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4,594 | A white male veteran with multiple comorbidities, who has a history of bladder cancer diagnosed approximately two years ago by the VA Hospital. | 10 |
4,181 | Hypospadias repair (TIT and tissue flap relocation) and Nesbit tuck chordee release. | 39 |
4,712 | Hyperglycemia, cholelithiasis, obstructive sleep apnea, diabetes mellitus, hypertension, and cholecystitis. | 10 |
2,401 | This is a middle-aged female with two month history of low back pain and leg pain. | 27 |
9,954 | Surgical removal of completely bony impacted teeth #1, #16, #17, and #32. Completely bony impacted teeth #1, #16, #17, and #32. | 7 |
10,037 | First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury. | 18 |
2,734 | MRI - Intracerebral hemorrhage (very acute clinical changes occurred immediately prior to scan). | 33 |
6,410 | 13 years old complaining about severe ear discomfort - Chronic otitis media. | 29 |
3,642 | Exploratory laparotomy, lysis of adhesions, and right hemicolectomy. Right colon cancer, ascites, and adhesions. | 38 |
5,174 | Patient discharged after laparoscopic Roux-en-Y gastric bypass. | 10 |
4,978 | Acne from continually washing area, frequent phone use so the receiver rubs on face and oral contraceptive use - Acne Vulgaris | 8 |
2,988 | Prostate Brachytherapy - Prostate I-125 Implantation | 39 |
4,742 | A 41-year-old African-American male with a history of bipolar affective disorder, was admitted for noncompliance to the outpatient therapy and increased mood lability. | 32 |
5,956 | Respiratory distress syndrome, intrauterine growth restriction, thrombocytopenia, hypoglycemia, retinal immaturity. The baby is an ex-32 weeks small for gestational age infant with birth weight 1102. | 29 |
2,917 | Left Iliopsoas hematoma. Gait difficulty. | 22 |
2,209 | A white female with a history of fevers. | 15 |
3,181 | Right knee injury suggestive of a recurrent anterior cruciate ligament tear, possible internal derangement. While playing tennis she had a non-contact injury in which she injured the right knee. She had immediate pain and swelling. | 27 |
10,326 | Return visit to the endocrine clinic for acquired hypothyroidism, papillary carcinoma of the thyroid gland status post total thyroidectomy in 1992, and diabetes mellitus. | 13 |
11,706 | Autopsy - Homicide - Blunt force cranial trauma | 1 |
7,360 | Therapeutic recreation initial evaluation. Patient is a 54-year-old male admitted with identification of CVA with right hemiparesis. | 30 |
4,636 | Right argon laser assisted stapedectomy. Bilateral conductive hearing losses with right stapedial fixation secondary to otosclerosis. | 11 |
9,231 | Chiropractic Evaluation for neck and low back ache following a car accident. | 4 |
9,681 | Hospice visit for 77-year-old gentleman with advanced colon cancer. | 17 |
1,286 | Lumbar epidural steroid injection without fluoroscopy. A 18-gauge Tuohy needle was placed into the epidural space, using loss of resistance technique, with no cerebrospinal fluid or blood noted. | 28 |
623 | Insertion of left femoral circle-C catheter (indwelling catheter). Chronic renal failure. The patient was discovered to have a MRSA bacteremia with elevated fever and had tenderness at the anterior chest wall where his Perm-A-Cath was situated. | 21 |
9,065 | Gentleman with long-standing morbid obesity, resistant to nonsurgical methods of weight loss with BMI of 69.7 | 2 |
5,036 | Psychiatric Consultation of client with anxiety. | 32 |
4,389 | Global aphasia. The client is referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy, status post stroke. | 37 |
7,334 | A lady with symptoms consistent with possible oligoarticular arthritis of her knees. | 34 |
4,914 | Right orchiopexy and right inguinal hernia repair. | 39 |
11,027 | Autopsy - Homicide - evidence of exsanguination - multiple stab wounds. | 1 |
2,215 | Excision of right upper eyelid squamous cell carcinoma with frozen section and full-thickness skin grafting from the opposite eyelid. | 26 |
3,089 | Presents to the ER with hematuria that began while sleeping last night. He denies any pain, nausea, vomiting or diarrhea. | 21 |
