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492
medical_specialty
int64
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39
3,258
Headache. Right frontal lobe glioma.
22
8,705
Normal awake and drowsy (stage I sleep) EEG for patient's age.
36
2,889
Patient experienced a single episode of his vision decreasing. During the episode, he felt nauseated and possibly lightheaded. His wife was present and noted that he looked extremely pale.
22
9,398
Hospice visit for 77-year-old gentleman with advanced colon cancer.
17
3,483
CT cervical spine for trauma. CT examination of the cervical spine was performed without contrast. Coronal and sagittal reformats were obtained for better anatomical localization.
22
2,322
She is sent for evaluation of ocular manifestations of systemic connective tissue disorders. Denies any eye problems and history includes myopia with astigmatism.
26
9,864
Dietary consultation for gestational diabetes.
9
7,581
Is it BNP or BMP?
19
9,236
Dietary consultation for hyperlipidemia, hypertension, gastroesophageal reflux disease and weight reduction.
9
5,616
Normal vasectomy
39
4,231
Sample progress note - Gen Med.
15
110
Patient with intermittent episodes of severe nausea and abdominal pain.
15
7,458
Specimen labeled "right ovarian cyst" is received fresh for frozen section.
19
11,405
Preop evaluation regarding gastric bypass surgery.
2
6,613
Right ureteropelvic junction obstruction. Robotic-assisted pyeloplasty, anterograde right ureteral stent placement, transposition of anterior crossing vessels on the right, and nephrolithotomy.
21
9,873
Dietary consultation for diabetes during pregnancy.
9
1,965
Right upper lung lobectomy. Mediastinal lymph node dissection
3
1,241
Cholelithiasis; possible choledocholithiasis. Laparoscopic cholecystectomy and intraoperative cholangiogram. A small incision was made in the umbilicus, and a Veress needle was introduced into the abdomen. CO2 insufflation was done to a maximum pressure of 15 mmHg, and a 12-mm VersaStep port was placed into the umbilicus.
14
2,848
Chronic kidney disease, stage IV, secondary to polycystic kidney disease. Hypertension, which is finally better controlled. Metabolic bone disease and anemia.
21
2,364
Sore throat - Upper respiratory infection.
15
915
Dentigerous cyst, left mandible associated with full bone impacted wisdom tooth #17. Removal of benign cyst and extraction of full bone impacted tooth #17.
38
2,795
Removal of painful hardware, first left metatarsal. Excision of nonunion, first left metatarsal. Incorporation of corticocancellous bone graft with internal fixation consisting of screws and plates of the first left metatarsal.
38
5,978
Patient with left renal cell carcinoma, left renal cyst, had robotic-Assisted laparoscopic left renal cyst decortication and cystoscopy.
10
10,663
Evaluation for bariatric surgery.
2
8,047
Gentleman with long-standing morbid obesity, resistant to nonsurgical methods of weight loss with BMI of 69.7
2
4,314
Stage IIA right breast cancer. The pathology showed an infiltrating ductal carcinoma Nottingham grade II. The tumor was ER positive, PR positive and HER-2/neu negative.
16
3,667
A 16-month-old with history of penile swelling for 4 days, had circumcision 1 week ago.
5
4,916
Right orchiopexy and right inguinal hernia repair.
39
4,126
Stage IIA right breast cancer. The pathology showed an infiltrating ductal carcinoma Nottingham grade II. The tumor was ER positive, PR positive and HER-2/neu negative.
35
2,384
MRI T-L spine - L2 conus medullaris lesion and syndrome secondary to Schistosomiasis.
27
10,072
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.
36
8,798
Patient presented with significant muscle tremor, constant headaches, excessive nervousness, poor concentration, and poor ability to focus.
18
8,638
Hospice visit for 77-year-old gentleman with advanced colon cancer.
17
5,762
Consultation for evaluation of thrombocytopenia.
16
1,958
Open septorhinoplasty with placement of bilateral spreader grafts. Bilateral lateral osteotomies.
11
6,497
CT-guided needle placement, CT-guided biopsy of right renal mass, and embolization of biopsy tract with gelfoam.
21
10,575
The client died of a pulmonary embolism, the underlying cause of which is currently undetermined.
1
3,388
A 94-year-old female from the nursing home with several days of lethargy and anorexia. She was found to have evidence of UTI and also has renal insufficiency and digitalis toxicity.
15
1,607
Acute acalculous cholecystitis. Open cholecystectomy. The patient's gallbladder had some patchy and necrosis areas. There were particular changes on the serosal surface as well as on the mucosal surface with multiple clots within the gallbladder.
38
11,696
A female for a complete physical and follow up on asthma with allergic rhinitis.
0
7,626
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
6,514
Evaluate for retroperitoneal hematoma, the client has been following, is currently on Coumadin. CT abdomen without contrast and CT pelvis without contrast.
21
6,029
Urgent cardiac catheterization with coronary angiogram.
12
9,064
Gentleman with long-standing morbid obesity, resistant to nonsurgical methods of weight loss with BMI of 69.7
2
7,416
Is it BNP or BMP?
19
9,106
Specimen labeled "right ovarian cyst" is received fresh for frozen section.
19
6,924
Complete heart block with pacemaker malfunction and a history of Shone complex.
12
8,873
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.
19
7,108
Bender-Gestalt Neurological Battery and Beck testing.
32
1,526
The right upper lobe wedge biopsy shows a poorly differentiated non-small cell carcinoma with a solid growth pattern and without definite glandular differentiation by light microscopy.
