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Left upper extremity amputation. This 3-year-old male suffered amputation of his left upper extremity with complications of injury. He presents at this time for further attempts at closure. Left abdominal flap 5 x 5 cm to left forearm, debridement of skin, subcutaneous tissue, muscle, and bone, closure of wounds, placement of VAC negative pressure wound dressing.

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

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

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

Decreased ability to perform daily living activities secondary to exacerbation of chronic back pain.

A 16-month-old with history of penile swelling for 4 days, had circumcision 1 week ago.

Electroencephalogram (EEG). Photic stimulation reveals no important changes. Essentially normal.

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.

Migraine headache - The patient was seen in the urgent care.

Functional endoscopic sinus surgery, bilateral maxillary antrostomy, bilateral total ethmoidectomy, bilateral nasal polypectomy, and right middle turbinate reduction.

Followup of left hand discomfort and systemic lupus erythematosus. Carpal tunnel involving the left wrist with sensory change, but no evidence of motor change.

A 23-year-old white female presents with complaint of allergies.

A 3-month well-child check.

The patient is in complaining of headaches and dizzy spells.

First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury.

Consultation for wrist pain.

13 years old complaining about severe ear ache - Chronic otitis media.

Skin biopsy, scalp mole. Darkened mole status post punch biopsy, scalp lesion. Rule out malignant melanoma with pulmonary metastasis.

Infected right hip bipolar arthroplasty, status post excision and placement of antibiotic spacer. Removal of antibiotic spacer and revision total hip arthroplasty.

Pediatric Gastroenterology - Rectal Bleeding Consult.

Construction of right upper arm hemodialysis fistula with transposition of deep brachial vein. End-stage renal disease with failing AV dialysis fistula.

Ethmoidectomy, antrostomy with polyp removal, turbinectomy, and septoplasty.

Occupational medicine consult with questions-answers.

Bunion, left foot. Bunionectomy with first metatarsal osteotomy base wedge type with internal screw fixation and Akin osteotomy with internal wire fixation of left foot.

Plantar fascitis/heel spur syndrome. The case was given injections of 3 cc 2:1 mixture of 1% lidocaine plain with dexamethasone phospate.

Repair of one-half full-thickness left lower lid defect by tarsoconjunctival pedicle flap from left upper lid to left lower lid and repair of left upper and lateral canthal defect by primary approximation to lateral canthal tendon remnant.

Patient with active flare of Inflammatory Bowel Disease, not responsive to conventional therapy including sulfasalazine, cortisone, local therapy.

Mother states he has been wheezing and coughing.

A lady with symptoms consistent with possible oligoarticular arthritis of her knees.

Closed reduction of mandible fractures with Erich arch bars and elastic fixation. Left angle and right body mandible fractures.

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

Patient having severe sinusitis about two to three months ago with facial discomfort, nasal congestion, eye pain, and postnasal drip symptoms.

An example of a physical exam

The case was referred for an outpatient speech and language pathology consult to increase speech and swallowing abilities. The case is currently NPO with G-tube to meet all of his hydration and nutritional needs. A trial of Passy-Muir valve was completed to allow the case to achieve hands-free voicing.

Frontal and lateral views of the hip and pelvis.

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.

Burr hole and insertion of external ventricular drain catheter.

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.

Hispanic male client was admitted because of enlarged prostate and symptoms of bladder neck obstruction.

A 21-channel digital electroencephalogram was performed on a client in the awake state.

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

Left buttock abscess, status post incision and drainage. Recommended some local wound care

Right hydronephrosis, right flank pain, atypical/dysplastic urine cytology, extrarenal pelvis on the right, no evidence of obstruction or ureteral/bladder lesions. Cystoscopy, bilateral retrograde ureteropyelograms, right ureteral barbotage for urine cytology, and right ureterorenoscopy.

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

Esophagogastroduodenoscopy with gastric biopsies. Antral erythema; 2 cm polypoid pyloric channel tissue, questionable inflammatory polyp which was biopsied; duodenal erythema and erosion.

Incision and drainage (I&D) of buttock abscess.

