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int64
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39
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