bhargavi909/Medical_Transcriptions_upsampled

Unnamed: 0 int64 0 12.7k	description stringlengths 1 492	medical_specialty int64 0 39
7,472	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 case with code last night with CPR and advanced cardiac life support.	17
5,731	Right hand laceration x3, repaired.	25
9,390	The client died of a pulmonary embolism, the underlying cause of which is currently undetermined.	1
10,146	Extraction of teeth. Incision and drainage (I&D) of left mandibular vestibular abscess adjacent to teeth #18 and #19.	7
9,346	Patient presents for therapy of suspected rheumatoid arthritis.	34
9,738	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
7,018	Blunt trauma to the distal right thumb without fracture. Worker’s Compensation Injury	18
527	Coronary Artery CTA with Calcium Scoring and Cardiac Function	3
8,561	Patient has had multiple problems with his teeth due to extensive dental disease and has had many of his teeth pulled, now complains of new tooth ache to both upper and lower teeth on the left side for approximately three days..	7
11,643	Dietary consultation for diabetes during pregnancy.	9
4,481	Esophagogastroduodenoscopy and colonoscopy with polypectomy	14
3,238	Left canal wall down tympanomastoidectomy with ossicular chain reconstruction, microdissection, NIM facial nerve monitoring for three hours.	38
4,165	The client is a 63-year-old white male who was admitted to the hospital with CHF and lymphedema.	15
4,123	The case 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
1,754	Patient suffers from neck and lower back pain radiating into both arms and both legs with numbness, paraesthesia, and tingling in both arms.	27
5,142	Work restrictions and disability evaluation	18
7,785	Pain management for post-laminectomy low back syndrome and radiculopathy.	4
5,858	Placement of left ventriculostomy via twist drill. Massive intraventricular hemorrhage with hydrocephalus and increased intracranial pressure.	23
12,292	Hospice care for a 55-year-old woman with carcinoma of the cervix metastatic to retroperitoneum and lungs.	17
10,268	Full mouth dental rehabilitation in the operating room under general anesthesia.	7
9,138	Autopsy of a white female who died of acute combined drug intoxication.	1
712	This is a 69-year-old white woman with Huntington disease, who presents with the third suicide attempt in the past two months.	22
3,250	Patellar tendon and medial and lateral retinaculum repair, right knee. Patellar tendon retinaculum ruptures, right knee.	38
10,912	Dietary consultation for carbohydrate counting for type I diabetes.	9
391	Phenol neurolysis right obturator nerve, botulinum toxin injection right rectus femoris and vastus medialis intermedius and right pectoralis major muscles.	23
12,121	Followup dietary consultation for hyperlipidemia, hypertension, and possible metabolic syndrome	9
6,040	Generalized abdominal discomfort with swelling at the site of the ileostomy. 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.	21
65	Vaginal Hysterectomy. A weighted speculum was placed in the posterior vaginal vault. The cervix was grasped with a Massachusetts clamp on both its anterior and posterior lips.	38
10,031	The client was monitored for EEG, EOG, jaw and leg EMG, thoracoabdominal impedance, oral/nasal thermistors, EKG, and oximetry.	36
6,586	Mohs Micrographic Surgery for basal cell CA at mid parietal scalp.	8
4,464	Patient in ER with upper respiratory infection	12
11,410	Patient presented to the bariatric surgery service for consideration of laparoscopic roux en Y gastric bypass surgery.	2
1,420	Acute on chronic COPD exacerbation and community acquired pneumonia both resolving. However, she may need home O2 for a short period of time.	15
9,696	A sample note on Rheumatoid Arthritis	34
7,781	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.	30
7,257	Autopsy of a white female who died of acute combined drug intoxication.	1
1,864	Total vaginal hysterectomy. Menometrorrhagia, dysmenorrhea, and small uterine fibroids.	24
11,149	A sample note on Rheumatoid Arthritis	34
1,358	Left heart catheterization, left ventriculography, selective coronary angiography.	38
10,925	Hospice care for a 55-year-old woman with carcinoma of the cervix metastatic to retroperitoneum and lungs.	17
8,896	Closed reduction of mandible fractures with Erich arch bars and elastic fixation. Left angle and right body mandible fractures.	7
9,214	Patient having severe sinusitis about two to three months ago with facial discomfort, nasal congestion, eye pain, and postnasal drip symptoms.	0
12,004	The client was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy to improve her functional communication skills and swallowing function and safety.	37
12,158	Global aphasia. The client is referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy, status post stroke.	37
8,176	This 34-year-old gentleman awoke this morning noting some itchiness to his back and then within very a short period of time realized that he had an itchy rash all over his torso and arms.	8
12,229	Mother states he has been wheezing and coughing.	0
12,054	Preop evaluation regarding gastric bypass surgery.	2
2,897	Renal failure evaluation for possible dialysis therapy. Acute kidney injury of which etiology is unknown at this time, with progressive azotemia unresponsive to IV fluids.	21
10,006	Incision and drainage (I&D) of buttock abscess.	8
9,968	The case died of a pulmonary embolism, the underlying cause of which is currently undetermined.	1
