diff --git "a/finals_medical.csv" "b/finals_medical.csv" new file mode 100644--- /dev/null +++ "b/finals_medical.csv" @@ -0,0 +1,5029 @@ +,description,medical_specialty +0, A 23-year-old white female presents with complaint of allergies., Allergy / Immunology +1, Consult for laparoscopic gastric bypass., Bariatrics +2, Consult for laparoscopic gastric bypass., Bariatrics +3, 2-D M-Mode. Doppler. , Cardiovascular / Pulmonary +4, 2-D Echocardiogram, Cardiovascular / Pulmonary +5," Morbid obesity. Laparoscopic antecolic antegastric Roux-en-Y gastric bypass with EEA anastomosis. This is a 30-year-old female, who has been overweight for many years. She has tried many different diets, but is unsuccessful. ", Bariatrics +6," Liposuction of the supraumbilical abdomen, revision of right breast reconstruction, excision of soft tissue fullness of the lateral abdomen and flank. +", Bariatrics +7, 2-D Echocardiogram, Cardiovascular / Pulmonary +8, Suction-assisted lipectomy - lipodystrophy of the abdomen and thighs., Bariatrics +9, Echocardiogram and Doppler, Cardiovascular / Pulmonary +10," Morbid obesity. Laparoscopic Roux-en-Y gastric bypass, antecolic, antegastric with 25-mm EEA anastamosis, esophagogastroduodenoscopy.", Bariatrics +11," Normal left ventricle, moderate biatrial enlargement, and mild tricuspid regurgitation, but only mild increase in right heart pressures.", Cardiovascular / Pulmonary +12, Cerebral Angiogram - moyamoya disease., Neurology +13, Patient presented to the bariatric surgery service for consideration of laparoscopic roux en Y gastric bypass surgery. , Bariatrics +14," Surgical removal of completely bony impacted teeth #1, #16, #17, and #32. Completely bony impacted teeth #1, #16, #17, and #32.", Dentistry +15, Preoperative visit for weight management with laparoscopic gastric banding, Bariatrics +16," Neck exploration; tracheostomy; urgent flexible bronchoscopy via tracheostomy site; removal of foreign body, tracheal metallic stent material; dilation distal trachea; placement of #8 Shiley single cannula tracheostomy tube.", Cardiovascular / Pulmonary +17, Patient status post lap band placement., Bariatrics +18, Fertile male with completed family. Elective male sterilization via bilateral vasectomy., Urology +19," The patient is a 17-year-old female, who presents to the emergency room with foreign body and airway compromise and was taken to the operating room. She was intubated and fishbone.", General Medicine +20, Whole body radionuclide bone scan due to prostate cancer., Urology +21, Patient discharged after laparoscopic Roux-en-Y gastric bypass., Bariatrics +22, Normal vasectomy, Urology +23," Voluntary sterility. Bilateral vasectomy. The vas deferens was grasped with a vas clamp. Next, the vas deferens was skeletonized. It was clipped proximally and distally twice. ", Urology +24, Blood in urine - Transitional cell cancer of the bladder., Urology +25, Normal vasectomy, Urology +26, Hispanic male patient was admitted because of enlarged prostate and symptoms of bladder neck obstruction., Urology +27," Umbilical hernia repair template. The umbilical hernia carefully reduced back into the cavity, and the fascia was closed with interrupted vertical mattress sutures to approximate the fascia.", Urology +28," Vasectomy 10 years ago, failed. Azoospermic. Reversal two years ago. Interested in sperm harvesting and cryopreservation", Urology +29," Desire for sterility. Vasectomy. The vas was identified, skin was incised, and no scalpel instruments were used to dissect out the vas.", Urology +30," The patient noted for improving retention of urine, postop vaginal reconstruction, very concerned of possible vaginal prolapse.", Urology +31," This is a 66-year-old male with signs and symptoms of benign prostatic hypertrophy, who has had recurrent urinary retention since his kidney transplant. He passed his fill and pull study and was thought to self-catheterize in the event that he does incur urinary retention again.", Urology +32, 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. , Urology +33," Umbilical hernia repair. A standard curvilinear umbilical incision was made, and dissection was carried down to the hernia sac using a combination of Metzenbaum scissors and Bovie electrocautery. ", Urology +34," Persistent frequency and urgency, in a patient with a history of neurogenic bladder and history of stroke. ", Urology +35, Ultrasound examination of the scrotum due to scrotal pain. Duplex and color flow imaging as well as real time gray-scale imaging of the scrotum and testicles was performed. , Urology +36," Transurethral resection of a medium bladder tumor (TURBT), left lateral wall.", Urology +37, Transurethral electrosurgical resection of the prostate for benign prostatic hyperplasia., Urology +38," Transurethral resection of the bladder tumor (TURBT), large.", Urology +39, The patient has a possibly torsion detorsion versus other acute testicular problem. , Urology +40," Cystoscopy, transurethral resection of medium bladder tumor (4.0 cm in diameter), and direct bladder biopsy.", Urology +41, Left spermatocelectomy/epididymectomy and bilateral partial vasectomy. Left spermatocele and family planning., Urology +42, Left testicular swelling for one day. Testicular Ultrasound. Hypervascularity of the left epididymis compatible with left epididymitis. Bilateral hydroceles., Urology +43," Salvage cystectomy (very difficult due to postradical prostatectomy and postradiation therapy to the pelvis), Indiana pouch continent cutaneous diversion, and omental pedicle flap to the pelvis.", Urology +44, Spermatocelectomy and orchidopexy, Urology +45, SPARC suburethral sling due to stress urinary incontinence., Urology +46," Left scrotal exploration with detorsion. Already, de-torsed bilateral testes fixation and bilateral appendix testes cautery.", Urology +47," Cystoscopy under anesthesia, retrograde and antegrade pyeloureteroscopy, left ureteropelvic junction obstruction, difficult and open renal biopsy.", Urology +48," Radical retropubic prostatectomy, robotic assisted and bladder suspension. Adenocarcinoma of the prostate.", Urology +49," A 16-month-old with history of penile swelling for 4 days, had circumcision 1 week ago.", Urology +50, Radical retropubic prostatectomy with pelvic lymph node dissection due to prostate cancer., Urology +51, Radical retropubic nerve-sparing prostatectomy without lymph node dissection., Urology +52, A 65-year-old man with chronic prostatitis returns for recheck., Urology +53," Adenocarcinoma of the prostate, Erectile dysfunction - History & Physical", Urology +54, Prostate Brachytherapy - Prostate I-125 Implantation, Urology +55," Right ureteropelvic junction obstruction. Robotic-assisted pyeloplasty, anterograde right ureteral stent placement, transposition of anterior crossing vessels on the right, and nephrolithotomy.", Urology +56," Cystourethroscopy, right retrograde pyelogram, and right double-J stent placement 22 x 4.5 mm. Right ureteropelvic junction calculus.", Urology +57, Open radical retropubic prostatectomy with bilateral lymph node dissection., Urology +58, The patient returns for followup evaluation 21 months after undergoing prostate fossa irradiation for recurrent Gleason 8 adenocarcinoma. Concerning slow ongoing rise in PSA., Urology +59," Prostate gland showing moderately differentiated infiltrating adenocarcinoma - Excised prostate including capsule, pelvic lymph nodes, seminal vesicles, and small portion of bladder neck.", Urology +60," Moderately differentiated adenocarcinoma, 1+ enlarged prostate with normal seminal vesicles.", Urology +61, Patient presents to the Emergency Department with complaint of a bleeding bump on his penis., Urology +62, Ex-plantation of inflatable penile prosthesis and then placement of second inflatable penile prosthesis AMS700. Nonfunctioning inflatable penile prosthesis and Peyronie's disease., Urology +63, Excision of penile skin bridges about 2 cm in size., Urology +64," Adenocarcinoma of the prostate. The patient underwent a transrectal ultrasound and biopsy and was found to have a Gleason 3+4 for a score of 7, 20% of the tissue removed from the left base. ", Urology +65," Complete urinary obstruction, underwent a transurethral resection of the prostate - adenocarcinoma of the prostate.", Urology +66, Moderate to poorly differentiated adenocarcinoma in the right lobe and poorly differentiated tubular adenocarcinoma in the left lobe of prostate., Urology +67," Penile discharge, infected-looking glans. A 67-year-old male with multiple comorbidities with penile discharge and pale-appearing glans. It seems that the patient has had multiple catheterizations recently and has history of peripheral vascular disease. ", Urology +68, Penile injury and continuous bleeding from a penile laceration., Urology +69," The patient is a 16-month-old boy, who had a circumcision performed approximately 4 days before he developed penile swelling and fever and discharge. ", Urology +70," He continues to have abdominal pain, and he had a diuretic renal scan, which indicates no evidence of obstruction and good differential function bilaterally. ", Urology +71, Prostate adenocarcinoma and erectile dysfunction - Pathology report., Urology +72, Right undescended testicle. Orchiopexy & Herniorrhaphy., Urology +73, Overactive bladder with microscopic hematuria., Urology +74, Reduction of paraphimosis., Urology +75," Left inguinal hernia repair, left orchiopexy with 0.25% Marcaine, ilioinguinal nerve block and wound block at 0.5% Marcaine plain.", Urology +76, Right orchiopexy and right inguinal hernia repair., Urology +77, Bilateral orchiopexy. This 8-year-old boy has been found to have a left inguinally situated undescended testes. Ultrasound showed metastasis to be high in the left inguinal canal. The right testis is located in the right inguinal canal on ultrasound and apparently ultrasound could not be displaced into the right hemiscrotum., Urology +78," Examination under anesthesia, diagnostic laparoscopy, right orchiectomy, and left testis fixation.", Urology +79, Orchiopexy & inguinal herniorrhaphy., Urology +80, Bilateral scrotal orchiectomy, Urology +81," A 6-mm left intrarenal stone, nonobstructing, by ultrasound and IVP. ", Urology +82, Stage I and II neuromodulator., Urology +83, Mini-laparotomy radical retropubic prostatectomy with bilateral pelvic lymph node dissection with Cavermap. Adenocarcinoma of the prostate., Urology +84, An example/template for meatotomy., Urology +85," Neurogenic bladder, in a patient catheterizing himself 3 times a day, changing his catheter 3 times a week", Urology +86," Left orchiectomy, scrotal exploration, right orchidopexy.", Urology +87," Left orchiopexy. Ectopic left testis. The patient did have an MRI, which confirmed ectopic testis located near the pubic tubercle.", Urology +88, Examination under anesthesia and laparoscopic right orchiopexy., Urology +89, An example/template for meatoplasty., Urology +90," Laparoscopic lysis of adhesions, attempted laparoscopic pyeloplasty, and open laparoscopic pyeloplasty. Right ureteropelvic junction obstruction, severe intraabdominal adhesions, and retroperitoneal fibrosis.", Urology +91," Bassini inguinal herniorrhaphy. A standard inguinal incision was made, and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery. ", Urology +92," Laparoscopic right inguinal herniorrhaphy with mesh, as well as a circumcision. Recurrent right inguinal hernia, as well as phimosis.", Urology +93," Left inguinal herniorrhaphy, modified Bassini. Left inguinal hernia, direct.", Urology +94, Cystopyelogram and laser vaporization of the prostate., Urology +95," Direct inguinal hernia. Rutkow direct inguinal herniorrhaphy. A standard inguinal incision was made, and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery. ", Urology +96, Inguinal herniorrhaphy. A standard inguinal incision was made and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery. , Urology +97, Inguinal orchiopexy procedure., Urology +98, Bilateral inguinal hernia. Bilateral direct inguinal hernia repair utilizing PHS system and placement of On-Q pain pump. , Urology +99, Direct right inguinal hernia. Marlex repair of right inguinal hernia., Urology +100, Right inguinal hernia. Right direct inguinal hernia repair with PHS mesh system. The Right groin and abdomen were prepped and draped in the standard sterile surgical fashion. An incision was made approximately 1 fingerbreadth above the pubic tubercle and in a skin crease. , Urology +101," A 9-year-old boy with a history of intermittent swelling of the right inguinal area consistent with a right inguinal hernia, taken to the operating room for inguinal hernia repair.", Urology +102," Repair of left inguinal hernia indirect. The patient states that she noticed there this bulge and pain for approximately six days prior to arrival. Upon examination in the office, the patient was found to have a left inguinal hernia consistent with tear, which was scheduled as an outpatient surgery.", Urology +103," Right inguinal hernia. Right inguinal hernia repair. The patient is a 4-year-old boy with a right inguinal bulge, which comes and goes with Valsalva standing and some increased physical activity.", Urology +104, Bilateral inguinal hernia and bilateral hydrocele repair with an ilioinguinal nerve block bilaterally., Urology +105, Left direct and indirect inguinal hernia. Repair of left inguinal hernia with Prolene mesh. The patient was found to have a left inguinal hernia increasing over the past several months. The patient has a history of multiple abdominal surgeries and opted for an open left inguinal hernial repair with Prolene mesh., Urology +106," Right inguinal exploration, left inguinal hernia repair, bilateral hydrocele repair, and excision of right appendix testis.", Urology +107," Left communicating hydrocele. Left inguinal hernia and hydrocele repair. The patient is a 5-year-old young man with fluid collection in the tunica vaginalis and peritesticular space on the left side consistent with a communicating hydrocele. +", Urology +108," Incision and drainage of the penoscrotal abscess, packing, penile biopsy, cystoscopy, and urethral dilation.", Urology +109, Hypospadias repair (TIP) with tissue flap relocation and chordee release (Nesbit tuck)., Urology +110," Pelvic tumor, cystocele, rectocele, and uterine fibroid. Total abdominal hysterectomy, bilateral salpingooophorectomy, repair of bladder laceration, appendectomy, Marshall-Marchetti-Krantz cystourethropexy, and posterior colpoperineoplasty. She had a recent D&C and laparoscopy, and enlarged mass was noted and could not be determined if it was from the ovary or the uterus. ", Urology +111, Hypospadias repair (TIT and tissue flap relocation) and Nesbit tuck chordee release., Urology +112, Hypospadias repair. Urethroplasty plate incision with tissue flap relocation and chordee release., Urology +113," Left hydrocelectomy. This is a 67-year-old male with pain, left scrotum. He has had an elevated PSA and also has erectile dysfunction. He comes in now for a left hydrocelectomy. Physical exam confirmed obvious hydrocele, left scrotum.", Urology +114," Left hydrocelectomy, cystopyelogram, bladder biopsy, and fulguration for hemostasis.", Urology +115," Bilateral scrotal hydrocelectomies, large for both, and 0.5% Marcaine wound instillation, 30 mL given.", Urology +116, Inguinal hernia hydrocele repair., Urology +117," Presents to the ER with hematuria that began while sleeping last night. He denies any pain, nausea, vomiting or diarrhea.", Urology +118," The patient had hematuria, and unable to void. The patient had a Foley catheter, which was not in the urethra, possibly inflated in the prostatic urethra, which was removed. ", Urology +119, Patient presents with gross hematuria that started this morning., Urology +120, Likely molluscum contagiosum (genital warts) caused by HPV. It is not clear where this came from but it is most likely sexually transmitted., Urology +121," Follow up consultation, second opinion, foreskin.", Urology +122, Foul-smelling urine and stomach pain after meals., Urology +123, Cystoscopy and removal of foreign objects from the urethra., Urology +124," Recurring bladder infections with frequency and urge incontinence, not helped with Detrol LA. Normal cystoscopy with atrophic vaginitis.", Urology +125," Microscopic hematuria with lateral lobe obstruction, mild.", Urology +126, Epididymectomy, Urology +127, Common Excretory Urogram - IVP template, Urology +128, Left flank pain and unable to urinate., Urology +129, Recurrent urinary tract infection in a patient recently noted for another Escherichia coli urinary tract infection., Urology +130," Abnormal serum PSA of 16 ng/ml, dribbling urine, inability to empty bladder, nocturia, urinary hesitancy and slow urine stream.", Urology +131," Left flank pain, ureteral stone.", Urology +132," Solitary left kidney with obstruction and hypertension and chronic renal insufficiency, plus a Pseudomonas urinary tract infection.", Urology +133, Elevated PSA with nocturia and occasional daytime frequency., Urology +134," Cystoscopy, TUR, and electrofulguration of recurrent bladder tumors.", Urology +135," Cystourethroscopy, urethral dilation, and bladder biopsy and fulguration. Urinary hesitancy and weak stream, urethral narrowing, mild posterior wall erythema.", Urology +136," Cystourethroscopy and tTransurethral resection of prostate (TURP). Urinary retention and benign prostate hypertrophy. This is a 62-year-old male with a history of urinary retention and progressive obstructive voiding symptoms and enlarged prostate 60 g on ultrasound, office cystoscopy confirmed this.", Urology +137," Some improvement of erectile dysfunction, on low dose of Cialis, with no side effects. ", Urology +138," Right hydronephrosis, right flank pain, atypical/dysplastic urine cytology, extrarenal pelvis on the right, no evidence of obstruction or ureteral/bladder lesions. Cystoscopy, bilateral retrograde ureteropyelograms, right ureteral barbotage for urine cytology, and right ureterorenoscopy.", Urology +139," Discharge Summary of a patient with hematuria, benign prostatic hyperplasia, complex renal cyst versus renal cell carcinoma, and osteoarthritis.", Urology +140," Cystourethroscopy, right retrograde pyelogram, right ureteral pyeloscopy, right renal biopsy, and right double-J 4.5 x 26 mm ureteral stent placement. Right renal mass and ureteropelvic junction obstruction and hematuria.", Urology +141, Cystoscopy. Transurethral resection of the prostate., Urology +142," Cystourethroscopy, bilateral retrograde pyelogram, and transurethral resection of bladder tumor of 1.5 cm in size. Recurrent bladder tumor and history of bladder carcinoma.", Urology +143," Cystoscopy under anesthesia, bilateral HIT/STING with Deflux under general anesthetic.", Urology +144, Benign prostatic hypertrophy and urinary retention. Cystourethroscopy and transurethral resection of prostate (TURP)., Urology +145," Cystopyelogram, clot evacuation, transurethral resection of the bladder tumor x2 on the dome and on the left wall of the bladder.", Urology +146, Cystoscopy and Bladder biopsy with fulguration. History of bladder tumor with abnormal cytology and areas of erythema., Urology +147," Cystopyelogram, left ureteroscopy, laser lithotripsy, stone basket extraction, stent exchange with a string attached.", Urology +148," Holmium laser cystolithalopaxy. A diabetic male in urinary retention with apparent neurogenic bladder and intermittent self-catheterization, recent urinary tract infections. The cystoscopy showed a large bladder calculus, short but obstructing prostate.", Urology +149," Exploratory laparotomy, resection of small bowel lesion, biopsy of small bowel mesentery, bilateral extended pelvic and iliac lymphadenectomy (including preaortic and precaval, bilateral common iliac, presacral, bilateral external iliac lymph nodes), salvage radical cystoprostatectomy (very difficult due to previous chemotherapy and radiation therapy), and continent urinary diversion with an Indiana pouch.", Urology +150, Cystoscopy & Visual urethrotomy procedure, Urology +151, Newborn circumcision. The penile foreskin was removed using Gomco. , Urology +152, Circumcision. Normal male phallus. The infant is without evidence of hypospadias or chordee prior to the procedure., Urology +153, Circumcision. The child appeared to tolerate the procedure well. Care instructions were given to the parents., Urology +154, Consult for prostate cancer, Urology +155," Cystoscopy, cryosurgical ablation of the prostate.", Urology +156, Followup circumcision. The patient had a pretty significant phimosis and his operative course was smooth. Satisfactory course after circumcision for severe phimosis with no perioperative complications., Urology +157, Right lower pole renal stone and possibly infected stent. Cysto stent removal., Urology +158, Circumcision and release of ventral chordee., Urology +159, Normal penis. The foreskin was normal in appearance and measured 1.6 cm. There was no bleeding at the circumcision site., Urology +160, Circumcision procedure (neotal), Urology +161, Circumcision procedure in a baby, Urology +162, Circumcision in an older person, Urology +163, Refractory priapism. Cavernosaphenous shunt. The patient presented with priapism x48 hours on this visit. The patient underwent corporal aspiration and Winter's shunt both of which failed, Urology +164, The patient had spraying of urine and ballooning of the foreskin with voiding., Urology +165," Brachytherapy, iodine-125 seed implantation, and cystoscopy.", Urology +166, Normal Circumcision, Urology +167," Release of ventral chordee, circumcision, and repair of partial duplication of urethral meatus.", Urology +168," Circumcision. A dorsal slit was made, and the prepuce was dissected away from the glans penis.", Urology +169," Closure of bladder laceration, during cesarean section.", Urology +170, Recurrent bladder tumor. The patient on recent followup cystoscopy for transitional cell carcinomas of the bladder neck was found to have a 5-cm area of papillomatosis just above the left ureteric orifice., Urology +171, Patient has prostate cancer with metastatic disease to his bladder. The patient has had problems with hematuria in the past. The patient was encouraged to drink extra water and was given discharge instructions on hematuria., Urology +172, Bladder instillation for chronic interstitial cystitis., Urology +173," Cystoscopy, bladder biopsies, and fulguration. Bladder lesions with history of previous transitional cell bladder carcinoma, pathology pending.", Urology +174," Austin & Youngswick bunionectomy with Biopro implant. Screw fixation, left foot.", Surgery +175," Patient with a history of gross hematuria. CT scan was performed, which demonstrated no hydronephrosis or upper tract process; however, there was significant thickening of the left and posterior bladder wall.", Urology +176, Bilateral vasovasostomy surgery sample., Urology +177," This patient has undergone cataract surgery, and vision is reduced in the operated eye due to presence of a secondary capsular membrane. The patient is being brought in for YAG capsular discission.", Surgery +178," Cystoscopy, cystocele repair, BioArc midurethral sling.", Urology +179, Youngswick osteotomy with internal screw fixation of the first right metatarsophalangeal joint of the right foot., Surgery +180, Laparoscopic hand-assisted left adrenalectomy and umbilical hernia repair. Patient with a 5.5-cm diameter nonfunctioning mass in his right adrenal., Urology +181," Wound debridement with removal of Surgisis xenograft and debridement of skin and subcutaneous tissue, secondary closure of wound, and VAC insertion.", Surgery +182," Visually significant posterior capsule opacity, right eye. YAG laser posterior capsulotomy, right eye.", Surgery +183," A complex closure and debridement of wound. The patient is a 26-year-old female with a long history of shunt and hydrocephalus presenting with a draining wound in the right upper quadrant, just below the costal margin that was lanced by General Surgery and resolved; however, it continued to drain.", Surgery +184," Excision of dorsal wrist ganglion. Made a transverse incision directly over the ganglion. Dissection was carried down through the extensor retinaculum, identifying the 3rd and the 4th compartments and retracting them.", Surgery +185, Placement of right new ventriculoperitoneal (VP) shunts Strata valve and to removal of right frontal Ommaya reservoir., Surgery +186, Vitrectomy under local anesthesia., Surgery +187, Vitrectomy under general anesthesia, Surgery +188, Vitrectomy opening. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and separately the supratemporal and inferotemporal quadrants. , Surgery +189," Pars plana vitrectomy, membrane peel, 23-gauge, right eye.", Surgery +190, Unilateral transpedicular T11 vertebroplasty., Surgery +191, Insertion of a VVIR permanent pacemaker. This is an 87-year-old Caucasian female with critical aortic stenosis with an aortic valve area of 0.5 cm square and recurrent congestive heart failure symptoms mostly refractory to tachybrady arrhythmias, Surgery +192," Vitrectomy. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and, separately, the supratemporal and inferotemporal quadrants. ", Surgery +193," Combined closed vitrectomy with membrane peeling, fluid-air exchange, and endolaser, right eye.", Surgery +194, Placement of left ventriculostomy via twist drill. Massive intraventricular hemorrhage with hydrocephalus and increased intracranial pressure., Surgery +195," Chronic venous hypertension with painful varicosities, lower extremities, bilaterally. Greater saphenous vein stripping and stab phlebectomies requiring 10 to 20 incisions, bilaterally.", Surgery +196, Fertile male with completed family. Elective male sterilization via bilateral vasectomy., Surgery +197," Desire for sterility. Vasectomy. The vas was identified, skin was incised, and no scalpel instruments were used to dissect out the vas.", Surgery +198, Endoscopic third ventriculostomy., Surgery +199, Burr hole and insertion of external ventricular drain catheter., Surgery +200," Vitreous hemorrhage, right eye. Vitrectomy, right eye. A Lancaster lid speculum was applied and the conjunctiva was opened 4 mm posterior to the limbus.", Surgery +201, Normal vasectomy, Surgery +202, Normal vasectomy, Surgery +203," Voluntary sterility. Bilateral vasectomy. The vas deferens was grasped with a vas clamp. Next, the vas deferens was skeletonized. It was clipped proximally and distally twice. ", Surgery +204, Laparoscopic-assisted vaginal hysterectomy. Abnormal uterine bleeding. Uterine fibroids., Surgery +205, 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., Surgery +206, Vacuum-assisted vaginal delivery of a third-degree midline laceration and right vaginal side wall laceration and repair of the third-degree midline laceration lasting for 25 minutes., Surgery +207," Umbilical hernia repair template. The umbilical hernia carefully reduced back into the cavity, and the fascia was closed with interrupted vertical mattress sutures to approximate the fascia.", Surgery +208, Upper endoscopy with removal of food impaction., Surgery +209," Exam under anesthesia with uterine suction curettage. A 10-1/2 week pregnancy, spontaneous, incomplete abortion.", Surgery +210, Urgent cardiac catheterization with coronary angiogram., Surgery +211," Uvulopalatopharyngoplasty and tonsillectomy. The patient with a history of obstructive sleep apnea who has been using CPAP, however, he was not tolerating used of the machine and requested a surgical procedure for correction of his apnea.", Surgery +212," Umbilical hernia repair. A standard curvilinear umbilical incision was made, and dissection was carried down to the hernia sac using a combination of Metzenbaum scissors and Bovie electrocautery. ", Surgery +213, A 21-year-old female was having severe cramping and was noted to have a blighted ovum with her first ultrasound in the office., Surgery +214," Subcutaneous ulnar nerve transposition. A curvilinear incision was made over the medial elbow, starting proximally at the medial intermuscular septum, curving posterior to the medial epicondyle, then curving anteriorly along the path of the ulnar nerve. Dissection was carried down to the ulnar nerve. ", Surgery +215, Upper endoscopy with foreign body removal (Penny in proximal esophagus)., Surgery +216, Bilateral tympanostomy with myringotomy tube placement. The patient is a 1-year-old male with a history of chronic otitis media with effusion and conductive hearing loss refractory to outpatient medical therapy. , Surgery +217, Adenotonsillar hypertrophy and chronic otitis media. Tympanostomy and tube placement and adenoidectomy., Surgery +218," Transurethral resection of the bladder tumor (TURBT), large.", Surgery +219," Decompression of the ulnar nerve, left elbow. Left cubital tunnel syndrome and ulnar nerve entrapment.", Surgery +220, Transurethral electrosurgical resection of the prostate for benign prostatic hyperplasia., Surgery +221, Tube Shunt - Ahmed valve model S2 implant with pericardial reinforcement - Sample/Template., Surgery +222," Laparoscopic tubal sterilization, tubal coagulation. ", Surgery +223," Right ulnar nerve transposition, right carpal tunnel release, and right excision of olecranon bursa. Right cubital tunnel syndrom, carpal tunnel syndrome, and olecranon bursitis.", Surgery +224," Left canal wall down tympanomastoidectomy with ossicular chain reconstruction, microdissection, NIM facial nerve monitoring for three hours.", Surgery +225," Desires permanent sterilization. Laparoscopic tubal ligation, Falope ring method. Normal appearing uterus and adnexa bilaterally.", Surgery +226," Cystoscopy, transurethral resection of medium bladder tumor (4.0 cm in diameter), and direct bladder biopsy.", Surgery +227," True cut needle biopsy of the breast. This 65-year-old female on exam was noted to have dimpling and puckering of the skin associated with nipple discharge. On exam, she has a noticeable carcinoma of the left breast with dimpling, puckering, and erosion through the skin.", Surgery +228, Nerve root decompression at L45 on the left side. Tun-L catheter placement with injection of steroid solution and Marcaine at L45 nerve roots left. Interpretation of radiograph., Surgery +229, Postpartum tubal ligation and removal of upper abdominal skin wall mass., Surgery +230, Laparoscopic tubal fulguration., Surgery +231, Laparoscopic bilateral tubal ligation with Falope rings., Surgery +232," Insertion of a triple-lumen central line through the right subclavian vein by the percutaneous technique. This lady has a bowel obstruction. She was being fed through a central line, which as per the patient was just put yesterday and this slipped out. ", Surgery +233," Trigger thumb release. Right trigger thumb. The A-1 pulley was divided along its radial border, completely freeing the stenosing tenosynovitis (trigger release). ", Surgery +234, Foraminal disc herniation of left L3-L4. Enlarged dorsal root ganglia of the left L3 nerve root. Transpedicular decompression of the left L3-L4 with discectomy., Surgery +235," Insertion of a right brachial artery arterial catheter and a right subclavian vein triple lumen catheter. Hyperpyrexia/leukocytosis, ventilator-dependent respiratory failure, and acute pancreatitis.", Surgery +236," Need for intravenous access. Insertion of a right femoral triple lumen catheter. he patient is also ventilator-dependent, respiratory failure with tracheostomy in place and dependent on parenteral nutrition secondary to dysphagia and also has history of protein-calorie malnutrition and the patient needs to receive total parenteral nutrition and therefore needs central venous access.", Surgery +237," Trigger finger release. A longitudinal incision was made over the digit's A1 pulley. Dissection was carried down to the flexor sheath with care taken to identify and protect the neurovascular bundles. The sheath was opened under direct vision with a scalpel, and then a scissor was used to release it under direct vision from the proximal extent of the A1 pulley to just proximal to the proximal digital crease. ", Surgery +238, Trigger thumb release. A transverse incision was made over the MPJ crease of the thumb. Dissection was carried down to the flexor sheath with care taken to identify and protect the neurovascular bundles. , Surgery +239, Insertion of transesophageal echocardiography probe and unsuccessful insertion of arterial venous lines., Surgery +240," Transurethral resection of a medium bladder tumor (TURBT), left lateral wall.", Surgery +241, Tracheotomy for patient with respiratory failure., Surgery +242, Trabeculectomy with mitomycin C - Sample/Template., Surgery +243, Tracheostomy and thyroid isthmusectomy. Ventilator-dependent respiratory failure and multiple strokes., Surgery +244, Tracheostomy change. A #6 Shiley with proximal extension was changed to a #6 Shiley with proximal extension. Ventilator-dependent respiratory failure and laryngeal edema., Surgery +245," Neck exploration; tracheostomy; urgent flexible bronchoscopy via tracheostomy site; removal of foreign body, tracheal metallic stent material; dilation distal trachea; placement of #8 Shiley single cannula tracheostomy tube.", Surgery +246, Total thyroidectomy with removal of substernal extension on the left. Thyroid goiter with substernal extension on the left., Surgery +247," Left thyroid mass. Left total thyroid lumpectomy. The patient with a history of a left thyroid mass nodule that was confirmed with CT scan along with thyroid uptake scan, which demonstrated a hot nodule on the left anterior pole.", Surgery +248," Total knee replacement. A midline incision was made, centered over the patella. Dissection was sharply carried down through the subcutaneous tissues. A median parapatellar arthrotomy was performed.", Surgery +249," Short flap trabeculectomy with lysis of conjunctival scarring, tenonectomy, peripheral iridectomy, paracentesis, watertight conjunctival closure, and 0.5 mg/mL mitomycin x2 minutes, left eye. Uncontrolled open angle glaucoma and conjunctival scarring, left eye. ", Surgery +250, Tracheostomy with skin flaps and SCOOP procedure FastTract. Oxygen dependency of approximately 5 liters nasal cannula at home and chronic obstructive pulmonary disease. , Surgery +251," Right total knee arthroplasty - Osteoarthritis, right knee.", Surgery +252," Total left knee replacement. Degenerative arthritis of the left knee. Degenerative ware of three compartments of the trochlea, the medial, as well as the lateral femoral condyles as well was the plateau. ", Surgery +253, NexGen left total knee replacement. Degenerative arthritis of left knee. The patient is a 72-year-old female with a history of bilateral knee pain for years progressively worse and decreasing quality of life and ADLs., Surgery +254," Right total knee arthroplasty using a Biomet cemented components, 62.5-mm right cruciate-retaining femoral component, 71-mm Maxim tibial component, and 12-mm polyethylene insert with 31-mm patella. All components were cemented with Cobalt G.", Surgery +255," Infected right hip bipolar arthroplasty, status post excision and placement of antibiotic spacer. Removal of antibiotic spacer and revision total hip arthroplasty.", Surgery +256," Right knee total arthroplasty. Degenerative osteoarthritis, right knee.", Surgery +257," Total hip arthroplasty on the left. Left hip degenerative arthritis. Severe degenerative changes within the femoral head as well as the acetabulum, anterior as well as posterior osteophytes. ", Surgery +258," Total hip replacement. An incision was made, centered over the greater trochanter. Dissection was sharply carried down through the subcutaneous tissues. ", Surgery +259, Right hip osteoarthritis. Total hip replacement on the right side., Surgery +260, Total abdominal hysterectomy (TAH) with a uterosacral vault suspension. Enlarged fibroid uterus and abnormal uterine bleeding. , Surgery +261," Aortic stenosis. Insertion of a Toronto stentless porcine valve, cardiopulmonary bypass, and cold cardioplegia arrest of the heart.", Surgery +262," Total abdominal hysterectomy.. Severe menometrorrhagia unresponsive to medical therapy, anemia, and symptomatic fibroid uterus.", Surgery +263," Total Abdominal Hysterectomy (TAH). An incision was made into the abdomen down through the subcutaneous tissue, muscular fascia and peritoneum. Once inside the abdominal cavity, a self-retaining retractor was placed to expose the pelvic cavity with 3 lap sponges. ", Surgery +264," Total abdominal hysterectomy. Enlarged fibroid uterus, pelvic pain, and pelvic endometriosis. On laparotomy, the uterus did have multiple pedunculated fibroids.", Surgery +265, Tonsillectomy and adenoidectomy. Chronic adenotonsillitis. The patient is a 9-year-old Caucasian male with history of recurrent episodes of adenotonsillitis that has been refractory to outpatient antibiotic therapy. , Surgery +266, Tonsillectomy and adenoidectomy and Left superficial nasal cauterization. Recurrent tonsillitis. Deeply cryptic hypertrophic tonsils with numerous tonsillolith. Residual adenoid hypertrophy and recurrent epistaxis., Surgery +267, Tonsillectomy and adenoidectomy. Obstructive adenotonsillar hypertrophy with chronic recurrent pharyngitis., Surgery +268," Tonsillectomy and adenoidectomy. McIvor mouth gag was placed in the oral cavity, and a tongue depressor applied.", Surgery +269," Tonsillectomy, uvulopalatopharyngoplasty, and septoplasty for obstructive sleep apnea syndrome with hypertrophy of tonsils and of uvula and soft palate with deviation of nasal septum", Surgery +270, Tonsillectomy. Chronic tonsillitis., Surgery +271, Tonsillectomy. Tonsillitis. McIvor mouth gag was placed in the oral cavity and a tongue depressor applied. , Surgery +272," Tonsillectomy, adenoidectomy, and removal of foreign body (rock) from right ear.", Surgery +273, Tonsillectomy & adenoidectomy. Chronic tonsillitis with symptomatic tonsil and adenoid hypertrophy. , Surgery +274," Total thyroidectomy. The patient is a female with a history of Graves disease. Suppression was attempted, however, unsuccessful. She presents today with her thyroid goiter. ", Surgery +275," Thromboendarterectomy of right common, external, and internal carotid artery utilizing internal shunt and Dacron patch angioplasty closure. Coronary artery bypass grafting x3 utilizing left internal mammary artery to left anterior descending, and reverse autogenous saphenous vein graft to the obtuse marginal, posterior descending branch of the right coronary artery.", Surgery +276," Excisional biopsy with primary closure of a 4 mm right lateral base of tongue lesion. Right lateral base of tongue lesion, probable cancer.", Surgery +277," Transforaminal lumbar interbody fusion, placement of intervertebral prosthetic device.", Surgery +278, Total thyroidectomy for goiter. Multinodular thyroid goiter with compressive symptoms and bilateral dominant thyroid nodules proven to be benign by fine needle aspiration., Surgery +279," History of compartment syndrome, right lower extremity, status post 4 compartments fasciotomy, to do incision for compartment fasciotomy. Wound debridement x2, including skin, subcutaneous, and muscle. Insertion of tissue expander to the medial and lateral wound.", Surgery +280," Thrombectomy AV shunt, left forearm and patch angioplasty of the venous anastomosis. Thrombosed arteriovenous shunt, left forearm with venous anastomotic stenosis.", Surgery +281," Left thoracotomy with drainage of pleural fluid collection, esophageal exploration and repair of esophageal perforation, diagnostic laparoscopy and gastrostomy, and radiographic gastrostomy tube study with gastric contrast, interpretation.", Surgery +282," Empyema. Right thoracotomy, total decortication and intraoperative bronchoscopy. A thoracostomy tube was placed at the bedside with only partial resolution of the pleural effusion. On CT scan evaluation, there is evidence of an entrapped right lower lobe with loculations.", Surgery +283," A 26-mm Dacron graft replacement of type 4 thoracoabdominal aneurysm from T10 to the bifurcation of the aorta, re-implanting the celiac, superior mesenteric artery and right renal as an island and the left renal as a 8-mm interposition Dacron graft, utilizing left heart bypass and cerebrospinal fluid drainage.", Surgery +284," Left thoracotomy with total pulmonary decortication and parietal pleurectomy. Empyema of the chest, left.", Surgery +285," Left mesothelioma, focal. Left anterior pleural-based nodule, which was on a thin pleural pedicle with no invasion into the chest wall.", Surgery +286," Thrombosed left forearm loop fistula graft, chronic renal failure, and hyperkalemia. Thrombectomy of the left forearm loop graft. The venous outflow was good. There was stenosis in the mid-venous limb of the graft.", Surgery +287," Left thoracoscopy and left thoracotomy with declaudication and drainage of lung abscesses, and multiple biopsies of pleura and lung.", Surgery +288, Thoracic right-sided discectomy at T8-T9. The patient is a 53-year-old female with a history of right thoracic rib pain related to a herniated nucleus pulposus at T8-T9. , Surgery +289, Bilateral temporal artery biopsy. Rule out temporal arteritis., Surgery +290," Thoracentesis, left. Malignant pleural effusion, left, with dyspnea.", Surgery +291, Insertion of a left subclavian Tesio hemodialysis catheter and surgeon-interpreted fluoroscopy., Surgery +292," Headaches, question of temporal arteritis. Bilateral temporal artery biopsies.", Surgery +293, Extraction of tooth #T and incision and drainage (I&D) of right buccal space infection. Right buccal space infection and abscess tooth #T., Surgery +294, Insertion of right internal jugular Tessio catheter and placement of left wrist primary submental arteriovenous fistula., Surgery +295, Thoracentesis. Left pleural effusion. Left hemothorax., Surgery +296, Extraction of teeth #2 and #19 and incision and drainage (I&D) of intraoral and extraoral of left mandibular dental abscess., Surgery +297," Left carpal tunnel release with flexor tenosynovectomy; cortisone injection of trigger fingers, left third and fourth fingers; injection of Dupuytren's nodule, left palm.", Surgery +298," Painful enlarged navicula, right foot. Osteochondroma of right fifth metatarsal. Partial tarsectomy navicula and partial metatarsectomy, right foot.", Surgery +299, Extraction of teeth. Incision and drainage (I&D) of left mandibular vestibular abscess adjacent to teeth #18 and #19., Surgery +300," Removal of cystic lesion, removal of teeth, modified Le Fort I osteotomy. +", Surgery +301, Full-mouth extraction of teeth and alveoloplasty in all four quadrants., Surgery +302, Total abdominal hysterectomy (TAH) with a right salpingo-oophorectomy., Surgery +303, Total abdominal hysterectomy (TAH) with bilateral salpingooophorectomy and uterosacral ligament vault suspension. Cervical intraepithelial neoplasia grade-III postconization. Recurrent dysplasia. Uterine procidentia grade II-III. Mild vaginal vault prolapse., Surgery +304," Total abdominal hysterectomy (TAH), left salpingo-oophorectomy, lysis of interloop bowel adhesions. Chronic pelvic pain, endometriosis, prior right salpingo-oophorectomy, history of intrauterine device perforation and exploratory surgery.", Surgery +305, Arthroscopic irrigation and debridement of same with partial synovectomy. Septic left total knee arthroplasty., Surgery +306," Tailor bunionectomy, right foot, Weil-type with screw fixation. Hallux abductovalgus deformity and tailor bunion deformity, right foot.", Surgery +307," Total abdominal hysterectomy (TAH) and left salpingo-oophorectomy. Hypermenorrhea, uterine fibroids, pelvic pain, left adnexal mass, and pelvic adhesions.", Surgery +308, Placement of SynchroMed infusion pump and tunneling of SynchroMed infusion pump catheter. Anchoring of the intrathecal catheter and connecting of the right lower quadrant SynchroMed pump catheter