10,792 | 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 |
11,030 | Autopsy - Homicide - evidence of exsanguination - multiple stab wounds. | 1 |
1,669 | Blepharoplasty procedure | 6 |
5,425 | Hysteroscopy, dilatation and curettage (D&C), and myomectomy. Severe menometrorrhagia unresponsive to healthcare therapy, severe anemia, and fibroid uterus. | 10 |
6,490 | Patient having severe sinusitis about two to three months ago with facial discomfort, nasal congestion, eye pain, and postnasal drip symptoms. | 0 |
3,433 | Fiberoptic bronchoscopy for diagnosis of right lung atelectasis and extensive mucus plugging in right main stem bronchus. | 38 |
9,228 | Cause of death - Anoxic Encephalopathy | 1 |
2,562 | Sinus bradycardia, sick-sinus syndrome, poor threshold on the ventricular lead and chronic lead. Right ventricular pacemaker lead placement and lead revision. | 3 |
5,102 | A 23-year-old white female presents with complaint of allergies. | 0 |
10,671 | 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 |
4,016 | Patient with increased shortness of breath of one day duration. | 15 |
2,767 | Moderately differentiated adenocarcinoma, 1+ enlarged prostate with normal seminal vesicles. | 39 |
1,386 | Delayed open reduction internal fixation with plates and screws, 6-hole contoured distal fibular plate and screws reducing posterolateral malleolar fragment as well as medial malleolar fragment. | 27 |
1,862 | Left lower extremity venous Doppler ultrasound | 3 |
1,296 | The patient is a very pleasant 72-year-old female with previous history of hypertension and also recent diagnosis of C. diff, presents to the hospital with abdominal pain, cramping, and persistent diarrhea. | 5 |
5,359 | Nephrology office visit for followup of CKD. | 25 |
6,330 | Pars plana vitrectomy, pars plana lensectomy, exploration of exit wound, closure of perforating corneal scleral laceration involving uveal tissue, air-fluid exchange, C3F8 gas, and scleral buckling, right eye. | 26 |
6,568 | Psychosocial donor evaluation. Following questions are mostly involved in a psychosocial donor evaluation. | 32 |
6,605 | Tonsillectomy. Chronic tonsillitis. | 11 |
10,325 | Return visit to the endocrine clinic for acquired hypothyroidism, papillary carcinoma of the thyroid gland status post total thyroidectomy in 1992, and diabetes mellitus. | 13 |
5,789 | Consultation for left foot pain. | 4 |
4,665 | Phacoemulsification and extracapsular cataract extraction with intraocular lens implantation, right eye. | 26 |
6,725 | The client with longstanding bilateral arm pain, which is predominantly in the medial aspect of arms and hands, as well as left hand numbness, worse at night and after doing repetitive work with left hand. | 30 |
2,304 | Dietary consult for a 79-year-old African-American female diagnosed with type 2 diabetes in 1983. | 9 |
11,820 | Patient presents for therapy of suspected rheumatoid arthritis. | 34 |
4,567 | The patient is a very pleasant 72-year-old female with previous history of hypertension and also recent identification of C. diff, presents to the hospital with abdominal pain, cramping, and persistent diarrhea. | 14 |
8,027 | The case 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 |
5,413 | This client was seen in clinic for a school physical. | 29 |
5,581 | Closed reduction of mandible fractures with Erich arch bars and elastic fixation. Left angle and right body mandible fractures. | 7 |
12,335 | A sample note on Rheumatoid Arthritis | 34 |
3,124 | Lower extremity angiogram, superficial femoral artery laser atherectomy and percutaneous transluminal balloon angioplasty, external iliac artery angioplasty and stent placement, and completion angiogram. | 3 |
8,515 | Occupational therapy discharge summary. Traumatic brain injury, cervical musculoskeletal strain. | 30 |
8,907 | Followup diabetes mellitus, type 1. | 13 |
5,013 | Abdominal pain. CT examination of the abdomen and pelvis with intravenous contrast. | 24 |
3,834 | Recurrent degenerative spondylolisthesis and stenosis at L4-5 and L5-S1 with L3 compression fracture adjacent to an instrumented fusion from T11 through L2 with hardware malfunction distal at the L2 end of the hardware fixation. | 27 |
