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194 | Rotated cuff tear, right shoulder. Glenoid labrum tear. Arthroscopy with arthroscopic glenoid labrum debridement, subacromial decompression, and rotator cuff repair, right shoulder. | 27 |
5,395 | Patient complains of chest discomfort - possible esophageal reflux | 12 |
3,092 | Circumcision. Normal male phallus. The infant is without evidence of hypospadias or chordee prior to the procedure. | 29 |
2,338 | Flexible sigmoidoscopy. The Olympus video colonoscope then introduced into the rectum and passed by directed vision to the distal descending colon. | 38 |
11,286 | The case 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 |
5,166 | Left inguinal hernia repair, left orchiopexy with 0.25% Marcaine, ilioinguinal nerve block and wound block at 0.5% Marcaine plain. | 39 |
1,923 | Invasive carcinoma of left breast. Left modified radical mastectomy. | 24 |
6,327 | Scleral Buckle opening under general anesthesia. | 26 |
11,490 | 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. | 19 |
6,539 | Bilateral nasolacrimal probing. Tearing, eyelash encrustation with probable tear duct obstruction bilateral. Distal nasolacrimal duct stenosis with obstruction, left and right eye | 26 |
2,626 | Functional endoscopic sinus surgery, excision of nasopharyngeal mass via endoscopic technique, and excision of right upper lid skin lesion 1 cm in diameter with adjacent tissue transfer closure. | 38 |
7,814 | Liposuction of the supraumbilical abdomen, revision of right breast reconstruction, excision of soft tissue fullness of the lateral abdomen and flank. | 6 |
11,646 | Dietary consultation for diabetes during pregnancy. | 9 |
972 | Thoracentesis, left. Malignant pleural effusion, left, with dyspnea. | 3 |
7,680 | Hospice care for a 41-year-old man with the AIDS complicated with recent cryptococcal infection, disseminated MAC and Kaposi's sarcoma. | 17 |
852 | Nonhealing right ankle stasis ulcer. A 52-year-old native American-Indian man with hypertension, chronic intermittent bipedal edema, and recurrent leg venous ulcers was admitted for scheduled vascular surgery. | 5 |
2,846 | Primary cesarean section by low-transverse incision. Term pregnancy, nonreassuring fetal heart tracing. | 38 |
7,008 | The case was referred for evaluation of cataracts bilaterally | 20 |
5,221 | Adenotonsillectomy. Adenotonsillitis with hypertrophy. The client is a very nice client with adenotonsillitis with hypertrophy and obstructive symptoms. Adenotonsillectomy is indicated. | 11 |
1,145 | Cesarean Section. An incision was made as noted above in the findings and carried down through the subcutaneous tissue, muscular fascia and peritoneum. | 24 |
8,963 | Mother states he has been wheezing and coughing. | 0 |
3,678 | Consultation for right shoulder pain. | 5 |
3,825 | Normal vasectomy | 38 |
5,633 | Excision basal cell carcinoma, right medial canthus with frozen section, and reconstruction of defect with glabellar rotation flap. | 16 |
3,345 | Incision and drainage of right buccal space abscess and teeth extraction. | 7 |
10,646 | First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury. | 18 |
4,500 | Letter on evaluation regarding extraction of mandibular left second molar tooth #18. | 20 |
7,874 | Is it BNP or BMP? | 19 |
4,166 | The client is a 63-year-old white male who was admitted to the hospital with CHF and lymphedema. | 15 |
1,053 | Dietary consultation for gestational diabetes. | 5 |
12,047 | Speech therapy discharge summary. The case was admitted for skilled speech therapy secondary to cognitive-linguistic deficits. | 37 |
4,246 | Esophagogastroduodenoscopy. The Olympus video panendoscope was advanced under direct vision into the esophagus. The esophagus was normal in appearance and configuration. The gastroesophageal junction was normal. | 14 |
11,828 | Hospice care for a 41-year-old man with the AIDS complicated with recent cryptococcal infection, disseminated MAC and Kaposi's sarcoma. | 17 |
10,790 | 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 |
791 | Injection for myelogram and microscopic-assisted lumbar laminectomy with discectomy at L5-S1 on the left. Herniated nucleus pulposus, L5-S1 on the left with severe weakness and intractable pain. | 38 |
5,427 | The case was referred due to concerns regarding behavioral acting out as well as encopresis. | 32 |
9,845 | A 23-year-old white female presents with complaint of allergies. | 0 |
3,493 | Right orchiopexy and right inguinal hernia repair. | 38 |
2,329 | Patient reports a six to eight-week history of balance problems with later fatigue and weakness. | 5 |
6,109 | Electroencephalogram (EEG). Photic stimulation reveals no important changes. Essentially normal. | 36 |
9,182 | 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 client with code last night with CPR and advanced cardiac life support. | 17 |
4,195 | Procedure note on Keller Bunionectomy | 31 |
3,622 | CT head without contrast, CT facial bones without contrast, and CT cervical spine without contrast. | 33 |
3,245 | CT Brain: Midbrain hemangioma | 22 |
300 | Electroencephalogram (EEG). Photic stimulation reveals no important changes. Essentially normal. | 22 |
3,233 | Suspected mastoiditis ruled out, right acute otitis media, and severe ear pain resolving. The patient is an 11-year-old male who was admitted from the ER after a CT scan suggested that the child had mastoiditis. | 29 |
12,374 | Global aphasia. The client is referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy, status post stroke. | 37 |
4,791 | Pain management for post-laminectomy low back syndrome and radiculopathy. | 4 |
1,961 | Presents to the ER with hematuria that began while sleeping last night. He denies any pain, nausea, vomiting or diarrhea. | 12 |