to the intrathecal catheter., Surgery +309, Total abdominal hysterectomy and bilateral salpingo-oophorectomy., Surgery +310," Missed abortion. Suction, dilation, and curettage.", Surgery +311," Excision of mass, left second toe and distal Symes amputation, left hallux with excisional biopsy. Mass, left second toe. Tumor. Left hallux bone invasion of the distal phalanx.", Surgery +312, Closure of gastrostomy placed due to feeding difficulties. , Surgery +313, Subxiphoid pericardial window. A #10-blade scalpel was used to make an incision in the area of the xiphoid process. Dissection was carried down to the level of the fascia using Bovie electrocautery. , Surgery +314," Right buccal and canine's base infection from necrotic teeth. ICD9 CODE: 528.3. Incision and drainage of multiple facial spaces; CPT Code: 40801. Surgical removal of the following teeth. The teeth numbers 1, 2, 3, 4, and 5. CPT code: 41899 and dental code 7210.", Surgery +315," Subxiphoid pericardiotomy. Symptomatic pericardial effusion. The patient had the appropriate inflammatory workup for pericardial effusion, however, it was nondiagnostic.", Surgery +316, Superior labrum anterior and posterior lesion repair., Surgery +317," Suction dilation and curettage for incomplete abortion. On bimanual exam, the patient has approximately 15-week anteverted, mobile uterus with the cervix that is dilated to approximately 2 cm with multiple blood colts in the vagina. There was a large amount of tissue obtained on the procedure.", Surgery +318, Subcutaneous transposition of the right ulnar nerve. Right carpal tunnel syndrome and right cubital tunnel syndrome., Surgery +319, Right suboccipital craniectomy for resection of tumor using the microscope modifier 22 and cranioplasty., Surgery +320," Emergent subxiphoid pericardial window, transesophageal echocardiogram.", Surgery +321, Repeat irrigation and debridement of Right distal femoral subperiosteal abscess., Surgery +322," Insertion of right subclavian central venous catheter. Need for intravenous access, status post fall, and status post incision and drainage of left lower extremity.", Surgery +323," Open Stamm gastrotomy tube, lysis of adhesions, and closure of incidental colotomy", Surgery +324," Successful stenting of the left anterior descending. Angina pectoris, tight lesion in left anterior descending.", Surgery +325," Spontaneous vaginal delivery. Male infant, cephalic presentation, ROA. Apgars 2 and 7. Weight 8 pounds and 1 ounce. Intact placenta. Three-vessel cord. Third degree midline tear.", Surgery +326," Spontaneous vaginal delivery. Term pregnancy at 40 and 3/7th weeks. On evaluation of triage, she was noted to be contracting approximately every five minutes and did have discomfort with her contractions.", Surgery +327," Stab wound, left posterolateral chest. Closure of stab wound.", Surgery +328, Right argon laser assisted stapedectomy. Bilateral conductive hearing losses with right stapedial fixation secondary to otosclerosis., Surgery +329," Spinal Manipulation under Anesthesia - Sacro-iliitis, lumbo-sacral segmental dysfunction, thoraco-lumbar segmental dysfunction, associated with myalgia/fibromyositis.", Surgery +330," Excision of volar radial wrist mass (inflammatory synovitis) and radial styloidectomy, right wrist. Right wrist pain with an x-ray showing a scapholunate arthritic collapse pattern arthritis with osteophytic spurring of the radial styloid and a volar radial wrist mass suspected of being a volar radial ganglion.", Surgery +331, Posterior spinal fusion and spinal instrumentation. Posterior osteotomy; posterior elements to include laminotomy-foraminotomy and decompression of the nerve roots., Surgery +332," Anterior spine fusion from T11-L3. Posterior spine fusion from T3-L5. Posterior spine segmental instrumentation from T3-L5, placement of morcellized autograft and allograft.", Surgery +333, Spermatocelectomy and orchidopexy, Surgery +334, Consult and Spinal fluid evaluation in a 15-day-old, Surgery +335, Split-thickness skin grafting a total area of approximately 15 x 18 cm on the right leg and 15 x 15 cm on the left leg., Surgery +336, SPARC suburethral sling due to stress urinary incontinence., Surgery +337, Squamous cell carcinoma of right temporal bone/middle ear space. Right temporal bone resection; rectus abdominis myocutaneous free flap for reconstruction of skull base defect; right selective neck dissection zones 2 and 3., Surgery +338," The skin biopsy was performed on the right ankle and right thigh. The patient was consented for skin biopsy. The complications, instructions as to how the procedure will be performed, and postoperative instructions were given to the patient. ", Surgery +339," 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.", Surgery +340," Open reduction and internal plate and screw fixation of depressed anterior table right frontal sinus, transconjunctival exploration of orbital floor, open reduction of nasal septum and nasal pyramid fracture with osteotomy.", Surgery +341, Left spermatocelectomy/epididymectomy and bilateral partial vasectomy. Left spermatocele and family planning., Surgery +342, Ventriculoperitoneal shunt revision with replacement of ventricular catheter and flushing of the distal end., Surgery +343," Right shockwave lithotripsy, cystoscopy, and stent removal x2.", Surgery +344, Endoscopic proximal and distal shunt revision with removal of old valve and insertion of new., Surgery +345," Right shoulder hemi-resurfacing using a size 5 Biomet Copeland humeral head component, noncemented. Severe degenerative joint disease of the right shoulder.", Surgery +346, Endoscopic proximal shunt revision., Surgery +347, Bilateral endoscopic proximal shunt revision and a distal shunt revision., Surgery +348," Sigmoidoscopy performed for evaluation of anemia, gastrointestinal Bleeding.", Surgery +349, Insertion of a #8 Shiley tracheostomy tube. A #10-blade scalpel was used to make an incision approximately 1 fingerbreadth above the sternal notch. Dissection was carried down using Bovie electrocautery to the level of the trachea., Surgery +350," Excision of sebaceous cyst, right lateral eyebrow.", Surgery +351, Open septorhinoplasty with placement of bilateral spreader grafts. Bilateral lateral osteotomies., Surgery +352," Left scrotal exploration with detorsion. Already, de-torsed bilateral testes fixation and bilateral appendix testes cautery.", Surgery +353, Scleral buckle opening under local anesthesia., Surgery +354," Selective coronary angiography, coronary angioplasty. Acute non-ST-elevation MI.", Surgery +355," 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.", Surgery +356," Placement of Scott cannula, right lateral ventricle", Surgery +357," Septoplasty with partial inferior middle turbinectomy with KTP laser, sinus endoscopy with maxillary antrostomies, removal of tissue, with septoplasty and partial ethmoidectomy bilaterally.", Surgery +358," Repair of total anomalous pulmonary venous connection, ligation of patent ductus arteriosus, repair secundum type atrial septal defect (autologous pericardial patch), subtotal thymectomy, and insertion of peritoneal dialysis catheter.", Surgery +359," Removal of infected sebaceous cyst, right neck.", Surgery +360," Skin biopsy, scalp mole. Darkened mole status post punch biopsy, scalp lesion. Rule out malignant melanoma with pulmonary metastasis.", Surgery +361, Scleral buckle opening. The 4 scleral quadrants were inspected and found to be free of scleral thinning or staphyloma., Surgery +362, Ligation and stripping of left greater saphenous vein to the level of the knee. Stripping of multiple left lower extremity varicose veins. Varicose veins., Surgery +363, Scarf bunionectomy procedure of the first metatarsal of the left foot. Hallux abductovalgus deformity with bunion of the left foot., Surgery +364, Scleral Buckle opening under general anesthesia., Surgery +365," Sterilization candidate. Cervical dilatation and laparoscopic bilateral partial salpingectomy. A 30-year-old female gravida 4, para-3-0-1-3 who desires permanent sterilization.", Surgery +366, Stage IV necrotic sacral decubitus. Debridement of stage IV necrotic sacral decubitus., Surgery +367, Repair of ruptured globe with repositing of uveal tissue - Sample/Template., Surgery +368, Laparoscopic right salpingooophorectomy. Right pelvic pain and ovarian mass. Right ovarian cyst with ovarian torsion., Surgery +369," Salvage cystectomy (very difficult due to postradical prostatectomy and postradiation therapy to the pelvis), Indiana pouch continent cutaneous diversion, and omental pedicle flap to the pelvis.", Surgery +370, Repair of ruptured globe involving posterior sclera - Sample/Template. , Surgery +371," Cervical facial rhytidectomy. Quadrilateral blepharoplasty. Autologous fat injection to the upper lip - donor site, abdomen.", Surgery +372, Right shoulder hemiarthroplasty. Right shoulder rotator cuff tear. Glenohumeral rotator cuff arthroscopy. Degenerative joint disease., Surgery +373, Arthroscopic subacromial decompression and repair of rotator cuff through mini-arthrotomy., Surgery +374, Ruptured globe with full-thickness corneal laceration repair - Sample/Template., Surgery +375," Cystourethroscopy, right retrograde pyelogram, and right double-J stent placement 22 x 4.5 mm. Right ureteropelvic junction calculus.", Surgery +376, Revision rhinoplasty and left conchal cartilage harvest to correct nasal deformity., Surgery +377," Nasal endoscopy and partial rhinectomy due to squamous cell carcinoma, left nasal cavity.", Surgery +378, Repair of one-half full-thickness left lower lid defect by tarsoconjunctival pedicle flap from left upper lid to left lower lid and repair of left upper and lateral canthal defect by primary approximation to lateral canthal tendon remnant., Surgery +379, Repeat cesarean section and bilateral tubal ligation., Surgery +380, Cadaveric renal transplant to right pelvis - endstage renal disease., Surgery +381," Acute lymphocytic leukemia in remission, removal of venous port.", Surgery +382," Radical resection of tumor of the scalp, excision of tumor from the skull with debridement of the superficial cortex with diamond bur, and advancement flap closure.", Surgery +383, Complex Regional Pain Syndrome Type I. Stellate ganglion RFTC (radiofrequency thermocoagulation) left side and interpretation of Radiograph., Surgery +384, Cosmetic rhinoplasty. Request for cosmetic change in the external appearance of the nose., Surgery +385," Release of A1 pulley, right thumb. Stenosing tendinosis, right thumb (trigger finger). There was noted to be thickening of the A1 pulley. There was a fibrous nodule noted within the flexor tendon of the thumb, which caused triggering sensation to the thumb.", Surgery +386," Bilateral rectus recession with the microscopic control, 8 mm, both eyes.", Surgery +387, The patient was found to have limitations to extension at the IP joint to the right thumb and he had full extension after release of A1 pulley., Surgery +388," Radioactive plaque macular edema. Removal of radioactive plaque, right eye with lateral canthotomy. A lid speculum was applied and the conjunctiva was opened 4 mm from the limbus. A 2-0 traction suture was passed around the insertion of the lateral rectus and the temporal one-half of the globe was exposed.", Surgery +389," Closure of rectovaginal fistula, transperineal approach", Surgery +390, Right sacral alar notch and sacroiliac joint/posterior rami radiofrequency thermocoagulation., Surgery +391, Radiofrequency thermocoagulation of bilateral lumbar sympathetic chain., Surgery +392," Bilateral L5, S1, S2, and S3 radiofrequency ablation for sacroiliac joint pain. Fluoroscopy was used to identify the bony landmarks of the sacrum and the sacroiliac joints and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.", Surgery +393, Modified radical mastectomy. An elliptical incision was made to incorporate the nipple-areolar complex and the previous biopsy site. The skin incision was carried down to the subcutaneous fat but no further. , Surgery +394, Invasive carcinoma of left breast. Left modified radical mastectomy., Surgery +395," Cystoscopy under anesthesia, retrograde and antegrade pyeloureteroscopy, left ureteropelvic junction obstruction, difficult and open renal biopsy.", Surgery +396," Radical vulvectomy (complete), bilateral inguinal lymphadenectomy (superficial and deep).", Surgery +397, Worrisome skin lesion. A punch biopsy of the worrisome skin lesion was obtained. Lesion was removed., Surgery +398," Pulmonary valve stenosis, supple pulmonic narrowing, and static encephalopathy", Surgery +399," Exploratory laparotomy, radical hysterectomy, bilateral ovarian transposition, pelvic and obturator lymphadenectomy.", Surgery +400," Right ureteropelvic junction obstruction. Robotic-assisted pyeloplasty, anterograde right ureteral stent placement, transposition of anterior crossing vessels on the right, and nephrolithotomy.", Surgery +401, Punch biopsy of right upper chest skin lesion., Surgery +402," Macular edema, right eye. Insertion of radioactive plaque, right eye with lateral canthotomy. The plaque was positioned on the scleral surface immediately behind the macula and secured with two sutures of 5-0 Dacron. The placement was confirmed with indirect ophthalmoscopy. ", Surgery +403," Radical retropubic prostatectomy, robotic assisted and bladder suspension. Adenocarcinoma of the prostate.", Surgery +404, Open radical retropubic prostatectomy with bilateral lymph node dissection., Surgery +405, Radical retropubic nerve-sparing prostatectomy without lymph node dissection., Surgery +406, Radical retropubic prostatectomy with pelvic lymph node dissection due to prostate cancer., Surgery +407," The patient is a 9-year-old born with pulmonary atresia, intact ventricular septum with coronary sinusoids.", Surgery +408, Insertion of a Port-A-Catheter via the left subclavian vein approach under fluoroscopic guidance in a patient with ovarian cancer., Surgery +409, Right pterional craniotomy with obliteration of medial temporal arteriovenous malformation and associated aneurysm and evacuation of frontotemporal intracerebral hematoma., Surgery +410, Insertion of Port-A-Cath via left subclavian vein using fluoroscopy in a patient with renal cell carcinoma., Surgery +411, Insertion of subclavian dual-port Port-A-Cath and surgeon-interpreted fluoroscopy., Surgery +412, Right subclavian Port-a-Cath insertion in a patient with bilateral breast carcinoma. , Surgery +413, Bleeding after transanal excision five days ago. Exam under anesthesia with control of bleeding via cautery. The patient is a 42-year-old gentleman who is five days out from transanal excision of a benign anterior base lesion. He presents today with diarrhea and bleeding., Surgery +414," The patient with left completion hemithyroidectomy and reimplantation of the left parathyroid and left sternocleidomastoid region in the inferior 1/3rd region. Papillary carcinoma of the follicular variant of the thyroid in the right lobe, status post right hemithyroidectomy.", Surgery +415, Placement of a Port-A-Cath under fluoroscopic guidancein a patient with anal cancer., Surgery +416, Port insertion through the right subclavian vein percutaneously under radiological guidance. Metastatic carcinoma of the bladder and bowel obstruction., Surgery +417," Port-A-Cath insertion template. Catheter was inserted after subcutaneous pocket was created, the sheath dilators were advanced, and the wire and dilator were removed.", Surgery +418, Transnasal transsphenoidal approach in resection of pituitary tumor. The patient is a 17-year-old girl who presented with headaches and was found to have a prolactin of 200 and pituitary tumor., Surgery +419," Application of PMT large halo crown and vest. Cervical spondylosis, status post complex anterior cervical discectomy, corpectomy, decompression and fusion.", Surgery +420, Ultrasound-guided right pleurocentesis for right pleural effusion with respiratory failure and dyspnea., Surgery +421, Closed reduction and pinning of the right ulna with placement of a long-arm cast., Surgery +422," Plantar fascitis, left foot. Partial plantar fasciotomy.", Surgery +423, Chest tube talc pleurodesis of the right chest., Surgery +424, Endoscopic-assisted transsphenoidal exploration and radical excision of pituitary adenoma. Endoscopic exposure of sphenoid sinus with removal of tissue from within the sinus., Surgery +425," A 44-year-old, 250-pound male presents with extreme pain in his left heel.", Surgery +426," External fixation of left pilon fracture and closed reduction of left great toe, T1 fracture. Due to the comminuted nature of her tibia fracture as well as soft tissue swelling, the patient is in need of a staged surgery with the 1st stage external fixation followed by open treatment and definitive plate and screw fixation. ", Surgery +427, Pilonidal cyst with abscess formation. Excision of infected pilonidal cyst., Surgery +428, Revision and in situ pinning of the right hip., Surgery +429," Left hemothorax, rule out empyema. Insertion of a 12-French pigtail catheter in the left pleural space.", Surgery +430," Botulinum toxin injection bilateral rectus femoris, medial hamstrings, and gastrocnemius soleus muscles, phenol neurolysis of bilateral obturator nerves, application of bilateral short leg fiberglass casts.", Surgery +431," Phenol neurolysis left musculocutaneous nerve and bilateral obturator nerves. Botulinum toxin injection left pectoralis major, left wrist flexors, and bilateral knee extensors.", Surgery +432," Right phacoemulsification of cataract with intraocular lens implantation - Cataract, right eye.", Surgery +433," Phenol neurolysis right obturator nerve, botulinum toxin injection right rectus femoris and vastus medialis intermedius and right pectoralis major muscles.", Surgery +434," Cataract, right eye. Phacoemulsification of cataract with posterior chamber intraocular lens, right eye.", Surgery +435, PICC line insertion, Surgery +436, Phacoemulsification with posterior chamber intraocular lens implant in the right eye., Surgery +437," Phacoemulsification of cataract, extraocular lens implant in left eye.", Surgery +438, Phacoemulsification with posterior chamber intraocular lens insertion., Surgery +439," Amputation distal phalanx and partial proximal phalanx, right hallux. Osteomyelitis, right hallux.", Surgery +440," Phacoemulsification with IOL, right eye. Cataract, right eye. A lid speculum was placed in the right eye after which a supersharp was used to make a stab incision at the 4 o'clock position through which 2% preservative-free Xylocaine was injected followed by Viscoat.", Surgery +441," Phacoemulsification of cataract and posterior chamber lens implant, right eye.", Surgery +442," Cataract, right eye. Phacoemulsification with intraocular lens placement, right eye.", Surgery +443," Cataract extraction with phacoemulsification and posterior chamber intraocular lens implantation. Cataract, right eye.", Surgery +444, Phacoemulsification with intraocular lens placement. A wire speculum was placed in the eye and then a clear corneal paracentesis site was made inferiorly with a 15-degree blade. , Surgery +445," Cataract, right eye. Phacoemulsification with intraocular lens insertion, right eye. A wire lid speculum was inserted to keep the eye open and the eye rotated downward.", Surgery +446, Cataract extraction via phacoemulsification with posterior chamber intraocular lens implantation. An Alcon MA30BA lens was used. A lid speculum was placed into the right eye. Paracentesis was made at the infratemporal quadrant. , Surgery +447," Visually significant nuclear sclerotic cataract, right eye. Phacoemulsification with posterior chamber intraocular lens implantation, right eye.", Surgery +448," Cataract, right eye. Phacoemulsification with intraocular lens insertion, right eye. The patient was then prepped and draped using standard procedure. An additional drop of tetracaine was instilled in the eye, and then a lid speculum was inserted.", Surgery +449," Visually significant cataract, left eye. Phacoemulsification cataract extraction with intraocular lens implantation, left eye. The patient was found to have a visually-significant cataract and, after discussion of the risks, benefits and alternatives to surgery, she elected to proceed with cataract extraction and lens implantation in this eye in efforts to improve her vision.", Surgery +450," Cataract, nuclear sclerotic, right eye. Phacoemulsification with intraocular lens implantation, right eye.", Surgery +451," Phacoemulsification and extracapsular cataract extraction with intraocular lens implantation, right eye.", Surgery +452, Perlane injection for the nasolabial fold. Restylane injection for the glabellar fold., Surgery +453, Ex-plantation of inflatable penile prosthesis and then placement of second inflatable penile prosthesis AMS700. Nonfunctioning inflatable penile prosthesis and Peyronie's disease., Surgery +454, A 14-year-old young lady is in the renal failure and in need of dialysis., Surgery +455, Permacath placement - renal failure., Surgery +456, Phacoemulsification with posterior chamber intraocular lens - Sample/Template., Surgery +457," Nuclear sclerotic cataract, right eye. Kelman phacoemulsification with posterior chamber intraocular lens, right eye.", Surgery +458, Excision of penile skin bridges about 2 cm in size., Surgery +459, Parotidectomy procedure, Surgery +460," Pelvic laparotomy, lysis of pelvic adhesions, and left salpingooophorectomy with insertion of Pain-Buster Pain Management System.", Surgery +461," Percutaneous endoscopic gastrostomy tube. Protein-calorie malnutrition. The patient was unable to sustain enough caloric intake and had markedly decreased albumin stores. After discussion with the patient and the son, they agreed to place a PEG tube for nutritional supplementation.", Surgery +462," 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.", Surgery +463," Open repair of right pectoralis major tendon. Right pectoralis major tendon rupture. On MRI evaluation, a complete rupture of a portion of the pectoralis major tendon was noted.", Surgery +464, Ligation (clip interruption) of patent ductus arteriosus. This premature baby with operative weight of 600 grams and evidence of persistent pulmonary over circulation and failure to thrive has been diagnosed with a large patent ductus arteriosus originating in the left-sided aortic arch. , Surgery +465," Sinus bradycardia, sick-sinus syndrome, poor threshold on the ventricular lead and chronic lead. Right ventricular pacemaker lead placement and lead revision.", Surgery +466, Coil embolization of patent ductus arteriosus., Surgery +467," Patellar tendon and medial and lateral retinaculum repair, right knee. Patellar tendon retinaculum ruptures, right knee.", Surgery +468," Excision of right superior parathyroid adenoma, seen on sestamibi parathyroid scan and an ultrasound.", Surgery +469," Paracentesis. A large abdominal mass, which was cystic in nature and the radiologist inserted a pigtail catheter in the emergency room. ", Surgery +470, Ultrasound-Guided Paracentesis for Ascites, Surgery +471, Reduction of paraphimosis., Surgery +472, DDDR permanent pacemaker. Tachybrady syndrome. A ventricular pacemaker lead was advanced through the sheath and into the vascular lumen and under fluoroscopic guidance guided down into the right atrium. , Surgery +473, Insertion of transvenous pacemaker for tachybrady syndrome, Surgery +474, Pacemaker ICD interrogation. Severe nonischemic cardiomyopathy with prior ventricular tachycardia., Surgery +475, Implantation of a dual-chamber pacemaker and fluoroscopic guidance for implantation of a dual-chamber pacemaker., Surgery +476, Single chamber pacemaker implantation. Successful single-chamber pacemaker implantation with left subclavian approach and venogram to assess the subclavian access site and the right atrial or right ventricle with asystole that resolved spontaneously during the procedure., Surgery +477, Implantation of a dual chamber permanent pacemaker, Surgery +478, Implantation of a single-chamber pacemaker. Fluoroscopic guidance for implantation of single-chamber pacemaker., Surgery +479," Plantar flex third metatarsal and talus bunion, right foot. Third metatarsal osteotomy, talus bunionectomy, and application of short-leg cast, right foot. Patient has tried conservative methods such as wide shoes and serial debridement and accommodative padding, all of which provided inadequate relief. At this time she desires to attempt a surgical correction. ", Surgery +480, Open reduction and internal fixation of left distal radius., Surgery +481, OssaTron extracorporeal shockwave therapy to right lateral epicondyle. Right lateral epicondylitis., Surgery +482, Open reduction and internal fixation (ORIF) of the right wrist using an Acumed locking plate. Closed displaced angulated fracture of the right distal radius., Surgery +483," Acetabular fracture on the left posterior column/transverse posterior wall variety with an accompanying displaced fracture of the intertrochanteric variety to the left hip. Osteosynthesis of acetabular fracture on the left, complex variety and total hip replacement.", Surgery +484, Open reduction and internal fixation of the left medial epicondyle fracture with placement in a long-arm posterior well-molded splint and closed reduction casting of the right forearm., Surgery +485," Distal metaphyseal osteotomy and bunionectomy with internal screw fixation, right foot. Reposition osteotomy with internal screw fixation to correct angulation deformity of proximal phalanx, right foot.", Surgery +486," Open reduction and internal fixation of left atrophic mandibular fracture, removal of failed dental implant from the left mandible. The patient fell following an episode of syncope and sustained a blunt trauma to his ribs resulting in multiple fractures and presumably also struck his mandible resulting in fracture. ", Surgery +487, Open reduction internal fixation (ORIF) with irrigation and debridement of open fracture. Closed reduction and screw fixation of right femoral neck fracture. Retrograde femoral nail using a striker T2 retrograde nail. Irrigation and debridement of knee and elbow abrasions., Surgery +488," Open reduction and internal fixation (ORIF) of comminuted C2 fracture. Posterior spinal instrumentation C1-C3, using Synthes system. Posterior cervical fusion C1-C3. Insertion of morselized allograft at C1to C3.", Surgery +489, Fractured right fifth metatarsal. Open reduction and internal screw fixation right fifth metatarsal. Application of short leg splint., Surgery +490, Open reduction and internal fixation of left lateral malleolus. Left lateral malleolus fracture., Surgery +491," Open left angle comminuted angle of mandible, 802.35, and open symphysis of mandible, 802.36. Open reduction, internal fixation (ORIF) of bilateral mandible fractures with multiple approaches, CPT code 21470, and surgical extraction of teeth #17, CPT code 41899.", Surgery +492, Open reduction and internal fixation of left tibia., Surgery +493," Hawkins IV talus fracture. Open reduction internal fixation of the talus, medial malleolus osteotomy, and repair of deltoid ligament.", Surgery +494, Orchiopexy & inguinal herniorrhaphy., Surgery +495, Open reduction and internal fixation of right distal radius fracture - intraarticular four piece fracture and right carpal tunnel release., Surgery +496, Bilateral orchiopexy. This 8-year-old boy has been found to have a left inguinally situated undescended testes. Ultrasound showed metastasis to be high in the left inguinal canal. The right testis is located in the right inguinal canal on ultrasound and apparently ultrasound could not be displaced into the right hemiscrotum., Surgery +497," Open reduction and internal fixation, high grade Frykman VIII distal radius fracture.", Surgery +498," Open reduction internal fixation of the left supracondylar, intercondylar distal femur fracture.", Surgery +499, Right orchiopexy and right inguinal hernia repair., Surgery +500," Left inguinal hernia repair, left orchiopexy with 0.25% Marcaine, ilioinguinal nerve block and wound block at 0.5% Marcaine plain.", Surgery +501, Right undescended testicle. Orchiopexy & Herniorrhaphy., Surgery +502, Left facial cellulitis and possible odontogenic abscess. Attempted incision and drainage (I&D) of odontogenic abscess., Surgery +503," Examination under anesthesia, diagnostic laparoscopy, right orchiectomy, and left testis fixation.", Surgery +504," Leukemic meningitis. Right frontal side-inlet Ommaya reservoir. The patient is a 49-year-old gentleman with leukemia and meningeal involvement, who was undergoing intrathecal chemotherapy. ", Surgery +505," Left orchiopexy. Ectopic left testis. The patient did have an MRI, which confirmed ectopic testis located near the pubic tubercle.", Surgery +506, Bilateral scrotal orchiectomy, Surgery +507," Incision and drainage and excision of the olecranon bursa, left elbow. Acute infected olecranon bursitis, left elbow.", Surgery +508," Chronic plantar fasciitis, right foot. Open plantar fasciotomy, right foot.", Surgery +509, Acute acalculous cholecystitis. Open cholecystectomy. The patient's gallbladder had some patchy and necrosis areas. There were particular changes on the serosal surface as well as on the mucosal surface with multiple clots within the gallbladder., Surgery +510, Nissen fundoplication. A 2 cm midline incision was made at the junction of the upper two-thirds and lower one-third between the umbilicus and the xiphoid process. , Surgery +511, Nipple areolar reconstruction utilizing a full-thickness skin graft and mastopexy, Surgery +512, Right radical nephrectomy and assisted laparoscopic approach., Surgery +513, Transplant nephrectomy after rejection of renal transplant, Surgery +514, Left L4-L5 transforaminal neuroplasty with nerve root decompression and lysis of adhesions followed by epidural steroid injection., Surgery +515," Repair of nerve and tendon, right ring finger and exploration of digital laceration. Laceration to right ring finger with partial laceration to the ulnar slip of the FDS which is the flexor digitorum superficialis and 25% laceration to the flexor digitorum profundus of the right ring finger and laceration 100% of the ulnar digital nerve to the right ring finger.", Surgery +516, Laparoscopic right partial nephrectomy due to right renal mass., Surgery +517, Laparoscopic right radical nephrectomy due to right renal mass., Surgery +518," Excision of neuroma, third interspace, left foot. Morton's neuroma, third interspace, left foot.", Surgery +519," Needle-localized excisional biopsy, left breast. The patient is a 71-year-old black female who had a routine mammogram, which demonstrated suspicious microcalcifications in the left breast. She had no palpable mass on physical exam. She does have significant family history with two daughters having breast cancer.", Surgery +520, Stage I and II neuromodulator., Surgery +521," Needle-localized excisional biopsy of the left breast. Left breast mass with abnormal mammogram. The patient had a nonpalpable left breast mass, which was excised and sent to Radiology with confirmation that the mass is in the specimen.", Surgery +522, Left partial nephrectomy due to left renal mass., Surgery +523, Left laparoscopic hand-assisted nephrectomy., Surgery +524," Malignant mass of the left neck, squamous cell carcinoma. Left neck mass biopsy and selective surgical neck dissection, left.", Surgery +525," Nasal septoplasty, bilateral submucous resection of the inferior turbinates, and tonsillectomy and resection of soft palate. Nasal septal deviation with bilateral inferior turbinate hypertrophy. Tonsillitis with hypertrophy. Edema to the uvula and soft palate.", Surgery +526, Left midface elevation with nasolabial fold elevation and nasolabial fold z-plasty and right symmetrization midface elevation., Surgery +527," Left neck dissection. Metastatic papillary cancer, left neck. The patient had thyroid cancer, papillary cell type, removed with a total thyroidectomy and then subsequently recurrent disease was removed with a paratracheal dissection.", Surgery +528," Nonpalpable neoplasm, right breast. Needle localized wide excision of nonpalpable neoplasm, right breast.", Surgery +529," Nasal septal reconstruction, bilateral submucous resection of the inferior turbinates, and bilateral outfracture of the inferior turbinates. Chronic nasal obstruction secondary to deviated nasal septum and inferior turbinate hypertrophy.", Surgery +530," Bilateral nasolacrimal probing. Tearing, eyelash encrustation with probable tear duct obstruction bilateral. Distal nasolacrimal duct stenosis with obstruction, left and right eye", Surgery +531, Bilateral myringotomies with insertion of Santa Barbara T-tube., Surgery +532," Open reduction, nasal fracture with nasal septoplasty.", Surgery +533, Bilateral myringotomies and insertion of Shepard grommet draining tubes., Surgery +534, Removal of the old right pressure equalizing tube. Myringotomy with placement of a left pressure equalizing tube., Surgery +535, Multiple stent placements with Impella circulatory assist device., Surgery +536," Bilateral myringotomies, insertion of PE tubes, and pharyngeal anesthesia.", Surgery +537, Mohs Micrographic Surgery for basal cell CA at mid parietal scalp., Surgery +538, Mitral valve repair using a quadrangular resection of the P2 segment of the posterior leaflet. Mitral valve posterior annuloplasty using a Cosgrove Galloway Medtronic fuser band. Posterior leaflet abscess resection., Surgery +539, Mohs Micrographic Surgery for basal cell CA at medial right inferior helix., Surgery +540," Arthroscopy with arthroscopic rotator cuff debridement, anterior acromioplasty, and Mumford procedure left shoulder. Partial rotator cuff tear with impingement syndrome. Degenerative osteoarthritis of acromioclavicular joint, left shoulder, rule out slap lesion.", Surgery +541, Endoscopic subperiosteal midface lift using the endotine midface suspension device. Transconjunctival lower lid blepharoplasty with removal of a portion of the medial and middle fat pad., Surgery +542, Right middle ear exploration with a Goldenberg TORP reconstruction., Surgery +543, Mini-laparotomy radical retropubic prostatectomy with bilateral pelvic lymph node dissection with Cavermap. Adenocarcinoma of the prostate., Surgery +544," Biopsy-proven mesothelioma - Placement of Port-A-Cath, left subclavian vein with fluoroscopy.", Surgery +545, Rhabdomyosarcoma of the left orbit. Left subclavian vein MediPort placement. Needs chemotherapy., Surgery +546, Right nodular malignant mesothelioma., Surgery +547, Microsuspension direct laryngoscopy with biopsy. Fullness in right base of the tongue and chronic right ear otalgia., Surgery +548, Central neck reoperation with removal of residual metastatic lymphadenopathy and thyroid tissue in the central neck. Left reoperative neck dissection levels 1 and the infraclavicular fossa on the left side. Right levels 2 through 5 neck dissection and superior mediastinal dissection of lymph nodes and pretracheal dissection of lymph nodes in a previously operative field., Surgery +549," Arthroscopy, medial meniscoplasty, lateral meniscoplasty, medial femoral chondroplasty, and medical femoral microfracture, right knee. Patellar chondroplasty. Lateral femoral chondroplasty. Meniscal tear, osteochondral lesion, degenerative joint disease, and chondromalacia,", Surgery +550, Right pleural effusion and suspected malignant mesothelioma., Surgery +551, Left metastasectomy of metastatic renal cell carcinoma with additional mediastinal lymph node dissection and additional fiberoptic bronchoscopy., Surgery +552, Posterior mediastinal mass with possible neural foraminal involvement (benign nerve sheath tumor by frozen section). Left thoracotomy with resection of posterior mediastinal mass., Surgery +553, The patient had undergone mitral valve repair about seven days ago. , Surgery +554, Mediastinal exploration and delayed primary chest closure. The patient is a 12-day-old infant who has undergone a modified stage I Norwood procedure with a Sano modification. , Surgery +555," Medial branch rhizotomy, lumbosacral. Fluoroscopy was used to identify the boney landmarks of the spine and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.", Surgery +556," Excision of soft tissue mass, right foot. The patient is a 51-year-old female with complaints of soft tissue mass over the dorsum of the right foot.", Surgery +557, An example/template for meatotomy., Surgery +558, Closed reduction of mandible fractures with Erich arch bars and elastic fixation. Left angle and right body mandible fractures., Surgery +559, Bilateral reduction mammoplasty for bilateral macromastia, Surgery +560, An example/template for meatoplasty., Surgery +561, Right hallux abductovalgus deformity. Right McBride bunionectomy. Right basilar wedge osteotomy with OrthoPro screw fixation., Surgery +562, Bilateral reduction mammoplasty with superior and inferiorly based dermal parenchymal pedicle with transposition of the nipple-areolar complex., Surgery +563," Bilateral augmentation mammoplasty, breast implant, TCA peel to lesions, vein stripping.", Surgery +564, Bilateral transaxillary subpectoral mammoplasty with saline-filled implants., Surgery +565, Lysis of pelvic adhesions. The patient had an 8 cm left ovarian mass. The mass was palpable on physical examination and was tender. She was scheduled for an elective pelvic laparotomy with left salpingooophorectomy., Surgery +566, Sentinel lymph node biopsy. Ultrasound-guided lumpectomy with intraoperative ultrasound., Surgery +567, Left axillary lymph node excisional biopsy. Left axillary adenopathy., Surgery +568," Lumbar discogram L2-3, L3-4, L4-5, and L5-S1. Low back pain.", Surgery +569," Microscopic assisted lumbar laminotomy with discectomy at L5-S1 on the left. Herniated nucleus pulposus of L5-S1 on the left. + ", Surgery +570, Possible CSF malignancy. This is an 83-year-old woman referred for diagnostic lumbar puncture for possible malignancy by Dr. X. The patient has gradually stopped walking even with her walker and her left arm has become gradually less functional. She is not able to use the walker because her left arm is so weak. , Surgery +571, 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., Surgery +572," Lumbar puncture. A 20-gauge spinal needle was then inserted into the L3-L4 space. Attempt was successful on the first try and several mLs of clear, colorless CSF were obtained. ", Surgery +573," 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.", Surgery +574, Lumbar puncture with moderate sedation., Surgery +575," Lumbar laminectomy for decompression with foraminotomies L3-L4, L4-L5, L5-S1 microtechniques and repair of CSF fistula, microtechniques L5-S1, application of DuraSeal. Lumbar stenosis and cerebrospinal fluid fistula.", Surgery +576," Microscopic lumbar discectomy, left L5-S1. Extruded herniated disc, left L5-S1. Left S1 radiculopathy (acute). Morbid obesity.", Surgery +577," 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.", Surgery +578," Primary low transverse cervical cesarean section. Intrauterine pregnancy at 38 weeks and malpresentation. A viable male neonate in the left occiput transverse position with Apgars of 9 and 9 at 1 and 5 minutes respectively, weighing 3030 g. No nuchal cord. No meconium. Normal uterus, fallopian tubes, and ovaries.", Surgery +579, Primary low transverse cesarean section by Pfannenstiel skin incision with bilateral tubal sterilization. Intrauterine pregnancy at 35-1/7. Rh isoimmunization. Suspected fetal anemia. Desires permanent sterilization., Surgery +580," Primary low-transverse C-section. Postdates pregnancy, failure to progress, meconium stained amniotic fluid.", Surgery +581," Repeat low-transverse C-section, lysis of omental adhesions, lysis of uterine adhesions with repair of uterine defect, and bilateral tubal ligation.", Surgery +582, Repeat low transverse cesarean section and bilateral tubal ligation (BTL). Intrauterine pregnancy at term with previous cesarean section. Desires permanent sterilization. Macrosomia., Surgery +583," Repeat low-transverse cesarean section via Pfannenstiel incision. Intrauterine pregnancy at 39 and 1/7th weeks. Previous cesarean section, refuses trial of labor. Fibroid uterus, oligohydramnios, and nonreassuring fetal heart tones.", Surgery +584," Primary low transverse cervical cesarean section. Intrauterine pregnancy of 39 weeks, Herpes simplex virus positive by history, hepatitis C positive by history with low elevation of transaminases, cephalopelvic disproportion, asynclitism, postpartum macrosomia, and delivery of viable 9 lb female neonate.", Surgery +585," Primary low transverse cesarean section via Pfannenstiel incision. Pregnancy at 40 weeks, failure to progress, premature prolonged rupture of membranes, group B strep colonization, and delivery of viable male neonate.", Surgery +586," Intrauterine pregnancy at 37 plus weeks, nonreassuring fetal heart rate.", Surgery +587," Primary cesarean section by low-transverse incision. Term pregnancy, nonreassuring fetal heart tracing.", Surgery +588," A repeat low transverse cervical cesarean section, Lysis of adhesions, Dissection of the bladder of the anterior abdominal wall and away from the fascia, and the patient also underwent a bilateral tubal occlusion via Hulka clips.", Surgery +589, Primary low-transverse cesarean section., Surgery +590," VATS right middle lobectomy, fiberoptic bronchoscopy, mediastinal lymph node sampling, tube thoracostomy x2, multiple chest wall biopsies and excision of margin on anterior chest wall adjacent to adherent tumor.", Surgery +591," Right lower lobectomy, right thoracotomy, extensive lysis of adhesions, mediastinal lymphadenectomy.", Surgery +592, Primary low segment cesarean section., Surgery +593, Right upper lung lobectomy. Mediastinal lymph node dissection, Surgery +594, Left lower lobectomy., Surgery +595," Liposuction of the supraumbilical abdomen, revision of right breast reconstruction, excision of soft tissue fullness of the lateral abdomen and flank. +", Surgery +596, Closed reduction and placement of long-arm cast., Surgery +597," Excision of lipoma, left knee. A 4 cm mass of adipose tissue most likely representing a lipoma was found in the patient's anteromedial left knee.", Surgery +598, Suction-assisted lipectomy of the breast with removal of 350 cc of breast tissue from both sides and two mastopexies., Surgery +599," Intramuscular lipoma, right upper extremity. Excision of intramuscular lipoma with flap closure.", Surgery +600," Percutaneous liver biopsy. With the patient lying in the supine position and the right hand underneath the head, an area of maximal dullness was identified in the mid-axillary location by percussion.", Surgery +601, Suction-assisted lipectomy - lipodystrophy of the abdomen and thighs., Surgery +602," Diagnostic operative arthroscopy with repair and reconstruction of anterior cruciate ligament using autologous hamstring tendon, a 40 mm bioabsorbable femoral pin, and a 9 mm bioabsorbable tibial pin. Repair of lateral meniscus using two fast fixed meniscal repair sutures. Partial medial meniscectomy. Partial chondroplasty of patella. Lateral retinacular release. Open medial plication as well of the right knee.", Surgery +603, Ligament reconstruction and tendon interposition arthroplasty of right wrist., Surgery +604, Repair of upper lid canalicular laceration - Sample/Template., Surgery +605," Microscopic suspension direct laryngoscopy with biopsy of left true vocal cord stripping. Hoarseness, bilateral true vocal cord lesions, and leukoplakia.", Surgery +606, Lateral release with lengthening of the ECRB tendon. Lateral epicondylitis. , Surgery +607, The patient needing to be reintubated due to a leaking ET tube. The patient is recently postoperative. , Surgery +608, Cystopyelogram and laser vaporization of the prostate., Surgery +609," Direct laryngoscopy, rigid bronchoscopy and