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The client complaining of abdominal pain, has a long-standing history of diabetes treated with Micronase daily.

Conformal simulation with coplanar beams. This patient is undergoing a conformal simulation as the method to precisely define the area of disease which needs to be treated.

Cystopyelogram, clot evacuation, transurethral resection of the bladder tumor x2 on the dome and on the left wall of the bladder.

Patient follows up for cataract extraction with lens implant 2 weeks ago. Recovering well from her cataract operation in the right eye with residual corneal swelling, which should resolve in the next 2 to 3 weeks.

The case was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy to improve her functional communication skills and swallowing function and safety.

Epidural steroid injection. A total of 5 mL containing 4 mL of 0.25% bupivacaine and 80 mg of methylprednisolone acetate were infiltrated.

Endoscopic release of left transverse carpal ligament.

The client was referred for an outpatient speech and language pathology consult to increase speech and swallowing abilities. The client 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 client to achieve hands-free voicing.

Carpal tunnel syndrome. Endoscopic carpal tunnel release. After administering appropriate antibiotics and MAC anesthesia, the upper extremity was prepped and draped in the usual standard fashion, the arm was exsanguinated with Esmarch, and the tourniquet inflated to 250 mmHg.

Colonoscopy to cecum with snare polypectomy and esophagogastroduodenoscopy with biopsies. Hematochezia, refractory dyspepsia, colonic polyps at 35 cm and 15 cm, diverticulosis coli, and acute and chronic gastritis.

Patient with episode of lightheadedness and suddenly experienced vertigo.

Patient dropped a weight on the dorsal aspects of his feet.

Patient presents for therapy of suspected rheumatoid arthritis.

Laparoscopy. The cervix was grasped with a single-tooth tenaculum. The uterus was gently sounded and a manipulator was inserted for movement of the uterus throughout the case.

Anterior cervical discectomy and fusion, C2-C3, C3-C4. Removal of old instrumentation, C4-C5. Fusion C3-C4 and C2-C3 with instrumentation using ABC plates.

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.

Bunionectomy with distal first metatarsal osteotomy and internal screw fixation, right foot. Proximal interphalangeal joint arthroplasty, bilateral fifth toes. Distal interphalangeal joint arthroplasty, bilateral third and fourth toes. Flexor tenotomy, bilateral third toes.

Right frontotemporal craniotomy and evacuation of hematoma, biopsy of membranes, microtechniques.

Dietary consultation for gestational diabetes.

Comprehensive Evaluation - Diabetes, hypertension, irritable bowel syndrome, and insomnia.

Specimen labeled "right ovarian cyst" is received fresh for frozen section.

Autopsy - Asphyxia due to ligature strangulation.

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

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.

Occupational medicine consult with questions-answers and records review.

A 7-year-old white male started to complain of discomfort in his fingers, elbows, and neck. This patient may have had reactive arthritis.

Mother states he has been wheezing and coughing.

A 5-month-old boy brought by his parents because of 2 days of cough.

Right hallux abductovalgus deformity. Right McBride bunionectomy. Right basilar wedge osteotomy with OrthoPro screw fixation.

Contusion of the frontal lobe of the brain, closed head injury and history of fall, and headache, probably secondary to contusion.

He continues to have abdominal pain, and he had a diuretic renal scan, which indicates no evidence of obstruction and good differential function bilaterally.

Removal of cystic lesion, removal of teeth, modified Le Fort I osteotomy.

Left knee pain and stiffness. Bilateral knee degenerative joint disease (DJD). Significant back pain, status post lumbar stenosis surgery with pain being controlled on methadone 10 mg b.i.d.

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

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

Occupational therapy discharge summary. Traumatic brain injury, cervical musculoskeletal strain.

Total thyroidectomy. The client is a female with a history of Graves disease. Suppression was attempted, however, unsuccessful. She presents today with her thyroid goiter.

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

Cause of death - Anoxic Encephalopathy

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

Qualified clinical evaluation report of a patient with back pain.

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.

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

Electroencephalographic findings and interpretation

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

Arthroscopy of the arthroscopic glenoid labrum, rotator cuff debridement shaving glenoid and humeral head, and biceps tenotomy, right shoulder. Massive rotator cuff tear, right shoulder, near complete biceps tendon tear of right shoulder, chondromalacia of glenohumeral joint or right shoulder, and glenoid labrum tear of right shoulder.

Herniated nucleus pulposus C5-C6. Anterior cervical discectomy fusion C5-C6 followed by instrumentation C5-C6 with titanium dynamic plating system, Aesculap. Operating microscope was used for both illumination and magnification.

Onychomycosis present, #1, #2, #3, #4, and #5 right and left.