3,503	Patient with end-stage renal disease secondary to hypertension, a reasonable candidate for a kidney transplantation.	21
7,597	Mother states he has been wheezing and coughing.	0
9,280	Counting calorie points, exercising pretty regularly, seems to be doing well	9
2,262	Bilateral orbital frontal zygomatic craniotomy (skull base approach), bilateral orbital advancement with (C-shaped osteotomies down to the inferior orbital rim) with bilateral orbital advancement with bone grafts, bilateral forehead reconstruction with autologous graft.	23
6,357	Cataract, right eye. Phacoemulsification with intraocular lens placement, right eye.	26
12,580	Is it BNP or BMP?	19
9,830	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.	37
8,763	EEG during wakefulness, drowsiness, and sleep with synchronous video monitoring demonstrated no evidence of focal or epileptogenic activity.	36
4,748	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.	30
10,471	Work restrictions and disability evaluation	4
11,407	Specimen labeled "right ovarian cyst" is received fresh for frozen section.	19
12,224	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
8,165	Preoperative visit for weight management with laparoscopic gastric banding	2
255	Bilateral scrotal orchiectomy	38
11,303	Occupational medicine consult with questions-answers and records review.	18
2,283	MRI Orbit/Face/Neck with MR Angiography of the Head - An infant with facial mass	33
2,201	Selective coronary angiography, left heart catheterization with hemodynamics, LV gram with power injection, right femoral artery angiogram, closure of the right femoral artery using 6-French AngioSeal.	38
8,686	Followup after a full-night sleep study performed to evaluate her for daytime fatigue and insomnia. This client presents with history of sleep disruption and daytime sleepiness with fatigue. Her symptoms are multifactorial.	36
9,988	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.	30
2,000	Entrapment of the Superior Gluteal Nerve in the aponeurosis of the Gluteus Medius-Left.	4
3,707	The patient with a recent change in bowel function and hematochezia.	38
10,937	Autopsy - Asphyxia due to ligature strangulation.	1
7,030	Dental restoration. Dental caries. Cavities have been noted by his parents and pediatrician that have been noted to be pretty severe.	7
3,979	Pacemaker ICD interrogation. Severe nonischemic cardiomyopathy with prior ventricular tachycardia.	38
6,080	Hemiarthroplasty, right hip. Fracture of the right femoral neck, also history of Alzheimer's dementia, hypothyroidism, and status post hemiarthroplasty of the hip.	10
8,828	Chiropractic IME with old files review. Detailed Thoracic Spine Examination.	18
5,228	Head injury, anxiety, and hypertensive emergency.	29
2,608	Selective coronary angiography. Placement of overlapping 3.0 x 18 and 3.0 x 8 mm Xience stents in the proximal right coronary artery. Abdominal aortography.	3
11,549	Hospice care for a 41-year-old man with the AIDS complicated with recent cryptococcal infection, disseminated MAC and Kaposi's sarcoma.	17
72	Cauterization of epistaxis, left nasal septum. Fiberoptic nasal laryngoscopy. Atrophic dry nasal mucosa. Epistaxis. Atrophic laryngeal changes secondary to inhaled steroid use.	38
776	Ligation and stripping of left greater saphenous vein to the level of the knee. Stripping of multiple left lower extremity varicose veins. Varicose veins.	3
9,347	Patient presents for therapy of suspected rheumatoid arthritis.	34
8,460	Removal of cystic lesion, removal of teeth, modified Le Fort I osteotomy.	7
6,659	Cervical epidural steroid injection without fluoroscopy. An 18-gauge Tuohy needle was placed into the epidural space using loss of resistance technique.	28
11,019	Is it BNP or BMP?	19
7,928	The client was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy to improve her functional communication skills and swallowing function and safety.	37
4,170	Total vaginal hysterectomy. Microinvasive carcinoma of the cervix.	10
7,492	Chronic glossitis, xerostomia, probable environmental inhalant allergies, probable food allergies, and history of asthma.	0
8,701	First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury.	18
5,112	Excisional biopsy with primary closure of a 4 mm right lateral base of tongue lesion. Right lateral base of tongue lesion, probable cancer.	16
7,228	Autopsy - Homicide - evidence of exsanguination - multiple stab wounds.	1
10,113	Patient suffers from neck and lower back ache radiating into both arms and both legs with numbness, paraesthesia, and tingling in both arms.	20
5,199	Her pregnancy is complicated by preterm contractions. She was on bedrest since her 34th week. She was admitted here and labor was confirmed with rupture of membranes.	24
3,229	Painful enlarged navicula, right foot. Osteochondroma of right fifth metatarsal. Partial tarsectomy navicula and partial metatarsectomy, right foot.	27
7,955	Letter on evaluation regarding extraction of mandibular left second molar tooth #18.	7
1,067	Is it BNP or BMP?	19
8,121	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
9,174	Status post brain tumor with removal. The client did receive skilled speech therapy while in the acute rehab, which focused on higher level cognitive and linguistic skills such as attention, memory, mental flexibility, and improvement of her executive function.	37
4,385	Left L4-L5 transforaminal neuroplasty with nerve root decompression and lysis of adhesions followed by epidural steroid injection.	23
11,821	Patient presents for therapy of suspected rheumatoid arthritis.	34