dilation of subglottic upper tracheal stenosis.", Surgery +610," Left orchiectomy, scrotal exploration, right orchidopexy.", Surgery +611, Carbon dioxide laser photo-ablation due to recurrent dysplasia of vulva., Surgery +612, LEEP procedure of endocervical polyp and Electrical excision of pigmented mole of inner right thigh., Surgery +613," Squamous cell carcinoma of the larynx. Total laryngectomy, right level 2, 3, 4 neck dissection, tracheoesophageal puncture, cricopharyngeal myotomy, right thyroid lobectomy.", Surgery +614, Exploratory laparotomy and right salpingectomy., Surgery +615," Diagnostic laparoscopy and rigid sigmoidoscopy. Acute pain, fever postoperatively, hemostatic uterine perforation, no bowel or vascular trauma.", Surgery +616," Laparoscopy, laparotomy, cholecystectomy with operative cholangiogram, choledocholithotomy with operative choledochoscopy and T-tube drainage of the common bile duct.", Surgery +617," Laparotomy and myomectomy. Enlarged fibroid uterus and blood loss anemia. On bimanual exam, the patient has an enlarged, approximately 14-week sized uterus that is freely mobile and anteverted with no adnexal masses. Surgically, the patient has an enlarged fibroid uterus with a large fundal/anterior fibroids.", Surgery +618," Attempted laparoscopy, open laparoscopy and fulguration of endometrial implant. Chronic pelvic pain, probably secondary to endometriosis.", Surgery +619," Laparoscopy with ablation of endometriosis. Allen-Masters window in the upper left portion of the cul-de-sac, bronze lesions of endometriosis in the central portion of the cul-de-sac as well as both the left uterosacral ligament, flame lesions of the right uterosacral ligament approximately 5 mL of blood tinged fluid in the cul-de-sac.", Surgery +620, Laparoscopic supracervical hysterectomy. A female with a history of severe dysmenorrhea and menorrhagia unimproved with medical management., Surgery +621," Diagnostic laparoscopy and laparoscopic appendectomy. Right lower quadrant abdominal pain, rule out acute appendicitis.", Surgery +622, 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. , Surgery +623," Pelvic pain, pelvic endometriosis, and pelvic adhesions. Laparoscopy, Harmonic scalpel ablation of endometriosis, lysis of adhesions, and cervical dilation. Laparoscopically, the patient has large omental to anterior abdominal wall adhesions along the left side of the abdomen extending down to the left adnexa. ", Surgery +624, Diagnostic laparoscopy and drainage of cyst., Surgery +625, Examination under anesthesia and laparoscopic right orchiopexy., Surgery +626," Laparoscopy with left salpingo-oophorectomy. Left adnexal mass/ovarian lesion. The labia and perineum were within normal limits. The hymen was found to be intact. Laparoscopic findings revealed a 4 cm left adnexal mass, which appeared fluid filled. ", Surgery +627," Total laparoscopic hysterectomy with laparoscopic staging, including paraaortic lymphadenectomy, bilateral pelvic and obturator lymphadenectomy, and washings.", Surgery +628," Laparoscopy. An incision was made in the umbilicus, allowing us to insert a micro-laparoscopic trocar. We then insufflated the abdomen with approximately 3 liters of carbon dioxide gas and inserted the micro-laparoscopic instrument.", Surgery +629," Laparoscopic lysis of adhesions, attempted laparoscopic pyeloplasty, and open laparoscopic pyeloplasty. Right ureteropelvic junction obstruction, severe intraabdominal adhesions, and retroperitoneal fibrosis.", Surgery +630," Morbid obesity. Laparoscopic antecolic antegastric Roux-en-Y gastric bypass with EEA anastomosis. This is a 30-year-old female, who has been overweight for many years. She has tried many different diets, but is unsuccessful. ", Surgery +631, Right hand-assisted laparoscopic cryoablation of renal lesions x2. Lysis of adhesions and renal biopsy., Surgery +632," Chronic cholecystitis, cholelithiasis, and liver cyst. Laparoscopic cholecystectomy and excision of liver cyst. Exploration of the abdomen revealed multiple adhesions of omentum overlying the posterior aspect of the gallbladder. ", Surgery +633," Morbid obesity. Laparoscopic Roux-en-Y gastric bypass, antecolic, antegastric with 25-mm EEA anastamosis, esophagogastroduodenoscopy.", Surgery +634," Symptomatic cholelithiasis. Laparoscopic cholecystectomy and appendectomy (CPT 47563, 44970). The patient requested appendectomy because of the concern of future diagnostic dilemma with pain crisis. Laparoscopic cholecystectomy and appendectomy were recommended to her. ", Surgery +635, Laparoscopic cholecystectomy. A 2 cm infraumbilical midline incision was made. The fascia was then cleared of subcutaneous tissue using a tonsil clamp., Surgery +636, Laparoscopic cholecystectomy with attempted intraoperative cholangiogram. A 2 cm infraumbilical midline incision was made. The fascia was then cleared of subcutaneous tissue using a tonsil clamp., Surgery +637, Laparoscopic cholecystectomy with cholangiogram. Acute gangrenous cholecystitis with cholelithiasis. The patient had essentially a dead gallbladder with stones and positive wide bile/pus coming from the gallbladder., Surgery +638, Cholecystitis and cholelithiasis. Laparoscopic cholecystectomy and intraoperative cholangiogram. The patient received 1 gm of IV Ancef intravenously piggyback. The abdomen was prepared and draped in routine sterile fashion., Surgery +639," Chronic cholecystitis. Laparoscopic cholecystectomy. Patient with increasingly severe more frequent right upper quadrant abdominal pain, more after meals, had a positive ultrasound for significant biliary sludge.", Surgery +640," Cholelithiasis; possible choledocholithiasis. Laparoscopic cholecystectomy and intraoperative cholangiogram. A small incision was made in the umbilicus, and a Veress needle was introduced into the abdomen. CO2 insufflation was done to a maximum pressure of 15 mmHg, and a 12-mm VersaStep port was placed into the umbilicus.", Surgery +641," Laparoscopic cholecystectomy. Biliary colic and biliary dyskinesia. The patient had a workup for her gallbladder, which showed evidence of biliary dyskinesia.", Surgery +642, Standard Laparoscopic Cholecystectomy Operative Note., Surgery +643," 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. ", Surgery +644, Acute cholecystitis. Laparoscopic cholecystectomy. The abdominal area was prepped and draped in the usual sterile fashion. A small skin incision was made below the umbilicus. It was carried down in the transverse direction on the side of her old incision. It was carried down to the fascia., Surgery +645, Chronic cholecystitis without cholelithiasis., Surgery +646, Laparoscopic cholecystectomy due to chronic cholecystitis and cholelithiasis., Surgery +647, Laparoscopic cholecystectomy., Surgery +648, Appendicitis. Laparoscopic appendectomy. Infraumbilical incision was performed and taken down to the fascia. The fascia was incised. The peritoneal cavity was carefully entered. Two other ports were placed in the right and left lower quadrants., Surgery +649," Dilatation and curettage (D&C) and Laparoscopic ablation of endometrial implants. Pelvic pain, hypermenorrhea, and mild pelvic endometriosis.", Surgery +650, Laparoscopic appendectomy. The patient is a 42-year-old female who presented with right lower quadrant pain. She was evaluated and found to have a CT evidence of appendicitis., Surgery +651," Laparoscopic lysis of adhesions and Laparoscopic left adrenalectomy. Left adrenal mass, 5.5 cm and intraabdominal adhesions.", Surgery +652," Right L4 and L5 transpedicular decompression of distal right L4 and L5 nerve roots. Right L4-L5 and right L5-S1 laminotomies, medial facetectomies, and foraminotomies, decompression of right L5 and S1 nerve roots. Right L4-S1 posterolateral fusion with local bone graft. Left L4 through S1 segmental pedicle screw instrumentation. Preparation harvesting of local bone graft.", Surgery +653, Ruptured appendicitis., Surgery +654, Laparoscopic appendectomy. Acute appendicitis., Surgery +655," Microscopic-assisted revision of bilateral decompressive lumbar laminectomies and foraminotomies at the levels of L3-L4, L4-L5, and L5-S1. Posterior spinal fusion at the level of L4-L5 and L5-S1 utilizing local bone graft, allograft and segmental instrumentation. Posterior lumbar interbody arthrodesis utilizing cage instrumentation at L4-L5 with local bone graft and allograft. All procedures were performed under SSEP, EMG, and neurophysiologic monitoring.", Surgery +656, Acute appendicitis with perforation. Laparoscopic appendectomy. A CT scan of abdomen showed evidence of appendicitis with perforation. , Surgery +657, Appendicitis. Laparoscopic appendectomy. CO2 insufflation was done to a maximum pressure of 15 mmHg and a 12-mm VersaStep port was placed through his umbilicus., Surgery +658, Patient status post lap band placement., Surgery +659, Decompressive left lumbar laminectomy C4-C5 and C5-C6 with neural foraminotomy. Posterior cervical fusion C4-C5. Songer wire. Right iliac bone graft., Surgery +660," L1 laminotomy, microdissection, retrieval of foreign body (retained lumbar spinal catheter), attempted insertion of new external lumbar drain, and fluoroscopy.", Surgery +661, Fracture reduction with insertion of prosthetic device at T8 with kyphoplasty. Vertebroplasties at T7 and T9 with insertion of prosthetic device. Fracture of the T8 vertebra and T9 vertebra., Surgery +662," Complete laminectomy, L4. and facetectomy, L3-L4 level. A dural repair, right sided, on the lateral sheath, subarticular recess at the L4 pedicle level. Posterior spinal instrumentation, L4 to S1, using Synthes Pangea System. Posterior spinal fusion, L4 to S1. Insertion of morselized autograft, L4 to S1. ", Surgery +663, Left knee arthroscopy with lateral capsular release., Surgery +664," Arthroscopy of the left knee with medial meniscoplasty. Internal derangement, left knee. Displaced bucket-handle tear of medial meniscus, left knee.", Surgery +665, Left medial compartment osteoarthritis of the knee. Left unicompartmental knee replacement., Surgery +666, Bilateral knee degenerative arthritis. Bilateral knee arthroplasty. The Zimmer NexGen total knee system was utilized., Surgery +667, Revision right total knee arthroplasty. Right failed total knee arthroplasty., Surgery +668, KYPHON Balloon Kyphoplasty at T12 and L1evels Insertion of KYPHON HV-R bone cement under low pressure at T12 and L1 levels and bone biopsy., Surgery +669, Arthroscopic procedure of the knee., Surgery +670," Revision laminectomy L5-S1, discectomy L5-S1, right medial facetectomy, preparation of disk space and arthrodesis with interbody graft with BMP. Status post previous lumbar surgery for herniated disk with severe recurrence of axial back pain, failed conservative therapy.", Surgery +671, Procedure note on Keller Bunionectomy, Surgery +672," Left below-the-knee amputation. Dressing change, right foot.", Surgery +673, Exam under anesthesia. Removal of intrauterine clots. Postpartum hemorrhage, Surgery +674, Repair of juxtarenal abdominal aortic aneurysm with 14 mm Hemashield tube graft., Surgery +675," Bilateral degenerative arthritis of the knees. Right total knee arthroplasty done in conjunction with a left total knee arthroplasty, which will be dictated separately.", Surgery +676, Secondary scleral suture fixated posterior chamber intraocular lens implant with penetrating keratoplasty. A concurrent vitrectomy and endolaser was performed by the vitreoretinal team., Surgery +677, Debridement left ischial ulcer., Surgery +678, Intramedullary nail fixation of the left tibia fracture with a Stryker T2 tibial nail. Left tibial shaft fracture status post gunshot wound., Surgery +679, Displaced left subtrochanteric femur fracture. Intramedullary rod in the left hip using the Synthes trochanteric fixation nail measuring 11 x 130 degrees with an 85-mm helical blade., Surgery +680, Inguinal orchiopexy procedure., Surgery +681," Laparoscopic right inguinal herniorrhaphy with mesh, as well as a circumcision. Recurrent right inguinal hernia, as well as phimosis.", Surgery +682, Acute on chronic renal failure and uremia. Insertion of a right internal jugular vein hemodialysis catheter., Surgery +683," Bassini inguinal herniorrhaphy. A standard inguinal incision was made, and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery. ", Surgery +684," Direct inguinal hernia. Rutkow direct inguinal herniorrhaphy. A standard inguinal incision was made, and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery. ", Surgery +685," Left inguinal herniorrhaphy, modified Bassini. Left inguinal hernia, direct.", Surgery +686," Repair of left inguinal hernia indirect. The patient states that she noticed there this bulge and pain for approximately six days prior to arrival. Upon examination in the office, the patient was found to have a left inguinal hernia consistent with tear, which was scheduled as an outpatient surgery.", Surgery +687, Inguinal herniorrhaphy. A standard inguinal incision was made and dissection was carried down to the external oblique aponeurosis using a combination of Metzenbaum scissors and Bovie electrocautery. , Surgery +688, Left direct and indirect inguinal hernia. Repair of left inguinal hernia with Prolene mesh. The patient was found to have a left inguinal hernia increasing over the past several months. The patient has a history of multiple abdominal surgeries and opted for an open left inguinal hernial repair with Prolene mesh., Surgery +689," Right inguinal hernia. Right inguinal hernia repair. The patient is a 4-year-old boy with a right inguinal bulge, which comes and goes with Valsalva standing and some increased physical activity.", Surgery +690, Direct right inguinal hernia. Marlex repair of right inguinal hernia., Surgery +691, Right inguinal hernia. Right direct inguinal hernia repair with PHS mesh system. The Right groin and abdomen were prepped and draped in the standard sterile surgical fashion. An incision was made approximately 1 fingerbreadth above the pubic tubercle and in a skin crease. , Surgery +692," A 9-year-old boy with a history of intermittent swelling of the right inguinal area consistent with a right inguinal hernia, taken to the operating room for inguinal hernia repair.", Surgery +693, Bilateral inguinal hernia. Bilateral direct inguinal hernia repair utilizing PHS system and placement of On-Q pain pump. , Surgery +694, Bilateral inguinal hernia and bilateral hydrocele repair with an ilioinguinal nerve block bilaterally., Surgery +695," Left communicating hydrocele. Left inguinal hernia and hydrocele repair. The patient is a 5-year-old young man with fluid collection in the tunica vaginalis and peritesticular space on the left side consistent with a communicating hydrocele. +", Surgery +696, This patient has reoccurring ingrown infected toenails., Surgery +697," Right inguinal exploration, left inguinal hernia repair, bilateral hydrocele repair, and excision of right appendix testis.", Surgery +698," Painful ingrown toenail, left big toe. Removal of an ingrown part of the left big toenail with excision of the nail matrix.", Surgery +699," Autologous iliac crest bone graft to maxilla and mandible under general anesthetic. Maxillary atrophy, severe mandibular atrophy, acquired facial deformity, and masticatory dysfunction.", Surgery +700, 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., Surgery +701," Induction of vaginal delivery of viable male, Apgars 8 and 9. Term pregnancy and oossible rupture of membranes, prolonged.", Surgery +702, Perirectal abscess. Incision and drainage (I&D) of perirectal abscess., Surgery +703," Incision and drainage (I&D) with primary wound closure of scalp lacerations. The patient is a middle-aged female, who has had significant lacerations to her head from a motor vehicle accident. The patient was taken to the operating room for an I&D of the lacerations with wound closure.", Surgery +704," Postoperative wound infection, complicated. Irrigation and debridement of postoperative wound infection. Removal of foreign body. Placement of vacuum-assisted closure.device.", Surgery +705," Incision and drainage of the penoscrotal abscess, packing, penile biopsy, cystoscopy, and urethral dilation.", Surgery +706, Incision and drainage of left neck abscess., Surgery +707," Grade 1 compound fracture, right mid-shaft radius and ulna with complete displacement and shortening. Irrigation and debridement of skin subcutaneous tissues, muscle, and bone, right forearm. Open reduction, right both bone forearm fracture with placement of long-arm cast.", Surgery +708, Incision and drainage (I&D) of gluteal abscess. Removal of pigtail catheter. Limited exploratory laparotomy with removal of foreign body and lysis of adhesions., Surgery +709," Incision and drainage and removal of foreign body, right foot. The patient has had previous I&D but continues to have to purulent drainage. The patient's parents agreed to performing a surgical procedure to further clean the wound.", Surgery +710, Incision and drainage of right buccal space abscess and teeth extraction., Surgery +711," Placement of right external iliac artery catheter via left femoral approach, arteriography of the right iliac arteries, primary open angioplasty of the right iliac artery using an 8 mm diameter x 3 cm length angioplasty balloon, open stent placement in the right external iliac artery for inadequate angiographic result of angioplasty alone.", Surgery +712," Dilation and curettage (D&C), hysteroscopy, and laparoscopy with right salpingooophorectomy and aspiration of cyst fluid. Thickened endometrium and tamoxifen therapy, adnexal cyst, endometrial polyp, and right ovarian cyst.", Surgery +713, Incision and drainage (I&D) of buttock abscess. , Surgery +714," Total abdominal hysterectomy, right salpingoophorectomy, and extensive adhesiolysis and enterolysis.", Surgery +715," Hysteroscopy, Essure, tubal occlusion, and ThermaChoice endometrial ablation.", Surgery +716, Incision and drainage with bolster dressing placement of right ear recurrent auricular hematoma., Surgery +717, Hypospadias repair (TIP) with tissue flap relocation and chordee release (Nesbit tuck)., Surgery +718," Exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy, right and left pelvic lymphadenectomy, common iliac lymphadenectomy, and endometrial cancer staging procedure.", Surgery +719," Pelvic tumor, cystocele, rectocele, and uterine fibroid. Total abdominal hysterectomy, bilateral salpingooophorectomy, repair of bladder laceration, appendectomy, Marshall-Marchetti-Krantz cystourethropexy, and posterior colpoperineoplasty. She had a recent D&C and laparoscopy, and enlarged mass was noted and could not be determined if it was from the ovary or the uterus. ", Surgery +720, Laparoscopic supracervical hysterectomy. Menorrhagia and dysmenorrhea., Surgery +721, Non-healing surgical wound to the left posterior thigh. Several multiple areas of hypergranulation tissue on the left posterior leg associated with a sense of trauma to his right posterior leg., Surgery +722, Hypospadias repair (TIT and tissue flap relocation) and Nesbit tuck chordee release., Surgery +723," Left hydrocelectomy, cystopyelogram, bladder biopsy, and fulguration for hemostasis.", Surgery +724," Bilateral scrotal hydrocelectomies, large for both, and 0.5% Marcaine wound instillation, 30 mL given.", Surgery +725, Hypospadias repair. Urethroplasty plate incision with tissue flap relocation and chordee release., Surgery +726, Wide Local Excision of the Vulva. Radical anterior hemivulvectomy. Posterior skinning vulvectomy., Surgery +727, Laparoscopic left inguinal hernia repair., Surgery +728, Placement of a subclavian single-lumen tunneled Hickman central venous catheter. Surgeon-interpreted fluoroscopy., Surgery +729, Inguinal hernia hydrocele repair., Surgery +730," Left hydrocelectomy. This is a 67-year-old male with pain, left scrotum. He has had an elevated PSA and also has erectile dysfunction. He comes in now for a left hydrocelectomy. Physical exam confirmed obvious hydrocele, left scrotum.", Surgery +731, Left C5-6 hemilaminotomy and foraminotomy with medial facetectomy for microscopic decompression of nerve root., Surgery +732, Construction of right upper arm hemodialysis fistula with transposition of deep brachial vein. End-stage renal disease with failing AV dialysis fistula., Surgery +733, Left-sided large hemicraniectomy for traumatic brain injury and increased intracranial pressure. She came in with severe traumatic brain injury and severe multiple fractures of the right side of the skull. , Surgery +734, Debulking of hemangioma of the nasal tip through an open rhinoplasty approach and rhinoplasty., Surgery +735," Left heart catheterization, coronary angiography, and left ventriculogram. No angiographic evidence of coronary artery disease. Normal left ventricular systolic function. Normal left ventricular end diastolic pressure.", Surgery +736," Austin-Moore bipolar hemiarthroplasty, left hip. Subcapital left hip fracture.", Surgery +737, Right side craniotomy for temporal lobe intracerebral hematoma evacuation and resection of temporal lobe lesion. Biopsy of dura., Surgery +738," Left heart catheterization, coronary angiography, left ventriculography. Severe complex left anterior descending and distal circumflex disease with borderline, probably moderate narrowing of a large obtuse marginal branch.", Surgery +739," Left heart catheterization, left ventriculography, selective coronary angiography.", Surgery +740," Exploratory laparotomy, lysis of adhesions, and right hemicolectomy. Right colon cancer, ascites, and adhesions.", Surgery +741," Hemiarthroplasty of left shoulder utilizing a global advantage system with an #8 mm cemented humeral stem and 48 x 21 mm modular head replacement. Comminuted fracture, dislocation left proximal humerus.", Surgery +742, Left heart catheterization with left ventriculography and selective coronary angiography. A 50% distal left main and two-vessel coronary artery disease with normal left ventricular systolic function. Frequent PVCs. Metabolic syndrome., Surgery +743," Left heart catheterization, selective bilateral coronary angiography and left ventriculography. Revascularization of the left anterior descending with angioplasty and implantation of a drug-eluting stent. Right heart catheterization and Swan-Ganz catheter placement for monitoring.", Surgery +744, Left heart catheterization with left ventriculography and selective coronary angiography. Percutaneous transluminal coronary angioplasty and stent placement of the right coronary artery., Surgery +745," Left heart catheterization, bilateral selective coronary angiography, saphenous vein graft angiography, left internal mammary artery angiography, and left ventriculography.", Surgery +746," 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.", Surgery +747," Left heart catheterization, left ventriculography, coronary angiography, and successful stenting of tight lesion in the distal circumflex and moderately tight lesion in the mid right coronary artery.", Surgery +748," Left heart catheterization, left ventriculography, selective coronary angiography, and right femoral artery approach.", Surgery +749," Left heart catheterization, left and right coronary angiography, left ventricular angiography, and intercoronary stenting of the right coronary artery.", Surgery +750," Left heart catheterization with ventriculography, selective coronary angiography. Standard Judkins, right groin. Catheters used were a 6 French pigtail, 6 French JL4, 6 French JR4.", Surgery +751," Left heart cath, selective coronary angiography, LV gram, right femoral arteriogram, and Mynx closure device. Normal stress test.", Surgery +752," Right and left heart catheterization, left ventriculogram, aortogram, and bilateral selective coronary angiography. The patient is a 48-year-old female with severe mitral stenosis diagnosed by echocardiography, moderate aortic insufficiency and moderate to severe pulmonary hypertension who is being evaluated as a part of a preoperative workup for mitral and possible aortic valve repair or replacement. ", Surgery +753, Left heart catheterization and bilateral selective coronary angiography. Left ventriculogram was not performed., Surgery +754," Left heart catheterization with ventriculography, selective coronary arteriographies, successful stenting of the left anterior descending diagonal.", Surgery +755," Left and right heart catheterization and selective coronary angiography. Coronary artery disease, severe aortic stenosis by echo.", Surgery +756, Right heart catheterization. Refractory CHF to maximum medical therapy., Surgery +757," Removal of painful hardware, first left metatarsal. Excision of nonunion, first left metatarsal. Incorporation of corticocancellous bone graft with internal fixation consisting of screws and plates of the first left metatarsal.", Surgery +758, Left distal medial hamstring release., Surgery +759," Right and left heart catheterization, coronary angiography, left ventriculography.", Surgery +760," Resection of infected bone, left hallux, proximal phalanx, and distal phalanx. Osteomyelitis, left hallux.", Surgery +761, Hardware removal in the left elbow., Surgery +762," Hardware removal, right ulnar", Surgery +763," Chest pain and non-Q-wave MI with elevation of troponin I only. Left heart catheterization, left ventriculography, and left and right coronary arteriography.", Surgery +764, Left heart catheterization and bilateral selective coronary angiography. The patient is a 65-year-old male with known moderate mitral regurgitation with partial flail of the P2 and P3 gallops who underwent outpatient evaluation for increasingly severed decreased functional capacity and retrosternal chest pain that was aggravated by exertion and decreased with rest., Surgery +765," Pyogenic granuloma, left lateral thigh. Excision of recurrent pyogenic granuloma.", Surgery +766, , Surgery +767," Gastroscopy. A short-segment Barrett esophagus, hiatal hernia, and incidental fundic gland polyps in the gastric body; otherwise, normal upper endoscopy to the transverse duodenum.", Surgery +768," Gangrene osteomyelitis, right second toe. The patient is a 58-year-old female with poorly controlled diabetes with severe lower extremity lymphedema. The patient has history of previous right foot infection requiring first ray resection.", Surgery +769," Esophagitis, minor stricture at the gastroesophageal junction, hiatal hernia. Otherwise normal upper endoscopy to the transverse duodenum.", Surgery +770," Gastrostomy, a 6-week-old with feeding disorder and Down syndrome.", Surgery +771, Full mouth dental rehabilitation in the operative room under general anesthesia., Surgery +772, Excision of ganglion of the left wrist. A curved incision was made over the presenting ganglion over the dorsal aspect of the wrist. , Surgery +773, Full mouth dental rehabilitation in the operating room under general anesthesia., Surgery +774," Dysphagia, possible stricture. Retained gastric contents forming a partial bezoar, suggestive of gastroparesis.", Surgery +775, Gastroscopy. Dysphagia and globus. No evidence of inflammation or narrowing to explain her symptoms., Surgery +776, Cystoscopy and removal of foreign objects from the urethra., Surgery +777," Right frontotemporoparietal craniotomy, evacuation of acute subdural hematoma. Acute subdural hematoma, right, with herniation syndrome.", Surgery +778, Patient with complaint of a very painful left foot because of the lesions on the bottom of the foot. , Surgery +779," Excision of foreign body, right foot and surrounding tissue. This 41-year-old male presents to preoperative holding area after keeping himself n.p.o., since mid night for removal of painful retained foreign body in his right foot. The patient works in the Electronics/Robotics field and relates that he stepped on a wire at work, which somehow got into his shoe. The wire entered his foot.", Surgery +780," Cellulitis with associated abscess and foreign body, right foot. Irrigation debridement and removal of foreign body of right foot. Purulent material from the abscess located in the plantar aspect of the foot between the third and fourth metatarsal heads.", Surgery +781," Microscopic hematuria with lateral lobe obstruction, mild.", Surgery +782," Flexible fiberoptic bronchoscopy with right lower lobe bronchoalveolar lavage and right upper lobe endobronchial biopsy. Severe tracheobronchitis, mild venous engorgement with question varicosities associated pulmonary hypertension, right upper lobe submucosal hemorrhage without frank mass underneath it status post biopsy.", Surgery +783," Removal of foreign body of right thigh. Foreign body of the right thigh, sewing needle.", Surgery +784," Flexor carpi radialis and palmaris longus repair. Right wrist laceration with a flexor carpi radialis laceration and palmaris longus laceration 90%, suspected radial artery laceration.", Surgery +785," Flexible nasal laryngoscopy. Foreign body, left vallecula at the base of the tongue. Airway is patent and stable.", Surgery +786, CT-guided frameless stereotactic radiosurgery for the right occipital arteriovenous malformation using dynamic tracking., Surgery +787," Fogarty thrombectomy, left forearm arteriovenous Gore-Tex bridge fistula and revision of distal anastomosis with 7 mm interposition Gore-Tex graft. Chronic renal failure and thrombosed left forearm arteriovenous Gore-Tex bridge fistula.", Surgery +788," Flexible fiberoptic bronchoscopy diagnostic with right middle and upper lobe lavage and lower lobe transbronchial biopsies. Mild tracheobronchitis with history of granulomatous disease and TB, rule out active TB/miliary TB.", Surgery +789," Recurring bladder infections with frequency and urge incontinence, not helped with Detrol LA. Normal cystoscopy with atrophic vaginitis.", Surgery +790," Breast flap revision, nipple reconstruction, reduction mammoplasty, breast medial lesion enclosure.", Surgery +791, Flexible sigmoidoscopy. The Olympus video colonoscope then introduced into the rectum and passed by directed vision to the distal descending colon., Surgery +792, Flexible bronchoscopy to evaluate the airway (chronic wheezing)., Surgery +793, Flexible sigmoidoscopy due to rectal bleeding., Surgery +794," Fiberoptic flexible bronchoscopy with lavage, brushings, and endobronchial mucosal biopsies of the right bronchus intermedius/right lower lobe. Right hyoid mass, rule out carcinomatosis. Chronic obstructive pulmonary disease. Changes consistent with acute and chronic bronchitis.", Surgery +795, Left arm fistulogram. Percutaneous transluminal angioplasty of the proximal and distal cephalic vein. Ultrasound-guided access of left upper arm brachiocephalic fistula., Surgery +796," Fiberoptic nasolaryngoscopy. Dysphagia with no signs of piriform sinus pooling or aspiration. Right parapharyngeal lesion, likely thyroid cartilage, nonhemorrhagic.", Surgery +797," Flexible sigmoidoscopy. Sigmoid and left colon diverticulosis; otherwise, normal flexible sigmoidoscopy to the proximal descending colon.", Surgery +798, Flexible Sigmoidoscopy., Surgery +799, Emergent fiberoptic bronchoscopy with lavage. Status post multiple trauma/motor vehicle accident. Acute respiratory failure. Acute respiratory distress/ventilator asynchrony. Hypoxemia. Complete atelectasis of left lung. Clots partially obstructing the endotracheal tube and completely obstructing the entire left main stem and entire left bronchial system., Surgery +800," Bilateral facet Arthrogram and injections at L34, L45, L5S1. Interpretation of radiograph. Low Back Syndrome - Low Back Pain.", Surgery +801," Incompetent glottis. Fat harvesting from the upper thigh, micro-laryngoscopy, fat injection thyroplasty.", Surgery +802," Right common femoral artery cannulation, cnscious sedation using IV Versed and IV fentanyl, retrograde bilateral coronary angiography, abdominal aortogram with pelvic runoff, left external iliac angiogram with runoff to the patient's left foot, left external iliac angiogram with runoff to the patient's right leg, right common femoral artery angiogram runoff to the patient's right leg.", Surgery +803," Diagnostic fiberoptic bronchoscopy with biopsies and bronchoalveolar lavage. Bilateral upper lobe cavitary lung masses. Airway changes including narrowing of upper lobe segmental bronchi, apical and posterior on the right, and anterior on the left. There are also changes of inflammation throughout.", Surgery +804," Fiberoptic bronchoscopy, diagnostic. Hemoptysis and history of lung cancer. Tumor occluding right middle lobe with friability.", Surgery +805, External cephalic version. A 39-week intrauterine pregnancy with complete breech presentation., Surgery +806, Left masticator space infection secondary to necrotic tooth #17. Extraoral incision and drainage of facial space infection and extraction of necrotic tooth #17., Surgery +807," 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.", Surgery +808, Left supraorbital deep complex facial laceration measuring 6x2 cm. Plastic closure of deep complex facial laceration measuring 6x2 cm. The patient is a 23-year-old male who was intoxicated and hit with an unknown object to his forehead. The patient subjectively had loss of consciousness on the scene and minimal bleeding from the left supraorbital laceration site., Surgery +809, Excision of right upper eyelid squamous cell carcinoma with frozen section and full-thickness skin grafting from the opposite eyelid., Surgery +810," Exploratory laparotomy. Extensive lysis of adhesions. Right salpingo-oophorectomy. Pelvic mass, suspected right ovarian cyst.", Surgery +811," Exploratory laparotomy, lysis of adhesions and removal, reversal of Hartmann's colostomy, flexible sigmoidoscopy, and cystoscopy with left ureteral stent.", Surgery +812, Left little finger extensor tendon laceration. Repair of left little extensor tendon., Surgery +813," Exploratory laparotomy, low anterior colon resection, flexible colonoscopy, and transverse loop colostomy and JP placement. Colovesical fistula and intraperitoneal abscess.", Surgery +814," Exploratory laparotomy, release of small bowel obstruction, and repair of periumbilical hernia. Acute small bowel obstruction and incarcerated umbilical Hernia.", Surgery +815, Excision of left upper cheek skin neoplasm and left lower cheek skin neoplasm with two-layer closure. Shave excision of the right nasal ala skin neoplasm., Surgery +816," Re-excision of squamous cell carcinoma site, right hand.", Surgery +817, Excision of the left upper cheek actinic neoplasm and left lower cheek upper neck skin neoplasm with two-layer plastic closures, Surgery +818, Excision of the left temple keratotic neoplasm and left nasolabial fold defect and right temple keratotic neoplasm., Surgery +819, Excision of soft tissue mass on the right flank. This 54-year-old male was evaluated in the office with a large right flank mass. He would like to have this removed., Surgery +820, Leaking anastomosis from esophagogastrectomy. Exploratory laparotomy and drainage of intra-abdominal abscesses with control of leakage. , Surgery +821," Functional endoscopic sinus surgery, bilateral maxillary antrostomy, bilateral total ethmoidectomy, bilateral nasal polypectomy, and right middle turbinate reduction. ", Surgery +822," Esophagoscopy with removal of foreign body. Esophageal foreign body, no associated comorbidities are noted.", Surgery +823, Excision of bilateral chronic hydradenitis., Surgery +824, Esophagogastroduodenoscopy with pseudo and esophageal biopsy. Hiatal hernia and reflux esophagitis. The patient is a 52-year-old female morbidly obese black female who has a long history of reflux and GERD type symptoms including complications such as hoarseness and chronic cough., Surgery +825," Esophagogastroduodenoscopy with gastric biopsies. Antral erythema; 2 cm polypoid pyloric channel tissue, questionable inflammatory polyp which was biopsied; duodenal erythema and erosion.", Surgery +826," Esophageal foreign body, US penny. Esophagoscopy with foreign body removal. The patient had a penny lodged in the proximal esophagus in the typical location. ", Surgery +827, Esophagogastroduodenoscopy with biopsy of one of the polyps and percutaneous endoscopic gastrostomy tube placement. Malnutrition and dysphagia with two antral polyps and large hiatal hernia., Surgery +828, Esophagogastroduodenoscopy with photo. Insertion of a percutaneous endoscopic gastrostomy tube. Neuromuscular dysphagia. Protein-calorie malnutrition., Surgery +829," Positive peptic ulcer disease. Gastritis. Esophagogastroduodenoscopy with photography and biopsy. The patient had a history of peptic ulcer disease, epigastric abdominal pain x2 months, being evaluated at this time for ulcer disease.", Surgery +830," Esophagogastroduodenoscopy with biopsies. Gastroesophageal reflux disease, chronic dyspepsia, alkaline reflux gastritis, gastroparesis, probable Billroth II anastomosis, and status post Whipple's pancreaticoduodenectomy.", Surgery +831," Chronic abdominal pain and heme positive stool, antral gastritis, and duodenal polyp. Esophagogastroduodenoscopy with photos and antral biopsy.", Surgery +832, Esophagogastroduodenoscopy. The Olympus video gastroscope was then introduced into the upper esophagus and passed by direct vision to the descending duodenum., Surgery +833, Esophagogastroduodenoscopy with biopsy and colonoscopy with biopsy., Surgery +834, 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. , Surgery +835, Esophagogastroduodenoscopy performed in the emergency department., Surgery +836, Esophagogastroduodenoscopy and colonoscopy with biopsy and polypectomy., Surgery +837, Esophagogastroduodenoscopy with biopsy., Surgery +838," Esophagogastroduodenoscopy, photography, and biopsy. Gastroesophageal reflux disease, hiatal hernia, and enterogastritis.", Surgery +839, Esophagogastroduodenoscopy with bile aspirate. Recurrent right upper quadrant pain with failure of antacid medical therapy. Normal esophageal gastroduodenoscopy., Surgery +840," Esophagogastroduodenoscopy with biopsy, a 1-year-10-month-old with a history of dysphagia to solids.", Surgery +841, Esophagogastroduodenoscopy with biopsy and snare polypectomy - Iron-deficiency anemia, Surgery +842," Ivor-Lewis esophagogastrectomy, feeding jejunostomy, placement of two right-sided 28 French chest tubes, and right thoracotomy.", Surgery +843, Direct laryngoscopy and esophagoscopy with removal of foreign body, Surgery +844, Esophagogastroduodenoscopy with antral biopsies for H. pylori x2 with biopsy forceps. Nausea and vomiting and upper abdominal pain., Surgery +845, Endoscopic retrograde cholangiopancreatography (ERCP) with brush cytology and biopsy., Surgery +846, Lateral escharotomy of right upper arm burn eschar and medial escharotomy of left upper extremity burns and eschar., Surgery +847, Epigastric herniorrhaphy. Epigastric hernia., Surgery +848, Epididymectomy, Surgery +849, Endotracheal intubation. The patient was intubated secondary to respiratory distress and increased work of breathing and falling saturation on 15 liters nonrebreather. PCO2 was 29 and pO2 was 66 on the 15 liters., Surgery +850," A 60% total body surface area flame burns, status post multiple prior excisions and staged graftings. Epidermal autograft on Integra to the back and application of allograft to areas of the lost Integra, not grafted on the back.", Surgery +851," Evacuation of epidural hematoma and insertion of epidural drain. Epidural hematoma, cervical spine. Status post cervical laminectomy, C3 through C7 postop day #10. Central cord syndrome and acute quadriplegia.", Surgery +852, The patient was brought to the OR with the known 4 cm abdominal aortic aneurysm + 2.5 cm right common iliac artery aneurysm., Surgery +853, Endotracheal intubation. Respiratory failure. The patient is a 52-year-old male with metastatic osteogenic sarcoma. He was admitted two days ago with small bowel obstruction., Surgery +854," Right L4, attempted L5, and S1 transforaminal epidurogram for neural mapping.", Surgery +855," Upper endoscopy with biopsy. The patient admitted for coffee-ground emesis, which has been going on for the past several days. An endoscopy is being done to evaluate for source of upper GI bleeding.", Surgery +856, Upper gastrointestinal endoscopy., Surgery +857, Normal upper GI endoscopy., Surgery +858, Intermittent rectal bleeding with abdominal pain., Surgery +859, Endoscopic carpal tunnel release. Left carpal tunnel syndrome., Surgery +860," Upper endoscopy, patient with dysphagia.", Surgery +861, Endoscopic carpal tunnel release and de Quervain's release. Left carpal tunnel syndrome and de Quervain's tenosynovitis., Surgery +862, Patient with dysphagia., Surgery +863," Cystoscopy, TUR, and electrofulguration of recurrent bladder tumors.", Surgery +864," Melena and solitary erosion over a fold at the GE junction, gastric side.", Surgery +865," Ethmoidectomy, antrostomy with polyp removal, turbinectomy, and septoplasty.", Surgery +866, Left elbow manipulation and hardware removal of left elbow., Surgery +867, Emergency cesarean section., Surgery +868," Patient admitted because of recurrent nausea and vomiting, with displacement of the GEJ feeding tube.", Surgery +869," Esophagogastroduodenoscopy with biopsy. Patient has had biliary colic-type symptoms for the past 3-1/2 weeks, characterized by severe pain, and brought on by eating greasy foods.", Surgery +870, Abnormal electronystagmogram demonstrating prominent nystagmus on position testing in the head hanging right position., Surgery +871, Common description of EGD, Surgery +872, EGD with dilation for dysphagia., Surgery +873, Common description of EGD., Surgery +874," EGD with photos and biopsies. This is a 75-year-old female who presents with difficulty swallowing, occasional choking, and odynophagia. She has a previous history of hiatal hernia. She was on Prevacid currently. ", Surgery +875," EGD with PEG tube placement using Russell technique. Protein-calorie malnutrition, intractable nausea, vomiting, and dysphagia, and enterogastritis.", Surgery +876, Common description of EGD., Surgery +877," EGD and colonoscopy. Blood loss anemia, normal colon with no evidence of bleeding, hiatal hernia, fundal gastritis with polyps, and antral mass.", Surgery +878, Esophagogastroduodenoscopy and colonoscopy with polypectomy, Surgery +879, Common description of EGD., Surgery +880, Problems with dysphagia to solids and had food impacted in the lower esophagus. Upper endoscopy to evaluate the esophagus., Surgery +881," Esophagogastroduodenoscopy, patient with dysphagia.", Surgery +882," Repair of left ear laceration deformity Y-V plasty 2 cm. Repair of right ear laceration deformity, complex repair 2 cm.", Surgery +883, Right ear examination under anesthesia. Right tympanic membrane perforation along with chronic otitis media., Surgery +884," Dual Chamber ICD Implantation, fluoroscopy, defibrillation threshold testing, venography.", Surgery +885," Left ear cartilage graft, repair of nasal vestibular stenosis using an ear cartilage graft, cosmetic rhinoplasty, left inferior turbinectomy.", Surgery +886," Dual chamber generator replacement. The patient is a pleasant patient who presented to the office, recently was found to be at ERI and she has been referred for generator replacement.", Surgery +887," Bilateral L5 dorsal ramus block and bilateral S1, S2, and S3 lateral branch block for sacroiliac joint pain. Fluoroscopic pillar view was used to identify the bony landmarks of the sacrum and sacroiliac joint and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.", Surgery +888," Excision dorsal ganglion, right wrist. The extensor retinaculum was then incised and the extensor tendon was dissected and retracted out of the operative field. ", Surgery +889," Diagnostic laparotomy, exploratory laparotomy, Meckel's diverticulectomy, open incidental appendectomy, and peritoneal toilet.", Surgery +890," Excision of Dupuytren disease of the right hand extending out to the proximal interphalangeal joint of the little finger. The patient is a 51-year-old male with left Dupuytren disease, which is causing contractions both at the metacarpophalangeal and the PIP joint as well as significant discomfort.", Surgery +891, Stenosing tenosynovitis first dorsal extensor compartment/de Quervain tendonitis. Release of first dorsal extensor compartment., Surgery +892," Insertion of a double lumen port through the left femoral vein, radiological guidance. Open exploration of the left subclavian and axillary vein. Metastatic glossal carcinoma, needing chemotherapy and a port.", Surgery +893, Direct laryngoscopy and bronchoscopy., Surgery +894, Degenerative disk disease at L4-L5 and L5-S1. Anterior exposure diskectomy and fusion at L4-L5 and L5-S1., Surgery +895, Traumatic injury to bilateral upper extremities. Dressing change under anesthesia. This 6 year old was involved in a traumatic accident. She presents today for evaluation and dressing change., Surgery +896, Fractional dilatation and curettage, Surgery +897," Anterior cervical discectomy, osteophytectomy, foraminotomies, spinal cord decompression, fusion with machined allografts, Eagle titanium plate, Jackson-Pratt drain placement, and intraoperative monitoring with EMGs and SSEPs", Surgery +898," Dilation and evacuation. 