Kaposi's sarcoma.
17
5,179
Left flank pain, ureteral stone.
39