7,472

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 case with code last night with CPR and advanced cardiac life support.

17

5,731

Right hand laceration x3, repaired.

25

9,390

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

1

10,146

Extraction of teeth. Incision and drainage (I&D) of left mandibular vestibular abscess adjacent to teeth #18 and #19.

7

9,346

Patient presents for therapy of suspected rheumatoid arthritis.

34

9,738

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

7,018

Blunt trauma to the distal right thumb without fracture. Worker’s Compensation Injury

18

527

Coronary Artery CTA with Calcium Scoring and Cardiac Function

3

8,561

Patient has had multiple problems with his teeth due to extensive dental disease and has had many of his teeth pulled, now complains of new tooth ache to both upper and lower teeth on the left side for approximately three days..

7

11,643

Dietary consultation for diabetes during pregnancy.

9

4,481

Esophagogastroduodenoscopy and colonoscopy with polypectomy

14

3,238

Left canal wall down tympanomastoidectomy with ossicular chain reconstruction, microdissection, NIM facial nerve monitoring for three hours.

38

4,165

The client is a 63-year-old white male who was admitted to the hospital with CHF and lymphedema.

15

4,123

The case 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

1,754

Patient suffers from neck and lower back pain radiating into both arms and both legs with numbness, paraesthesia, and tingling in both arms.