12 week incomplete miscarriage. The patient unlike her visit in the ER approximately 4 hours before had some tissue in the vagina protruding from the os, this was teased out and then a D&E was performed yielding significant amount of central tissue. ", Surgery +899," Redo L4-5 diskectomy, left - recurrent herniation L4-5 disk with left radiculopathy.", Surgery +900, She required augmentation with Pitocin to achieve a good active phase. She achieved complete cervical dilation., Surgery +901, Dental restorations and extractions. Dental caries. He has had multiple severe carious lesions that warrant multiple extractions at this time., Surgery +902, An 83-year-old diabetic female presents today stating that she would like diabetic foot care., Surgery +903," Diagnostic laparoscopy. Acute pelvic inflammatory disease and periappendicitis. The patient appears to have a significant pain requiring surgical evaluation. It did not appear that the pain was pelvic in nature, but more higher up in the abdomen, more towards the appendix.", Surgery +904, The patient is a 22-year-old woman with a possible ruptured ectopic pregnancy., Surgery +905, Dental restoration. Dental caries. Cavities have been noted by his parents and pediatrician that have been noted to be pretty severe. , Surgery +906, Dental prophylaxis under general anesthesia., Surgery +907," Torn rotator cuff and subacromial spur with impingement syndrome, right shoulder. Diagnostic arthroscopy with subacromial decompression and open repair of rotator cuff using three Panalok suture anchors.", Surgery +908," Her cervix on admission was not ripe, so she was given a dose of Cytotec 25 mcg intravaginally and in the afternoon, she was having frequent contractions and fetal heart tracing was reassuring. At a later time, Pitocin was started.", Surgery +909, 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., Surgery +910, Pitocin was started quickly to allow for delivery as quickly as possible. Baby was delivered with a single maternal pushing effort with retraction by the forceps., Surgery +911, Artificial rupture of membrane was performed for clear fluid. She did receive epidural anesthesia. She progressed to complete and pushing., Surgery +912, The patient had ultrasound done on admission that showed gestational age of 38-2/7 weeks. The patient progressed to a normal spontaneous vaginal delivery over an intact perineum., Surgery +913," The patient presented to Labor and Delivery with complaints of spontaneous rupture of membranes. She was found to be positive for Nitrazine pull and fern. At that time, she was not actually contracting.", Surgery +914, Delivery was via spontaneous vaginal delivery. Nuchal cord x1 were tight and reduced. Infant was DeLee suctioned at perineum. , Surgery +915, Spontaneous controlled sterile vaginal delivery performed without episiotomy., Surgery +916," Incision and drainage with extensive debridement, left shoulder. Removal total shoulder arthroplasty (uncemented humeral Biomet component; cemented glenoid component). Implantation of antibiotic beads, left shoulder.", Surgery +917," 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.", Surgery +918, She progressed in labor throughout the day. Finally getting the complete and began pushing. Pushed for about an hour and a half when she was starting to crown., Surgery +919, Debridement of left lateral foot ulcer with excision of infected and infarcted interosseous space muscle tendons and fat. Sharp excision of left distal foot plantar fascia., Surgery +920, Delivery is a normal spontaneous vaginal delivery of an intrauterine fetal demise. Fetal position is right occiput anterior., Surgery +921," Decompressive laminectomy at T12 with bilateral facetectomies, decompression of T11 and T12 nerve roots bilaterally with posterolateral fusion supplemented with allograft bone chips and pedicle screws and rods with crosslink Synthes ClickX System.", Surgery +922, Debridement of the necrotic tissue of the left lower abdomen as well as the left peritoneal area. Pannus and left peritoneal specimen sent to Pathology., Surgery +923," DDDR permanent pacemaker, insertion of a steroid-eluting screw in right atrial lead, insertion of a steroid-eluting screw in right ventricular apical lead, pulse generator insertion, model Sigma,", Surgery +924," Dilation and curettage (D&C), laparoscopy, right salpingectomy, lysis of adhesions, and evacuation of hemoperitoneum. Pelvic pain, ectopic pregnancy, and hemoperitoneum.", Surgery +925," Debridement of wound, fasciotomies, debridement of muscle from the anterior compartment, and application of vacuum-assisted closure systems to fasciotomy wounds, as well as traumatic wound.", Surgery +926, Complex right lower quadrant mass with possible ectopic pregnancy. Right ruptured tubal pregnancy and pelvic adhesions. Dilatation and curettage and laparoscopy with removal of tubal pregnancy and right partial salpingectomy., Surgery +927," Carpal tunnel syndrome and de Quervain's stenosing tenosynovitis. Carpal tunnel release and de Quervain's release. A longitudinal incision was made in line with the 4th ray, from Kaplan's cardinal line proximally to 1 cm distal to the volar wrist crease. The dissection was carried down to the superficial aponeurosis. ", Surgery +928, Wrist de Quervain stenosing tenosynovitis. de Quervain release. Fascial lengthening flap of the 1st dorsal compartment., Surgery +929," Dilation and curettage (D&C), laparoscopy, enterolysis, lysis of the pelvic adhesions, and left salpingo-oophorectomy. Complex left ovarian cyst, bilateral complex adnexae, bilateral hydrosalpinx, chronic pelvic inflammatory disease, and massive pelvic adhesions.", Surgery +930," D&C and hysteroscopy. Abnormal uterine bleeding, enlarged fibroid uterus, hypermenorrhea, intermenstrual spotting, and thickened endometrium per ultrasound of a 2 cm lining. +6. Grade 1+ rectocele.", Surgery +931," Dilation and curettage (D&C) and hysteroscopy. A female presents 7 months status post spontaneous vaginal delivery, has had abnormal uterine bleeding since her delivery with an ultrasound showing a 6 cm x 6 cm fundal mass suspicious either for retained products or endometrial polyp.", Surgery +932," Enlarged fibroid uterus, hypermenorrhea, and secondary anemia. Dilatation and curettage and hysteroscopy.", Surgery +933," Cystourethroscopy and tTransurethral resection of prostate (TURP). Urinary retention and benign prostate hypertrophy. This is a 62-year-old male with a history of urinary retention and progressive obstructive voiding symptoms and enlarged prostate 60 g on ultrasound, office cystoscopy confirmed this.", Surgery +934," Enlarged fibroid uterus, infertility, pelvic pain, and probable bilateral tubal occlusion. Dilatation and curettage and laparoscopy and injection of indigo carmine dye.", Surgery +935," Dilation and curettage (D&C), laparoscopy, and harmonic scalpel ablation of lesion which is suspicious for endometriosis. Chronic pelvic pain, hypermenorrhea, desire for future fertility, failed conservative medical therapy, possible adenomyosis, left hydrosalpinx, and suspicion for endometriosis.", Surgery +936, Benign prostatic hypertrophy and urinary retention. Cystourethroscopy and transurethral resection of prostate (TURP)., Surgery +937," Cystourethroscopy, urethral dilation, and bladder biopsy and fulguration. Urinary hesitancy and weak stream, urethral narrowing, mild posterior wall erythema.", Surgery +938," Right hydronephrosis, right flank pain, atypical/dysplastic urine cytology, extrarenal pelvis on the right, no evidence of obstruction or ureteral/bladder lesions. Cystoscopy, bilateral retrograde ureteropyelograms, right ureteral barbotage for urine cytology, and right ureterorenoscopy.", Surgery +939," Cystourethroscopy, right retrograde pyelogram, right ureteral pyeloscopy, right renal biopsy, and right double-J 4.5 x 26 mm ureteral stent placement. Right renal mass and ureteropelvic junction obstruction and hematuria.", Surgery +940," Cystourethroscopy, bilateral retrograde pyelogram, and transurethral resection of bladder tumor of 1.5 cm in size. Recurrent bladder tumor and history of bladder carcinoma.", Surgery +941, Cystoscopy & Visual urethrotomy procedure, Surgery +942, Cystoscopy. Transurethral resection of the prostate., Surgery +943," Exploratory laparotomy, resection of small bowel lesion, biopsy of small bowel mesentery, bilateral extended pelvic and iliac lymphadenectomy (including preaortic and precaval, bilateral common iliac, presacral, bilateral external iliac lymph nodes), salvage radical cystoprostatectomy (very difficult due to previous chemotherapy and radiation therapy), and continent urinary diversion with an Indiana pouch.", Surgery +944, Right lower pole renal stone and possibly infected stent. Cysto stent removal., Surgery +945," Residual stone status post right percutaneous nephrolithotomy, attempted second-look nephrolithotomy, cysto with insertion of 6-French variable length double-J stent.", Surgery +946," Holmium laser cystolithalopaxy. A diabetic male in urinary retention with apparent neurogenic bladder and intermittent self-catheterization, recent urinary tract infections. The cystoscopy showed a large bladder calculus, short but obstructing prostate.", Surgery +947, Cystoscopy and Bladder biopsy with fulguration. History of bladder tumor with abnormal cytology and areas of erythema., Surgery +948," Cystoscopy under anesthesia, bilateral HIT/STING with Deflux under general anesthetic.", Surgery +949," Cystopyelogram, left ureteroscopy, laser lithotripsy, stone basket extraction, stent exchange with a string attached.", Surgery +950, CT of abdomen with and without contrast. CT-guided needle placement biopsy., Surgery +951," Cystopyelogram, clot evacuation, transurethral resection of the bladder tumor x2 on the dome and on the left wall of the bladder.", Surgery +952," Laparoscopic assisted vaginal hysterectomy, bilateral salpingo-oophorectomy, culdoplasty, and cystoscopy. Chronic pelvic inflammatory disease, pelvic adhesions, pelvic pain, fibroid uterus, and enterocele.", Surgery +953, Endoscopic and microsurgical transnasal resection of cystic suprasellar tumor. , Surgery +954," CT-guided needle placement, CT-guided biopsy of right renal mass, and embolization of biopsy tract with gelfoam.", Surgery +955," Right frontotemporal craniotomy and evacuation of hematoma, biopsy of membranes, microtechniques.", Surgery +956, Left temporal craniotomy and removal of brain tumor., Surgery +957," 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.", Surgery +958," 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.", Surgery +959, Left retrosigmoid craniotomy and excision of acoustic neuroma., Surgery +960," Occipital craniotomy, removal of large tumor using the inner hemispheric approach, stealth system operating microscope and CUSA.", Surgery +961," Biparietal craniotomy, insertion of left lateral ventriculostomy, right suboccipital craniectomy and excision of tumor.", Surgery +962," Cystoscopy, cryosurgical ablation of the prostate.", Surgery +963, Right frontal craniotomy with resection of right medial frontal brain tumor. Stereotactic image-guided neuronavigation and microdissection and micro-magnification for resection of brain tumor., Surgery +964, Right-sided craniotomy for evacuation of a right frontal intracranial hemorrhage. Status post orbitozygomatic resection of a pituitary tumor with a very large intracranial component basically a very large skull-based brain tumor., Surgery +965, Right burr hole craniotomy for evacuation of subdural hematoma and placement of subdural drain., Surgery +966, Anterior cranial vault reconstruction with fronto-orbital bar advancement., Surgery +967, 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., Surgery +968, Postoperative hemorrhage. Examination under anesthesia with control of right parapharyngeal space hemorrhage. The patient is a 35-year-old female with a history of a chronic pharyngitis and obstructive adenotonsillar hypertrophy. , Surgery +969," Lateral and plantar condylectomy, fifth left metatarsal.", Surgery +970," 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.", Surgery +971, Cauterization of peri and intra-anal condylomas. Extensive perianal and intra-anal condyloma which are likely represent condyloma acuminata., Surgery +972," Cervical cone biopsy, dilatation & curettage", Surgery +973, Colonoscopy with random biopsies and culture., Surgery +974, Colpocleisis and rectocele repair., Surgery +975, Completion thyroidectomy with limited right paratracheal node dissection., Surgery +976," Colonoscopy with photos. The patient is an 85-year-old female who was admitted to the hospital with a markedly decreased hemoglobin and blood loss anemia. She underwent an EGD and attempted colonoscopy; however, due to a very poor prep, only a flexible sigmoidoscopy was performed at that time. A coloscopy is now being performed for completion.", Surgery +977," A 10-1/2-year-old born with asplenia syndrome with a complex cyanotic congenital heart disease characterized by dextrocardia bilateral superior vena cava, complete atrioventricular septal defect, a total anomalous pulmonary venous return to the right-sided atrium, and double-outlet to the right ventricle with malposed great vessels, the aorta being anterior with a severe pulmonary stenosis. ", Surgery +978," A woman referred for colonoscopy secondary to heme-positive stools. Procedure done to rule out generalized diverticular change, colitis, and neoplasia.", Surgery +979, Small internal hemorrhoids and Ileal colonic anastomosis., Surgery +980, The patient with a recent change in bowel function and hematochezia., Surgery +981," Colonoscopy with multiple biopsies, including terminal ileum, cecum, hepatic flexure, and sigmoid colon.", Surgery +982, Total colonoscopy with biopsy and snare polypectomy., Surgery +983, Common description of colonoscopy, Surgery +984, Common description of colonoscopy, Surgery +985, Common description of colonoscopy, Surgery +986, Common description of colonoscopy, Surgery +987, Common description of colonoscopy, Surgery +988," Colonoscopy, conscious sedation, and snare polypectomy.", Surgery +989, Patient with history of adenomas and irregular bowel habits., Surgery +990," 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. +", Surgery +991, Colonoscopy to screen for colon cancer, Surgery +992, Patient with history of polyps., Surgery +993, Total colonoscopy and polypectomy, Surgery +994, Colonoscopy due to hematochezia and personal history of colonic polyps., Surgery +995," Patient with active flare of Inflammatory Bowel Disease, not responsive to conventional therapy including sulfasalazine, cortisone, local therapy.", Surgery +996," Colonoscopy - Diarrhea, suspected irritable bowel", Surgery +997, Colonoscopy to evaluate prior history of neoplastic polyps., Surgery +998," Colonoscopy and biopsies, epinephrine sclerotherapy, hot biopsy cautery, and snare polypectomy. Colon cancer screening. Family history of colon polyps.", Surgery +999, Possible inflammatory bowel disease. Polyp of the sigmoid colon.. Total colonoscopy with photography and polypectomy., Surgery +1000, Mild-to-moderate diverticulosis. She was referred for a screening colonoscopy. There is no family history of colon cancer. No evidence of polyps or malignancy., Surgery +1001," Colonoscopy. Rectal bleeding and perirectal abscess. Normal colonoscopy to the terminal ileum. Opening in the skin at the external anal verge, consistent with drainage from a perianal abscess, with no palpable abscess at this time, and with no evidence of fistulous connection to the bowel lumen.", Surgery +1002, Universal diverticulosis and nonsurgical internal hemorrhoids. Total colonoscopy with photos. The patient is a 62-year-old white male who presents to the office with a history of colon polyps and need for recheck., Surgery +1003," History of polyps. Total colonoscopy and photography. Normal colonoscopy, left colonic diverticular disease. 3+ benign prostatic hypertrophy.", Surgery +1004, Colonoscopy. The Olympus video colonoscope then was introduced into the rectum and passed by directed vision to the cecum and into the terminal ileum. , Surgery +1005," Screening colonoscopy. Tiny polyps. If adenomatous, repeat exam in five years. ", Surgery +1006, Colonoscopy in a patient with prior history of anemia and abdominal bloating., Surgery +1007," Colonoscopy. The Olympus video colonoscope was inserted through the anus and was advanced in retrograde fashion through the sigmoid colon, descending colon, around the splenic flexure, into the transverse colon, around the hepatic flexure, down the ascending colon, into the cecum. ", Surgery +1008, Colonoscopy with terminal ileum examination. Iron deficiency anemia. Following titrated intravenous sedation the flexible video endoscope was introduced into the rectum and advanced to the cecum without difficulty. , Surgery +1009, Colon cancer screening and family history of polyps. Sigmoid diverticulosis and internal hemorrhoids., Surgery +1010, Colonoscopy. Change in bowel habits and rectal prolapse. Normal colonic mucosa to the cecum. , Surgery +1011," Colonoscopy. History of colon polyps and partial colon resection, right colon. Mild diverticulosis of the sigmoid colon. Hemorrhoids.", Surgery +1012," Closing wedge osteotomy, fifth metatarsal with internal screw fixation, right foot.", Surgery +1013," Juxtaductal coarctation of the aorta, dilated cardiomyopathy, bicuspid aortic valve, patent foramen ovale.", Surgery +1014," Closed reduction percutaneous pinning, left distal humerus. Closed type-III supracondylar fracture, left distal humerus. Tethered brachial artery, left elbow.", Surgery +1015," Colonoscopy due to rectal bleeding, constipation, abnormal CT scan, rule out inflammatory bowel disease.", Surgery +1016," Left upper extremity amputation. This 3-year-old male suffered amputation of his left upper extremity with complications of injury. He presents at this time for further attempts at closure. Left abdominal flap 5 x 5 cm to left forearm, debridement of skin, subcutaneous tissue, muscle, and bone, closure of wounds, placement of VAC negative pressure wound dressing.", Surgery +1017, Collar Tubes technique, Surgery +1018, Iron deficiency anemia. Diverticulosis in the sigmoid., Surgery +1019, Closure of multiple complex lacerations. Multiple complex lacerations of the periorbital area., Surgery +1020, Repair of bilateral cleft of the palate with vomer flaps., Surgery +1021," Trimalleolar ankle fracture and dislocation right ankle. A comminuted fracture involving the lateral malleolus, as well as a medial and posterior malleolus fracture as well. Closed open reduction and internal fixation of right ankle. ", Surgery +1022, Clear corneal temporal incision (no stitches). A lid speculum was placed in the fissure of the right eye., Surgery +1023, Right distal both-bone forearm fracture. Closed reduction under conscious sedation and application of a splint was warranted., Surgery +1024, Left distal both-bone forearm fracture. Closed reduction with splint application with use of image intensifier., Surgery +1025," Bilateral open mandible fracture, open left angle and open symphysis fracture. Closed reduction of mandible fracture with MMF.", Surgery +1026, Newborn circumcision. The penile foreskin was removed using Gomco. , Surgery +1027," Cleft soft palate. Repair of cleft soft palate and excise accessory ear tag, right ear. ", Surgery +1028, Circumcision and release of ventral chordee., Surgery +1029, Normal penis. The foreskin was normal in appearance and measured 1.6 cm. There was no bleeding at the circumcision site., Surgery +1030, Circumcision. Normal male phallus. The infant is without evidence of hypospadias or chordee prior to the procedure., Surgery +1031," Circumcision. A dorsal slit was made, and the prepuce was dissected away from the glans penis.", Surgery +1032," Release of ventral chordee, circumcision, and repair of partial duplication of urethral meatus.", Surgery +1033, Circumcision procedure in a baby, Surgery +1034, Circumcision in an older person, Surgery +1035, Normal Circumcision, Surgery +1036," Left and right coronary system cineangiography. Left ventriculogram. PCI to the left circumflex with a 3.5 x 12 and a 3.5 x 8 mm Vision bare-metal stents postdilated with a 3.75-mm noncompliant balloon x2. +", Surgery +1037," Left and right coronary system cineangiography, cineangiography of SVG to OM and LIMA to LAD. Left ventriculogram and aortogram. Percutaneous intervention of the left circumflex and obtuse marginal branch with plano balloon angioplasty unable to pass stent.", Surgery +1038, Circumcision. The child appeared to tolerate the procedure well. Care instructions were given to the parents., Surgery +1039, Placement of cholecystostomy tube under ultrasound guidance. Acute acalculous cholecystitis., Surgery +1040, Circumcision procedure (neotal), Surgery +1041, The patient had spraying of urine and ballooning of the foreskin with voiding., Surgery +1042, Laparoscopic cholecystectomy. Gallstone pancreatitis. Video laparoscopy revealed dense omental adhesions surrounding the gallbladder circumferentially. , Surgery +1043, Open cholecystectomy (attempted laparoscopic cholecystectomy)., Surgery +1044, Endoscopic retrograde cholangiopancreatography with brush cytology and biopsy., Surgery +1045," Resection of left chest wall tumor, partial resection of left diaphragm, left lower lobe lung wedge resection, left chest wall reconstruction with Gore-Tex mesh.", Surgery +1046, Laparoscopic cholecystectomy with cholangiogram., Surgery +1047," Left pleural effusion, parapneumonic, loculated. Left chest tube placement.", Surgery +1048, Delayed primary chest closure. Open chest status post modified stage 1 Norwood operation. The patient is a newborn with diagnosis of hypoplastic left heart syndrome who 48 hours prior to the current procedure has undergone a modified stage 1 Norwood operation., Surgery +1049," Removal of chest wall mass. The area of the mass, which was on the anterior lower ribs on the left side was marked and then a local anesthetic was injected.", Surgery +1050, Chest tube insertion done by two physicians in ER - spontaneous pneumothorax secondary to barometric trauma., Surgery +1051, Right hemothorax. Insertion of a #32 French chest tube on the right hemithorax. This is a 54-year-old female with a newly diagnosed carcinoma of the cervix. The patient is to have an Infuse-A-Port insertion., Surgery +1052, Bilateral pleural effusion. Removal of bilateral #32 French chest tubes with closure of wound., Surgery +1053," Repeat low-transverse cesarean section, bilateral tubal ligation (BTL), extensive anterior abdominal wall/uterine/bladder adhesiolysis. Term pregnancy and desires permanent sterilization.", Surgery +1054," Left total knee cemented arthroplasty. Severe tricompartmental osteoarthritis, left knee with varus deformity.", Surgery +1055," Cesarean Section. An incision was made as noted above in the findings and carried down through the subcutaneous tissue, muscular fascia and peritoneum. ", Surgery +1056, Laparoscopic resection of cecal polyp. Local anesthetic was infiltrated into the right upper quadrant where a small incision was made. Blunt dissection was carried down to the fascia which was grasped with Kocher clamps. , Surgery +1057, Left hip cemented hemiarthroplasty and biopsy of the tissue from the fracture site and resected femoral head sent to the pathology for further assessment., Surgery +1058, Right subclavian triple lumen central line placement, Surgery +1059, Insertion of central venous line and arterial line and transesophageal echocardiography probe., Surgery +1060, Central line insertion. Empyema thoracis and need for intravenous antibiotics., Surgery +1061," Cauterization of epistaxis, left nasal septum. Fiberoptic nasal laryngoscopy. Atrophic dry nasal mucosa. Epistaxis. Atrophic laryngeal changes secondary to inhaled steroid use.", Surgery +1062," Ultrasound-guided placement of multilumen central venous line, left femoral vein.", Surgery +1063," Temporal cheek-neck facelift and submental suction assisted lipectomy to correct facial and neck skin ptosis and cheek, neck, and jowl lipotosis, and facial rhytides.", Surgery +1064, Refractory priapism. Cavernosaphenous shunt. The patient presented with priapism x48 hours on this visit. The patient underwent corporal aspiration and Winter's shunt both of which failed, Surgery +1065, Normal cataract surgery. , Surgery +1066," Extracapsular cataract extraction with phacoemulsification and implantation of a posterior chamber intraocular lens, left eye.", Surgery +1067," Cataract to right eye. Cataract extraction with intraocular lens implant of the right eye, anterior vitrectomy of the right eye.", Surgery +1068, Right carpal tunnel release and right index and middle fingers release A1 pulley. Right carpal tunnel syndrome and right index finger and middle fingers tenosynovitis., Surgery +1069, Left knee arthroscopy with removal of the cartilage loose body and microfracture of the medial femoral condyle with chondroplasty., Surgery +1070, Extracapsular cataract extraction with posterior chamber intraocular lens placement by phacoemulsification. A peribulbar block was given to the eye using 8 cc of a mixture of 0.5% Marcaine without epinephrine mixed with Wydase plus one-half of 2% lidocaine without epinephrine., Surgery +1071," Cataract extraction with lens implantation, right eye. The lens was inspected and found to be free of defects, folded, and easily inserted into the capsular bag, and unfolded.", Surgery +1072, Left carpal tunnel release. Left carpal tunnel syndrome. Severe compression of the median nerve on the left at the wrist., Surgery +1073," Carpal tunnel syndrome. Open carpal tunnel release. A longitudinal incision was made in line with the 4th ray. The dissection was carried down to the superficial aponeurosis, which was cut. The distal edge of the transverse carpal ligament was identified with a hemostat. ", Surgery +1074, Right carpal tunnel release. Right carpal tunnel syndrome. This is a 54-year-old female who was complaining of right hand numbness and tingling of the median distribution and has elected to undergo carpal tunnel surgery secondary to failure of conservative management., Surgery +1075, Right carpal tunnel syndrome. Right carpal tunnel release., Surgery +1076," Right open carpal tunnel release and cortisone injection, left carpal tunnel.", Surgery +1077, Bilateral open carpal tunnel release., Surgery +1078," 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.", Surgery +1079," Left carpal tunnel release, left ulnar nerve anterior submuscular transposition at the elbow, lengthening of the flexor pronator muscle mass in the proximal forearm to accommodate the submuscular position of the ulnar nerve.", Surgery +1080, Endoscopic release of left transverse carpal ligament., Surgery +1081," Endoscopic release of left transverse carpal ligament. Steroid injection, stenosing tenosynovitis of right middle finger.", Surgery +1082, Left endoscopic carpal tunnel release and endotracheal fasciotomy., Surgery +1083," Right common carotid endarterectomy, internal carotid endarterectomy, external carotid endarterectomy, and Hemashield patch angioplasty of the right common, internal and external carotid arteries.", Surgery +1084," 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.", Surgery +1085," Carpal tunnel release with transverse carpal ligament reconstruction. A longitudinal incision was made in line with the fourth ray, from Kaplan's cardinal line proximally to 1 cm distal to the volar wrist crease. The dissection was carried down to the superficial aponeurosis. ", Surgery +1086, Right carotid stenosis and prior cerebrovascular accident. Right carotid endarterectomy with patch angioplasty., Surgery +1087, Direct-current cardioversion. This is a 53-year-old gentleman with history of paroxysmal atrial fibrillation for 3 years. Successful DC cardioversion of atrial fibrillation., Surgery +1088, Cardioversion. Unsuccessful direct current cardioversion with permanent atrial fibrillation., Surgery +1089, Direct current cardioversion. Successful direct current cardioversion with restoration of sinus rhythm from atrial fibrillation with no immediate complication. , Surgery +1090," Left carotid endarterectomy with endovascular patch angioplasty. Critical left carotid stenosis. The external carotid artery was occluded at its origin. When the endarterectomy was performed, the external carotid artery back-bled nicely. The internal carotid artery had good backflow bleeding noted.", Surgery +1091," Patient with a history of atrial fibrillation in the past, more recently who has had atrial flutter. The patient has noted some lightheadedness as well as chest discomfort and shortness of breath when atrial flutter recurred.", Surgery +1092, Left heart cardiac catheterization., Surgery +1093, Carious teeth and periodontal disease affecting all remaining teeth and partial bony impacted tooth #32. Extraction of teeth., Surgery +1094, Right carpal tunnel release., Surgery +1095, Cardioversion. An 86-year-old woman with a history of aortic valve replacement in the past with paroxysmal atrial fibrillation , Surgery +1096, Cardiac catheterization and coronary intervention report., Surgery +1097," Right heart and left heart catheterization by way of right femoral artery, right femoral vein, and right internal jugular vein.", Surgery +1098," White male with onset of chest pain, with history of on and off chest discomfort over the past several days.", Surgery +1099," Left heart catheterization with coronary angiography, vein graft angiography and left ventricular pressure measurement and angiography.", Surgery +1100," Left heart catheterization, left ventriculogram, selective coronary arteriography, aortic arch angiogram, right iliofemoral angiogram, #6 French Angio-Seal placement.", Surgery +1101, Cardiac catheterization. Coronary artery disease plus intimal calcification in the mid abdominal aorta without significant stenosis., Surgery +1102," Left Heart Catheterization. Chest pain, coronary artery disease, prior bypass surgery. Left coronary artery disease native. Patent vein graft with obtuse marginal vessel and also LIMA to LAD. Native right coronary artery is patent, mild disease.", Surgery +1103," Left heart catheterization, LV cineangiography, selective coronary angiography, and right heart catheterization with cardiac output by thermodilution technique with dual transducer.", Surgery +1104, The patient with atypical type right arm discomfort and neck discomfort., Surgery +1105, Percutaneous intervention with drug-eluting stent placement to the ostium of the PDA., Surgery +1106," Left Cardiac Catheterization, Left Ventriculography, Coronary Angiography and Stent Placement.", Surgery +1107, Patient with significant angina with moderate anteroapical ischemia on nuclear perfusion stress imaging only. He has been referred for cardiac catheterization., Surgery +1108, Left cardiac catheterization with selective right and left coronary angiography. Post infarct angina., Surgery +1109," Left calcaneal lengthening osteotomy with allograft, partial plantar fasciotomy, posterior subtalar and tibiotalar capsulotomy, and short leg cast placed.", Surgery +1110," Capsulotomy left breast and flat advancement V to Y, left breast, for correction of lower pole defect (breast assymetry) status post previous breast surgery.", Surgery +1111," Coronary artery bypass grafting (CABG) x2, left internal mammary artery to the left anterior descending and reverse saphenous vein graft to the circumflex, St. Jude proximal anastomosis used for vein graft. Off-pump Medtronic technique for left internal mammary artery, and a BIVAD technique for the circumflex.", Surgery +1112," Orthostatic cardiac allograft transplantation utilizing total cardiopulmonary bypass, open sternotomy covered with Ioban, insertion of Mahurkar catheter for hemofiltration via the left common femoral vein.", Surgery +1113," Cardiac Catheterization - An obese female with a family history of coronary disease and history of chest radiation for Hodgkin disease, presents with an acute myocardial infarction with elevated enzymes.", Surgery +1114," Redo coronary bypass grafting x3, right and left internal mammary, left anterior descending, reverse autogenous saphenous vein graft to the obtuse marginal and posterior descending branch of the right coronary artery. Total cardiopulmonary bypass, cold-blood potassium cardioplegia, antegrade for myocardial protection. Placement of a right femoral intraaortic balloon pump.", Surgery +1115," Coronary artery bypass grafting (CABG) x4. Progressive exertional angina, three-vessel coronary artery disease, left main disease, preserved left ventricular function.", Surgery +1116," Coronary bypass graft x2 utilizing left internal mammary artery, the left anterior descending, reverse autogenous reverse autogenous saphenous vein graft to the obtuse marginal. Total cardiopulmonary bypass, cold-blood potassium cardioplegia, antegrade for myocardial protection.", Surgery +1117," Coronary artery bypass grafting times three utilizing the left internal mammary artery, left anterior descending and reversed autogenous saphenous vein graft to the posterior descending branch of the right coronary artery and obtuse marginal coronary artery, total cardiopulmonary bypass, cold blood potassium cardioplegia, antegrade and retrograde, for myocardial protection.", Surgery +1118," Bunionectomy, right foot with Biopro hemi implant, right first metatarsophalangeal joint. Arthrodesis, right second, third, and fourth toes with external rod fixation. Hammertoe repair, right fifth toe. Extensor tenotomy and capsulotomy, right fourth metatarsophalangeal joint. Modified Tailor's bunionectomy, right fifth metatarsal. +", Surgery +1119," Bunionectomy, SCARF type, with metatarsal osteotomy and internal screw fixation, left and arthroplasty left second toe. Bunion left foot and hammertoe, left second toe.", Surgery +1120," Bunion, left foot. Bunionectomy with first metatarsal osteotomy base wedge type with internal screw fixation and Akin osteotomy with internal wire fixation of left foot.", Surgery +1121," Austin/akin bunionectomy, right foot. Bunion, right foot. The patient states she has had a bunion deformity for as long as she can remember that has progressively become worse and more painful.", Surgery +1122, A 60-year-old female presents today for care of painful calluses and benign lesions., Surgery +1123, Wide local excision of left buccal mucosal lesion with full thickness skin graft closure in the left supraclavicular region and adjacent tissue transfer closure of the left supraclavicular grafting site, Surgery +1124," Bunionectomy with distal first metatarsal osteotomy and internal screw fixation, right foot. Akin bunionectomy, right toe with internal wire fixation.", Surgery +1125, Repeat low transverse cervical cesarean section with delivery of a viable female neonate. Bilateral tubal ligation and partial salpingectomy. Lysis of adhesions., Surgery +1126," 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.", Surgery +1127, Lumbar osteomyelitis and need for durable central intravenous access. Placement of left subclavian 4-French Broviac catheter., Surgery +1128," Hairline biplanar temporal browlift, quadrilateral blepharoplasty, canthopexy, cervical facial rhytidectomy with purse-string SMAS elevation with submental lipectomy.", Surgery +1129, Plastic piece foreign body in the right main stem bronchus. Rigid bronchoscopy with foreign body removal., Surgery +1130," Bronchoscopy with brush biopsies. Persistent pneumonia, right upper lobe of the lung, possible mass.", Surgery +1131, Bronchoscopy with aspiration and left upper lobectomy. Carcinoma of the left upper lobe., Surgery +1132," Bronchoscopy with bronchoalveolar lavage. Refractory pneumonitis. A 69-year-old man status post trauma, slightly prolonged respiratory failure status post tracheostomy, requires another bronchoscopy for further evaluation of refractory pneumonitis.", Surgery +1133, Diagnostic fiberoptic bronchoscopy., Surgery +1134," Bronchoscopy brushings, washings and biopsies. Patient with a bilateral infiltrates, immunocompromised host, and pneumonia.", Surgery +1135," Fiberoptic bronchoscopy with endobronchial biopsies. A CT scan done of the chest there which demonstrated bilateral hilar adenopathy with extension to the subcarinal space as well as a large 6-cm right hilar mass, consistent with a primary lung carcinoma.", Surgery +1136," Diagnostic bronchoscopy and limited left thoracotomy with partial pulmonary decortication and insertion of chest tubes x2. Bilateral bronchopneumonia and empyema of the chest, left.", Surgery +1137, Bronchoscopy for hypoxia and increasing pulmonary secretions, Surgery +1138, Bronchoscopy for persistent cough productive of sputum requiring repeated courses of oral antibiotics over the last six weeks in a patient who is a recipient of a bone marrow transplant with end-stage chemotherapy and radiation-induced pulmonary fibrosis., Surgery +1139," Rigid bronchoscopy with dilation, excision of granulation tissue tumor, application of mitomycin-C, endobronchial ultrasound.", Surgery +1140, Excision of left breast mass. The mass was identified adjacent to the left nipple. It was freely mobile and it did not seem to hold the skin. , Surgery +1141," Bronchoscopy, right upper lobe biopsies and right upper lobe bronchial washing as well as precarinal transbronchial needle aspiration.", Surgery +1142," Rigid bronchoscopy, removal of foreign body, excision of granulation tissue tumor, bronchial dilation , Argon plasma coagulation, placement of a tracheal and bilateral bronchial stents.", Surgery +1143, Evaluation of airway for possible bacterial infection performed using bronchoalveolar lavage., Surgery +1144, Right breast excisional biopsy with needle-localization. The patient is a 41-year-old female with abnormal mammogram with a strong family history of breast cancer requesting needle-localized breast biopsy for nonpalpable breast mass., Surgery +1145, Fiberoptic bronchoscopy for diagnosis of right lung atelectasis and extensive mucus plugging in right main stem bronchus., Surgery +1146," Left breast mass and hypertrophic scar of the left breast. Excision of left breast mass and revision of scar. The patient is status post left breast biopsy, which showed a fibrocystic disease with now a palpable mass just superior to the previous biopsy site.", Surgery +1147, Bronchoscopy. Atelectasis and mucous plugging., Surgery +1148, Excisional breast biopsy with needle localization. The skin overlying the needle tip was incised in a curvilinear fashion. , Surgery +1149, Needle localization and left breast biopsy for left breast mass., Surgery +1150, Left excisional breast biopsy due to atypical ductal hyperplasia of left breast., Surgery +1151, Excision of right breast mass. Right breast mass with atypical proliferative cells on fine-needle aspiration., Surgery +1152," Brachytherapy, iodine-125 seed implantation, and cystoscopy.", Surgery +1153," Bilateral myringotomy and tube placement, tonsillectomy and adenoidectomy.", Surgery +1154," Tailor's bunion, right foot. Removal of bone, right fifth metatarsal head.", Surgery +1155," Surgical removal of completely bony impacted teeth #1, #16, #17, and #32. Completely bony impacted teeth #1, #16, #17, and #32.", Surgery +1156, Bilateral myringotomy tubes and adenoidectomy., Surgery +1157, Frontal craniotomy for placement of deep brain stimulator electrode. Microelectrode recording of deep brain structures. Intraoperative programming and assessment of device., Surgery +1158, Lower lid blepharoplasty., Surgery +1159," Dentigerous cyst, left mandible associated with full bone impacted wisdom tooth #17. Removal of benign cyst and extraction of full bone impacted tooth #17.", Surgery +1160, Blepharoplasty with direct brow repair., Surgery +1161, Quad blepharoplasty for blepharochalasia and lower lid large primary and secondary bagging., Surgery +1162, Excisional biopsy of skin nevus and two-layer plastic closure. Trichloroacetic acid treatment to left lateral nasal skin 2.5 cm to treat actinic keratosis., Surgery +1163," Right axillary adenopathy, thrombocytopenia, and hepatosplenomegaly. Right axillary lymph node biopsy.", Surgery +1164," Repair of entropion, left upper lid, with excision of anterior lamella and cryotherapy. Repairs of blepharon, entropion, right lower lid with mucous membrane graft.", Surgery +1165," Implantation of biventricular automatic implantable cardioverter defibrillator, fluoroscopic guidance for lead implantation for biventricular automatic implantable cardioverter defibrillator, coronary sinus venogram for left ventricular lead placement, and defibrillation threshold testing x2.", Surgery +1166," Cystoscopy, bladder biopsies, and fulguration. Bladder lesions with history of previous transitional cell bladder carcinoma, pathology pending.", Surgery +1167, Excisional biopsy of right cervical lymph node., Surgery +1168, Blepharoplasty procedure, Surgery +1169," Closure of bladder laceration, during cesarean section.", Surgery +1170," Cystoscopy, cystocele repair, BioArc midurethral sling.", Surgery +1171, Bilateral vasovasostomy surgery sample., Surgery +1172," Excisional biopsy of actinic keratosis and skin nevus, two-layer and one-layer plastic closures, ", Surgery +1173, Bilateral orbital frontozygomatic craniotomy with bilateral orbital advancement with Z-osteotomies and bilateral forehead reconstruction with autologous graft., Surgery +1174, Desires permanent sterilization. Laparoscopic bilateral tubal occlusion with Hulka clips., Surgery +1175," Bilateral myringotomies, placement of ventilating tubes, nasal endoscopy, and adenoidectomy.", Surgery +1176," Bilateral myringotomies with Armstrong grommet tubes, Adenoidectomy, and Tonsillectomy.", Surgery +1177, 3-1/2-year-old presents with bilateral scrotal swellings consistent with bilateral inguinal hernias., Surgery +1178, Bilateral upper lid blepharoplasty to correct bilateral upper eyelid dermatochalasis., Surgery +1179, Bilateral Myringotomy with placement of PE tubes, Surgery +1180, Bilateral carotid cerebral angiogram and right femoral-popliteal angiogram., Surgery +1181," Ruptured distal biceps tendon, right elbow. Repair of distal biceps tendon, right elbow.", Surgery +1182, Belly button piercing for insertion of belly button ring., Surgery +1183," Hematemesis in a patient with longstanding diabetes. Submucosal hemorrhage consistent with trauma from vomiting and grade 2 esophagitis. Mallory-Weiss tear, successful BICAP cautery. ", Surgery +1184," Excision of basal cell carcinoma. Closure complex, open wound. Bilateral