1,159 | Fever, otitis media, and possible sepsis. | 29 |
8,859 | Autopsy - Homicide - evidence of exsanguination - multiple stab wounds. | 1 |
158 | The patient is a 21-year-old Caucasian male, who attempted suicide by trying to jump from a moving car, which was being driven by his mother. | 32 |
10,685 | Is it BNP or BMP? | 19 |
3,383 | Gastrostomy, a 6-week-old with feeding disorder and Down syndrome. | 38 |
4,029 | Complex regional ache syndrome, right upper extremity. Stellate ganglion block. | 28 |
10,105 | 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 ache that radiates from her back into her legs. She has had no associated weakness. | 30 |
6,191 | Excision of right upper eyelid squamous cell carcinoma with frozen section and full-thickness skin grafting from the opposite eyelid. | 26 |
6,585 | Mohs Micrographic Surgery for basal cell CA at mid parietal scalp. | 8 |
1,281 | Common Excretory Urogram - IVP template | 33 |
12,452 | Speech therapy discharge summary. The client was admitted for skilled speech therapy secondary to cognitive-linguistic deficits. | 37 |
5,107 | The case was admitted for symptoms that sounded like postictal state. CT showed edema and slight midline shift. MRI of the brain shows large inhomogeneous infiltrating right frontotemporal neoplasm surrounding the right middle cerebral artery. | 16 |
4,079 | MRI Cervical Spine without contrast. | 33 |
4,536 | Endoscopic retrograde cholangiopancreatography (ERCP) with brush cytology and biopsy. | 14 |
8,541 | The case died of a pulmonary embolism, the underlying cause of which is currently undetermined. | 1 |
7,399 | Liposuction of the supraumbilical abdomen, revision of right breast reconstruction, excision of soft tissue fullness of the lateral abdomen and flank. | 2 |
9,362 | Acute allergic reaction, etiology uncertain, however, suspicious for Keflex. | 0 |
6,402 | Leukemic meningitis. Right frontal side-inlet Ommaya reservoir. The client is a 49-year-old gentleman with leukemia and meningeal involvement, who was undergoing intrathecal chemotherapy. | 23 |
8,909 | Followup diabetes mellitus, type 1. | 13 |
5,710 | Bilateral C3-C4, C4-C5, C5-C6, and C6-C7 medial facetectomy and foraminotomy with technical difficulty, total laminectomy C3, C4, C5, and C6, excision of scar tissue, and repair of dural tear with Prolene 6-0 and Tisseel. | 23 |
1,100 | MRI Brain: Probable CNS Lymphoma v/s toxoplasmosis in a patient with AIDS/HIV. | 33 |
2,425 | Followup cervical spinal stenosis. Her symptoms of right greater than left upper extremity pain, weakness, paresthesias had been worsening after an incident when she thought she had exacerbated her conditions while lifting several objects. | 35 |
9,543 | Cause of death - Anoxic Encephalopathy | 1 |
11,732 | 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 |
7,402 | First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury. | 18 |
1,899 | 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 |
4,354 | Anterior cervical discectomy with spinal cord and spinal canal decompression and Anterior interbody fusion at C5-C6 utilizing Bengal cage. | 23 |
3,763 | Nonpalpable neoplasm, right breast. Needle localized wide excision of nonpalpable neoplasm, right breast. | 24 |
2,471 | Revision septoplasty, repair of internal nasal valve collapse using auricular cartilage, repair of bilateral external nasal valve collapse using auricular cartilage, harvest of right auricular cartilage. | 38 |
5,684 | Letter on evaluation regarding extraction of mandibular left second molar tooth #18. | 7 |
11,079 | 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 |
8,133 | First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury. | 8 |
11,435 | Patient discharged after laparoscopic Roux-en-Y gastric bypass. | 2 |
8,940 | Chiropractic IME with answers to questions from Insurance Company. | 18 |
4,218 | External cephalic version. A 39-week intrauterine pregnancy with complete breech presentation. | 24 |
559 | Hypomastia. Patient wants breast augmentation and liposuction of her abdomen, | 6 |
12,172 | Hospice visit for 77-year-old gentleman with advanced colon cancer. | 17 |
12,026 | Autopsy - Homicide - Blunt force cranial trauma | 1 |
5,512 | Discharge summary of a case with depression and high risk behavior. | 10 |
11,005 | A 23-year-old white female presents with complaint of allergies. | 0 |
997 | Laparoscopic left inguinal hernia repair. | 38 |
41 | Desires permanent sterilization. Laparoscopic bilateral tubal occlusion with Hulka clips. | 38 |
11,773 | 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 |
1,487 | Left partial nephrectomy due to left renal mass. | 38 |
5,476 | Repeat low transverse cesarean section and bilateral tubal ligation (BTL). Intrauterine pregnancy at 30 and 4/7th weeks, previous cesarean section x2, multiparity, request for permanent sterilization, and breach presentation in the delivery of a liveborn female neonate. | 24 |
3,161 | Application of PMT large halo crown and vest. Cervical spondylosis, status post complex anterior cervical discectomy, corpectomy, decompression and fusion. | 38 |
886 | Radical vulvectomy (complete), bilateral inguinal lymphadenectomy (superficial and deep). | 38 |
6,253 | Status post cadaveric kidney transplant with stable function. | 21 |
465 | Hypospadias repair. Urethroplasty plate incision with tissue flap relocation and chordee release. | 38 |
3,190 | Carotid artery angiograms. | 3 |
2,229 | Selective coronary angiography, left heart catheterization, and left ventriculography. Severe stenosis at the origin of the large diagonal artery and subtotal stenosis in the mid segment of this diagonal branch. | 3 |