27

5,142

Work restrictions and disability evaluation

18

7,785

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

4

5,858

Placement of left ventriculostomy via twist drill. Massive intraventricular hemorrhage with hydrocephalus and increased intracranial pressure.

23

12,292

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

17

10,268

Full mouth dental rehabilitation in the operating room under general anesthesia.

7

9,138

Autopsy of a white female who died of acute combined drug intoxication.

1

712

This is a 69-year-old white woman with Huntington disease, who presents with the third suicide attempt in the past two months.

22

3,250

Patellar tendon and medial and lateral retinaculum repair, right knee. Patellar tendon retinaculum ruptures, right knee.

38

10,912

Dietary consultation for carbohydrate counting for type I diabetes.

9

391

Phenol neurolysis right obturator nerve, botulinum toxin injection right rectus femoris and vastus medialis intermedius and right pectoralis major muscles.

23

12,121

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

9

6,040

Generalized abdominal discomfort with swelling at the site of the ileostomy. 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.

21

65

Vaginal Hysterectomy. A weighted speculum was placed in the posterior vaginal vault. The cervix was grasped with a Massachusetts clamp on both its anterior and posterior lips.

38

10,031

The client was monitored for EEG, EOG, jaw and leg EMG, thoracoabdominal impedance, oral/nasal thermistors, EKG, and oximetry.

36

6,586

Mohs Micrographic Surgery for basal cell CA at mid parietal scalp.

8

4,464

Patient in ER with upper respiratory infection

12

11,410

Patient presented to the bariatric surgery service for consideration of laparoscopic roux en Y gastric bypass surgery.

2

1,420

Acute on chronic COPD exacerbation and community acquired pneumonia both resolving. However, she may need home O2 for a short period of time.

15

9,696

A sample note on Rheumatoid Arthritis

34

7,781

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.

30

7,257

Autopsy of a white female who died of acute combined drug intoxication.

1

1,864

Total vaginal hysterectomy. Menometrorrhagia, dysmenorrhea, and small uterine fibroids.

24

11,149

A sample note on Rheumatoid Arthritis

34

1,358

Left heart catheterization, left ventriculography, selective coronary angiography.

38

10,925

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

17

8,896

Closed reduction of mandible fractures with Erich arch bars and elastic fixation. Left angle and right body mandible fractures.

7

9,214

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

0

12,004

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

37

12,158

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

37

8,176

This 34-year-old gentleman awoke this morning noting some itchiness to his back and then within very a short period of time realized that he had an itchy rash all over his torso and arms.

8

12,229

Mother states he has been wheezing and coughing.

0

12,054

Preop evaluation regarding gastric bypass surgery.

2

2,897

Renal failure evaluation for possible dialysis therapy. Acute kidney injury of which etiology is unknown at this time, with progressive azotemia unresponsive to IV fluids.

21

10,006

Incision and drainage (I&D) of buttock abscess.

8

9,968

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

1

3,503

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

21

7,597

Mother states he has been wheezing and coughing.

0

9,280

Counting calorie points, exercising pretty regularly, seems to be doing well

9

2,262

Bilateral orbital frontal zygomatic craniotomy (skull base approach), bilateral orbital advancement with (C-shaped osteotomies down to the inferior orbital rim) with bilateral orbital advancement with bone grafts, bilateral forehead reconstruction with autologous graft.

23

6,357

Cataract, right eye. Phacoemulsification with intraocular lens placement, right eye.

26

12,580

Is it BNP or BMP?

19

9,830

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.

37

8,763

EEG during wakefulness, drowsiness, and sleep with synchronous video monitoring demonstrated no evidence of focal or epileptogenic activity.

36

4,748

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.

30

10,471

Work restrictions and disability evaluation

4

11,407

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

19

12,224

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

8,165

Preoperative visit for weight management with laparoscopic gastric banding

2

255

Bilateral scrotal orchiectomy

38

11,303

Occupational medicine consult with questions-answers and records review.