capsulectomies. Bilateral explantation and removal of ruptured silicone gel implants", Surgery +1185," Bifrontal cranioplasty, cranial defect greater than 10 cm in diameter in the frontal region.", Surgery +1186," Excision of large basal cell carcinoma, right lower lid, and repaired with used dorsal conjunctival flap in the upper lid and a large preauricular skin graft.", Surgery +1187," Excision of nasal tip basal carcinoma, previous positive biopsy.", Surgery +1188," Excision basal cell carcinoma, right medial canthus with frozen section, and reconstruction of defect with glabellar rotation flap.", Surgery +1189, Right basilic vein transposition. End-stage renal disease with need for a long-term hemodialysis access. Excellent flow through fistula following the procedure., Surgery +1190, Creation of autologous right brachiobasilic arteriovenous fistula - first stage., Surgery +1191," Left axillary dissection with incision and drainage of left axillary mass. Right axillary mass excision and incision and drainage. Bilateral axillary masses, rule out recurrent Hodgkin's disease.", Surgery +1192, Left forearm arteriovenous fistula between cephalic vein and radial artery., Surgery +1193," Creation of AV fistula, left wrist in the anatomic snuffbox.", Surgery +1194, Creation of right brachiocephalic arteriovenous fistula., Surgery +1195," Tailor's bunionectomy with metatarsal osteotomy of the left fifth metatarsal. Excision of nerve lesion with implantation of the muscle belly of the left second interspace. Excision of nerve lesion in the left third interspace. +", Surgery +1196, Venogram of the left arm and creation of left brachiocephalic arteriovenous fistula., Surgery +1197," Austin-Moore bipolar hemiarthroplasty, left hip utilizing a medium fenestrated femoral stem with a medium 0.8 mm femoral head, a 50 mm bipolar cup. Displace subcapital fracture, left hip.", Surgery +1198," Austin bunionectomy with internal screw fixation, first metatarsal, left foot.", Surgery +1199," The patient is a 5-1/2-year-old with Down syndrome, complex heart disease consisting of atrioventricular septal defect and tetralogy of Fallot with pulmonary atresia, discontinuous pulmonary arteries and bilateral superior vena cava with a left cava draining to the coronary sinus and a right aortic arch. ", Surgery +1200," Austin-Akin bunionectomy with internal screw fixation of the first right metatarsophalangeal joint. Weil osteotomy with internal screw fixation, first right metatarsal. Arthroplasty, second right PIP joint.", Surgery +1201," Erythema of the right knee and leg, possible septic knee. Aspiration through the anterolateral portal of knee joint.", Surgery +1202," Ash split venous port insertion. The right anterior chest and supraclavicular fossa area, neck, and left side of chest were prepped with Betadine and draped in a sterile fashion.", Surgery +1203," Hemarthrosis, left knee, status post total knee replacement, rule out infection. Arthrotomy, irrigation and debridement, and polyethylene exchange, left knee. No complications were encountered throughout the procedure.", Surgery +1204," Arthroscopy of the left knee, left arthroscopic medial meniscoplasty of medial femoral condyle, and chondroplasty of the left knee as well. Chondromalacia of medial femoral condyle. Medial meniscal tear, left knee.", Surgery +1205," Arthrotomy, removal humeral head implant, right shoulder. Repair of torn subscapularis tendon (rotator cuff tendon) acute tear. Debridement glenohumeral joint. Biopsy and culturing the right shoulder.", Surgery +1206," Diagnostic arthroscopy exam under anesthesia, left shoulder. Debridement of chondral injury, left shoulder. Debridement, superior glenoid, left shoulder. Arthrotomy. Bankart lesion repair. Capsular shift, left shoulder (Mitek suture anchors; absorbable anchors with nonabsorbable sutures).", Surgery +1207," Excision of capsular mass and arthrotomy with ostectomy of lateral femoral condyle, right knee. Soft tissue mass and osteophyte lateral femoral condyle, right knee.", Surgery +1208," Partial rotator cuff tear, left shoulder. Arthroscopy of the left shoulder with arthroscopic rotator cuff debridement, soft tissue decompression of the subacromial space of the left shoulder.", Surgery +1209," Diagnostic arthroscopy with partial chondroplasty of patella, lateral retinacular release, and open tibial tubercle transfer with fixation of two 4.5 mm cannulated screws. Grade-IV chondromalacia patella and patellofemoral malalignment syndrome.", Surgery +1210," Rotator cuff tear, right shoulder. Superior labrum anterior and posterior lesion (peel-back), right shoulder. Arthroscopy with arthroscopic SLAP lesion. Repair of soft tissue subacromial decompression rotator cuff repair, right shoulder.", Surgery +1211," Arthroscopic rotator cuff repair, arthroscopic subacromial decompression, and arthroscopic extensive debridement, superior labrum anterior and posterior tear.", Surgery +1212," 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.", Surgery +1213," Arthroscopy with arthroscopic subacromial decompression of the left shoulder. Impingement syndrome, left shoulder. Rule out superior labrum anterior and posterior lesion, left shoulder.", Surgery +1214," Right shoulder arthroscopy, subacromial decompression, distal clavicle excision, bursectomy, and coracoacromial ligament resection, carpal tunnel release, left knee arthroscopy, and partial medial and lateral meniscectomy.", Surgery +1215, Primary right shoulder arthroscopic rotator cuff repair with subacromial decompression., Surgery +1216, Recurrent anterior dislocating left shoulder. Arthroscopic debridement of the left shoulder with attempted arthroscopic Bankart repair followed by open Bankart arthroplasty of the left shoulder., Surgery +1217, Arthroplasty of the right second digit. Hammertoe deformity of the right second digit., Surgery +1218," Hammertoe deformity, left fifth digit and ulceration of the left fifth digit plantolaterally. Arthroplasty of the left fifth digit proximal interphalangeal joint laterally and excision of plantar ulceration of the left fifth digit 3 cm x 1 cm in size.", Surgery +1219," Torn lateral meniscus and chondromalacia of the patella, right knee. Arthroscopic lateral meniscoplasty and patellar shaving of the right knee.", Surgery +1220, Laparoscopic appendectomy. Acute appendicitis., Surgery +1221," Femoroacetabular impingement. Left hip arthroscopic debridement, femoral neck osteoplasty, and labral repair.", Surgery +1222, Laparoscopic appendectomy. Acute suppurative appendicitis. A CAT scan of the abdomen and pelvis was obtained revealing findings consistent with acute appendicitis. There was no evidence of colitis on the CAT scan. , Surgery +1223, Bilateral Crawford subtalar arthrodesis with open Achilles Z-lengthening and bilateral long-leg cast., Surgery +1224," Acute appendicitis, gangrenous. Appendectomy.", Surgery +1225, Acute appendicitis and 29-week pregnancy. Appendectomy., Surgery +1226," Aortoiliac occlusive disease. Aortobifemoral bypass. The aorta was of normal size and consistency consistent with arteriosclerosis. A 16x8 mm Gore-Tex graft was placed without difficulty. The femoral vessels were small somewhat thin and there was posterior packing, but satisfactory bypass was performed.", Surgery +1227," Aortogram with bilateral, segmental lower extremity run off. Left leg claudication. The patient presents with lower extremity claudication. ", Surgery +1228," Rotated cuff tear, right shoulder. Glenoid labrum tear. Arthroscopy with arthroscopic glenoid labrum debridement, subacromial decompression, and rotator cuff repair, right shoulder.", Surgery +1229, Aortic valve replacement using a mechanical valve and two-vessel coronary artery bypass grafting procedure using saphenous vein graft to the first obtuse marginal artery and left radial artery graft to the left anterior descending artery., Surgery +1230, Laparoscopic appendectomy and peritoneal toilet and photos. Pelvic inflammatory disease and periappendicitis., Surgery +1231," Appendicitis, nonperforated. Appendectomy. A transverse right lower quadrant incision was made directly over the point of maximal tenderness. ", Surgery +1232," Irrigation and debridement of skin, subcutaneous tissue, fascia and bone associated with an open fracture and placement of antibiotic-impregnated beads. Open calcaneus fracture on the right.", Surgery +1233, Dementia and aortoiliac occlusive disease bilaterally. Aortobifemoral bypass surgery utilizing a bifurcated Hemashield graft., Surgery +1234, Anterior cervical discectomy for neural decompression and anterior interbody fusion C5-C6 utilizing Bengal cage. , Surgery +1235, Anterior cervical discectomy with spinal cord and spinal canal decompression and Anterior interbody fusion at C5-C6 utilizing Bengal cage., Surgery +1236," Anterior lumbar fusion, L4-L5, L5-S1, PEEK vertebral spacer, structural autograft from L5 vertebral body, BMP and anterior plate. Severe low back pain.", Surgery +1237, Arthroscopy of the left knee was performed with the anterior cruciate ligament reconstruction. Removal of loose bodies. Medial femoral chondroplasty and meniscoplasty., Surgery +1238," C5-C6 anterior cervical discectomy, allograft fusion, and anterior plating.", Surgery +1239, Anterior cervical discectomy and osteophytectomy. Application of prosthetic interbody fusion device. Anterior cervical interbody arthrodesis. Anterior cervical instrumentation, Surgery +1240," Anterior cervical discectomy with decompression, C5-C6, arthrodesis with anterior interbody fusion, C5-C6, spinal instrumentation, C5-C6 using Pioneer 18-mm plate and four 14 x 4.0 mm screws (all titanium), implant using PEEK 7 mm, and Allograft using Vitoss.", Surgery +1241," C4-C5, C5-C6 anterior cervical discectomy and fusion. The patient is a 62-year-old female who presents with neck pain as well as upper extremity symptoms. Her MRI showed stenosis at portion of C4 to C6.", Surgery +1242," Anterior cervical discectomy for neural decompression and anterior interbody fusion at C4-C5, C5-C6, and C6-C7 utilizing Bengal cages times three.", Surgery +1243," 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.", Surgery +1244, Anterior cervical discectomy with decompression of spinal cord. Anterior cervical fusion. Anterior cervical instrumentation. Insertion of intervertebral device. Use of operating microscope., Surgery +1245, Anterior cervical discectomy fusion C3-C4 and C4-C5 using operating microscope and the ABC titanium plates fixation with bone black bone procedure. Cervical spondylotic myelopathy with cord compression and cervical spondylosis., Surgery +1246," Anterior cervical discectomy at C5-C6 and C6-C7 for neural decompression and anterior interbody fusion at C5-C6 and C6-C7 utilizing Bengal cages x2. Anterior instrumentation by Uniplate construction C5, C6, and C7 with intraoperative x-ray x2.", Surgery +1247, Anterior cervical discectomy with decompression and arthrodesis with anterior interbody fusion. Spinal instrumentation using Pioneer 18-mm plate and four 14 x 4.3 mm screws (all titanium)., Surgery +1248," Radical anterior discectomy with removal of posterior osteophytes, foraminotomies, and decompression of the spinal canal. Anterior cervical fusion. Utilization of allograft for purposes of spinal fusion. Application of anterior cervical locking plate.", Surgery +1249," Herniated nucleus pulposus, C5-C6, with spinal stenosis. Anterior cervical discectomy with fusion C5-C6.", Surgery +1250," Anterior cervical discectomy with decompression C6-C7, arthrodesis with anterior interbody fusion C6-C7, spinal instrumentation using Pioneer 20 mm plate and four 12 x 4.0 mm screws, PEEK implant 7 mm, and Allograft using Vitoss.", Surgery +1251," Anterior cervical discectomy with decompression, anterior cervical fusion, anterior cervical instrumentation, and Allograft C5-C6.", Surgery +1252," 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.", Surgery +1253," Anterior cervical discectomy C4-C5 arthrodesis with 8 mm lordotic ACF spacer, corticocancellous, and stabilization with Synthes Vector plate and screws. Cervical spondylosis and herniated nucleus pulposus of C4-C5.", Surgery +1254, Anterior cervical discectomy at C5-6 and placement of artificial disk replacement. Right C5-C6 herniated nucleus pulposus., Surgery +1255," Anterior cervical discectomy, arthrodesis, partial corpectomy, Machine bone allograft, placement of anterior cervical plate with a Zephyr. +7. Microscopic dissection.", Surgery +1256," Herniated nucleus pulposus. Anterior cervical decompression, anterior spine instrumentation, anterior cervical spine fusion, and application of machined allograft.", Surgery +1257," Arthrodesis - anterior interbody technique, anterior cervical discectomy, anterior instrumentation with a 23-mm Mystique plate and the 13-mm screws, implantation of machine bone implant. Disc herniation with right arm radiculopathy.", Surgery +1258," Anterior cervical discectomy, removal of herniated disc and osteophytes, bilateral C4 nerve root decompression, harvesting of bone for autologous vertebral bodies for creation of arthrodesis, grafting of fibular allograft bone for creation of arthrodesis, creation of arthrodesis via an anterior technique with fibular allograft bone and autologous bone from the vertebral bodies, and placement of anterior spinal instrumentation using the operating microscope and microdissection technique.", Surgery +1259," C5-C6 anterior cervical discectomy, bone bank allograft, and anterior cervical plate. Left cervical radiculopathy.", Surgery +1260, 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., Surgery +1261, Anterior cervical discectomy and removal of herniated disk and osteophytes and decompression of spinal cord and bilateral nerve root decompression. Harvesting of autologous bone from the vertebral bodies. Grafting of allograft bone for creation of arthrodesis., Surgery +1262," Selective coronary angiography of the right coronary artery, left main LAD, left circumflex artery, left ventricular catheterization, left ventricular angiography, angioplasty of totally occluded mid RCA, arthrectomy using 6-French catheter, stenting of the mid RCA, stenting of the proximal RCA, femoral angiography and Perclose hemostasis.", Surgery +1263," Adenotonsillectomy, primary, patient under age 12.", Surgery +1264, Adenoidectomy. Adenoid hypertrophy. The McIvor mouth gag was placed in the oral cavity and the tongue depressor applied. , Surgery +1265, The Ahmed shunt was primed and placed in the superior temporal quadrant and it was sutured in place with two 8-0 nylon sutures. The knots were trimmed. , Surgery +1266, Laparoscopic hand-assisted left adrenalectomy and umbilical hernia repair. Patient with a 5.5-cm diameter nonfunctioning mass in his right adrenal., Surgery +1267," Left heart catheterization, bilateral selective coronary angiography, left ventriculography, and right heart catheterization. Positive nuclear stress test involving reversible ischemia of the lateral wall and the anterior wall consistent with left anterior descending artery lesion.", Surgery +1268," Lower extremity angiogram, superficial femoral artery laser atherectomy and percutaneous transluminal balloon angioplasty, external iliac artery angioplasty and stent placement, and completion angiogram.", Surgery +1269," Grade 1 endometrial adenocarcinoma and low-grade mesothelioma of the ovary - Omentectomy, pelvic lymph node dissection, and laparoscopy.", Surgery +1270, Adenoidectomy procedure, Surgery +1271, Adenotonsillectomy. Adenotonsillitis with hypertrophy. The patient is a very nice patient with adenotonsillitis with hypertrophy and obstructive symptoms. Adenotonsillectomy is indicated., Surgery +1272, Adenotonsillectomy. Recurrent tonsillitis. The adenoid bed was examined and was moderately hypertrophied. Adenoid curettes were used to remove this tissue and packs placed. , Surgery +1273, Bilateral open Achilles lengthening with placement of short leg walking cast., Surgery +1274, Adenoidectomy and tonsillectomy and lingual frenulectomy. Chronic adenotonsillitis and ankyloglossia., Surgery +1275," Achilles tendon rupture, left lower extremity. Primary repair left Achilles tendon. The patient was stepping off a hilo at work when he felt a sudden pop in the posterior aspect of his left leg. The patient was placed in posterior splint and followed up at ABC orthopedics for further care.", Surgery +1276, Removal of the hardware and revision of right AC separation. Loose hardware with superior translation of the clavicle implants. Arthrex bioabsorbable tenodesis screws., Surgery +1277," Excision of abscess, removal of foreign body. Repair of incisional hernia. Recurrent re-infected sebaceous cyst of abdomen. Abscess secondary to retained foreign body and incisional hernia.", Surgery +1278, Congenital chylous ascites and chylothorax and rule out infradiaphragmatic lymphatic leak. Diffuse intestinal and mesenteric lymphangiectasia. , Surgery +1279," Incision and drainage (I&D) of abdominal abscess, excisional debridement of nonviable and viable skin, subcutaneous tissue and muscle, then removal of foreign body.", Surgery +1280, Speech therapy discharge summary. The patient was admitted for skilled speech therapy secondary to cognitive-linguistic deficits. , Speech - Language +1281," Global aphasia. The patient is referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy, status post stroke. ", Speech - Language +1282," The patient was referred for outpatient skilled speech therapy, secondary to right hemisphere disorder, status post stroke. The patient attended nine outpatient skilled speech therapy sessions.", Speech - Language +1283, The patient was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy to improve her functional communication skills and swallowing function and safety., Speech - Language +1284," Abdominosacrocolpopexy, enterocele repair, cystoscopy, and lysis of adhesions.", Surgery +1285," Status post brain tumor with removal. The patient 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. ", Speech - Language +1286, Cognitive linguistic impairment secondary to stroke. The patient was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy secondary to cognitive linguistic deficits. , Speech - Language +1287," The patient is a 67-year-old white female with a history of uterine papillary serous carcinoma who is status post 6 cycles of carboplatin and Taxol, is here today for followup. ", SOAP / Chart / Progress Notes +1288, The patient was referred for an outpatient speech and language pathology consult to increase speech and swallowing abilities. The patient 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 patient to achieve hands-free voicing., Speech - Language +1289," This is a pleasant 50-year-old female who has undergone an APR secondary to refractory ulcerative colitis. Overall, her quality of life has significantly improved since she had her APR. She is functioning well with her ileostomy. ", SOAP / Chart / Progress Notes +1290, Followup on weight loss on phentermine., SOAP / Chart / Progress Notes +1291," Chronic laryngitis, hoarseness. The patient was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy secondary to voicing difficulties. ", Speech - Language +1292, , Speech - Language +1293, Comes in complaining that he was stung by a Yellow Jacket Wasp yesterday and now has a lot of swelling in his right hand and right arm., SOAP / Chart / Progress Notes +1294, Evaluation of possible tethered cord. She underwent a lipomyomeningocele repair at 3 days of age and then again at 3-1/2 years of age. , SOAP / Chart / Progress Notes +1295, Sore throat - Upper respiratory infection., SOAP / Chart / Progress Notes +1296," Postoperative day #1, total abdominal hysterectomy. Normal postoperative course.", SOAP / Chart / Progress Notes +1297," The patient comes for three-week postpartum checkup, complaining of allergies.", SOAP / Chart / Progress Notes +1298," Essential thrombocytosis. He underwent a bone marrow biopsy, which showed essential thrombocytosis. His CBC has been very stable. ", SOAP / Chart / Progress Notes +1299, Patient with immune thrombocytopenia, SOAP / Chart / Progress Notes +1300," Persistent frequency and urgency, in a patient with a history of neurogenic bladder and history of stroke. ", SOAP / Chart / Progress Notes +1301," The patient noted for improving retention of urine, postop vaginal reconstruction, very concerned of possible vaginal prolapse.", SOAP / Chart / Progress Notes +1302," He got addicted to drugs. He decided it would be a good idea to get away from the ""bad crowd"" and come up and live with his mom.", SOAP / Chart / Progress Notes +1303," The patient is admitted for shortness of breath, continues to do fairly well. The patient has chronic atrial fibrillation, on anticoagulation, INR of 1.72. The patient did undergo echocardiogram, which shows aortic stenosis, severe. The patient does have an outside cardiologist. ", SOAP / Chart / Progress Notes +1304," She is a 79-year-old female who came in with acute cholecystitis and underwent attempted laparoscopic cholecystectomy 8 days ago. The patient 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 patient is starting to improve, gain more strength. She is tolerating her regular diet.", SOAP / Chart / Progress Notes +1305," Pulmonary disorder with lung mass, pleural effusion, and chronic uncontrolled atrial fibrillation secondary to pulmonary disorder. The patient is admitted for lung mass and also pleural effusion. The patient had a chest tube placement, which has been taken out. The patient has chronic atrial fibrillation, on anticoagulation. ", SOAP / Chart / Progress Notes +1306," Numbness and tingling in the right upper extremity, intermittent and related to the positioning of the wrist. Carpal tunnel syndrome suspected.", SOAP / Chart / Progress Notes +1307, MRI demonstrated right contrast-enhancing temporal mass., SOAP / Chart / Progress Notes +1308, Followup after a full-night sleep study performed to evaluate her for daytime fatigue and insomnia. This patient presents with history of sleep disruption and daytime sleepiness with fatigue. Her symptoms are multifactorial., SOAP / Chart / Progress Notes +1309, The patient was admitted approximately 3 days ago with increasing shortness of breath secondary to pneumonia. Pulmonary Medicine Associates have been contacted to consult in light of the ICU admission. , SOAP / Chart / Progress Notes +1310, Followup of moderate-to-severe sleep apnea. The patient returns today to review his response to CPAP. Recommended a fiberoptic ENT exam to exclude adenoidal tissue that may be contributing to obstruction. , SOAP / Chart / Progress Notes +1311," Refractory hypertension, much improved, history of cardiac arrhythmia and history of pacemaker secondary to AV block, history of GI bleed, and history of depression.", SOAP / Chart / Progress Notes +1312," A 33-year-old black male with main complaint of sexual dysfunction, would like to try Cialis.", SOAP / Chart / Progress Notes +1313, Epicondylitis. history of lupus. Injected with 40-mg of Kenalog mixed with 1 cc of lidocaine., SOAP / Chart / Progress Notes +1314, Patient returns to Pulmonary Medicine Clinic for followup evaluation of COPD and emphysema., SOAP / Chart / Progress Notes +1315," Followup left-sided rotator cuff tear and cervical spinal stenosis. Physical examination and radiographic findings are compatible with left shoulder pain and left upper extremity pain, which is due to a combination of left-sided rotator cuff tear and moderate cervical spinal stenosis.", SOAP / Chart / Progress Notes +1316," A 6-year-old male with attention deficit hyperactivity disorder, doing fairly well with the Adderall.", SOAP / Chart / Progress Notes +1317, Pulmonary Medicine Clinic for followup evaluation of interstitial disease secondary to lupus pneumonitis., SOAP / Chart / Progress Notes +1318, A 16-year-old male with Q-fever endocarditis., SOAP / Chart / Progress Notes +1319," Moderately differentiated adenocarcinoma, 1+ enlarged prostate with normal seminal vesicles.", SOAP / Chart / Progress Notes +1320, Moderate to poorly differentiated adenocarcinoma in the right lobe and poorly differentiated tubular adenocarcinoma in the left lobe of prostate., SOAP / Chart / Progress Notes +1321, A 65-year-old man with chronic prostatitis returns for recheck., SOAP / Chart / Progress Notes +1322," Prostate gland showing moderately differentiated infiltrating adenocarcinoma - Excised prostate including capsule, pelvic lymph nodes, seminal vesicles, and small portion of bladder neck.", SOAP / Chart / Progress Notes +1323," Complete urinary obstruction, underwent a transurethral resection of the prostate - adenocarcinoma of the prostate.", SOAP / Chart / Progress Notes +1324, The patient returns for followup evaluation 21 months after undergoing prostate fossa irradiation for recurrent Gleason 8 adenocarcinoma. Concerning slow ongoing rise in PSA., SOAP / Chart / Progress Notes +1325, Acute supraglottitis with airway obstruction and parapharyngeal cellulitis and peritonsillar cellulitis., SOAP / Chart / Progress Notes +1326," Patient seen initially with epigastric and right upper quadrant abdominal pain, nausea, dizziness, and bloating.", SOAP / Chart / Progress Notes +1327, Patient developed iron deficiency anemia and had blood in his stool. , SOAP / Chart / Progress Notes +1328, Polycythemia rubra vera. The patient is an 83-year-old female with a history of polycythemia vera. She comes in to clinic today for followup. She has not required phlebotomies for several months., SOAP / Chart / Progress Notes +1329, This patient is one-day postop open parathyroid exploration with subtotal parathyroidectomy and intraoperative PTH monitoring for parathyroid hyperplasia. She has had an uneventful postoperative night. , SOAP / Chart / Progress Notes +1330, Followup for polycythemia vera with secondary myelofibrosis. JAK-2 positive myeloproliferative disorder. He is not a candidate for chlorambucil or radioactive phosphorus because of his young age and the concern for secondary malignancy., SOAP / Chart / Progress Notes +1331, Plantar fascitis/heel spur syndrome. The patient was given injections of 3 cc 2:1 mixture of 1% lidocaine plain with dexamethasone phospate., SOAP / Chart / Progress Notes +1332," Posttransplant lymphoproliferative disorder, chronic renal insufficiency, squamous cell carcinoma of the skin, anemia secondary to chronic renal insufficiency and chemotherapy, and hypertension. The patient is here for followup visit and chemotherapy.", SOAP / Chart / Progress Notes +1333," A 44-year-old, 250-pound male presents with extreme pain in his left heel.", SOAP / Chart / Progress Notes +1334," Outpatient rehabilitation physical therapy progress note. A 52-year-old male referred to physical therapy secondary to chronic back pain, weakness, and debilitation secondary to chronic pain. ", SOAP / Chart / Progress Notes +1335, Six-month follow-up visit for paroxysmal atrial fibrillation (PAF). She reports that she is getting occasional chest pains with activity. Sometimes she feels that at night when she is lying in bed and it concerns her., SOAP / Chart / Progress Notes +1336, Pain management sample progress note., SOAP / Chart / Progress Notes +1337, Overactive bladder with microscopic hematuria., SOAP / Chart / Progress Notes +1338," The patient is now on his third postoperative day for an open reduction and internal fixation for two facial fractures, as well as open reduction nasal fracture. He is on his eighth hospital day.", SOAP / Chart / Progress Notes +1339, A 47-year-old white female presents with concern about possible spider bite to the left side of her neck., SOAP / Chart / Progress Notes +1340," Maculopapular rash in kind of a linear pattern over arms, legs, and chest area which are consistent with a poison ivy or a poison oak.", SOAP / Chart / Progress Notes +1341, Followup visit status post removal of external fixator and status post open reduction internal fixation of right tibial plateau fracture., SOAP / Chart / Progress Notes +1342, Ophthalmology followup visit note., SOAP / Chart / Progress Notes +1343," Orthopedic progress note for follow up of osteoarthritis, knees.", SOAP / Chart / Progress Notes +1344, Ophthalmology followup visit note., SOAP / Chart / Progress Notes +1345," MGUS. His bone marrow biopsy showed a normal cellular bone marrow; however, there were 10% plasma cells and we proceeded with the workup for a plasma cell dyscrasia. All his tests came back as consistent with an MGUS.", SOAP / Chart / Progress Notes +1346," Septic from nephrolithiasis - Nephrolithiasis status post lithotripsy and stent placed in the left ureter, urinary incontinence, recent sepsis.", SOAP / Chart / Progress Notes +1347, A woman with end-stage peritoneal mesothelioma with multiple bowel perforations., SOAP / Chart / Progress Notes +1348," Multiple Progress Notes for different dates in a patient with respiratory failure, on ventilator.", SOAP / Chart / Progress Notes +1349," Patient with multiple medical problems (Alzheimer’s dementia, gradual weight loss, fatigue, etc.)", SOAP / Chart / Progress Notes +1350," Obesity hypoventilation syndrome. A 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study.", SOAP / Chart / Progress Notes +1351, A 61-year-old white male with a diagnosis of mantle cell lymphoma status post autologous transplant with BEAM regimen followed by relapse. Allogeneic peripheral stem cell transplant from match-related brother and the patient is 53 months out from transplant., SOAP / Chart / Progress Notes +1352," Reason for ICU followup today is acute anemia secondary to upper GI bleeding with melena with dropping hemoglobin from 11 to 8, status post transfusion of 2 units PRBCs with EGD performed earlier today by Dr. X of Gastroenterology confirming diagnosis of ulcerative esophagitis, also for continuing chronic obstructive pulmonary disease exacerbation with productive cough, infection and shortness of breath. ", SOAP / Chart / Progress Notes +1353, Follicular non-Hodgkin's lymphoma. Biopsy of a left posterior auricular lymph node and pathology showed follicular non-Hodgkin's lymphoma. Received six cycles of CHOP chemotherapy. , SOAP / Chart / Progress Notes +1354, Neurologic examination sample. , SOAP / Chart / Progress Notes +1355, Extensive stage small cell lung cancer. Chemotherapy with carboplatin and etoposide. Left scapular pain status post CT scan of the thorax., SOAP / Chart / Progress Notes +1356, Patient is here to discuss possible open lung biopsy., SOAP / Chart / Progress Notes +1357," A female who has pain in her legs at nighttime that comes and goes, radiates from her buttocks to her legs, sometimes in her ankle.", SOAP / Chart / Progress Notes +1358, History of right leg pain. Leg pain is no longer present., SOAP / Chart / Progress Notes +1359, Patient status post lap band placement., SOAP / Chart / Progress Notes +1360, Patient with a history of ischemic cardiac disease and hypercholesterolemia., SOAP / Chart / Progress Notes +1361, The patient is a 65-year-old female who underwent left upper lobectomy for stage IA non-small cell lung cancer. She returns for a routine surveillance visit. The patient has no evidence of disease now status post left upper lobectomy for stage IA non-small cell lung cancer 13 months ago., SOAP / Chart / Progress Notes +1362," Followup status post L4-L5 laminectomy and bilateral foraminotomies, and L4-L5 posterior spinal fusion with instrumentation.", SOAP / Chart / Progress Notes +1363, This patient has reoccurring ingrown infected toenails., SOAP / Chart / Progress Notes +1364," Patient with hypertension, syncope, and spinal stenosis - for recheck.", SOAP / Chart / Progress Notes +1365," Human immunodeficiency virus, stable on Trizivir. Hepatitis C with stable transaminases. History of depression, stable off meds. Hypertension, moderately controlled on meds.", SOAP / Chart / Progress Notes +1366," Upper respiratory tract infection, persistent. Tinea pedis. Wart on the finger. Hyperlipidemia. Tobacco abuse.", SOAP / Chart / Progress Notes +1367," One-month followup for unintentional weight loss, depression, paranoia, dementia, and osteoarthritis of knees. Doing well.", SOAP / Chart / Progress Notes +1368, Patient today with multiple issues. , SOAP / Chart / Progress Notes +1369," Human immunodeficiency virus disease with stable control on Atripla. Resolving left gluteal abscess, completing Flagyl. Diabetes mellitus, currently on oral therapy. Hypertension, depression, and chronic musculoskeletal pain of unclear etiology.", SOAP / Chart / Progress Notes +1370," Patient with several medical problems - mouth being sore, cough, right shoulder pain, and neck pain", SOAP / Chart / Progress Notes +1371," Followup of left hand discomfort and systemic lupus erythematosus. Carpal tunnel involving the left wrist with sensory change, but no evidence of motor change.", SOAP / Chart / Progress Notes +1372, The patient has recently had an admission for pneumonia with positive blood count. She returned after vomiting and a probable seizure., SOAP / Chart / Progress Notes +1373, The patient has NG tube in place for decompression., SOAP / Chart / Progress Notes +1374," Patient with NIDDM, hypertension, CAD status post CABG, hyperlipidemia, etc.", SOAP / Chart / Progress Notes +1375," Short-term followup - Hypertension, depression, osteoporosis, and osteoarthritis.", SOAP / Chart / Progress Notes +1376," General Medicine SOAP note. Patient with shoulder bursitis, pharyngitis, attention deficit disorder, ", SOAP / Chart / Progress Notes +1377, General Medicine SOAP note., SOAP / Chart / Progress Notes +1378," Palpitations, possibly related to anxiety. Fatigue. Loose stools with some green color and also some nausea.", SOAP / Chart / Progress Notes +1379, Sample progress note - Gen Med., SOAP / Chart / Progress Notes +1380, General Medicine SOAP note., SOAP / Chart / Progress Notes +1381," Multiple problems including left leg swelling, history of leukocytosis, joint pain left shoulder, low back pain, obesity, frequency with urination, and tobacco abuse.", SOAP / Chart / Progress Notes +1382, Sample progress note - Gen Med., SOAP / Chart / Progress Notes +1383," A 3-year-old male brought in by his mother with concerns about his eating - a very particular eater, not eating very much in general.", SOAP / Chart / Progress Notes +1384, Patient with a three-day history of emesis and a four-day history of diarrhea, SOAP / Chart / Progress Notes +1385, A 62-year-old white female with multiple chronic problems including hypertension and a lipometabolism disorder., SOAP / Chart / Progress Notes +1386, The patient is in complaining of headaches and dizzy spells., SOAP / Chart / Progress Notes +1387, Sepsis due to urinary tract infection., SOAP / Chart / Progress Notes +1388," Rhabdomyolysis, acute on chronic renal failure, anemia, leukocytosis, elevated liver enzyme, hypertension, elevated cardiac enzyme, obesity.", SOAP / Chart / Progress Notes +1389, Sample progress note - Gen Med., SOAP / Chart / Progress Notes +1390," Patient comes in for two-month followup - Hypertension, family history of CVA, Compression fracture of L1, and osteoarthritis of knee.", SOAP / Chart / Progress Notes +1391, Sample progress note - Gen Med., SOAP / Chart / Progress Notes +1392, Patient having foot pain., SOAP / Chart / Progress Notes +1393, The patient states that he feels sick and weak., SOAP / Chart / Progress Notes +1394, Followup of laparoscopic fundoplication and gastrostomy. Laparoscopic fundoplication and gastrostomy was done because of the need for enteral feeding access., SOAP / Chart / Progress Notes +1395," Follow up consultation, second opinion, foreskin.", SOAP / Chart / Progress Notes +1396," 5-month recheck on type II diabetes mellitus, as well as hypertension.", SOAP / Chart / Progress Notes +1397," Chronic glossitis, xerostomia, probable environmental inhalant allergies, probable food allergies, and history of asthma.", SOAP / Chart / Progress Notes +1398, Fifth disease with sinusitis, SOAP / Chart / Progress Notes +1399, Preop evaluation regarding gastric bypass surgery., SOAP / Chart / Progress Notes +1400, Patient with complaint of a very painful left foot because of the lesions on the bottom of the foot. , SOAP / Chart / Progress Notes +1401, Evaluation and recommendations regarding facial rhytids., SOAP / Chart / Progress Notes +1402, Followup 4 months status post percutaneous screw fixation of a right Schatzker IV tibial plateau fracture and second through fifth metatarsal head fractures treated nonoperatively., SOAP / Chart / Progress Notes +1403," Dietary consultation for hyperlipidemia, hypertension, gastroesophageal reflux disease and weight reduction.", SOAP / Chart / Progress Notes +1404, Recurrent urinary tract infection in a patient recently noted for another Escherichia coli urinary tract infection., SOAP / Chart / Progress Notes +1405," Stage IIIC endometrial cancer. Adjuvant chemotherapy with cisplatin, Adriamycin, and Abraxane. The patient is a 47-year-old female who was noted to have abnormal vaginal bleeding in the fall of 2009. ", SOAP / Chart / Progress Notes +1406," Some improvement of erectile dysfunction, on low dose of Cialis, with no side effects. ", SOAP / Chart / Progress Notes +1407," A 46-year-old white male with Down’s syndrome presents for followup of hypothyroidism, as well as onychomycosis.", SOAP / Chart / Progress Notes +1408," Followup dietary consultation for hyperlipidemia, hypertension, and possible metabolic syndrome", SOAP / Chart / Progress Notes +1409, The patient is brought in by an assistant with some of his food diary sheets., SOAP / Chart / Progress Notes +1410, Dietary consultation for gestational diabetes., SOAP / Chart / Progress Notes +1411," Counting calorie points, exercising pretty regularly, seems to be doing well", SOAP / Chart / Progress Notes +1412, Dietary consultation for diabetes during pregnancy., SOAP / Chart / Progress Notes +1413," The patient 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.", SOAP / Chart / Progress Notes +1414, Patient today with ongoing issues with diabetic control., SOAP / Chart / Progress Notes +1415, Dietary consult for a 79-year-old African-American female diagnosed with type 2 diabetes in 1983., SOAP / Chart / Progress Notes +1416, Elevated PSA with nocturia and occasional daytime frequency., SOAP / Chart / Progress Notes +1417," Followup diabetes mellitus, type 1.", SOAP / Chart / Progress Notes +1418, Hand dermatitis., SOAP / Chart / Progress Notes +1419, An 83-year-old diabetic female presents today stating that she would like diabetic foot care., SOAP / Chart / Progress Notes +1420," The patient is a 40-year-old female with a past medical history of repair of deviated septum with complication of a septal perforation. At this time, the patient states that her septal perforation bothers her as she feels that she has very dry air through her nose as well as occasional epistaxis.", SOAP / Chart / Progress Notes +1421, Elevated cholesterol and is on medication to lower it., SOAP / Chart / Progress Notes +1422, Return visit to the endocrine clinic for followup management of type 1 diabetes mellitus. Plan today is to make adjustments to her pump based on a total daily dose of 90 units of insulin., SOAP / Chart / Progress Notes +1423," Acute on chronic COPD exacerbation and community acquired pneumonia both resolving. However, she may need home O2 for a short period of time.", SOAP / Chart / Progress Notes +1424, The patient is a 61-year-old female who was treated with CyberKnife therapy to a right upper lobe stage IA non-small cell lung cancer. CyberKnife treatment was completed one month ago. She is now being seen for her first post-CyberKnife treatment visit., SOAP / Chart / Progress Notes +1425," Postoperative visit for craniopharyngioma with residual disease. According to him, he is doing well, back at school without any difficulties. He has some occasional headaches and tinnitus, but his vision is much improved.", SOAP / Chart / Progress Notes +1426," Still having diarrhea, decreased appetite.", SOAP / Chart / Progress Notes +1427," D&C and hysteroscopy. Abnormal uterine bleeding, enlarged fibroid uterus, hypermenorrhea, intermenstrual spotting, and thickened endometrium per ultrasound of a 2 cm lining. +6. Grade 1+ rectocele.", SOAP / Chart / Progress Notes +1428, Followup circumcision. The patient had a pretty significant phimosis and his operative course was smooth. Satisfactory course after circumcision for severe phimosis with no perioperative complications., SOAP / Chart / Progress Notes +1429," Chronic kidney disease, stage IV, secondary to polycystic kidney disease. Hypertension, which is finally better controlled. Metabolic bone disease and anemia.", SOAP / Chart / Progress Notes +1430," Patient with hip pain, osteoarthritis, lumbar spondylosis, chronic sacroiliitis, etc.", SOAP / Chart / Progress Notes +1431," Followup evaluation and management of chronic medical conditions. Congestive heart failure, stable on current regimen. Diabetes type II, A1c improved with increased doses of NPH insulin. Hyperlipidemia, chronic renal insufficiency, and arthritis.", SOAP / Chart / Progress Notes +1432," Type 1 diabetes mellitus, insulin pump requiring. Chronic kidney disease, stage III. Sweet syndrome, hypertension, and dyslipidemia.", SOAP / Chart / Progress Notes +1433," Postoperative followup note - Cervicalgia, cervical radiculopathy, and difficulty swallowing status post cervical fusion C3 through C7 with lifting of the plate.", SOAP / Chart / Progress Notes +1434, A lady was admitted to the hospital with chest pain and respiratory insufficiency. She has chronic lung disease with bronchospastic angina., SOAP / Chart / Progress Notes +1435," 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.", SOAP / Chart / Progress Notes +1436," 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.", SOAP / Chart / Progress Notes +1437, 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 patient with code last night with CPR and advanced cardiac life support., SOAP / Chart / Progress Notes +1438, A 60-year-old female presents today for care of painful calluses and benign lesions., SOAP / Chart / Progress Notes +1439, Problem of essential hypertension. Symptoms that suggested intracranial pathology., SOAP / Chart / Progress Notes +1440," He is a 67-year-old man who suffers from chronic anxiety and coronary artery disease and DJD. He has been having some chest pains, but overall he does not sound too concerning. He does note some more shortness of breath than usual. He has had no palpitations or lightheadedness. No problems with edema.", SOAP / Chart / Progress Notes +1441, Congestive heart failure due to rapid atrial fibrillation and systolic dysfunction., SOAP / Chart / Progress Notes +1442, Dietary consultation for carbohydrate counting for type I diabetes., SOAP / Chart / Progress Notes +1443, The patient seeks evaluation for a second opinion concerning cataract extraction. , SOAP / Chart / Progress Notes +1444," Breast radiation therapy followup note. Left breast adenocarcinoma stage T3 N1b M0, stage IIIA.", SOAP / Chart / Progress Notes +1445," Atrial fibrillation with rapid ventricular response, Wolff-Parkinson White Syndrome, recent aortic valve replacement with bioprosthetic Medtronic valve, and hyperlipidemia.", SOAP / Chart / Progress Notes +1446," A nurse with a history of breast cancer enrolled is clinical trial C40502. Her previous treatments included Zometa, Faslodex, and Aromasin. She was found to have disease progression first noted by rising tumor markers.", SOAP / Chart / Progress Notes +1447," School reports continuing difficulties with repetitive questioning, obsession with cleanness on a daily basis, concerned about his inability to relate this well in the classroom. Asperger disorder. Obsessive compulsive disorder.", SOAP / Chart / Progress Notes +1448," Stage IIA right breast cancer. The pathology showed an infiltrating ductal carcinoma Nottingham grade