8,301 | Electroencephalogram (EEG). This is an 18-channel recording obtained using the standard scalp and referential electrodes observing the 10/20 international system. | 36 |
9,574 | Hospice care for a 55-year-old woman with carcinoma of the cervix metastatic to retroperitoneum and lungs. | 17 |
3,940 | The patient presented to the emergency room last evening with approximately 7- to 8-day history of abdominal pain which has been persistent. | 15 |
12,096 | Counting calorie points, exercising pretty regularly, seems to be doing well | 9 |
6,033 | 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 |
3,204 | Dysphagia, possible stricture. Retained gastric contents forming a partial bezoar, suggestive of gastroparesis. | 14 |
1,320 | A right-handed female with longstanding intermittent right low back pain, who was involved in a motor vehicle accident with no specific injury at that time. | 33 |
6,265 | Patient presents to the emergency department (ED) with rectal bleeding and discomfort on defecation. | 12 |
5,087 | Left neck dissection. Metastatic papillary cancer, left neck. The client had thyroid cancer, papillary cell type, removed with a total thyroidectomy and then subsequently recurrent disease was removed with a paratracheal dissection. | 16 |
2,622 | Biliary colic. Laparoscopic cholecystectomy. Laparoscopic examination showed no injury from entry. Marcaine was then injected just subxiphoid, and a 5-mm port was placed under direct visualization for the laparoscope. | 14 |
3,937 | AP abdomen and ultrasound of kidney. | 33 |
4,279 | Occupational medicine consult with questions-answers and records review. | 18 |
3,196 | EGD with dilation for dysphagia. | 38 |
1,705 | CT Brain: Subarachnoid hemorrhage. | 22 |
9,141 | Autopsy of a white female who died of acute combined drug intoxication. | 1 |
9,668 | Hospice visit for 77-year-old gentleman with advanced colon cancer. | 17 |
11,202 | Surgical removal of completely bony impacted teeth #1, #16, #17, and #32. Completely bony impacted teeth #1, #16, #17, and #32. | 7 |
11,065 | Autopsy of a white female who died of acute combined drug intoxication. | 1 |
8,202 | Patient did undergo surgical intervention as related to the right knee and it was noted that the reconstruction had failed. A screw had come loose. | 18 |
10,515 | Therapeutic recreation initial evaluation. Patient is a 54-year-old male admitted with identification of CVA with right hemiparesis. | 30 |
10,632 | Liposuction of the supraumbilical abdomen, revision of right breast reconstruction, excision of soft tissue fullness of the lateral abdomen and flank. | 2 |
4,546 | She is a 79-year-old female who came in with acute cholecystitis and underwent attempted laparoscopic cholecystectomy 8 days ago. The case has required conversion to an open procedure due to difficult anatomy. Her postoperative course has been lengthened due to a prolonged ileus, which resolved with tetracycline and Reglan. The case is starting to improve, gain more strength. She is tolerating her regular diet. | 14 |
10,189 | Sleep study - case with symptoms of obstructive sleep apnea with snoring. | 36 |
12,291 | Hospice care for a 55-year-old woman with carcinoma of the cervix metastatic to retroperitoneum and lungs. | 17 |
12,492 | Counting calorie points, exercising pretty regularly, seems to be doing well | 9 |
12,132 | Hospice care for a 41-year-old man with the AIDS complicated with recent cryptococcal infection, disseminated MAC and Kaposi's sarcoma. | 17 |
4,321 | Diagnostic mammogram, full-field digital, ultrasound of the breast and mammotome core biopsy of the left breast. | 33 |
883 | Left little finger extensor tendon laceration. Repair of left little extensor tendon. | 27 |
10,357 | Left masticator space infection secondary to necrotic tooth #17. Extraoral incision and drainage of facial space infection and extraction of necrotic tooth #17. | 7 |
9,501 | 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 |
5,752 | Phacoemulsification of cataract, extraocular lens implant in left eye. | 26 |
3,029 | Bilateral Screening Mammogram Full-Field Digital Mammography (FFDM) (Benign Findings) | 24 |