18

2,283

MRI Orbit/Face/Neck with MR Angiography of the Head - An infant with facial mass

33

2,201

Selective coronary angiography, left heart catheterization with hemodynamics, LV gram with power injection, right femoral artery angiogram, closure of the right femoral artery using 6-French AngioSeal.

38

8,686

Followup after a full-night sleep study performed to evaluate her for daytime fatigue and insomnia. This client presents with history of sleep disruption and daytime sleepiness with fatigue. Her symptoms are multifactorial.

36

9,988

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.

30

2,000

Entrapment of the Superior Gluteal Nerve in the aponeurosis of the Gluteus Medius-Left.

4

3,707

The patient with a recent change in bowel function and hematochezia.

38

10,937

Autopsy - Asphyxia due to ligature strangulation.

1

7,030

Dental restoration. Dental caries. Cavities have been noted by his parents and pediatrician that have been noted to be pretty severe.

7

3,979

Pacemaker ICD interrogation. Severe nonischemic cardiomyopathy with prior ventricular tachycardia.

38

6,080

Hemiarthroplasty, right hip. Fracture of the right femoral neck, also history of Alzheimer's dementia, hypothyroidism, and status post hemiarthroplasty of the hip.

10

8,828

Chiropractic IME with old files review. Detailed Thoracic Spine Examination.

18

5,228

Head injury, anxiety, and hypertensive emergency.

29

2,608

Selective coronary angiography. Placement of overlapping 3.0 x 18 and 3.0 x 8 mm Xience stents in the proximal right coronary artery. Abdominal aortography.

3

11,549

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

17

72

Cauterization of epistaxis, left nasal septum. Fiberoptic nasal laryngoscopy. Atrophic dry nasal mucosa. Epistaxis. Atrophic laryngeal changes secondary to inhaled steroid use.

38

776

Ligation and stripping of left greater saphenous vein to the level of the knee. Stripping of multiple left lower extremity varicose veins. Varicose veins.

3

9,347

Patient presents for therapy of suspected rheumatoid arthritis.

34

8,460

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

7

6,659

Cervical epidural steroid injection without fluoroscopy. An 18-gauge Tuohy needle was placed into the epidural space using loss of resistance technique.

28

11,019

Is it BNP or BMP?

19

7,928

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

37

4,170

Total vaginal hysterectomy. Microinvasive carcinoma of the cervix.

10

7,492

Chronic glossitis, xerostomia, probable environmental inhalant allergies, probable food allergies, and history of asthma.

0

8,701

First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury.

18

5,112

Excisional biopsy with primary closure of a 4 mm right lateral base of tongue lesion. Right lateral base of tongue lesion, probable cancer.

16

7,228

Autopsy - Homicide - evidence of exsanguination - multiple stab wounds.

1

10,113

Patient suffers from neck and lower back ache radiating into both arms and both legs with numbness, paraesthesia, and tingling in both arms.

20

5,199

Her pregnancy is complicated by preterm contractions. She was on bedrest since her 34th week. She was admitted here and labor was confirmed with rupture of membranes.

24

3,229

Painful enlarged navicula, right foot. Osteochondroma of right fifth metatarsal. Partial tarsectomy navicula and partial metatarsectomy, right foot.

27

7,955

Letter on evaluation regarding extraction of mandibular left second molar tooth #18.

7

1,067

Is it BNP or BMP?

19

8,121

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

9,174

Status post brain tumor with removal. The client did receive skilled speech therapy while in the acute rehab, which focused on higher level cognitive and linguistic skills such as attention, memory, mental flexibility, and improvement of her executive function.

37

4,385

Left L4-L5 transforaminal neuroplasty with nerve root decompression and lysis of adhesions followed by epidural steroid injection.

23

11,821

Patient presents for therapy of suspected rheumatoid arthritis.

34