II. The tumor was ER positive, PR positive and HER-2/neu negative.", SOAP / Chart / Progress Notes +1449, A 75-year-old female comes in with concerns of having a stroke., SOAP / Chart / Progress Notes +1450, A critically ill 67-year-old with multiple medical problems probably still showing signs of volume depletion with hypotension and atrial flutter with difficult to control rate., SOAP / Chart / Progress Notes +1451," Aplastic anemia. After several bone marrow biopsies, she was diagnosed with aplastic anemia. She started cyclosporine and prednisone.", SOAP / Chart / Progress Notes +1452," Return visit to the endocrine clinic for acquired hypothyroidism, papillary carcinoma of the thyroid gland status post total thyroidectomy in 1992, and diabetes mellitus.", SOAP / Chart / Progress Notes +1453, Acne with folliculitis., SOAP / Chart / Progress Notes +1454," EEG during wakefulness, drowsiness, and sleep with synchronous video monitoring demonstrated no evidence of focal or epileptogenic activity.", Sleep Medicine +1455, A 23-year-old white female presents with complaint of allergies., SOAP / Chart / Progress Notes +1456," Chronic lymphocytic leukemia (CLL), autoimmune hemolytic anemia, and oral ulcer. The patient was diagnosed with chronic lymphocytic leukemia and was noted to have autoimmune hemolytic anemia at the time of his CLL diagnosis.", SOAP / Chart / Progress Notes +1457," EEG during wakefulness and light sleep is abnormal with independent, positive sharp wave activity seen in both frontotemporal head regions, more predominant in the right frontotemporal region.", Sleep Medicine +1458, The patient has a history of epilepsy and has also had non-epileptic events in the past. Video EEG monitoring is performed to assess whether it is epileptic seizures or non-epileptic events., Sleep Medicine +1459, This is a 43-year-old female with a history of events concerning for seizures. Video EEG monitoring is performed to capture events and/or identify etiology., Sleep Medicine +1460, Chronic snoring in children, Sleep Medicine +1461, Followup after a full-night sleep study performed to evaluate her for daytime fatigue and insomnia. This patient presents with history of sleep disruption and daytime sleepiness with fatigue. Her symptoms are multifactorial., Sleep Medicine +1462, The patient underwent an overnight polysomnogram., Sleep Medicine +1463, Obstructive sleep apnea syndrome. Loud snoring. Schedule an overnight sleep study., Sleep Medicine +1464, Followup of moderate-to-severe sleep apnea. The patient returns today to review his response to CPAP. Recommended a fiberoptic ENT exam to exclude adenoidal tissue that may be contributing to obstruction. , Sleep Medicine +1465, Sleep study - patient with symptoms of obstructive sleep apnea with snoring., Sleep Medicine +1466," Obesity hypoventilation syndrome. A 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study.", Sleep Medicine +1467," Electroencephalogram, electromyogram of the chin and lower extremities, electrooculogram, electrocardiogram, air flow from the nose and mouth, respiratory effort at the chest and abdomen, and finger oximetry.", Sleep Medicine +1468," The patient 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.", Sleep Medicine +1469," Abnormal electroencephalogram revealing generalized poorly organized slowing, with more prominent slowing noted at the right compared to the left hemisphere head regions and rare sharp wave activity noted bilaterally, somewhat more prevalent on the right. ", Sleep Medicine +1470, Electroencephalogram (EEG). This is an 18-channel recording obtained using the standard scalp and referential electrodes observing the 10/20 international system., Sleep Medicine +1471, Electroencephalographic findings and interpretation, Sleep Medicine +1472, Electroencephalogram (EEG). Photic stimulation reveals no important changes. Essentially normal., Sleep Medicine +1473, A 21-channel digital electroencephalogram was performed on a patient in the awake state., Sleep Medicine +1474," The patient was monitored for EEG, EOG, jaw and leg EMG, thoracoabdominal impedance, oral/nasal thermistors, EKG, and oximetry.", Sleep Medicine +1475, A sample note on Rheumatoid Arthritis, Rheumatology +1476, Normal awake and drowsy (stage I sleep) EEG for patient's age., Sleep Medicine +1477, Epicondylitis. history of lupus. Injected with 40-mg of Kenalog mixed with 1 cc of lidocaine., Rheumatology +1478, Patient presents for treatment of suspected rheumatoid arthritis., Rheumatology +1479," A 7-year-old white male started to complain of pain in his fingers, elbows, and neck. This patient may have had reactive arthritis. ", Rheumatology +1480," A 71-year-old female who I am seeing for the first time. She has a history of rheumatoid arthritis for the last 6 years. She is not on DMARD, but as she recently had a surgery followed by a probable infection.", Rheumatology +1481," Followup of left hand discomfort and systemic lupus erythematosus. Carpal tunnel involving the left wrist with sensory change, but no evidence of motor change.", Rheumatology +1482, A 12-year-old with discoid lupus on the control with optimal regimen., Rheumatology +1483, Consultation - an 87-year-old white female with weakness and a history of polymyositis., Rheumatology +1484, A lady with symptoms consistent with possible oligoarticular arthritis of her knees., Rheumatology +1485, Ultrasound examination of the scrotum due to scrotal pain. Duplex and color flow imaging as well as real time gray-scale imaging of the scrotum and testicles was performed. , Radiology +1486, X-RAY of the soft tissues of the neck., Radiology +1487, A 17-year-old male with oligoarticular arthritis of his right knee., Rheumatology +1488, This is a 24-year-old pregnant patient to evaluate fetal weight and placental grade., Radiology +1489, Whole body radionuclide bone scan due to prostate cancer., Radiology +1490, A 27-year-old female with a size and date discrepancy., Radiology +1491," Pregnant female with nausea, vomiting, and diarrhea. OB ultrasound less than 14 weeks, transvaginal.", Radiology +1492, Ultrasound - a 22-year-old pregnant female., Radiology +1493, Twin pregnancy with threatened preterm labor., Radiology +1494, A 37 year-old female with twin pregnancy with threatened premature labor., Radiology +1495, A 34-year old female with no fetal heart motion noted on office scan., Radiology +1496, Ultrasound of pelvis - menorrhagia., Radiology +1497, Transvaginal ultrasound to evaluate pelvic pain., Radiology +1498, OB Ultrasound - A 29-year-old female requests for size and date of pregnancy., Radiology +1499, Bilateral lower extremity ultrasound for deep venous thrombus., Radiology +1500, AP abdomen and ultrasound of kidney., Radiology +1501," Ultrasound left lower extremity, duplex venous, due to swelling and to rule out DVT. Duplex and color Doppler interrogation of the left lower extremity deep venous system was performed.", Radiology +1502, Bilateral carotid ultrasound to evaluate pain., Radiology +1503, Ultrasound OB - followup for fetal growth., Radiology +1504, Ultrasound of the right mandibular region., Radiology +1505, Transesophageal Echocardiogram. A woman admitted to the hospital with a large right MCA CVA causing a left-sided neurological deficit incidentally found to have atrial fibrillation on telemetry. , Radiology +1506," Coronary artery bypass surgery and aortic stenosis. Transthoracic echocardiogram was performed of technically limited quality. Concentric hypertrophy of the left ventricle with left ventricular function. Moderate mitral regurgitation. Severe aortic stenosis, severe.", Radiology +1507, Ultrasound Abdomen - elevated liver function tests., Radiology +1508, Transesophageal echocardiogram. The transesophageal probe was introduced into the posterior pharynx and esophagus without difficulty., Radiology +1509, Right and Left carotid ultrasound , Radiology +1510," Ultrasound abdomen, complete", Radiology +1511," Transesophageal echocardiogram. MRSA bacteremia, rule out endocarditis. The patient has aortic stenosis.", Radiology +1512, Transesophageal echocardiogram for aortic stenosis. Normal left ventricular size and function. Benign Doppler flow pattern. Doppler study essentially benign. Aorta essentially benign. Atrial septum intact. Study was negative., Radiology +1513, Left testicular swelling for one day. Testicular Ultrasound. Hypervascularity of the left epididymis compatible with left epididymitis. Bilateral hydroceles., Radiology +1514, Nerve root decompression at L45 on the left side. Tun-L catheter placement with injection of steroid solution and Marcaine at L45 nerve roots left. Interpretation of radiograph., Radiology +1515, Transesophageal echocardiogram and direct current cardioversion., Radiology +1516, Transesophageal echocardiographic examination report. Aortic valve replacement. Assessment of stenotic valve. Evaluation for thrombus on the valve., Radiology +1517, Transesophageal echocardiogram due to vegetation and bacteremia. Normal left ventricular size and function. Echodensity involving the aortic valve suggestive of endocarditis and vegetation. Doppler study as above most pronounced being moderate-to-severe aortic insufficiency., Radiology +1518, Pain. Three views of the right ankle. Three views of the right ankle are obtained., Radiology +1519," Tailor bunionectomy, right foot, Weil-type with screw fixation. Hallux abductovalgus deformity and tailor bunion deformity, right foot.", Radiology +1520, Right foot trauma. Three views of the right foot. Three views of the right foot were obtained. , Radiology +1521," Chest pain, Chest wall tenderness occurred with exercise.", Radiology +1522, Thallium stress test for chest pain., Radiology +1523, Stress test with Bruce protocol due to chest pain., Radiology +1524," Chest pain, hypertension. Stress test negative for dobutamine-induced myocardial ischemia. Normal left ventricular size, regional wall motion, and ejection fraction.", Radiology +1525, Dobutrex stress test for abnormal EKG, Radiology +1526, Dobutamine stress test for atrial fibrillation., Radiology +1527, Frontal and lateral views of the hip and pelvis., Radiology +1528, Stress test - Adenosine Myoview. Ischemic cardiomyopathy. Inferoseptal and apical transmural scar., Radiology +1529," HCT: SAH, Contusion, Skull fracture", Radiology +1530," Chest, Single view post OP for ASD (Atrial Septal Defect).", Radiology +1531, Single frontal view of the chest. Respiratory distress. The patient has a history of malrotation., Radiology +1532, Complex Regional Pain Syndrome Type I. Stellate ganglion RFTC (radiofrequency thermocoagulation) left side and interpretation of Radiograph., Radiology +1533," Ultrasound kidneys/renal for renal failure, neurogenic bladder, status-post cystectomy", Radiology +1534," Elevated cardiac enzymes, fullness in chest, abnormal EKG, and risk factors. No evidence of exercise induced ischemia at a high myocardial workload. This essentially excludes obstructive CAD as a cause of her elevated troponin.", Radiology +1535, Radiofrequency thermocoagulation of bilateral lumbar sympathetic chain., Radiology +1536, Bilateral renal ultrasound., Radiology +1537, Right sacral alar notch and sacroiliac joint/posterior rami radiofrequency thermocoagulation., Radiology +1538," Cervical, lumbosacral, thoracic spine flexion and extension to evaluate back and neck pain.", Radiology +1539, Prostate Brachytherapy - Prostate I-125 Implantation, Radiology +1540, Right foot series after a foot injury., Radiology +1541, Ultrasound-Guided Paracentesis for Ascites, Radiology +1542, Left breast cancer. Nuclear medicine lymphatic scan. A 16-hour left anterior oblique imaging was performed with and without shielding of the original injection site., Radiology +1543, Nuclear cardiac stress report. Recurrent angina pectoris in a patient with documented ischemic heart disease and underlying ischemic cardiomyopathy., Radiology +1544, Whole body PET scanning., Radiology +1545," Nuclear medicine tumor localization, whole body - status post subtotal thyroidectomy for thyroid carcinoma.", Radiology +1546," Bilateral L5, S1, S2, and S3 radiofrequency ablation for sacroiliac joint pain. Fluoroscopy was used to identify the bony landmarks of the sacrum and the sacroiliac joints and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.", Radiology +1547, Resting Myoview perfusion scan and gated myocardial scan. Findings consistent with an inferior non-transmural scar, Radiology +1548, MRI T-spine: Metastatic Adenocarcinoma of the T3-T4 vertebrae and invading the spinal canal., Radiology +1549," Myocardial perfusion imaging - patient with history of MI, stents placement, and chest pain.", Radiology +1550," Myocardial perfusion study at rest and stress, gated SPECT wall motion study at stress and calculation of ejection fraction.", Radiology +1551," Patient with wrist pain and swelling, status post injury.", Radiology +1552," Skull, complete, five images.", Radiology +1553, MRI L-Spine - Bilateral lower extremity numbness, Radiology +1554, Myocardial perfusion imaging - patient had previous abnormal stress test. Stress test with imaging for further classification of CAD and ischemia., Radiology +1555," The thoracic spine was examined in the AP, lateral and swimmer's projections.", Radiology +1556, MRI T-spine and CXR - Aortic Dissection., Radiology +1557, A 51-year-old female with left shoulder pain and restricted external rotation and abduction x 6 months., Radiology +1558, MRI T-L spine - L2 conus medullaris lesion and syndrome secondary to Schistosomiasis., Radiology +1559, MRI Spine - T12-L5 epidural lipoma and thoracic spinal cord infarction vs. transverse myelitis., Radiology +1560, A 69-year-old male with pain in the shoulder. Evaluate for rotator cuff tear., Radiology +1561, MRI left shoulder., Radiology +1562, A 32-year-old male with shoulder pain., Radiology +1563," MRI of the Cervical, Thoracic, and Lumbar Spine", Radiology +1564, MRI of the brain without contrast to evaluate daily headaches for 6 months in a 57-year-old., Radiology +1565, MRI of lumbar spine without contrast to evaluate chronic back pain., Radiology +1566," MRI L-spine - History of progressive lower extremity weakness, right frontal glioblastoma with lumbar subarachnoid seeding.", Radiology +1567, MRI Orbit/Face/Neck with MR Angiography of the Head - An infant with facial mass, Radiology +1568, Left shoulder pain. Evaluate for rotator cuff tear., Radiology +1569, MRI: Right parietal metastatic adenocarcinoma (LUNG) metastasis., Radiology +1570, MRI L-S-Spine for Cauda Equina Syndrome secondary to L3-4 disc herniation - Low Back Pain (LBP) with associated BLE weakness., Radiology +1571, MRI left knee without contrast., Radiology +1572, MRI left knee., Radiology +1573, MRI right knee without gadolinium, Radiology +1574," Pain and swelling in the right foot, peroneal tendon tear.", Radiology +1575, MRI Head W&WO Contrast., Radiology +1576," A 49-year-old female with ankle pain times one month, without a specific injury. ", Radiology +1577, A 53-year-old female with left knee pain being evaluated for ACL tear., Radiology +1578, MRI head without contrast., Radiology +1579, MRI left knee without contrast., Radiology +1580, Pain and swelling in the right foot., Radiology +1581," MRI of elbow - A middle-aged female with moderate pain, severe swelling and a growth on the arm.", Radiology +1582, MRI report Cervical Spine (Chiropractic Specific), Radiology +1583, MRI C-spine: C4-5 Transverse Myelitis., Radiology +1584, MRI C-spine to evaluate right shoulder pain - C5-6 disk herniation., Radiology +1585, MRI Elbow - A middle-aged female complaining of elbow pain., Radiology +1586, Left third digit numbness and wrist pain., Radiology +1587, MRI cervical spine., Radiology +1588, MRI Brain: Subacute right thalamic infarct., Radiology +1589, MRI Cervical Spine without contrast., Radiology +1590, MRI Brain & T-spine - Demyelinating disease., Radiology +1591, MRI Brain & MRI C-T spine: Multiple hemangioblastoma in Von Hippel Lindau Disease., Radiology +1592, Bilateral breast MRI with & without IV contrast., Radiology +1593, MRI Brain and Brainstem - Falling (Multiple System Atrophy), Radiology +1594, MRI brain & Cerebral Angiogram: CNS Vasculitis with evidence of ischemic infarction in the right and left frontal lobes., Radiology +1595, MRI Brain: Thrombus in torcula of venous sinuses., Radiology +1596," MRI Brain: Left Basal Ganglia, Posterior temporal lobe, and Left cerebellar (lacunar) infarctions with Wernickes Aphasia.", Radiology +1597, MRI Brain - Right frontal white matter infarct in patient with Anticardiolipin antibody syndrome and SLE., Radiology +1598, Right pontine pyramidal tract infarct., Radiology +1599, A middle-aged female with memory loss., Radiology +1600, A middle-aged male with increasing memory loss and history of Lyme disease., Radiology +1601, MRI brain (Atrophy Left fronto-temporal lobe) and HCT (Left frontal SDH), Radiology +1602, MRI Brain: Probable CNS Lymphoma v/s toxoplasmosis in a patient with AIDS/HIV., Radiology +1603, MRI Brain to evaluate sudden onset blindness - Basilar/bilateral thalamic strokes., Radiology +1604, MRI Brain - Progressive Multifocal Leukoencephalopathy (PML) occurring in an immunosuppressed patient with polymyositis., Radiology +1605, MRI Brain - Pilocytic Astrocytoma in thalamus and caudate., Radiology +1606," MRI Brain, Carbon Monoxide poisoning.", Radiology +1607, MRI Brain - Olfactory groove meningioma., Radiology +1608, MRI right ankle., Radiology +1609, Cerebral Angiogram - moyamoya disease., Radiology +1610," MRI Brain: Ventriculomegaly of the lateral, 3rd and 4th ventricles secondary to obstruction of the foramen of Magendie secondary to Cryptococcus (unencapsulated) in a non-immune suppressed, HIV negative, individual.", Radiology +1611, Patient with right ankle pain., Radiology +1612, Lexiscan myoview stress study. Chest discomfort. Normal stress/rest cardiac perfusion with no indication of ischemia. Normal LV function and low likelihood of significant epicardial coronary narrowing., Radiology +1613, Left lower extremity venous Doppler ultrasound, Radiology +1614, Lexiscan Nuclear Myocardial Perfusion Scan. Chest pain. Patient unable to walk on a treadmill. Nondiagnostic Lexiscan. Normal nuclear myocardial perfusion scan., Radiology +1615," Myoview nuclear stress study. Angina, coronary artery disease. Large fixed defect, inferior and apical wall, related to old myocardial infarction.", Radiology +1616," Magnified Airway Study - An 11-month-old female with episodes of difficulty in breathing, cough.", Radiology +1617," Lumbar discogram L2-3, L3-4, L4-5, and L5-S1. Low back pain.", Radiology +1618, Resting Myoview and adenosine Myoview SPECT, Radiology +1619, Lower Extremity Arterial Doppler, Radiology +1620, Diagnostic laparoscopy and drainage of cyst., Radiology +1621, Comprehensive electrophysiology studies with attempted arrhythmia induction and IV Procainamide infusion for Brugada syndrome., Radiology +1622, Nuclear Medicine Therapy Intraarterial Particulate Administration, Radiology +1623, Laparoscopic cholecystectomy with cholangiogram. Acute gangrenous cholecystitis with cholelithiasis. The patient had essentially a dead gallbladder with stones and positive wide bile/pus coming from the gallbladder., Radiology +1624, Sellar HCT - Pituitary mass, Radiology +1625, Intensity-modulated radiation therapy simulation note. The patient will receive intensity-modulated radiation therapy in order to deliver high-dose treatment to sensitive structures. , Radiology +1626, Right upper quadrant pain. Nuclear medicine hepatobiliary scan. Radiopharmaceutical 6.9 mCi of Technetium-99m Choletec., Radiology +1627, Intensity-modulated radiation therapy is a complex set of procedures which requires appropriate positioning and immobilization typically with customized immobilization devices., Radiology +1628, Bilateral Screening Mammogram Full-Field Digital Mammography (FFDM) (Benign Findings), Radiology +1629, Hyperfractionation. This patient is to undergo a course of hyperfractionated radiotherapy in the treatment of known malignancy. , Radiology +1630, Sample Radiology report of knee (growth arrest lines)., Radiology +1631, HDR Brachytherapy, Radiology +1632," Mammogram, bilateral full-field digital mammography FFDM (patient with positive history of breast cancer).", Radiology +1633," Bilateral facet Arthrogram and injections at L34, L45, L5S1. Interpretation of radiograph. Low Back Syndrome - Low Back Pain.", Radiology +1634, HCT for memory loss and for calcification of basal ganglia (globus pallidi)., Radiology +1635, Exercise myocardial perfusion study. The exercise myocardial perfusion study shows possibility of mild ischemia in the inferolateral wall and normal LV systolic function with LV ejection fraction of 59%, Radiology +1636, Endovascular Brachytherapy (EBT), Radiology +1637, Nerve conduction screen demonstrates borderline median sensory and borderline distal median motor responses in both hands. The needle EMG examination is remarkable for rather diffuse active denervation changes in most muscles of the right upper and right lower extremity tested., Radiology +1638, The patient is status post C3-C4 anterior cervical discectomy and fusion., Radiology +1639," The patient is a 39-year-old gravida 3, para 2, who is now at 20 weeks and 2 days gestation. This pregnancy is a twin gestation. The patient presents for her fetal anatomical survey. ", Radiology +1640," A woman with a history of progression of dysphagia for the past year, dysarthria, weakness of her right arm, cramps in her legs, and now with progressive weakness in her upper extremities. Abnormal electrodiagnostic study. ", Radiology +1641, Common Excretory Urogram - IVP template, Radiology +1642," 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. ", Radiology +1643," Patient had movor vehicle accirdent and may have had a brief loss of consciousness. Shortly thereafter she had some blurred vision, Since that time she has had right low neck pain and left low back pain. ", Radiology +1644," EMG/Nerve Conduction Study showing sensory motor length-dependent neuropathy consistent with diabetes, severe left ulnar neuropathy, and moderate-to-severe left median neuropathy, ", Radiology +1645, Patient with a past medical history of a left L5-S1 lumbar microdiskectomy with complete resolution of left leg symptoms., Radiology +1646," A ight-handed inpatient with longstanding history of cervical spinal stenosis status post decompression, opioid dependence, who has had longstanding low back pain radiating into the right leg.", Radiology +1647, This is a 95.5-hour continuous video EEG monitoring study., Radiology +1648," Echocardiographic Examination Report. Angina and coronary artery disease. Mild biatrial enlargement, normal thickening of the left ventricle with mildly dilated ventricle and EF of 40%, mild mitral regurgitation, diastolic dysfunction grade 2, mild pulmonary hypertension.", Radiology +1649, Abnormal electronystagmogram demonstrating prominent nystagmus on position testing in the head hanging right position., Radiology +1650," 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 pain that radiates from her back into her legs. She has had no associated weakness.", Radiology +1651," Echocardiographic examination. Borderline left ventricular hypertrophy with normal ejection fraction at 60%, mitral annular calcification with structurally normal mitral valve, no intracavitary thrombi is seen, interatrial septum was somewhat difficult to assess, but appeared to be intact on the views obtained.", Radiology +1652," The patient 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.", Radiology +1653, Echocardiogram was performed including 2-D and M-mode imaging., Radiology +1654, Possible cerebrovascular accident. The EEG was obtained using 21 electrodes placed in scalp-to-scalp and scalp-to-vertex montages. , Radiology +1655, Echocardiogram with color flow and conventional Doppler interrogation., Radiology +1656," Echocardiogram for aortic stenosis. Transthoracic echocardiogram was performed of adequate technical quality. Concentric hypertrophy of the left ventricle with normal function. Doppler study as above, most pronounced being moderate aortic stenosis, valve area of 1.1 sq. cm", Radiology +1657, Duplex ultrasound of legs, Radiology +1658," Dobutamine Stress Echocardiogram. Chest discomfort, evaluation for coronary artery disease. Maximal dobutamine stress echocardiogram test achieving more than 85% of age-predicted heart rate. Negative EKG criteria for ischemia.", Radiology +1659, Diagnostic cerebral angiogram and transcatheter infusion of papaverine, Radiology +1660, Diagnostic Mammogram and ultrasound of the breast., Radiology +1661," CT Brain - unshunted hydrocephalus, Dandy-Walker Malformation.", Radiology +1662, CT of abdomen with and without contrast. CT-guided needle placement biopsy., Radiology +1663," CT-guided needle placement, CT-guided biopsy of right renal mass, and embolization of biopsy tract with gelfoam.", Radiology +1664, Modified Barium swallow (Deglutition Study) for Dysphagia with possible aspiration., Radiology +1665," Dobutamine stress test for chest pain, as the patient was unable to walk on a treadmill, and allergic to adenosine. Nondiagnostic dobutamine stress test. Normal nuclear myocardial perfusion scan.", Radiology +1666," Brain CT with contrast - Abnormal Gyriform enhancing lesion (stroke) in the left parietal region, not seen on non-contrast HCTs.", Radiology +1667, Noncontrast CT abdomen and pelvis per renal stone protocol., Radiology +1668, CT Scan of brain without contrast., Radiology +1669, CT scan of the abdomen and pelvis with contrast to evaluate abdominal pan., Radiology +1670, CT of chest with contrast. Abnormal chest x-ray demonstrating a region of consolidation versus mass in the right upper lobe., Radiology +1671, CT of the facial bones without contrast due to hit in nose., Radiology +1672, CT of Lumbar Spine without Contrast. Patient with history of back pain after a fall., Radiology +1673, CT maxillofacial for trauma. CT examination of the maxillofacial bones was performed without contrast. Coronal reconstructions were obtained for better anatomical localization., Radiology +1674, CT REPORT - Soft Tissue Neck, Radiology +1675, CT REPORT - Soft Tissue Neck, Radiology +1676, This is a middle-aged female with two month history of low back pain and leg pain., Radiology +1677, Common CT Neck template., Radiology +1678," Motor vehicle collision. CT head without contrast, CT facial bones without contrast, and CT cervical spine without contrast. ", Radiology +1679," CT head without contrast, CT facial bones without contrast, and CT cervical spine without contrast.", Radiology +1680," The patient is a 79-year-old man with adult hydrocephalus who was found to have large bilateral effusions on a CT scan. The patient's subdural effusions are still noticeable, but they are improving.", Radiology +1681, Left arm and hand numbness. CT head without contrast. Noncontrast axial CT images of the head were obtained with 5 mm slice thickness., Radiology +1682," Noncontrast CT scan of the lumbar spine. Left lower extremity muscle spasm. Transaxial thin slice CT images of the lumbar spine were obtained with sagittal and coronal reconstructions on emergency basis, as requested.", Radiology +1683, This is a middle-aged female with low back pain radiating down the left leg and foot for one and a half years., Radiology +1684, Common CT Head template., Radiology +1685, Common CT Facial template., Radiology +1686, Noncontrast CT abdomen and pelvis per renal stone protocol., Radiology +1687, CT cervical spine for trauma. CT examination of the cervical spine was performed without contrast. Coronal and sagittal reformats were obtained for better anatomical localization., Radiology +1688, Noncontrast CT head due to seizure disorder., Radiology +1689, Axial images through the cervical spine with coronal and sagittal reconstructions., Radiology +1690," CT head without contrast. Assaulted, positive loss of consciousness, rule out bleed. CT examination of the head was performed without intravenous contrast administration.", Radiology +1691, Motor vehicle collision. CT head without contrast and CT cervical spine without contrast. Noncontrast axial CT images of the head were obtained., Radiology +1692, Common CT Chest template, Radiology +1693, Common CT C-Spine template, Radiology +1694, Stroke in distribution of recurrent artery of Huebner (left), Radiology +1695, A 68-year-old white male with recently diagnosed adenocarcinoma by sputum cytology. An abnormal chest radiograph shows right middle lobe infiltrate and collapse. Patient needs staging CT of chest with contrast. , Radiology +1696, CT of Brain - Subacute SDH., Radiology +1697, CT chest with contrast., Radiology +1698, CT Brain: Subarachnoid hemorrhage., Radiology +1699, CT Brain: Midbrain hemangioma, Radiology +1700, HCT: Subdural hemorrhage., Radiology +1701," CT Brain to evaluate episodic mental status change, RUE numbness, chorea, and calcification of Basal Ganglia (globus pallidi).", Radiology +1702," CT Brain: Suprasellar aneurysm, pre and post bleed.", Radiology +1703, Abdominal pain. CT examination of the abdomen and pelvis with intravenous contrast., Radiology +1704," Lower quadrant pain with nausea, vomiting, and diarrhea. CT abdomen without contrast and CT pelvis without contrast. Noncontrast axial CT images of the abdomen and pelvis are obtained.", Radiology +1705," Generalized abdominal pain, nausea, diarrhea, and recent colonic resection. CT abdomen with and without contrast and CT pelvis with contrast. Axial CT images of the abdomen were obtained without contrast. Axial CT images of the abdomen and pelvis were then obtained utilizing 100 mL of Isovue-300.", Radiology +1706," Chest pain, shortness of breath and cough, evaluate for pulmonary arterial embolism. CT angiography chest with contrast. Axial CT images of the chest were obtained for pulmonary embolism protocol utilizing 100 mL of Isovue-300.", Radiology +1707," CT abdomen without contrast and pelvis without contrast, reconstruction.", Radiology +1708, Shortness of breath for two weeks and a history of pneumonia. CT angiography chest with contrast. Axial CT images of the chest were obtained for pulmonary embolism protocol utilizing 100 mL of Isovue-300., Radiology +1709, Right-sided abdominal pain with nausea and fever. 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., Radiology +1710, CT brain (post craniectomy) - RMCA stroke and SBE., Radiology +1711, Generalized abdominal pain 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., Radiology +1712," Evaluate for retroperitoneal hematoma, the patient has been following, is currently on Coumadin. CT abdomen without contrast and CT pelvis without contrast.", Radiology +1713," CT abdomen and pelvis without contrast, stone protocol, reconstruction.", Radiology +1714, CT scan of the abdomen and pelvis without and with intravenous contrast., Radiology +1715, Abnormal liver enzymes and diarrhea. CT pelvis with contrast and ct abdomen with and without contrast., Radiology +1716, CT of the abdomen and pelvis without contrast., Radiology +1717, CT Abdomen and Pelvis with contrast , Radiology +1718, A 62-year-old male with a history of ischemic cardiomyopathy and implanted defibrillator., Radiology +1719, CT Abdomen & Pelvis W&WO Contrast, Radiology +1720, CCTA with Cardiac Function/Calcium Scoring, Radiology +1721, Coronary Artery CTA with Calcium Scoring and Cardiac Function, Radiology +1722, 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. , Radiology +1723, A 51-year-old male with chest pain and history of coronary artery disease., Radiology +1724, CCTA with cardiac function and calcium scoring., Radiology +1725, Chest PA & Lateral to evaluate shortness of breath and pneumothorax versus left-sided effusion., Radiology +1726, Cerebral Angiogram and MRA for bilateral ophthalmic artery aneurysms., Radiology +1727, Chest CT - Thymoma and history of ocular myasthenia gravis., Radiology +1728, Cerebral Angiogram - Lobulated aneurysm of the supraclinoid portion of the left internal carotid artery close to the origin of the left posterior communicating artery., Radiology +1729," Postcontrast CT chest pulmonary embolism protocol, 100 mL of Isovue-300 contrast is utilized.", Radiology +1730, Cerebral Angiogram - Lateral medullary syndrome secondary to left vertebral artery dissection., Radiology +1731, Concomitant chemoradiotherapy for curative intent patients., Radiology +1732," Patient with chest pains, CAD, and cardiomyopathy.", Radiology +1733, Carotid and cerebral arteriogram - abnormal carotid duplex studies demonstrating occlusion of the left internal carotid artery., Radiology +1734, Cardiolite treadmill exercise stress test. The patient was exercised on the treadmill to maximum tolerance achieving after 5 minutes a peak heart rate of 137 beats per minute with a workload of 2.3 METS., Radiology +1735, Cerebral Angiogram for avascular mass - cavernous angioma (with hematoma on MRI and Bx)., Radiology +1736, Bilateral carotid ultrasound., Radiology +1737, Carotid Ultrasonic & Color Flow Imaging, Radiology +1738," Bilateral Mammogram, (abnormal) additional views requested", Radiology +1739, Carotid artery angiograms., Radiology +1740, Ultrasound BPP - Advanced maternal age and hypertension., Radiology +1741," Diagnostic mammogram, full-field digital, ultrasound of the breast and mammotome core biopsy of the left breast.", Radiology +1742," BPP of Gravida 1, para 0 at 33 weeks 5 days by early dating. The patient is developing gestational diabetes.", Radiology +1743, Brain CT and MRI - suprasellar mass (pituitary adenoma), Radiology +1744, Barium enema - history of encopresis and constipation., Radiology +1745, Arterial imaging of bilateral lower extremities. , Radiology +1746, MRI brain & PET scan - Dementia of Alzheimer type with primary parietooccipital involvement., Radiology +1747," Left heart cath, selective coronary angiogram, right common femoral angiogram, and StarClose closure of right common femoral artery.", Radiology +1748, CT Brain - arachnoid cyst Arachnoid cyst diagnosed by CT brain., Radiology +1749, Adenosine with nuclear scan as the patient unable to walk on a treadmill. Nondiagnostic adenosine stress test. Normal nuclear myocardial perfusion scan., Radiology +1750, MRI - Intracerebral hemorrhage (very acute clinical changes occurred immediately prior to scan)., Radiology +1751, MRI - Arteriovenous malformation with hemorrhage., Radiology +1752, MRI - Right temporal lobe astrocytoma., Radiology +1753, 2-D Echocardiogram, Radiology +1754, 3-Dimensional Simulation. This patient is undergoing 3-dimensionally planned radiation therapy in order to adequately target structures at risk while diminishing the degree of exposure to uninvolved adjacent normal structures., Radiology +1755, 2-D Echocardiogram, Radiology +1756, Echocardiogram and Doppler, Radiology +1757," A 6-year-old male with attention deficit hyperactivity disorder, doing fairly well with the Adderall.", Psychiatry / Psychology +1758, 2-D M-Mode. Doppler. , Radiology +1759, Comprehensive Clinical Psychological Evaluation as part of a Disability Determination action., Psychiatry / Psychology +1760, Psychosocial Evaluation of patient before kidney transplant., Psychiatry / Psychology +1761, Psychological Testing for ADHD, Psychiatry / Psychology +1762, Psychosocial donor evaluation. Following questions are mostly involved in a psychosocial donor evaluation., Psychiatry / Psychology +1763, Psychosocial evaluation of kidney donor. Questions - Answers, Psychiatry / Psychology +1764," Normal left ventricle, moderate biatrial enlargement, and mild tricuspid regurgitation, but only mild increase in right heart pressures.", Radiology +1765, She was admitted following an overdose of citalopram and warfarin. The patient has had increasing depression and has been under stress as a result of dissolution of her second marriage., Psychiatry / Psychology +1766, Discharge summary of a patient with depression and high risk behavior., Psychiatry / Psychology +1767, Psychiatric evaluation for major depression without psychotic features., Psychiatry / Psychology +1768, Admission Psychiatric Evaluation, Psychiatry / Psychology +1769, Patient with a long history of depression and attention deficits., Psychiatry / Psychology +1770, The patient was discharged by court as a voluntary drop by prosecution. , Psychiatry / Psychology +1771," Psychiatric evaluation for ADHD, combined type.", Psychiatry / Psychology +1772, Discharge summary of a patient with mood swings and oppositional and defiant behavior., Psychiatry / Psychology +1773," Bipolar disorder, apparently stable on medications. Mild organic brain syndrome, presumably secondary to her chronic inhalant, paint, abuse.", Psychiatry / Psychology +1774, Psychiatric Assessment of a patient with bipolar and anxiety disorder having posttraumatic stress syndrome., Psychiatry / Psychology +1775, Psychiatric consultation for substance abuse., Psychiatry / Psychology +1776," Psychiatric consultation has been requested as the patient has been noncompliant with treatment, leave the unit, does not return when requested, and it was unclear as to whether this is secondary to confusion or willful behavior.", Psychiatry / Psychology +1777," A 30-year-old white male with a history of schizophrenia, chronic paranoid, was admitted for increasing mood lability, paranoia, and agitation.", Psychiatry / Psychology +1778, Psychiatric History and Physical - Patient with schizoaffective disorder., Psychiatry / Psychology +1779, Psychiatric History and Physical - Patient with major depression, Psychiatry / Psychology +1780, A 45-year-old white male with a history of schizophrenia and AIDS. He was admitted for disorganized and assaultive behaviors while off all medications for the last six months., Psychiatry / Psychology +1781," Patient with a history of PTSD, depression, and substance abuse.", Psychiatry / Psychology +1782, The patient was found by outpatient case manager to be unresponsive and incontinent of urine and feces at his father's home., Psychiatry / Psychology +1783, Psychiatric consultation for management of pain medications., Psychiatry / Psychology +1784, Psychiatric Consultation of patient with altered mental status., Psychiatry / Psychology +1785, Psychiatric consultation of patient with lethargy., Psychiatry / Psychology +1786, Psychiatric Consultation of patient with major depression disorder., Psychiatry / Psychology +1787, Psychiatric Consultation of patient with dementia., Psychiatry / Psychology +1788, Psychiatric Consultation of patient with recurring depression., Psychiatry / Psychology +1789," A 41-year-old African-American male with a history of bipolar affective disorder, was admitted for noncompliance to the outpatient treatment and increased mood lability.", Psychiatry / Psychology +1790, Psychiatric consultation for alcohol withdrawal and dependance., Psychiatry / Psychology +1791," The patient is admitted on a 72-hour involuntary treatment for dangerousness to others after repeated assaultive behaviors at Hospital Emergency Room, the morning prior to admission.", Psychiatry / Psychology +1792, The patient is a 58-year-old African-American right-handed female with 16 years of education who was referred for a neuropsychological evaluation by Dr. X. A comprehensive evaluation was requested to assess current cognitive functioning and assist with diagnostic decisions and treatment planning., Psychiatry / Psychology +1793, Psychiatric Consultation of patient with anxiety., Psychiatry / Psychology +1794, The patient was referred due to a recent admission for pseudoseizures., Psychiatry / Psychology +1795," The patient comes in for a neurology consultation regarding her difficult headaches, tunnel vision, and dizziness. ", Psychiatry / Psychology +1796," Patient was referred for a neuropsychological evaluation after a recent hospitalization for possible transient ischemic aphasia. Two years ago, a similar prolonged confusional spell was reported as well. A comprehensive evaluation was requested to assess current cognitive functioning and assist with diagnostic decisions and treatment planning.", Psychiatry / Psychology +1797," A neuropsychological evaluation to assess neuropsychological factors, clarify areas of strength and weakness, and to assist in therapeutic program planning in light of episodes of syncope.", Psychiatry / Psychology +1798, Mental status changes after a fall. She sustained a concussion with postconcussive symptoms and syndrome that has resolved. , Psychiatry / Psychology +1799," Patient presented with significant muscle tremor, constant headaches, excessive nervousness, poor concentration, and poor ability to focus.", Psychiatry / Psychology +1800, Patient demonstrated mild cognitive deficits on a neuropsychological screening evaluation during a followup appointment for stroke., Psychiatry / Psychology +1801," This is a 69-year-old white woman with Huntington disease, who presents with the third suicide attempt in the past two months. ", Psychiatry / Psychology +1802, Bender-Gestalt Neurological Battery and Beck testing., Psychiatry / Psychology +1803, Sample for Neuropsychological Evaluation, Psychiatry / Psychology +1804, Falls at home. Anxiety and depression. The patient had been increasingly anxious and freely admitted that she was depressed at home., Psychiatry / Psychology +1805, The patient was referred after he was hospitalized for what eventually was diagnosed as a conversion disorder. , Psychiatry / Psychology +1806, Comprehensive Mental Status Evaluation for the purpose of assisting in the determination of eligibility for Disability, Psychiatry / Psychology +1807," The patient has a manic disorder, is presently psychotic with flight of ideas, tangential speech, rapid pressured speech and behavior, impulsive behavior. Bipolar affective disorder, manic state. Rule out depression.", Psychiatry / Psychology +1808," 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. ", Psychiatry / Psychology +1809," Painful enlarged navicula, right foot. Osteochondroma of right fifth metatarsal. Partial tarsectomy navicula and partial metatarsectomy, right foot.", Podiatry +1810, Itchy red rash on feet - Tinea Pedis, Podiatry +1811, Right foot trauma. Three views of the right foot. Three views of the right foot were obtained. , Podiatry +1812," School reports continuing difficulties with repetitive questioning, obsession with cleanness on a daily basis, concerned about his inability to relate this well in the classroom. Asperger disorder. Obsessive compulsive disorder.", Psychiatry / Psychology +1813," Excision of mass, left second toe and distal Symes amputation, left hallux with excisional biopsy. Mass, left second toe. Tumor. Left hallux bone invasion of the distal phalanx.", Podiatry +1814, The patient was referred due to concerns regarding behavioral acting out as well as encopresis., Psychiatry / Psychology +1815, Pain. Three views of the right ankle. Three views of the right ankle are obtained., Podiatry +1816, Right foot series after a foot injury., Podiatry +1817, Plantar fascitis/heel spur syndrome. The patient was given injections of 3 cc 2:1 mixture of 1% lidocaine plain with dexamethasone phospate., Podiatry +1818, Acute episode of agitation. She was complaining that she felt she might have been poisoned at her care facility., Psychiatry / Psychology +1819," A 44-year-old, 250-pound male presents with extreme pain in his left heel.", Podiatry +1820," Plantar fascitis, left foot. Partial plantar fasciotomy.", Podiatry +1821," Toenails are discolored, thickened, and painful - Onychomycosis", Podiatry +1822," Excision of neuroma, third interspace, left foot. Morton's neuroma, third interspace, left foot.", Podiatry +1823," Amputation distal phalanx and partial proximal phalanx, right hallux. Osteomyelitis, right hallux.", Podiatry +1824," Onychomycosis present, #1, #2, #3, #4, and #5 right and left.", Podiatry +1825," A 49-year-old female with ankle pain times one month, without a specific injury. ", Podiatry +1826, Pain and swelling in the right foot., Podiatry +1827, Patient with right ankle pain., Podiatry +1828," Onychomycosis present, #1 right and #1 left.", Podiatry +1829," Pain and swelling in the right foot, peroneal tendon tear.", Podiatry +1830," Painful ingrown toenail, left big toe. Removal of an ingrown part of the left big toenail with excision of the nail matrix.", Podiatry +1831," Excision of soft tissue mass, right foot. The patient is a 51-year-old female with complaints of soft tissue mass over the dorsum of the right foot.", Podiatry +1832, This patient has reoccurring ingrown infected toenails., Podiatry +1833, Procedure note on Keller Bunionectomy, Podiatry +1834, MRI right ankle., Podiatry +1835, Right hallux abductovalgus deformity. Right McBride bunionectomy. Right basilar wedge osteotomy with OrthoPro screw fixation., Podiatry +1836," Resection of infected bone, left hallux, proximal phalanx, and distal phalanx. Osteomyelitis, left hallux.", Podiatry +1837," Incision and drainage and removal of foreign body, right foot. The patient has had previous I&D but continues to have to purulent drainage. The patient's parents agreed to performing a surgical procedure to further clean the wound.", Podiatry +1838," Gangrene osteomyelitis, right second toe. The patient is a 58-year-old female with poorly controlled diabetes with severe lower extremity lymphedema. The patient has history of previous right foot infection requiring first ray resection.", Podiatry +1839," Cellulitis with associated abscess and foreign body, right foot. Irrigation debridement and removal of foreign body of right foot. Purulent material from the abscess located in the plantar aspect of the foot between the third and fourth metatarsal heads.", Podiatry +1840, Patient with complaint of a very painful left foot because of the lesions on the bottom of the foot. , Podiatry +1841," Abscess of the left foot, etiology unclear at this time. Possibility of foreign body.", Podiatry +1842," Excision of foreign body, right foot and surrounding tissue. This 41-year-old male presents to preoperative holding area after keeping himself n.p.o., since mid night for removal of painful retained foreign body in his right foot. The patient works in the Electronics/Robotics field and relates that he stepped on a wire at work, which somehow got into his shoe. The wire entered his foot.", Podiatry +1843, The patient presents for evaluation at the request of his primary physician for treatment for dystrophic nails. , Podiatry +1844, Patient dropped a weight on the dorsal aspects of his feet., Podiatry +1845, An 83-year-old diabetic female presents today stating that she would like diabetic foot care., Podiatry +1846, A 60-year-old female presents today for care of painful calluses and benign lesions., Podiatry +1847, Debridement of left lateral foot ulcer with excision of infected and infarcted interosseous space muscle tendons and fat. Sharp excision of left distal foot plantar fascia., Podiatry +1848," Bunion, left foot. Bunionectomy with first metatarsal osteotomy base wedge type with internal screw fixation and Akin osteotomy with internal wire fixation of left foot.", Podiatry +1849, Arthroplasty of the right second digit. Hammertoe deformity of the right second digit., Podiatry +1850," Bunionectomy with distal first metatarsal osteotomy and internal screw fixation, right foot. Akin bunionectomy, right toe with internal wire fixation.", Podiatry +1851," Austin/akin bunionectomy, right foot. Bunion, right foot. The patient states she has had a bunion deformity for as long as she can remember that has progressively become worse and more painful.", Podiatry +1852," A simple note on Athlete's foot, tinea pedis, a very common fungal skin infection of the foot.", Podiatry +1853," 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.", Podiatry +1854," Tailor's bunion, right foot. Removal of bone, right fifth metatarsal head.", Podiatry +1855," Acute foot or ankle sprain, possible small fracture.", Podiatry +1856," Bunionectomy, SCARF type, with metatarsal osteotomy and internal screw fixation, left and arthroplasty left second toe. Bunion left foot and hammertoe, left second toe.", Podiatry +1857," Incision and drainage, first metatarsal head, left foot with culture and sensitivity.", Podiatry +1858," Hammertoe deformity, left fifth digit and ulceration of the left fifth digit plantolaterally. Arthroplasty of the left fifth digit proximal interphalangeal joint laterally and excision of plantar ulceration of the left fifth digit 3 cm x 1 cm in size.", Podiatry +1859, Therapeutic recreation initial evaluation. Patient is a 54-year-old male admitted with diagnosis of CVA with right hemiparesis., Physical Medicine - Rehab +1860, Status post brain tumor removal. The patient is a 64-year-old female referred to physical therapy following complications related to brain tumor removal. She had a brain tumor removed and had left-sided weakness. , Physical Medicine - Rehab +1861," Ankle sprain, left ankle. The patient tripped over her dog toy and fell with her left foot inverted. The patient states that she received a series of x-rays and MRIs that were unremarkable. After approximately 1 month, the patient continued to have significant debilitating pain in her left ankle. She then received a walking boot and has been in the boot for the past month.", Physical Medicine - Rehab +1862," The patient is a 58-year-old female, referred to therapy due to left knee osteoarthritis. The patient states that approximately 2 years ago, she fell to the ground and thereafter had blood clots in the knee area. The patient was transferred from the hospital to a nursing home and lived there for 1 year. The patient states that her primary concern is her left knee pain and they desire to walk short distances again in her home.", Physical Medicine - Rehab +1863," The patient is a 26-year-old female, referred to Physical Therapy for low back pain. The patient has a history of traumatic injury to low back.", Physical Medicine - Rehab +1864," Patient was referred to Physical Therapy, secondary to low back pain and degenerative disk disease. The patient states she has had a cauterization of some sort to the nerves in her low back to help alleviate with painful symptoms. The patient would benefit from skilled physical therapy intervention.", Physical Medicine - Rehab +1865," Synovitis - anterior cruciate ligament tear of the left knee. The patient is a 52-year-old male, who was referred to Physical Therapy, secondary to left knee pain. The patient fell in a grocery store. He reports slipping on a grape that was on the floor. ", Physical Medicine - Rehab +1866," Outpatient rehabilitation physical therapy progress note. A 52-year-old male referred to physical therapy secondary to chronic back pain, weakness, and debilitation secondary to chronic pain. ", Physical Medicine - Rehab +1867, Status post left hip fracture and hemiarthroplasty. Rehab transfer as soon as medically cleared., Physical Medicine - Rehab +1868, Encephalopathy related to normal-pressure hydrocephalus., Physical Medicine - Rehab +1869, Nerve conduction screen demonstrates borderline median sensory and borderline distal median motor responses in both hands. The needle EMG examination is remarkable for rather diffuse active denervation changes in most muscles of the right upper and right lower extremity tested., Physical Medicine - Rehab +1870," Occupational therapy discharge summary. Traumatic brain injury, cervical musculoskeletal strain.", Physical Medicine - Rehab +1871, Patient with a past medical history of a left L5-S1 lumbar microdiskectomy with complete resolution of left leg symptoms., Physical Medicine - Rehab +1872," A woman with a history of progression of dysphagia for the past year, dysarthria, weakness of her right arm, cramps in her legs, and now with progressive weakness in her upper extremities. Abnormal electrodiagnostic study. ", Physical Medicine - Rehab +1873," 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. ", Physical Medicine - Rehab +1874," EMG/Nerve Conduction Study showing sensory motor length-dependent neuropathy consistent with diabetes, severe left ulnar neuropathy, and moderate-to-severe left median neuropathy, ", Physical Medicine - Rehab +1875, The patient is status post C3-C4 anterior cervical discectomy and fusion., Physical Medicine - Rehab +1876," A ight-handed inpatient with longstanding history of cervical spinal stenosis status post decompression, opioid dependence, who has had longstanding low back pain radiating into the right leg.", Physical Medicine - Rehab +1877, 1-month-old for a healthy checkup - Well child check, Pediatrics - Neonatal +1878," Patient had movor vehicle accirdent and may have had a brief loss of consciousness. Shortly thereafter she had some blurred vision, Since that time she has had right low neck pain and left low back pain. ", Physical Medicine - Rehab +1879," The patient 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.", Physical Medicine - Rehab +1880," 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 pain that radiates from her back into her legs. She has had no associated weakness.", Physical Medicine - Rehab +1881, A 3-month well-child check. , Pediatrics - Neonatal +1882, 1-year well child check., Pediatrics - Neonatal +1883, A well-child check with concern of some spitting up quite a bit., Pediatrics - Neonatal +1884, A 9-month well-child check., Pediatrics - Neonatal +1885, Bilateral tympanostomy with myringotomy tube placement. The patient is a 1-year-old male with a history of chronic otitis media with effusion and conductive hearing loss refractory to outpatient medical therapy. , Pediatrics - Neonatal +1886, Viral upper respiratory infection (URI) with sinus and eustachian congestion. Patient is a 14-year-old white female who presents with her mother complaining of a four-day history of cold symptoms consisting of nasal congestion and left ear pain. , Pediatrics - Neonatal +1887, Thyroid mass diagnosed as papillary carcinoma. The patient is a 16-year-old young lady with a history of thyroid mass that is now biopsy proven as papillary. The pattern of miliary metastatic lesions in the chest is consistent with this diagnosis., Pediatrics - Neonatal +1888, A two week well-child check., Pediatrics - Neonatal +1889, Well child - Left lacrimal duct stenosis, Pediatrics - Neonatal +1890, The patient is a 4-month-old who presented with supraventricular tachycardia and persistent cyanosis., Pediatrics - Neonatal +1891," Healthy checkups and sports physical - 12 years old - Healthy Tanner III male, developing normally.", Pediatrics - Neonatal +1892, Single frontal view of the chest. Respiratory distress. The patient has a history of malrotation., Pediatrics - Neonatal +1893, Sports physical with normal growth and development., Pediatrics - Neonatal +1894, Consult and Spinal fluid evaluation in a 15-day-old, Pediatrics - Neonatal +1895," Repair of total anomalous pulmonary venous connection, ligation of patent ductus arteriosus, repair secundum type atrial septal defect (autologous pericardial patch), subtotal thymectomy, and insertion of peritoneal dialysis catheter.", Pediatrics - Neonatal +1896, Pediatric Gastroenterology - Rectal Bleeding Consult., Pediatrics - Neonatal +1897, Frontal and lateral views of the hip and pelvis., Pediatrics - Neonatal +1898, This patient was seen in clinic for a school physical., Pediatrics - Neonatal +1899, Well-child check and school physical., Pediatrics - Neonatal +1900," Well-child check sports physical - Well child asthma with good control, allergic rhinitis.", Pediatrics - Neonatal +1901," A 7-year-old white male started to complain of pain in his fingers, elbows, and neck. This patient may have had reactive arthritis. ", Pediatrics - Neonatal +1902," Prematurity, 34 weeks' gestation, now 5 days old, group B streptococcus exposure, but no sepsis, physiologic jaundice, and feeding problem.", Pediatrics - Neonatal +1903," A 23-month-old girl has a history of reactive airway disease, is being treated on an outpatient basis for pneumonia, presents with cough and fever.", Pediatrics - Neonatal +1904," A 3-year-old female for evaluation of chronic ear infections bilateral - OM (otitis media), suppurative without spontaneous rupture. Adenoid hyperplasia bilateral.", Pediatrics - Neonatal +1905," 9-month-old male product of a twin gestation complicated by some very mild prematurity having problems with wheezing, cough and shortness of breath over the last several months.", Pediatrics - Neonatal +1906," He continues to have abdominal pain, and he had a diuretic renal scan, which indicates no evidence of obstruction and good differential function bilaterally. ", Pediatrics - Neonatal +1907, Increasing oxygen requirement. Baby boy has significant pulmonary hypertension. , Pediatrics - Neonatal +1908, Ligation (clip interruption) of patent ductus arteriosus. This premature baby with operative weight of 600 grams and evidence of persistent pulmonary over circulation and failure to thrive has been diagnosed with a large patent ductus arteriosus originating in the left-sided aortic arch. , Pediatrics - Neonatal +1909, Template for History and Physical for a newborn., Pediatrics - Neonatal +1910," Fever, otitis media, and possible sepsis.", Pediatrics - Neonatal +1911, Normal newborn infant physical exam. A well-developed infant in no acute respiratory distress., Pediatrics - Neonatal +1912," A 2-1/2-year-old female with history of febrile seizures, now with concern for spells of unclear etiology, but somewhat concerning for partial complex seizures and to a slightly lesser extent nonconvulsive generalized seizures.", Pediatrics - Neonatal +1913," The patient is an 1812 g baby boy born by vaginal delivery to a 32-year-old gravida 3, para 2 at 34 weeks of gestation. Mother had two previous C-sections.", Pediatrics - Neonatal +1914, Normal child physical exam template., Pediatrics - Neonatal +1915," Skull, complete, five images.", Pediatrics - Neonatal +1916," 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.", Pediatrics - Neonatal +1917," 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. ", Pediatrics - Neonatal +1918, Mediastinal exploration and delayed primary chest closure. The patient is a 12-day-old infant who has undergone a modified stage I Norwood procedure with a Sano modification. , Pediatrics - Neonatal +1919," This is a 14-month-old baby boy Caucasian who came in with presumptive diagnosis of Kawasaki with fever for more than 5 days and conjunctivitis, mild arthritis with edema, rash, resolving and with elevated neutrophils and thrombocytosis, elevated CRP and ESR. ", Pediatrics - Neonatal +1920," The patient is an 11-month-old with a diagnosis of stage 2 neuroblastoma of the right adrenal gland with favorable Shimada histology and history of stage 2 left adrenal neuroblastoma, status post gross total resection.", Pediatrics - Neonatal +1921," This is a 3-week-old, NSVD, Caucasian baby boy transferred from ABCD Memorial Hospital for rule out sepsis and possible congenital heart disease. ", Pediatrics - Neonatal +1922," A 1-month-26-day-old with failure-to-thrive. was only at her birth weight, and was noted to have murmur.", Pediatrics - Neonatal +1923," Left communicating hydrocele. Left inguinal hernia and hydrocele repair. The patient is a 5-year-old young man with fluid collection in the tunica vaginalis and peritesticular space on the left side consistent with a communicating hydrocele. +", Pediatrics - Neonatal +1924," A 10-day-old Caucasian female with bilateral arm and leg jerks, which started at day of life 1 and have occurred 6 total times since then.", Pediatrics - Neonatal +1925, 4-day-old with hyperbilirubinemia and heart murmur., Pediatrics - Neonatal +1926," Gastrostomy, a 6-week-old with feeding disorder and Down syndrome.", Pediatrics - Neonatal +1927, Followup of laparoscopic fundoplication and gastrostomy. Laparoscopic fundoplication and gastrostomy was done because of the need for enteral feeding access., Pediatrics - Neonatal +1928," Head injury, anxiety, and hypertensive emergency.", Pediatrics - Neonatal +1929, Pediatric Gastroenterology - History of gagging., Pediatrics - Neonatal +1930," Questionable foreign body, right nose. Belly and back pain. Mild constipation.", Pediatrics - Neonatal +1931," Irritable baby, 6-week-old, with fever for approximately 24 hours.", Pediatrics - Neonatal +1932," Gastroenteritis versus bowel obstruction, gastroesophageal reflux, Goldenhar syndrome, and anemia, probably iron deficiency.", Pediatrics - Neonatal +1933, 13 years old complaining about severe ear pain - Chronic otitis media., Pediatrics - Neonatal +1934, Circumcision. Normal male phallus. The infant is without evidence of hypospadias or chordee prior to the procedure., Pediatrics - Neonatal +1935," The patient is 14 months old, comes in with a chief complaint of difficulty breathing. ", Pediatrics - Neonatal +1936, A 3-year-old abrupt onset of cough and increased work of breathing., Pediatrics - Neonatal +1937, A 2-month-old female with 1-week history of congestion and fever x2 days., Pediatrics - Neonatal +1938," Congestion, tactile temperature.", Pediatrics - Neonatal +1939, Newborn circumcision. The penile foreskin was removed using Gomco. , Pediatrics - Neonatal +1940, Circumcision. The child appeared to tolerate the procedure well. Care instructions were given to the parents., Pediatrics - Neonatal +1941," A 5-month-old infant with cold, cough, and runny nose for 2 days. Mom states she had no fever. Her appetite was good but she was spitting up a lot.", Pediatrics - Neonatal +1942," A 14-month-old with history of chronic recurrent episodes of otitis media, totalling 6 bouts, requiring antibiotics since birth. ", Pediatrics - Neonatal +1943, Lumbar osteomyelitis and need for durable central intravenous access. Placement of left subclavian 4-French Broviac catheter., Pediatrics - Neonatal +1944, Delayed primary chest closure. Open chest status post modified stage 1 Norwood operation. The patient is a newborn with diagnosis of hypoplastic left heart syndrome who 48 hours prior to the current procedure has undergone a modified stage 1 Norwood operation., Pediatrics - Neonatal +1945, Health maintenance exam for 1-year-old female., Pediatrics - Neonatal +1946," 1+ year, black female for initial evaluation of a lifelong history of atopic eczema.", Pediatrics - Neonatal +1947, Nerve root decompression at L45 on the left side. Tun-L catheter placement with injection of steroid solution and Marcaine at L45 nerve roots left. Interpretation of radiograph., Pain Management +1948, A 5-month-old boy brought by his parents because of 2 days of cough. , Pediatrics - Neonatal +1949, Trigger Point Injection. The area over the myofascial spasm was prepped with alcohol utilizing sterile technique. , Pain Management +1950, Mother states he has been wheezing and coughing., Pediatrics - Neonatal +1951," Transforaminal Epidural, lumbar - Template. Fluoroscopy was used to identify the boney landmarks of the facet joints and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1 % lidocaine.", Pain Management +1952," Left carpal tunnel release with flexor tenosynovectomy; cortisone injection of trigger fingers, left third and fourth fingers; injection of Dupuytren's nodule, left palm.", Pain Management +1953, Thoracic epidural steroid injection without fluoroscopy. An 18-gauge Tuohy needle was then placed into the epidural space using loss of resistance technique., Pain Management +1954, Flexible Bronchoscopy (pediatric), Pediatrics - Neonatal +1955, Left L3-L4 transforaminal epidural steroid injection (L3 nerve root) and Left L4-L5 transforaminal epidural steroid injection (L4 nerve root) under fluoroscopic guidance., Pain Management +1956, Placement of SynchroMed infusion pump and tunneling of SynchroMed infusion pump catheter. Anchoring of the intrathecal catheter and connecting of the right lower quadrant SynchroMed pump catheter to the intrathecal catheter., Pain Management +1957, Consultation for right shoulder pain., Pain Management +1958, Right sacral alar notch and sacroiliac joint/posterior rami radiofrequency thermocoagulation., Pain Management +1959," Superior Gluteal Nerve Block, Left - Superior Gluteal Neuralgia/Neurapraxia-impingement Syndrome.", Pain Management +1960," Bilateral L5, S1, S2, and S3 radiofrequency ablation for sacroiliac joint pain. Fluoroscopy was used to identify the bony landmarks of the sacrum and the sacroiliac joints and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.", Pain Management +1961, Radiofrequency thermocoagulation of bilateral lumbar sympathetic chain., Pain Management +1962," Complex regional pain syndrome, right upper extremity. Stellate ganglion block.", Pain Management +1963, Pain management sample progress note., Pain Management +1964, Injection of Morton's neuroma., Pain Management +1965," Cervical spondylosis. Radiofrequency thermocoagulation (RFTC), medial branch posterior sensory rami.", Pain Management +1966, Right sacral alar notch and sacroiliac joint/posterior rami injections with/without fluoroscopy., Pain Management +1967, Left L4-L5 transforaminal neuroplasty with nerve root decompression and lysis of adhesions followed by epidural steroid injection., Pain Management +1968, Complex Regional Pain Syndrome Type I. Stellate ganglion RFTC (radiofrequency thermocoagulation) left side and interpretation of Radiograph., Pain Management +1969, Plantar Fascia Injection, Pain Management +1970," Lumbar epidural steroid injection, L5-S1. Low back pain.", Pain Management +1971, Lumbar epidural steroid injection for lumbar radiculopathy., Pain Management +1972," Medial branch rhizotomy, lumbosacral. Fluoroscopy was used to identify the boney landmarks of the spine and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.", Pain Management +1973," Lumbar discogram L2-3, L3-4, L4-5, and L5-S1. Low back pain.", Pain Management +1974," 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.", Pain Management +1975, Bilateral lumbar sympathetic block. The patient was in the prone position and the back prepped with Betadine. The patient was given sedation and monitored. , Pain Management +1976, Osteoarthritis of the right knee. Right knee joint steroid injection., Pain Management +1977, Lumbar facet injections done under fluoroscopic control. Lumbar spondylosis., Pain Management +1978," Lumbar epidural steroid injection, intralaminar approach, seated position. An 18-gauge Tuohy needle was then placed in the epidural space utilizing a midline intralaminar approach with loss of resistance technique and a saline-filled syringe.", Pain Management +1979, Evaluation for right L4 selective nerve root block., Pain Management +1980," She is a 14-year-old Hispanic female with history of pauciarticular arthritis in particular arthritis of her left knee, although she has complaints of arthralgias in multiple joints. Under general anesthesia, 20 mg of Aristospan were injected on the left knee.", Pain Management +1981," Intercostal block from fourth to tenth intercostal spaces, left. Chest pain secondary to fractured ribs, unmanageable with narcotics.", Pain Management +1982, Left L5 transforaminal epidural steroid injection with 40 mg of Kenalog under fluoroscopic guidance. The patient is a 78-year-old female with back pain referring into the left side. , Pain Management +1983, Knee injection, Pain Management +1984," Hip injection. Fluoroscopy was used to identify the boney landmarks of the hip and the planned needle approach. The femoral artery was located by palpation of the pulse. The skin, subcutaneous tissue, and muscle within the planned needle approach were anesthetized with 1% Lidocaine.", Pain Management +1985, Standard hypogastric plexus block procedure note., Pain Management +1986, Caudal epidural steroid injection without fluoroscopy., Pain Management +1987," Intercostal block, left. Severe post thoracotomy pain.", Pain Management +1988," Bilateral facet Arthrogram and injections at L34, L45, L5S1. Interpretation of radiograph. Low Back Syndrome - Low Back Pain.", Pain Management +1989, Epidural steroid injection. A total of 5 mL containing 4 mL of 0.25% bupivacaine and 80 mg of methylprednisolone acetate were infiltrated. , Pain Management +1990, L3-L5 epidural steroid injection with epidural catheter under fluoroscopy., Pain Management +1991," Right L4, attempted L5, and S1 transforaminal epidurogram for neural mapping.", Pain Management +1992, Transforaminal epidural steroid block with fluoroscopy., Pain Management +1993," Bilateral L5 dorsal ramus block and bilateral S1, S2, and S3 lateral branch block for sacroiliac joint pain. Fluoroscopic pillar view was used to identify the bony landmarks of the sacrum and sacroiliac joint and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.", Pain Management +1994, Epidural Blood Patch. An 18-gauge Tuohy needle was then placed in the epidural space on the first pass utilizing loss of resistance technique with a saline filled syringe. , Pain Management +1995," Epidural steroid injection, epidurogram, fluroscopy - Low back pain, herniated disc, lumbosacral Facet, arthropathy.", Pain Management +1996, Cervical Selective Nerve Root Block, Pain Management +1997, Coccygeal injection, Pain Management +1998, Cervical spondylosis. Cervical medial branch blocks under fluoroscopic control., Pain Management +1999, Costochondral Cartilage Injection, Pain Management +2000, Caudal epidural steroid injection, Pain Management +2001, Cervical epidural steroid injection without fluoroscopy. An 18-gauge Tuohy needle was placed into the epidural space using loss of resistance technique., Pain Management +2002, Right L5-S1 intralaminar epidural steroid injection with 120 mg of Depo-Medrol under fluoroscopic guidance. The patient is a 51-year-old female with back pain referring into the right leg., Pain Management +2003, Standard celiac plexus block procedure note., Pain Management +2004," Cervical epidural steroid injection, C5-6. The C-arm was brought into the operative field and an AP view of the lumbar spine was obtained with particular attention to the C5-6 level. ", Pain Management +2005, Cervical facet joint injection with contrast, Pain Management +2006, Cervical epidural steroid injection C7-T1. An 18-gauge Tuohy needle was then placed in the epidural space with loss of resistance technique and a saline-filled syringe utilizing a midline intralaminar approach., Pain Management +2007, Acromioclavicular joint injection, Pain Management +2008, Youngswick osteotomy with internal screw fixation of the first right metatarsophalangeal joint of the right foot., Orthopedic +2009, Injection of bilateral carpal tunnels, Pain Management +2010, Bilateral sacroiliac joint injections, Pain Management +2011," Austin & Youngswick bunionectomy with Biopro implant. Screw fixation, left foot.", Orthopedic +2012, Consultation for wrist pain., Orthopedic +2013," Excision of dorsal wrist ganglion. Made a transverse incision directly over the ganglion. Dissection was carried down through the extensor retinaculum, identifying the 3rd and the 4th compartments and retracting them.", Orthopedic +2014, Unilateral transpedicular T11 vertebroplasty., Orthopedic +2015, Trigger point injections with Botox., Pain Management +2016, Greater trochanteric bursal injection., Pain Management +2017," Trigger thumb release. Right trigger thumb. The A-1 pulley was divided along its radial border, completely freeing the stenosing tenosynovitis (trigger release). ", Orthopedic +2018," Right ulnar nerve transposition, right carpal tunnel release, and right excision of olecranon bursa. Right cubital tunnel syndrom, carpal tunnel syndrome, and olecranon bursitis.", Orthopedic +2019," Subcutaneous ulnar nerve transposition. A curvilinear incision was made over the medial elbow, starting proximally at the medial intermuscular septum, curving posterior to the medial epicondyle, then curving anteriorly along the path of the ulnar nerve. Dissection was carried down to the ulnar nerve. ", Orthopedic +2020," Trigger finger release. A longitudinal incision was made over the digit's A1 pulley. Dissection was carried down to the flexor sheath with care taken to identify and protect the neurovascular bundles. The sheath was opened under direct vision with a scalpel, and then a scissor was used to release it under direct vision from the proximal extent of the A1 pulley to just proximal to the proximal digital crease. ", Orthopedic +2021," Decompression of the ulnar nerve, left elbow. Left cubital tunnel syndrome and ulnar nerve entrapment.", Orthopedic +2022," Total knee replacement. A midline incision was made, centered over the patella. Dissection was sharply carried down through the subcutaneous tissues. A median parapatellar arthrotomy was performed.", Orthopedic +2023," Right total knee arthroplasty - Osteoarthritis, right knee.", Orthopedic +2024," Total left knee replacement. Degenerative arthritis of the left knee. Degenerative ware of three compartments of the trochlea, the medial, as well as the lateral femoral condyles as well was the plateau. ", Orthopedic +2025, Trigger thumb release. A transverse incision was made over the MPJ crease of the thumb. Dissection was carried down to the flexor sheath with care taken to identify and protect the neurovascular bundles. , Orthopedic +2026," Right knee total arthroplasty. Degenerative osteoarthritis, right knee.", Orthopedic +2027, Foraminal disc herniation of left L3-L4. Enlarged dorsal root ganglia of the left L3 nerve root. Transpedicular decompression of the left L3-L4 with discectomy., Orthopedic +2028," Total hip arthroplasty on the left. Left hip degenerative arthritis. Severe degenerative changes within the femoral head as well as the acetabulum, anterior as well as posterior osteophytes. ", Orthopedic +2029," Total hip replacement. An incision was made, centered over the greater trochanter. Dissection was sharply carried down through the subcutaneous tissues. ", Orthopedic +2030," Right total knee arthroplasty using a Biomet cemented components, 62.5-mm right cruciate-retaining femoral component, 71-mm Maxim tibial component, and 12-mm polyethylene insert with 31-mm patella. All components were cemented with Cobalt G.", Orthopedic +2031, Right hip osteoarthritis. Total hip replacement on the right side., Orthopedic +2032, NexGen left total knee replacement. Degenerative arthritis of left knee. The patient is a 72-year-old female with a history of bilateral knee pain for years progressively worse and decreasing quality of life and ADLs., Orthopedic +2033," Transforaminal lumbar interbody fusion, placement of intervertebral prosthetic device.", Orthopedic +2034," Infected right hip bipolar arthroplasty, status post excision and placement of antibiotic spacer. Removal of antibiotic spacer and revision total hip arthroplasty.", Orthopedic +2035," History of compartment syndrome, right lower extremity, status post 4 compartments fasciotomy, to do incision for compartment fasciotomy. Wound debridement x2, including skin, subcutaneous, and muscle. Insertion of tissue expander to the medial and lateral wound.", Orthopedic +2036, Pain. Three views of the right ankle. Three views of the right ankle are obtained., Orthopedic +2037, Right foot trauma. Three views of the right foot. Three views of the right foot were obtained. , Orthopedic +2038," Left carpal tunnel release with flexor tenosynovectomy; cortisone injection of trigger fingers, left third and fourth fingers; injection of Dupuytren's nodule, left palm.", Orthopedic +2039," Painful enlarged navicula, right foot. Osteochondroma of right fifth metatarsal. Partial tarsectomy navicula and partial metatarsectomy, right foot.", Orthopedic +2040," Tailor bunionectomy, right foot, Weil-type with screw fixation. Hallux abductovalgus deformity and tailor bunion deformity, right foot.", Orthopedic +2041," Excision of mass, left second toe and distal Symes amputation, left hallux with excisional biopsy. Mass, left second toe. Tumor. Left hallux bone invasion of the distal phalanx.", Orthopedic +2042, Arthroscopic irrigation and debridement of same with partial synovectomy. Septic left total knee arthroplasty., Orthopedic +2043," Excision of volar radial wrist mass (inflammatory synovitis) and radial styloidectomy, right wrist. Right wrist pain with an x-ray showing a scapholunate arthritic collapse pattern arthritis with osteophytic spurring of the radial styloid and a volar radial wrist mass suspected of being a volar radial ganglion.", Orthopedic +2044, Posterior spinal fusion and spinal instrumentation. Posterior osteotomy; posterior elements to include laminotomy-foraminotomy and decompression of the nerve roots., Orthopedic +2045, Thoracic right-sided discectomy at T8-T9. The patient is a 53-year-old female with a history of right thoracic rib pain related to a herniated nucleus pulposus at T8-T9. , Orthopedic +2046, Repeat irrigation and debridement of Right distal femoral subperiosteal abscess., Orthopedic +2047, Subcutaneous transposition of the right ulnar nerve. Right carpal tunnel syndrome and right cubital tunnel syndrome., Orthopedic +2048," Anterior spine fusion from T11-L3. Posterior spine fusion from T3-L5. Posterior spine segmental instrumentation from T3-L5, placement of morcellized autograft and allograft.", Orthopedic +2049, Superior labrum anterior and posterior lesion repair., Orthopedic +2050," Spinal Manipulation under Anesthesia - Sacro-iliitis, lumbo-sacral segmental dysfunction, thoraco-lumbar segmental dysfunction, associated with myalgia/fibromyositis.", Orthopedic +2051, Frontal and lateral views of the hip and pelvis., Orthopedic +2052, Arthroscopic subacromial decompression and repair of rotator cuff through mini-arthrotomy., Orthopedic +2053, Left shoulder injury. A 41-year-old male presenting for initial evaluation of his left shoulder., Orthopedic +2054, Consultation for right shoulder pain., Orthopedic +2055," Followup left-sided rotator cuff tear and cervical spinal stenosis. Physical examination and radiographic findings are compatible with left shoulder pain and left upper extremity pain, which is due to a combination of left-sided rotator cuff tear and moderate cervical spinal stenosis.", Orthopedic +2056, Scarf bunionectomy procedure of the first metatarsal of the left foot. Hallux abductovalgus deformity with bunion of the left foot., Orthopedic +2057," Right shoulder hemi-resurfacing using a size 5 Biomet Copeland humeral head component, noncemented. Severe degenerative joint disease of the right shoulder.", Orthopedic +2058, Right shoulder hemiarthroplasty. Right shoulder rotator cuff tear. Glenohumeral rotator cuff arthroscopy. Degenerative joint disease., Orthopedic +2059," Shoulder pain, right shoulder diffusely - Rotator cuff syndrome, right.", Orthopedic +2060," Release of A1 pulley, right thumb. Stenosing tendinosis, right thumb (trigger finger). There was noted to be thickening of the A1 pulley. There was a fibrous nodule noted within the flexor tendon of the thumb, which caused triggering sensation to the thumb.", Orthopedic +2061, Epicondylitis. history of lupus. Injected with 40-mg of Kenalog mixed with 1 cc of lidocaine., Orthopedic +2062, The patient was found to have limitations to extension at the IP joint to the right thumb and he had full extension after release of A1 pulley., Orthopedic +2063," Application of PMT large halo crown and vest. Cervical spondylosis, status post complex anterior cervical discectomy, corpectomy, decompression and fusion.", Orthopedic +2064, A sample note on RICE Therapy, Orthopedic +2065," Cervical, lumbosacral, thoracic spine flexion and extension to evaluate back and neck pain.", Orthopedic +2066, Closed reduction and pinning of the right ulna with placement of a long-arm cast., Orthopedic +2067, 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., Orthopedic +2068," Bilateral L5, S1, S2, and S3 radiofrequency ablation for sacroiliac joint pain. Fluoroscopy was used to identify the bony landmarks of the sacrum and the sacroiliac joints and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.", Orthopedic +2069," External fixation of left pilon fracture and closed reduction of left great toe, T1 fracture. Due to the comminuted nature of her tibia fracture as well as soft tissue swelling, the patient is in need of a staged surgery with the 1st stage external fixation followed by open treatment and definitive plate and screw fixation. ", Orthopedic +2070, Revision and in situ pinning of the right hip., Orthopedic +2071," Amputation distal phalanx and partial proximal phalanx, right hallux. Osteomyelitis, right hallux.", Orthopedic +2072," Open repair of right pectoralis major tendon. Right pectoralis major tendon rupture. On MRI evaluation, a complete rupture of a portion of the pectoralis major tendon was noted.", Orthopedic +2073," Patient was referred to Physical Therapy, secondary to low back pain and degenerative disk disease. The patient states she has had a cauterization of some sort to the nerves in her low back to help alleviate with painful symptoms. The patient would benefit from skilled physical therapy intervention.", Orthopedic +2074," Specimen labeled ""sesamoid bone left foot"".", Orthopedic +2075," Synovitis - anterior cruciate ligament tear of the left knee. The patient is a 52-year-old male, who was referred to Physical Therapy, secondary to left knee pain. The patient fell in a grocery store. He reports slipping on a grape that was on the floor. ", Orthopedic +2076," The patient is a 58-year-old female, referred to therapy due to left knee osteoarthritis. The patient states that approximately 2 years ago, she fell to the ground and thereafter had blood clots in the knee area. The patient was transferred from the hospital to a nursing home and lived there for 1 year. The patient states that her primary concern is her left knee pain and they desire to walk short distances again in her home.", Orthopedic +2077," A 7-year-old white male started to complain of pain in his fingers, elbows, and neck. This patient may have had reactive arthritis. ", Orthopedic +2078," The patient is a 26-year-old female, referred to Physical Therapy for low back pain. The patient has a history of traumatic injury to low back.", Orthopedic +2079," Patellar tendon and medial and lateral retinaculum repair, right knee. Patellar tendon retinaculum ruptures, right knee.", Orthopedic +2080," Ankle sprain, left ankle. The patient tripped over her dog toy and fell with her left foot inverted. The patient states that she received a series of x-rays and MRIs that were unremarkable. After approximately 1 month, the patient continued to have significant debilitating pain in her left ankle. She then received a walking boot and has been in the boot for the past month.", Orthopedic +2081, Pain management sample progress note., Orthopedic +2082," Distal metaphyseal osteotomy and bunionectomy with internal screw fixation, right foot. Reposition osteotomy with internal screw fixation to correct angulation deformity of proximal phalanx, right foot.", Orthopedic +2083, Pain management for post-laminectomy low back syndrome and radiculopathy. , Orthopedic +2084," Plantar flex third metatarsal and talus bunion, right foot. Third metatarsal osteotomy, talus bunionectomy, and application of short-leg cast, right foot. Patient has tried conservative methods such as wide shoes and serial debridement and accommodative padding, all of which provided inadequate relief. At this time she desires to attempt a surgical correction. ", Orthopedic +2085," Orthopedic progress note for follow up of osteoarthritis, knees.", Orthopedic +2086, OssaTron extracorporeal shockwave therapy to right lateral epicondyle. Right lateral epicondylitis., Orthopedic +2087," Acetabular fracture on the left posterior column/transverse posterior wall variety with an accompanying displaced fracture of the intertrochanteric variety to the left hip. Osteosynthesis of acetabular fracture on the left, complex variety and total hip replacement.", Orthopedic +2088, Patient with back and hip pain., Orthopedic +2089, Patient with chronic pain plus lumbar disk replacement with radiculitis and myofascial complaints. , Orthopedic +2090," Back pain and right leg pain. Small cell lung cancer with metastasis at the lower lumbar spine, pelvis, and both femurs", Orthopedic +2091," Degenerative disk disease of the right hip, low back pain with lumbar scoliosis post laminectomy syndrome, lumbar spinal stenosis, facet and sacroiliac joint syndrome, and post left hip arthroplasty.", Orthopedic +2092, Entrapment of the Superior Gluteal Nerve in the aponeurosis of the Gluteus Medius-Left., Orthopedic +2093," Medical management, status post left total knee arthroplasty.", Orthopedic +2094," Low back pain, lumbar degenerative disc disease, lumbar spondylosis, facet and sacroiliac joint syndrome, lumbar spinal stenosis primarily bilateral recess, intermittent lower extremity radiculopathy, DJD of both knees, bilateral pes anserinus bursitis, and chronic pain syndrome.", Orthopedic +2095, A 19-year-old right-handed male injured in a motor vehicle accident., Orthopedic +2096, Open reduction and internal fixation (ORIF) of the right wrist using an Acumed locking plate. Closed displaced angulated fracture of the right distal radius., Orthopedic +2097, The patient continues to suffer from ongoing neck and lower back pain with no recent radicular complaints., Orthopedic +2098," Open reduction and internal fixation (ORIF) of comminuted C2 fracture. Posterior spinal instrumentation C1-C3, using Synthes system. Posterior cervical fusion C1-C3. Insertion of morselized allograft at C1to C3.", Orthopedic +2099, Open reduction and internal fixation of the left medial epicondyle fracture with placement in a long-arm posterior well-molded splint and closed reduction casting of the right forearm., Orthopedic +2100," Open reduction and internal fixation of left atrophic mandibular fracture, removal of failed dental implant from the left mandible. The patient fell following an episode of syncope and sustained a blunt trauma to his ribs resulting in multiple fractures and presumably also struck his mandible resulting in fracture. ", Orthopedic +2101, Open reduction internal fixation (ORIF) with irrigation and debridement of open fracture. Closed reduction and screw fixation of right femoral neck fracture. Retrograde femoral nail using a striker T2 retrograde nail. Irrigation and debridement of knee and elbow abrasions., Orthopedic +2102," Patient suffers from neck and lower back pain radiating into both arms and both legs with numbness, paraesthesia, and tingling in both arms.", Orthopedic +2103, Open reduction and internal fixation of left distal radius., Orthopedic +2104, Open reduction and internal fixation of left tibia., Orthopedic +2105, Followup visit status post removal of external fixator and status post open reduction internal fixation of right tibial plateau fracture., Orthopedic +2106," Hawkins IV talus fracture. Open reduction internal fixation of the talus, medial malleolus osteotomy, and repair of deltoid ligament.", Orthopedic +2107, Open reduction and internal fixation of left lateral malleolus. Left lateral malleolus fracture., Orthopedic +2108," Open reduction and internal fixation, high grade Frykman VIII distal radius fracture.", Orthopedic +2109," Open reduction internal fixation of the left supracondylar, intercondylar distal femur fracture.", Orthopedic +2110, Fractured right fifth metatarsal. Open reduction and internal screw fixation right fifth metatarsal. Application of short leg splint., Orthopedic +2111, Open reduction and internal fixation of right distal radius fracture - intraarticular four piece fracture and right carpal tunnel release., Orthopedic +2112, MRI L-Spine - Bilateral lower extremity numbness, Orthopedic +2113," Repair of