Patient went out partying last night and drank two mixed drinks last night and then over the course of the evening after midnight, the case ended up taking a total of six Ecstasy tablets.

Right distal ureteral calculus. The patient had hematuria and a CT urogram showing a 1 cm non-obstructing calcification in the right distal ureter. He had a KUB also showing a teardrop shaped calcification apparently in the right lower ureter.

Mother states he has been wheezing and coughing.

Thoracic right-sided discectomy at T8-T9. The patient is a 53-year-old female with a history of right thoracic rib discomfort related to a herniated nucleus pulposus at T8-T9.

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

Acute left subdural hematoma. Left frontal temporal craniotomy for evacuation of acute subdural hematoma. CT imaging reveals an acute left subdural hematoma, which is hemispheric.

Upper endoscopy with foreign body removal (Penny in proximal esophagus).

Followup dietary consultation for hyperlipidemia, hypertension, and possible metabolic syndrome

An example/template for a routine normal male physical exam.

Colonoscopy. History of colon polyps and partial colon resection, right colon. Mild diverticulosis of the sigmoid colon. Hemorrhoids.

Patient presents for care of suspected rheumatoid arthritis.

Patient scheduled for laparoscopic gastric bypass.

Cataract, right eye. Phacoemulsification of cataract with posterior chamber intraocular lens, right eye.

Whole body radionuclide bone scan due to prostate cancer.

He continues to have abdominal pain, and he had a diuretic renal scan, which indicates no evidence of obstruction and good differential function bilaterally.

Cystoscopy, cryosurgical ablation of the prostate.

Occupational medicine consult with questions-answers and records review.

History of numbness in both big toes and up the lateral aspect of both calves. She dose complain of longstanding low back pain, but no discomfort that radiates from her back into her legs. She has had no associated weakness.

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

General Medicine SOAP note.

Repair of left ear laceration deformity Y-V plasty 2 cm. Repair of right ear laceration deformity, complex repair 2 cm.

Squamous cell carcinoma of the larynx. Total laryngectomy, right level 2, 3, 4 neck dissection, tracheoesophageal puncture, cricopharyngeal myotomy, right thyroid lobectomy.

The patient presented to the emergency room last evening with approximately 7- to 8-day history of abdominal pain which has been persistent.

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

Chiropractic IME with answers to questions from Insurance Company.

Loculated left effusion, multilobar pneumonia. Patient had a diagnosis of multilobar pneumonia along with arrhythmia and heart failure as well as renal insufficiency.

Contusion of the frontal lobe of the brain, closed head injury and history of fall, and headache, probably secondary to contusion.

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

Repeat cesarean section and bilateral tubal ligation.

The client was found by outpatient case manager to be unresponsive and incontinent of urine and feces at his father's home.

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

Anterior cervical discectomy (two levels) and C5-C6 and C6-C7 allograft fusions. A C5-C7 anterior cervical plate fixation (Sofamor Danek titanium window plate) intraoperative fluoroscopy used and intraoperative microscopy used. Intraoperative SSEP and EMG monitoring used.

Specimen labeled "right ovarian cyst" is received fresh for frozen section.

Excision of right superior parathyroid adenoma, seen on sestamibi parathyroid scan and an ultrasound.

Left heart cardiac catheterization.

A ight-handed inpatient with longstanding history of cervical spinal stenosis status post decompression, opioid dependence, who has had longstanding low back ache radiating into the right leg.

Acute allergic reaction, etiology uncertain, however, suspicious for Keflex.

Malignant mass of the left neck, squamous cell carcinoma. Left neck mass biopsy and selective surgical neck dissection, left.

Acne with folliculitis.

Global aphasia. The case is referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy, status post stroke.

Patient with end-stage renal disease secondary to hypertension, a reasonable candidate for a kidney transplantation.

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

Dietary consultation for carbohydrate counting for type I diabetes.

Possible free air under the diaphragm. On a chest x-ray for what appeared to be shortness of breath she was found to have what was thought to be free air under the right diaphragm. No intra-abdominal pathology.

Normal awake and drowsy (stage I sleep) EEG for patient's age.

MRI C-spine: C4-5 Transverse Myelitis.

Carpal tunnel release. Nerve conduction study tests diagnostic of carpal tunnel syndrome. The patient failed to improve satisfactorily on conservative care, including anti-inflammatory medications and night splints.

Cause of death - Anoxic Encephalopathy

Hawkins IV talus fracture. Open reduction internal fixation of the talus, medial malleolus osteotomy, and repair of deltoid ligament.

Acute appendicitis with perforation. Laparoscopic appendectomy. A CT scan of abdomen showed evidence of appendicitis with perforation.

Electroencephalogram (EEG). This is an 18-channel recording obtained using the standard scalp and referential electrodes observing the 10/20 international system.

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