An example normal physical exam

Chiropractic IME with answers to questions from Insurance Company.

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.

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

Autopsy - Asphyxia due to ligature strangulation.

Total thyroidectomy for goiter. Multinodular thyroid goiter with compressive symptoms and bilateral dominant thyroid nodules proven to be benign by fine needle aspiration.

A sample note on Cataract

Dietary consultation for hyperlipidemia, hypertension, gastroesophageal reflux disease and weight reduction.

Phacoemulsification of cataract and posterior chamber lens implant, right eye.

A 19-year-old right-handed male injured in a motor vehicle accident.

MRI report Cervical Spine (Chiropractic Specific)

Pulmonary Function Test in a patient with smoking history.

Autopsy - Homicide - Blunt force cranial trauma

Anterior cervical discectomy, osteophytectomy, foraminotomies, spinal cord decompression, fusion with machined allografts, Eagle titanium plate, Jackson-Pratt drain placement, and intraoperative monitoring with EMGs and SSEPs

Specimen labeled "sesamoid bone left foot".

Creation of autologous right brachiobasilic arteriovenous fistula - first stage.

Breast flap revision, nipple reconstruction, reduction mammoplasty, breast medial lesion enclosure.

Pulmonary valve stenosis, supple pulmonic narrowing, and static encephalopathy

Cause of death - Anoxic Encephalopathy

Skin biopsy, scalp mole. Darkened mole status post punch biopsy, scalp lesion. Rule out malignant melanoma with pulmonary metastasis.

Patient having severe sinusitis about two to three months ago with facial discomfort, nasal congestion, eye pain, and postnasal drip symptoms.

Incision and drainage (I&D) of buttock abscess.

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

Colonoscopy to evaluate prior history of neoplastic polyps.

A 23-year-old white female presents with complaint of allergies.

Adenotonsillectomy, primary, client under age 12.

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

Cystoscopy, cystocele repair, BioArc midurethral sling.

Initial clinic visit for foreign body in left eye.

Left knee arthroscopy with lateral capsular release.

Hypomastia. Patient wants breast augmentation and liposuction of her abdomen,

Cardiology consultation regarding preoperative evaluation for right hip surgery. Patient with a history of coronary artery disease status post bypass surgery

Adenoidectomy. Adenoid hypertrophy. The McIvor mouth gag was placed in the oral cavity and the tongue depressor applied.

Transesophageal echocardiogram and direct current cardioversion.

MRI Brain & T-spine - Demyelinating disease.

Chiropractic IME with answers to questions from Insurance Company.

Bilateral Crawford subtalar arthrodesis with open Achilles Z-lengthening and bilateral long-leg cast.

Placement of right new ventriculoperitoneal (VP) shunts Strata valve and to removal of right frontal Ommaya reservoir.

A well-child check with concern of some spitting up quite a bit.

1-year well child check.

First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury.

Patient presents for therapy of suspected rheumatoid arthritis.

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.

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

Probable right upper lobe lung adenocarcinoma. Specimen is received fresh for frozen section, labeled with the patient's identification and "Right upper lobe lung".

Is it BNP or BMP?

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

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

Refractory priapism. Cavernosaphenous shunt. The patient presented with priapism x48 hours on this visit. The patient underwent corporal aspiration and Winter's shunt both of which failed

Plantar flex third metatarsal and talus bunion, right foot. Third metatarsal osteotomy, talus bunionectomy, and application of short-leg cast, right foot. Patient has tried conservative methods such as wide shoes and serial debridement and accommodative padding, all of which provided inadequate relief. At this time she desires to attempt a surgical correction.

One-week history of decreased vision in the left eye. Past ocular history includes cataract extraction with lens implants in both eyes.

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.

New patient visit for right hand pain. Punched the wall 3 days prior to presentation, complained of ulnar-sided right hand pain, and was seen in the emergency room.

The client was monitored for EEG, EOG, jaw and leg EMG, thoracoabdominal impedance, oral/nasal thermistors, EKG, and oximetry. The test was performed due to suspicion of sleep apnea and poor sleep quality with frequent awakenings.