3
7,544
The client died of a pulmonary embolism, the underlying cause of which is currently undetermined.
1
9,264
Dietary consultation for carbohydrate counting for type I diabetes.
9
2,048
Lumbar discogram L2-3, L3-4, L4-5, and L5-S1. Low back pain.
27
2,423
Scleral Buckle opening under general anesthesia.
26
2,876
Need for intravenous access. Insertion of a right femoral triple lumen catheter. he patient is also ventilator-dependent, respiratory failure with tracheostomy in place and dependent on parenteral nutrition secondary to dysphagia and also has history of protein-calorie malnutrition and the patient needs to receive total parenteral nutrition and therefore needs central venous access.
38
8,744
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
3,541
Chronic headaches and pulsatile tinnitus.
11
1,035
This 61-year-old retailer who presents with acute shortness of breath, hypertension, found to be in acute pulmonary edema. No confirmed prior history of heart attack, myocardial infarction, heart failure.
5
470
This is a 43-year-old female with a history of events concerning for seizures. Video EEG monitoring is performed to capture events and/or identify etiology.
22
612
Right-sided abdominal pain with nausea and fever. CT abdomen with contrast and CT pelvis with contrast. Axial CT images of the abdomen and pelvis were obtained utilizing 100 mL of Isovue-300.
14
11,014
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
6,020
Costochondral Cartilage Injection
28
11,785
Chronic glossitis, xerostomia, probable environmental inhalant allergies, probable food allergies, and history of asthma.
0
802
Anterior cervical discectomy at C5-6 and placement of artificial disk replacement. Right C5-C6 herniated nucleus pulposus.
27
1,075
Preoperative cardiac evaluation in the patient with chest pain in the setting of left hip fracture.
5
9,795
Acute allergic reaction, etiology uncertain, however, suspicious for Keflex.
0
7,790
Hypomastia. Patient wants breast augmentation and liposuction of her abdomen,
6
113
Solitary left kidney with obstruction and hypertension and chronic renal insufficiency, plus a Pseudomonas urinary tract infection.
21
10,876
Cause of death - Anoxic Encephalopathy
1
3,741
CT-guided needle placement, CT-guided biopsy of right renal mass, and embolization of biopsy tract with gelfoam.
38
2,545
Right total knee arthroplasty using a Biomet cemented components, 62.5-mm right cruciate-retaining femoral component, 71-mm Maxim tibial component, and 12-mm polyethylene insert with 31-mm patella. All components were cemented with Cobalt G.
27
5,606
Patient seen in Neuro-Oncology Clinic because of increasing questions about what to do next for his anaplastic astrocytoma.
20
1,826
Bilateral L5, S1, S2, and S3 radiofrequency ablation for sacroiliac joint pain. Fluoroscopy was used to identify the bony landmarks of the sacrum and the sacroiliac joints and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.
33
1,425
Myocardial perfusion imaging - patient with history of MI, stents placement, and chest pain.
3
12,040
The client has been successful with weight loss due to assistance from others in keeping a food diary, picking lower-calorie items, her three-meal pattern, getting a balanced diet, and all her physical activity.
9
974
Desires permanent sterilization. Laparoscopic tubal ligation, Falope ring method. Normal appearing uterus and adnexa bilaterally.
24
3,553
Ultrasound Abdomen - elevated liver function tests.
14
2,046
Psychiatric Consultation of patient with major depression disorder.
5
11,795
Hospice care for a 55-year-old woman with carcinoma of the cervix metastatic to retroperitoneum and lungs.
17
4,823
A white female presents for exam and Pap.
24
8,429
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
7,413
Dietary consultation for gestational diabetes.
9
10,070
EEG during wakefulness, drowsiness, and sleep with synchronous video monitoring demonstrated no evidence of focal or epileptogenic activity.
36
365
Right basilic vein transposition. End-stage renal disease with need for a long-term hemodialysis access. Excellent flow through fistula following the procedure.
38
11,039
Mother states he has been wheezing and coughing.
0
12,572
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
9,958
Occupational therapy discharge summary. Traumatic brain injury, cervical musculoskeletal strain.
30
1,309
Phenol neurolysis left musculocutaneous nerve and bilateral obturator nerves. Botulinum toxin injection left pectoralis major, left wrist flexors, and bilateral knee extensors.
22
10,916
Chronic glossitis, xerostomia, probable environmental inhalant allergies, probable food allergies, and history of asthma.
0
3,331
Plantar Fascia Injection
28
2,770
Circumcision procedure (neotal)
38
4,120
Closure of gastrostomy placed due to feeding difficulties.
14
8,046
Gentleman with long-standing morbid obesity, resistant to nonsurgical methods of weight loss with BMI of 69.7
2
4,122
The client was originally hospitalized secondary to dizziness and disequilibrium. Extensive workup during her first hospitalization was all negative, but a prominent feature was her very blunted affect and real anhedonia.
25
10,024
Liposuction of the supraumbilical abdomen, revision of right breast reconstruction, excision of soft tissue fullness of the lateral abdomen and flank.
2
10,998
A 23-year-old white female presents with complaint of allergies.
0
1,943
Biparietal craniotomy, insertion of left lateral ventriculostomy, right suboccipital craniectomy and excision of tumor.
38
9,592
A lady with symptoms consistent with possible oligoarticular arthritis of her knees.
34
4,150
LEEP procedure of endocervical polyp and Electrical excision of pigmented mole of inner right thigh.
24
4,030
Complex regional discomfort syndrome, right upper extremity. Stellate ganglion block.
28