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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 |