nerve and tendon, right ring finger and exploration of digital laceration. Laceration to right ring finger with partial laceration to the ulnar slip of the FDS which is the flexor digitorum superficialis and 25% laceration to the flexor digitorum profundus of the right ring finger and laceration 100% of the ulnar digital nerve to the right ring finger.", Orthopedic +2114, Open reduction and internal fixation (ORIF) of right Schatzker III tibial plateau fracture with partial medial meniscectomy., Orthopedic +2115, Left L4-L5 transforaminal neuroplasty with nerve root decompression and lysis of adhesions followed by epidural steroid injection., Orthopedic +2116," Incision and drainage and excision of the olecranon bursa, left elbow. Acute infected olecranon bursitis, left elbow.", Orthopedic +2117," Chronic plantar fasciitis, right foot. Open plantar fasciotomy, right foot.", Orthopedic +2118," Neck pain with right upper extremity radiculopathy and cervical spondylosis with herniated nucleus pulposus C4-C5, C5-C6, and C6-C7 with stenosis.", Orthopedic +2119, Initial evaulation - neck and back pain., Orthopedic +2120, MRI T-spine: Metastatic Adenocarcinoma of the T3-T4 vertebrae and invading the spinal canal., Orthopedic +2121," Patient with wrist pain and swelling, status post injury.", Orthopedic +2122, MRI T-spine and CXR - Aortic Dissection., Orthopedic +2123," The thoracic spine was examined in the AP, lateral and swimmer's projections.", Orthopedic +2124," Arthroscopy with arthroscopic rotator cuff debridement, anterior acromioplasty, and Mumford procedure left shoulder. Partial rotator cuff tear with impingement syndrome. Degenerative osteoarthritis of acromioclavicular joint, left shoulder, rule out slap lesion.", Orthopedic +2125, Patient status post vehicular trauma. Low Back syndrome and Cervicalgia., Orthopedic +2126, MRI T-L spine - L2 conus medullaris lesion and syndrome secondary to Schistosomiasis., Orthopedic +2127, MRI left shoulder., Orthopedic +2128, MRI Spine - T12-L5 epidural lipoma and thoracic spinal cord infarction vs. transverse myelitis., Orthopedic +2129, A 69-year-old male with pain in the shoulder. Evaluate for rotator cuff tear., Orthopedic +2130," MRI of the Cervical, Thoracic, and Lumbar Spine", Orthopedic +2131, MRI of lumbar spine without contrast to evaluate chronic back pain., Orthopedic +2132," MRI L-spine - History of progressive lower extremity weakness, right frontal glioblastoma with lumbar subarachnoid seeding.", Orthopedic +2133, MRI right knee without gadolinium, Orthopedic +2134, MRI left knee., Orthopedic +2135, A 32-year-old male with shoulder pain., Orthopedic +2136, A 51-year-old female with left shoulder pain and restricted external rotation and abduction x 6 months., Orthopedic +2137, MRI L-S-Spine for Cauda Equina Syndrome secondary to L3-4 disc herniation - Low Back Pain (LBP) with associated BLE weakness., Orthopedic +2138, Left shoulder pain. Evaluate for rotator cuff tear., Orthopedic +2139, MRI left knee without contrast., Orthopedic +2140, A 53-year-old female with left knee pain being evaluated for ACL tear., Orthopedic +2141, Pain and swelling in the right foot., Orthopedic +2142, MRI left knee without contrast., Orthopedic +2143," A 49-year-old female with ankle pain times one month, without a specific injury. ", Orthopedic +2144," Pain and swelling in the right foot, peroneal tendon tear.", Orthopedic +2145, MRI C-spine: C4-5 Transverse Myelitis., Orthopedic +2146," MRI of elbow - A middle-aged female with moderate pain, severe swelling and a growth on the arm.", Orthopedic +2147, MRI Elbow - A middle-aged female complaining of elbow pain., Orthopedic +2148, MRI Cervical Spine without contrast., Orthopedic +2149, MRI Brain & MRI C-T spine: Multiple hemangioblastoma in Von Hippel Lindau Disease., Orthopedic +2150, MRI C-spine to evaluate right shoulder pain - C5-6 disk herniation., Orthopedic +2151, MRI cervical spine., Orthopedic +2152, MRI right ankle., Orthopedic +2153, Left third digit numbness and wrist pain., Orthopedic +2154, MRI report Cervical Spine (Chiropractic Specific), Orthopedic +2155, Patient with right ankle pain., Orthopedic +2156, MRI Brain & T-spine - Demyelinating disease., Orthopedic +2157, Right hallux abductovalgus deformity. Right McBride bunionectomy. Right basilar wedge osteotomy with OrthoPro screw fixation., Orthopedic +2158," Arthroscopy, medial meniscoplasty, lateral meniscoplasty, medial femoral chondroplasty, and medical femoral microfracture, right knee. Patellar chondroplasty. Lateral femoral chondroplasty. Meniscal tear, osteochondral lesion, degenerative joint disease, and chondromalacia,", Orthopedic +2159," Low back pain, lumbar radiculopathy, degenerative disc disease, lumbar spinal stenosis, history of anemia, high cholesterol, and hypothyroidism.", Orthopedic +2160, 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., Orthopedic +2161," Medial branch rhizotomy, lumbosacral. Fluoroscopy was used to identify the boney landmarks of the spine and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.", Orthopedic +2162," 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.", Orthopedic +2163, Low back pain and right lower extremity pain - Lumbar spine herniated nucleus pulposus., Orthopedic +2164," Lumbar laminectomy for decompression with foraminotomies L3-L4, L4-L5, L5-S1 microtechniques and repair of CSF fistula, microtechniques L5-S1, application of DuraSeal. Lumbar stenosis and cerebrospinal fluid fistula.", Orthopedic +2165," Lumbar puncture. A 20-gauge spinal needle was then inserted into the L3-L4 space. Attempt was successful on the first try and several mLs of clear, colorless CSF were obtained. ", Orthopedic +2166," Lumbar discogram L2-3, L3-4, L4-5, and L5-S1. Low back pain.", Orthopedic +2167," Lumbar muscle strain and chronic back pain. Patient has a history of chronic back pain, dating back to an accident that he states he suffered two years ago.", Orthopedic +2168," Microscopic lumbar discectomy, left L5-S1. Extruded herniated disc, left L5-S1. Left S1 radiculopathy (acute). Morbid obesity.", Orthopedic +2169," New patient consultation - Low back pain, degenerative disc disease, spinal stenosis, diabetes, and history of prostate cancer status post radiation.", Orthopedic +2170," Microscopic assisted lumbar laminotomy with discectomy at L5-S1 on the left. Herniated nucleus pulposus of L5-S1 on the left. + ", Orthopedic +2171, Evaluation for right L4 selective nerve root block., Orthopedic +2172, Ligament reconstruction and tendon interposition arthroplasty of right wrist., Orthopedic +2173, Closed reduction and placement of long-arm cast., Orthopedic +2174," Diagnostic operative arthroscopy with repair and reconstruction of anterior cruciate ligament using autologous hamstring tendon, a 40 mm bioabsorbable femoral pin, and a 9 mm bioabsorbable tibial pin. Repair of lateral meniscus using two fast fixed meniscal repair sutures. Partial medial meniscectomy. Partial chondroplasty of patella. Lateral retinacular release. Open medial plication as well of the right knee.", Orthopedic +2175, Lateral release with lengthening of the ECRB tendon. Lateral epicondylitis. , Orthopedic +2176," Right L4 and L5 transpedicular decompression of distal right L4 and L5 nerve roots. Right L4-L5 and right L5-S1 laminotomies, medial facetectomies, and foraminotomies, decompression of right L5 and S1 nerve roots. Right L4-S1 posterolateral fusion with local bone graft. Left L4 through S1 segmental pedicle screw instrumentation. Preparation harvesting of local bone graft.", Orthopedic +2177, History of right leg pain. Leg pain is no longer present., Orthopedic +2178," Complete laminectomy, L4. and facetectomy, L3-L4 level. A dural repair, right sided, on the lateral sheath, subarticular recess at the L4 pedicle level. Posterior spinal instrumentation, L4 to S1, using Synthes Pangea System. Posterior spinal fusion, L4 to S1. Insertion of morselized autograft, L4 to S1. ", Orthopedic +2179," Followup status post L4-L5 laminectomy and bilateral foraminotomies, and L4-L5 posterior spinal fusion with instrumentation.", Orthopedic +2180, A 13-year-old new patientfor evaluation of thoracic kyphosis. Family history of kyphosis in a maternal aunt and grandfather. She was noted by her parents to have round back posture., Orthopedic +2181," Revision laminectomy L5-S1, discectomy L5-S1, right medial facetectomy, preparation of disk space and arthrodesis with interbody graft with BMP. Status post previous lumbar surgery for herniated disk with severe recurrence of axial back pain, failed conservative therapy.", Orthopedic +2182," Microscopic-assisted revision of bilateral decompressive lumbar laminectomies and foraminotomies at the levels of L3-L4, L4-L5, and L5-S1. Posterior spinal fusion at the level of L4-L5 and L5-S1 utilizing local bone graft, allograft and segmental instrumentation. Posterior lumbar interbody arthrodesis utilizing cage instrumentation at L4-L5 with local bone graft and allograft. All procedures were performed under SSEP, EMG, and neurophysiologic monitoring.", Orthopedic +2183, Decompressive left lumbar laminectomy C4-C5 and C5-C6 with neural foraminotomy. Posterior cervical fusion C4-C5. Songer wire. Right iliac bone graft., Orthopedic +2184, KYPHON Balloon Kyphoplasty at T12 and L1evels Insertion of KYPHON HV-R bone cement under low pressure at T12 and L1 levels and bone biopsy., Orthopedic +2185, Left medial compartment osteoarthritis of the knee. Left unicompartmental knee replacement., Orthopedic +2186, The patient with an L5 compression fracture.is to come to the hospital for bilateral L5 kyphoplasty. The patient has a history of back and buttock pain for some time. , Orthopedic +2187, Decreased ability to perform daily living activities secondary to right knee surgery., Orthopedic +2188, Fracture reduction with insertion of prosthetic device at T8 with kyphoplasty. Vertebroplasties at T7 and T9 with insertion of prosthetic device. Fracture of the T8 vertebra and T9 vertebra., Orthopedic +2189," Arthroscopy of the left knee with medial meniscoplasty. Internal derangement, left knee. Displaced bucket-handle tear of medial meniscus, left knee.", Orthopedic +2190," 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. ", Orthopedic +2191, Left knee arthroscopy with lateral capsular release., Orthopedic +2192, Arthroscopic procedure of the knee., Orthopedic +2193," Painful right knee status post total knee arthroplasty many years ago. Status post poly exchange, right knee, total knee arthroplasty.", Orthopedic +2194," 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.", Orthopedic +2195, Evaluation for chronic pain program, Orthopedic +2196, Revision right total knee arthroplasty. Right failed total knee arthroplasty., Orthopedic +2197," Left below-the-knee amputation. Dressing change, right foot.", Orthopedic +2198, A 66-year-old female with knee osteoarthrosis who failed conservative management., Orthopedic +2199," Bilateral degenerative arthritis of the knees. Right total knee arthroplasty done in conjunction with a left total knee arthroplasty, which will be dictated separately.", Orthopedic +2200, Intramedullary nail fixation of the left tibia fracture with a Stryker T2 tibial nail. Left tibial shaft fracture status post gunshot wound., Orthopedic +2201, Displaced left subtrochanteric femur fracture. Intramedullary rod in the left hip using the Synthes trochanteric fixation nail measuring 11 x 130 degrees with an 85-mm helical blade., Orthopedic +2202, Bilateral knee degenerative arthritis. Bilateral knee arthroplasty. The Zimmer NexGen total knee system was utilized., Orthopedic +2203," A male presents complaining of some right periscapular discomfort, some occasional neck stiffness, and some intermittent discomfort in his low back relative to an industrial fall.", Orthopedic +2204," Grade 1 compound fracture, right mid-shaft radius and ulna with complete displacement and shortening. Irrigation and debridement of skin subcutaneous tissues, muscle, and bone, right forearm. Open reduction, right both bone forearm fracture with placement of long-arm cast.", Orthopedic +2205," Postoperative wound infection, complicated. Irrigation and debridement of postoperative wound infection. Removal of foreign body. Placement of vacuum-assisted closure.device.", Orthopedic +2206, Persistent left hip pain. Left hip avascular necrosis. Discussed the possibility of hip arthrodesis versus hip replacement versus hip resurfacing, Orthopedic +2207," Incision and drainage and removal of foreign body, right foot. The patient has had previous I&D but continues to have to purulent drainage. The patient's parents agreed to performing a surgical procedure to further clean the wound.", Orthopedic +2208, Non-healing surgical wound to the left posterior thigh. Several multiple areas of hypergranulation tissue on the left posterior leg associated with a sense of trauma to his right posterior leg., Orthopedic +2209," Painful ingrown toenail, left big toe. Removal of an ingrown part of the left big toenail with excision of the nail matrix.", Orthopedic +2210, Decreased ability to perform daily living activity secondary to recent right hip surgery., Orthopedic +2211, Status post left hip fracture and hemiarthroplasty. Rehab transfer as soon as medically cleared., Orthopedic +2212," Hemiarthroplasty of left shoulder utilizing a global advantage system with an #8 mm cemented humeral stem and 48 x 21 mm modular head replacement. Comminuted fracture, dislocation left proximal humerus.", Orthopedic +2213, Left C5-6 hemilaminotomy and foraminotomy with medial facetectomy for microscopic decompression of nerve root., Orthopedic +2214, Left hip fracture. The patient is a 53-year-old female with probable pathological fracture of the left proximal femur., Orthopedic +2215," Austin-Moore bipolar hemiarthroplasty, left hip. Subcapital left hip fracture.", Orthopedic +2216," Hemiarthroplasty, right hip. Fracture of the right femoral neck, also history of Alzheimer's dementia, hypothyroidism, and status post hemiarthroplasty of the hip.", Orthopedic +2217, Hardware removal in the left elbow., Orthopedic +2218," New patient visit for right hand pain. Punched the wall 3 days prior to presentation, complained of ulnar-sided right hand pain, and was seen in the emergency room. ", Orthopedic +2219," Removal of painful hardware, first left metatarsal. Excision of nonunion, first left metatarsal. Incorporation of corticocancellous bone graft with internal fixation consisting of screws and plates of the first left metatarsal.", Orthopedic +2220," Hardware removal, right ulnar", Orthopedic +2221, Left distal medial hamstring release., Orthopedic +2222," Excision of foreign body, right foot and surrounding tissue. This 41-year-old male presents to preoperative holding area after keeping himself n.p.o., since mid night for removal of painful retained foreign body in his right foot. The patient works in the Electronics/Robotics field and relates that he stepped on a wire at work, which somehow got into his shoe. The wire entered his foot.", Orthopedic +2223, Excision of ganglion of the left wrist. A curved incision was made over the presenting ganglion over the dorsal aspect of the wrist. , Orthopedic +2224, Consultation for left foot pain., Orthopedic +2225," Resection of infected bone, left hallux, proximal phalanx, and distal phalanx. Osteomyelitis, left hallux.", Orthopedic +2226," Cellulitis with associated abscess and foreign body, right foot. Irrigation debridement and removal of foreign body of right foot. Purulent material from the abscess located in the plantar aspect of the foot between the third and fourth metatarsal heads.", Orthopedic +2227," Flexor carpi radialis and palmaris longus repair. Right wrist laceration with a flexor carpi radialis laceration and palmaris longus laceration 90%, suspected radial artery laceration.", Orthopedic +2228, Consultation for FCR tendinitis, Orthopedic +2229, Sample Radiology report of knee (growth arrest lines)., Orthopedic +2230, Endoscopic carpal tunnel release. Left carpal tunnel syndrome., Orthopedic +2231, Left little finger extensor tendon laceration. Repair of left little extensor tendon., Orthopedic +2232," 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.", Orthopedic +2233, Consultation for finger triggering and locking., Orthopedic +2234, Endoscopic carpal tunnel release and de Quervain's release. Left carpal tunnel syndrome and de Quervain's tenosynovitis., Orthopedic +2235, Followup 4 months status post percutaneous screw fixation of a right Schatzker IV tibial plateau fracture and second through fifth metatarsal head fractures treated nonoperatively., Orthopedic +2236, Left elbow manipulation and hardware removal of left elbow., Orthopedic +2237," Excision of Dupuytren disease of the right hand extending out to the proximal interphalangeal joint of the little finger. The patient is a 51-year-old male with left Dupuytren disease, which is causing contractions both at the metacarpophalangeal and the PIP joint as well as significant discomfort.", Orthopedic +2238," Excision dorsal ganglion, right wrist. The extensor retinaculum was then incised and the extensor tendon was dissected and retracted out of the operative field. ", Orthopedic +2239," Left elbow pain. Fracture of the humerus, spiral. Possible nerve injuries to the radial and median nerve, possibly neurapraxia.", Orthopedic +2240, A 47-year-old female with a posttraumatic AV in the right femoral head., Orthopedic +2241," Anterior cervical discectomy, osteophytectomy, foraminotomies, spinal cord decompression, fusion with machined allografts, Eagle titanium plate, Jackson-Pratt drain placement, and intraoperative monitoring with EMGs and SSEPs", Orthopedic +2242, Stenosing tenosynovitis first dorsal extensor compartment/de Quervain tendonitis. Release of first dorsal extensor compartment., Orthopedic +2243, Trauma/ATV accident resulting in left open humerus fracture., Orthopedic +2244," Bilateral L5 dorsal ramus block and bilateral S1, S2, and S3 lateral branch block for sacroiliac joint pain. Fluoroscopic pillar view was used to identify the bony landmarks of the sacrum and sacroiliac joint and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.", Orthopedic +2245," Redo L4-5 diskectomy, left - recurrent herniation L4-5 disk with left radiculopathy.", Orthopedic +2246," Decompressive laminectomy at T12 with bilateral facetectomies, decompression of T11 and T12 nerve roots bilaterally with posterolateral fusion supplemented with allograft bone chips and pedicle screws and rods with crosslink Synthes ClickX System.", Orthopedic +2247, Wrist de Quervain stenosing tenosynovitis. de Quervain release. Fascial lengthening flap of the 1st dorsal compartment., Orthopedic +2248, Degenerative disk disease at L4-L5 and L5-S1. Anterior exposure diskectomy and fusion at L4-L5 and L5-S1., Orthopedic +2249," 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.", Orthopedic +2250," Torn rotator cuff and subacromial spur with impingement syndrome, right shoulder. Diagnostic arthroscopy with subacromial decompression and open repair of rotator cuff using three Panalok suture anchors.", Orthopedic +2251," Incision and drainage with extensive debridement, left shoulder. Removal total shoulder arthroplasty (uncemented humeral Biomet component; cemented glenoid component). Implantation of antibiotic beads, left shoulder.", Orthopedic +2252," Carpal tunnel syndrome and de Quervain's stenosing tenosynovitis. Carpal tunnel release and de Quervain's release. A longitudinal incision was made in line with the 4th ray, from Kaplan's cardinal line proximally to 1 cm distal to the volar wrist crease. The dissection was carried down to the superficial aponeurosis. ", Orthopedic +2253, CT REPORT - Soft Tissue Neck, Orthopedic +2254," Noncontrast CT scan of the lumbar spine. Left lower extremity muscle spasm. Transaxial thin slice CT images of the lumbar spine were obtained with sagittal and coronal reconstructions on emergency basis, as requested.", Orthopedic +2255, CT of Lumbar Spine without Contrast. Patient with history of back pain after a fall., Orthopedic +2256, This is a middle-aged female with low back pain radiating down the left leg and foot for one and a half years., Orthopedic +2257, This is a middle-aged female with two month history of low back pain and leg pain., Orthopedic +2258, CT REPORT - Soft Tissue Neck, Orthopedic +2259," Motor vehicle collision. CT head without contrast, CT facial bones without contrast, and CT cervical spine without contrast. ", Orthopedic +2260, Common CT C-Spine template, Orthopedic +2261, Motor vehicle collision. CT head without contrast and CT cervical spine without contrast. Noncontrast axial CT images of the head were obtained., Orthopedic +2262," CT head without contrast, CT facial bones without contrast, and CT cervical spine without contrast.", Orthopedic +2263, The patient has been suffering from intractable back and leg pain., Orthopedic +2264," Lateral and plantar condylectomy, fifth left metatarsal.", Orthopedic +2265," Closed reduction percutaneous pinning, left distal humerus. Closed type-III supracondylar fracture, left distal humerus. Tethered brachial artery, left elbow.", Orthopedic +2266, Patient with complaint of left knee pain. Patient is obese and will be starting Medifast Diet., Orthopedic +2267, Axial images through the cervical spine with coronal and sagittal reconstructions., Orthopedic +2268, CT cervical spine for trauma. CT examination of the cervical spine was performed without contrast. Coronal and sagittal reformats were obtained for better anatomical localization., Orthopedic +2269," Trimalleolar ankle fracture and dislocation right ankle. A comminuted fracture involving the lateral malleolus, as well as a medial and posterior malleolus fracture as well. Closed open reduction and internal fixation of right ankle. ", Orthopedic +2270, Right distal both-bone forearm fracture. Closed reduction under conscious sedation and application of a splint was warranted., Orthopedic +2271," Postoperative followup note - Cervicalgia, cervical radiculopathy, and difficulty swallowing status post cervical fusion C3 through C7 with lifting of the plate.", Orthopedic +2272," Closing wedge osteotomy, fifth metatarsal with internal screw fixation, right foot.", Orthopedic +2273, Left hip cemented hemiarthroplasty and biopsy of the tissue from the fracture site and resected femoral head sent to the pathology for further assessment., Orthopedic +2274," Cervical spondylosis and kyphotic deformity. She had a nerve conduction study and a diagnosis of radiculopathy was made. She had an MRI of lumbosacral spine, which was within normal limits. She then developed a tingling sensation in the right middle toe. ", Orthopedic +2275, Left distal both-bone forearm fracture. Closed reduction with splint application with use of image intensifier., Orthopedic +2276," 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.", Orthopedic +2277, Left knee arthroscopy with removal of the cartilage loose body and microfracture of the medial femoral condyle with chondroplasty., Orthopedic +2278," Carpal tunnel syndrome. Open carpal tunnel release. A longitudinal incision was made in line with the 4th ray. The dissection was carried down to the superficial aponeurosis, which was cut. The distal edge of the transverse carpal ligament was identified with a hemostat. ", Orthopedic +2279," 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.", Orthopedic +2280," Left total knee cemented arthroplasty. Severe tricompartmental osteoarthritis, left knee with varus deformity.", Orthopedic +2281, Right carpal tunnel release. Right carpal tunnel syndrome. This is a 54-year-old female who was complaining of right hand numbness and tingling of the median distribution and has elected to undergo carpal tunnel surgery secondary to failure of conservative management., Orthopedic +2282, Left carpal tunnel release. Left carpal tunnel syndrome. Severe compression of the median nerve on the left at the wrist., Orthopedic +2283, Right carpal tunnel syndrome. Right carpal tunnel release., Orthopedic +2284, Right carpal tunnel release and right index and middle fingers release A1 pulley. Right carpal tunnel syndrome and right index finger and middle fingers tenosynovitis., Orthopedic +2285, Bilateral open carpal tunnel release., Orthopedic +2286, Left endoscopic carpal tunnel release and endotracheal fasciotomy., Orthopedic +2287," Right open carpal tunnel release and cortisone injection, left carpal tunnel.", Orthopedic +2288, Right carpal tunnel release., Orthopedic +2289," Carpal tunnel release with transverse carpal ligament reconstruction. A longitudinal incision was made in line with the fourth ray, from Kaplan's cardinal line proximally to 1 cm distal to the volar wrist crease. The dissection was carried down to the superficial aponeurosis. ", Orthopedic +2290, Endoscopic release of left transverse carpal ligament., Orthopedic +2291," Left carpal tunnel release, left ulnar nerve anterior submuscular transposition at the elbow, lengthening of the flexor pronator muscle mass in the proximal forearm to accommodate the submuscular position of the ulnar nerve.", Orthopedic +2292," Left calcaneal lengthening osteotomy with allograft, partial plantar fasciotomy, posterior subtalar and tibiotalar capsulotomy, and short leg cast placed.", Orthopedic +2293," 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.", Orthopedic +2294," Bunionectomy, SCARF type, with metatarsal osteotomy and internal screw fixation, left and arthroplasty left second toe. Bunion left foot and hammertoe, left second toe.", Orthopedic +2295," Bunionectomy with distal first metatarsal osteotomy and internal screw fixation, right foot. Akin bunionectomy, right toe with internal wire fixation.", Orthopedic +2296," Endoscopic release of left transverse carpal ligament. Steroid injection, stenosing tenosynovitis of right middle finger.", Orthopedic +2297," Bunion, left foot. Bunionectomy with first metatarsal osteotomy base wedge type with internal screw fixation and Akin osteotomy with internal wire fixation of left foot.", Orthopedic +2298," Bunionectomy, right foot with Biopro hemi implant, right first metatarsophalangeal joint. Arthrodesis, right second, third, and fourth toes with external rod fixation. Hammertoe repair, right fifth toe. Extensor tenotomy and capsulotomy, right fourth metatarsophalangeal joint. Modified Tailor's bunionectomy, right fifth metatarsal. +", Orthopedic +2299," 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.", Orthopedic +2300," Evaluation of pain and symptoms related to a recurrent bunion deformity in bilateral feet - recurrent bunion deformity, right forefoot & pes planovalgus deformity, bilateral feet.", Orthopedic +2301," Austin/akin bunionectomy, right foot. Bunion, right foot. The patient states she has had a bunion deformity for as long as she can remember that has progressively become worse and more painful.", Orthopedic +2302," A woman presenting to our clinic for the first time for evaluation of hip pain, right greater than left, of greater than 2 years duration. The pain is located laterally as well as anteriorly into the groin. ", Orthopedic +2303, Decreased ability to perform daily living activities secondary to exacerbation of chronic back pain., Orthopedic +2304," Tailor's bunionectomy with metatarsal osteotomy of the left fifth metatarsal. Excision of nerve lesion with implantation of the muscle belly of the left second interspace. Excision of nerve lesion in the left third interspace. +", Orthopedic +2305, Back injury with RLE radicular symptoms. The patient is a 52-year-old male who is here for independent medical evaluation., Orthopedic +2306, Bilateral l5 spondylolysis with pars defects and spinal instability with radiculopathy. Chronic pain syndrome., Orthopedic +2307," Ruptured distal biceps tendon, right elbow. Repair of distal biceps tendon, right elbow.", Orthopedic +2308," Austin-Moore bipolar hemiarthroplasty, left hip utilizing a medium fenestrated femoral stem with a medium 0.8 mm femoral head, a 50 mm bipolar cup. Displace subcapital fracture, left hip.", Orthopedic +2309," Diagnostic arthroscopy exam under anesthesia, left shoulder. Debridement of chondral injury, left shoulder. Debridement, superior glenoid, left shoulder. Arthrotomy. Bankart lesion repair. Capsular shift, left shoulder (Mitek suture anchors; absorbable anchors with nonabsorbable sutures).", Orthopedic +2310," Austin bunionectomy with internal screw fixation, first metatarsal, left foot.", Orthopedic +2311," Hemarthrosis, left knee, status post total knee replacement, rule out infection. Arthrotomy, irrigation and debridement, and polyethylene exchange, left knee. No complications were encountered throughout the procedure.", Orthopedic +2312," Excision of capsular mass and arthrotomy with ostectomy of lateral femoral condyle, right knee. Soft tissue mass and osteophyte lateral femoral condyle, right knee.", Orthopedic +2313," Austin-Akin bunionectomy with internal screw fixation of the first right metatarsophalangeal joint. Weil osteotomy with internal screw fixation, first right metatarsal. Arthroplasty, second right PIP joint.", Orthopedic +2314," Erythema of the right knee and leg, possible septic knee. Aspiration through the anterolateral portal of knee joint.", Orthopedic +2315," Arthroscopy of the left knee, left arthroscopic medial meniscoplasty of medial femoral condyle, and chondroplasty of the left knee as well. Chondromalacia of medial femoral condyle. Medial meniscal tear, left knee.", Orthopedic +2316," Arthrotomy, removal humeral head implant, right shoulder. Repair of torn subscapularis tendon (rotator cuff tendon) acute tear. Debridement glenohumeral joint. Biopsy and culturing the right shoulder.", Orthopedic +2317," Partial rotator cuff tear, left shoulder. Arthroscopy of the left shoulder with arthroscopic rotator cuff debridement, soft tissue decompression of the subacromial space of the left shoulder.", Orthopedic +2318," Right shoulder arthroscopy, subacromial decompression, distal clavicle excision, bursectomy, and coracoacromial ligament resection, carpal tunnel release, left knee arthroscopy, and partial medial and lateral meniscectomy.", Orthopedic +2319," 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.", Orthopedic +2320, Primary right shoulder arthroscopic rotator cuff repair with subacromial decompression., Orthopedic +2321," Diagnostic arthroscopy with partial chondroplasty of patella, lateral retinacular release, and open tibial tubercle transfer with fixation of two 4.5 mm cannulated screws. Grade-IV chondromalacia patella and patellofemoral malalignment syndrome.", Orthopedic +2322," Torn lateral meniscus and chondromalacia of the patella, right knee. Arthroscopic lateral meniscoplasty and patellar shaving of the right knee.", Orthopedic +2323," Rotated cuff tear, right shoulder. Glenoid labrum tear. Arthroscopy with arthroscopic glenoid labrum debridement, subacromial decompression, and rotator cuff repair, right shoulder.", Orthopedic +2324," Arthroscopic rotator cuff repair, arthroscopic subacromial decompression, and arthroscopic extensive debridement, superior labrum anterior and posterior tear.", Orthopedic +2325," Rotator cuff tear, right shoulder. Superior labrum anterior and posterior lesion (peel-back), right shoulder. Arthroscopy with arthroscopic SLAP lesion. Repair of soft tissue subacromial decompression rotator cuff repair, right shoulder.", Orthopedic +2326," Femoroacetabular impingement. Left hip arthroscopic debridement, femoral neck osteoplasty, and labral repair.", Orthopedic +2327, Arthroplasty of the right second digit. Hammertoe deformity of the right second digit., Orthopedic +2328, Recurrent anterior dislocating left shoulder. Arthroscopic debridement of the left shoulder with attempted arthroscopic Bankart repair followed by open Bankart arthroplasty of the left shoulder., Orthopedic +2329," Anterior lumbar fusion, L4-L5, L5-S1, PEEK vertebral spacer, structural autograft from L5 vertebral body, BMP and anterior plate. Severe low back pain.", Orthopedic +2330," Hammertoe deformity, left fifth digit and ulceration of the left fifth digit plantolaterally. Arthroplasty of the left fifth digit proximal interphalangeal joint laterally and excision of plantar ulceration of the left fifth digit 3 cm x 1 cm in size.", Orthopedic +2331," Anterior cervical discectomy for neural decompression and anterior interbody fusion at C4-C5, C5-C6, and C6-C7 utilizing Bengal cages times three.", Orthopedic +2332, Bilateral Crawford subtalar arthrodesis with open Achilles Z-lengthening and bilateral long-leg cast., Orthopedic +2333," Irrigation and debridement of skin, subcutaneous tissue, fascia and bone associated with an open fracture and placement of antibiotic-impregnated beads. Open calcaneus fracture on the right.", Orthopedic +2334, Arthroscopy of the left knee was performed with the anterior cruciate ligament reconstruction. Removal of loose bodies. Medial femoral chondroplasty and meniscoplasty., Orthopedic +2335, Anterior cervical discectomy for neural decompression and anterior interbody fusion C5-C6 utilizing Bengal cage. , Orthopedic +2336, Anterior cervical discectomy with spinal cord and spinal canal decompression and Anterior interbody fusion at C5-C6 utilizing Bengal cage., Orthopedic +2337," C5-C6 anterior cervical discectomy, allograft fusion, and anterior plating.", Orthopedic +2338," C4-C5, C5-C6 anterior cervical discectomy and fusion. The patient is a 62-year-old female who presents with neck pain as well as upper extremity symptoms. Her MRI showed stenosis at portion of C4 to C6.", Orthopedic +2339," Anterior cervical discectomy with decompression, C5-C6, arthrodesis with anterior interbody fusion, C5-C6, spinal instrumentation, C5-C6 using Pioneer 18-mm plate and four 14 x 4.0 mm screws (all titanium), implant using PEEK 7 mm, and Allograft using Vitoss.", Orthopedic +2340," 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.", Orthopedic +2341," Anterior cervical discectomy and fusions C4-5, C5-6, C6-7 using Bengal cages and Slimlock plate C4 to C7; intraoperative x-ray. Herniated nucleuses pulposus, C5-6 greater than C6-7, left greater than C4-5 right with left radiculopathy and moderate stenosis C5-6.", Orthopedic +2342, Anterior cervical discectomy and osteophytectomy. Application of prosthetic interbody fusion device. Anterior cervical interbody arthrodesis. Anterior cervical instrumentation, Orthopedic +2343, Anterior cervical discectomy with decompression of spinal cord. Anterior cervical fusion. Anterior cervical instrumentation. Insertion of intervertebral device. Use of operating microscope., Orthopedic +2344," Anterior cervical discectomy at C5-C6 and C6-C7 for neural decompression and anterior interbody fusion at C5-C6 and C6-C7 utilizing Bengal cages x2. Anterior instrumentation by Uniplate construction C5, C6, and C7 with intraoperative x-ray x2.", Orthopedic +2345, Anterior cervical discectomy with decompression and arthrodesis with anterior interbody fusion. Spinal instrumentation using Pioneer 18-mm plate and four 14 x 4.3 mm screws (all titanium)., Orthopedic +2346," Radical anterior discectomy with removal of posterior osteophytes, foraminotomies, and decompression of the spinal canal. Anterior cervical fusion. Utilization of allograft for purposes of spinal fusion. Application of anterior cervical locking plate.", Orthopedic +2347," Herniated nucleus pulposus, C5-C6, with spinal stenosis. Anterior cervical discectomy with fusion C5-C6.", Orthopedic +2348," Anterior cervical discectomy C4-C5 arthrodesis with 8 mm lordotic ACF spacer, corticocancellous, and stabilization with Synthes Vector plate and screws. Cervical spondylosis and herniated nucleus pulposus of C4-C5.", Orthopedic +2349, Anterior cervical discectomy fusion C3-C4 and C4-C5 using operating microscope and the ABC titanium plates fixation with bone black bone procedure. Cervical spondylotic myelopathy with cord compression and cervical spondylosis., Orthopedic +2350," C5-C6 anterior cervical discectomy, bone bank allograft, and anterior cervical plate. Left cervical radiculopathy.", Orthopedic +2351," Anterior cervical discectomy with decompression, anterior cervical fusion, anterior cervical instrumentation, and Allograft C5-C6.", Orthopedic +2352," 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.", Orthopedic +2353," Arthrodesis - anterior interbody technique, anterior cervical discectomy, anterior instrumentation with a 23-mm Mystique plate and the 13-mm screws, implantation of machine bone implant. Disc herniation with right arm radiculopathy.", Orthopedic +2354," Anterior cervical discectomy, arthrodesis, partial corpectomy, Machine bone allograft, placement of anterior cervical plate with a Zephyr. +7. Microscopic dissection.", Orthopedic +2355," Anterior cervical discectomy with decompression C6-C7, arthrodesis with anterior interbody fusion C6-C7, spinal instrumentation using Pioneer 20 mm plate and four 12 x 4.0 mm screws, PEEK implant 7 mm, and Allograft using Vitoss.", Orthopedic +2356, 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., Orthopedic +2357, Anterior cervical discectomy at C5-6 and placement of artificial disk replacement. Right C5-C6 herniated nucleus pulposus., Orthopedic +2358, Anterior cervical discectomy and removal of herniated disk and osteophytes and decompression of spinal cord and bilateral nerve root decompression. Harvesting of autologous bone from the vertebral bodies. Grafting of allograft bone for creation of arthrodesis., Orthopedic +2359, History and Physical for right ankle sprain, Orthopedic +2360," Achilles tendon rupture, left lower extremity. Primary repair left Achilles tendon. The patient was stepping off a hilo at work when he felt a sudden pop in the posterior aspect of his left leg. The patient was placed in posterior splint and followed up at ABC orthopedics for further care.", Orthopedic +2361," Anterior cervical discectomy, removal of herniated disc and osteophytes, bilateral C4 nerve root decompression, harvesting of bone for autologous vertebral bodies for creation of arthrodesis, grafting of fibular allograft bone for creation of arthrodesis, creation of arthrodesis via an anterior technique with fibular allograft bone and autologous bone from the vertebral bodies, and placement of anterior spinal instrumentation using the operating microscope and microdissection technique.", Orthopedic +2362, The patient was running and twisted her right ankle - right ankle sprain., Orthopedic +2363," Herniated nucleus pulposus. Anterior cervical decompression, anterior spine instrumentation, anterior cervical spine fusion, and application of machined allograft.", Orthopedic +2364, Removal of the hardware and revision of right AC separation. Loose hardware with superior translation of the clavicle implants. Arthrex bioabsorbable tenodesis screws., Orthopedic +2365, Right Achilles tendon rupture., Orthopedic +2366," This patient has undergone cataract surgery, and vision is reduced in the operated eye due to presence of a secondary capsular membrane. The patient is being brought in for YAG capsular discission.", Ophthalmology +2367, Bilateral open Achilles lengthening with placement of short leg walking cast., Orthopedic +2368," Combined closed vitrectomy with membrane peeling, fluid-air exchange, and endolaser, right eye.", Ophthalmology +2369," Visually significant posterior capsule opacity, right eye. YAG laser posterior capsulotomy, right eye.", Ophthalmology +2370, Vitrectomy under local anesthesia., Ophthalmology +2371," Vitreous hemorrhage, right eye. Vitrectomy, right eye. A Lancaster lid speculum was applied and the conjunctiva was opened 4 mm posterior to the limbus.", Ophthalmology +2372, Vitrectomy under general anesthesia, Ophthalmology +2373," Vitrectomy. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and, separately, the supratemporal and inferotemporal quadrants. ", Ophthalmology +2374," The patient with recurrent nongranulomatous anterior iritis and most recently, pain in left eye associated with headache and photophobia.", Ophthalmology +2375," Pars plana vitrectomy, membrane peel, 23-gauge, right eye.", Ophthalmology +2376, Vitrectomy opening. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and separately the supratemporal and inferotemporal quadrants. , Ophthalmology +2377, Scleral buckle opening under local anesthesia., Ophthalmology +2378," Short flap trabeculectomy with lysis of conjunctival scarring, tenonectomy, peripheral iridectomy, paracentesis, watertight conjunctival closure, and 0.5 mg/mL mitomycin x2 minutes, left eye. Uncontrolled open angle glaucoma and conjunctival scarring, left eye. ", Ophthalmology +2379, Tube Shunt - Ahmed valve model S2 implant with pericardial reinforcement - Sample/Template., Ophthalmology +2380, Scleral buckle opening. The 4 scleral quadrants were inspected and found to be free of scleral thinning or staphyloma., Ophthalmology +2381, Trabeculectomy with mitomycin C - Sample/Template., Ophthalmology +2382, Scleral Buckle opening under general anesthesia., Ophthalmology +2383, Repair of ruptured globe involving posterior sclera - Sample/Template. , Ophthalmology +2384, Ruptured globe with full-thickness corneal laceration repair - Sample/Template., Ophthalmology +2385, Repair of ruptured globe with repositing of uveal tissue - Sample/Template., Ophthalmology +2386, Small office note on premature retina and vitreous., Ophthalmology +2387, Repair of one-half full-thickness left lower lid defect by tarsoconjunctival pedicle flap from left upper lid to left lower lid and repair of left upper and lateral canthal defect by primary approximation to lateral canthal tendon remnant., Ophthalmology +2388," Macular edema, right eye. Insertion of radioactive plaque, right eye with lateral canthotomy. The plaque was positioned on the scleral surface immediately behind the macula and secured with two sutures of 5-0 Dacron. The placement was confirmed with indirect ophthalmoscopy. ", Ophthalmology +2389," Bilateral rectus recession with the microscopic control, 8 mm, both eyes.", Ophthalmology +2390," Cervical facial rhytidectomy. Quadrilateral blepharoplasty. Autologous fat injection to the upper lip - donor site, abdomen.", Ophthalmology +2391," Radioactive plaque macular edema. Removal of radioactive plaque, right eye with lateral canthotomy. A lid speculum was applied and the conjunctiva was opened 4 mm from the limbus. A 2-0 traction suture was passed around the insertion of the lateral rectus and the temporal one-half of the globe was exposed.", Ophthalmology +2392," Phacoemulsification of cataract, extraocular lens implant in left eye.", Ophthalmology +2393, Sample post dilation patient instructions., Ophthalmology +2394, Phacoemulsification with posterior chamber intraocular lens insertion., Ophthalmology +2395," Phacoemulsification of cataract and posterior chamber lens implant, right eye.", Ophthalmology +2396, Phacoemulsification with posterior chamber intraocular lens implant in the right eye., Ophthalmology +2397," Cataract, right eye. Phacoemulsification of cataract with posterior chamber intraocular lens, right eye.", Ophthalmology +2398," Right phacoemulsification of cataract with intraocular lens implantation - Cataract, right eye.", Ophthalmology +2399," Phacoemulsification with IOL, right eye. Cataract, right eye. A lid speculum was placed in the right eye after which a supersharp was used to make a stab incision at the 4 o'clock position through which 2% preservative-free Xylocaine was injected followed by Viscoat.", Ophthalmology +2400," Cataract, right eye. Phacoemulsification with intraocular lens placement, right eye.", Ophthalmology +2401, Phacoemulsification with intraocular lens placement. A wire speculum was placed in the eye and then a clear corneal paracentesis site was made inferiorly with a 15-degree blade. , Ophthalmology +2402," Cataract extraction with phacoemulsification and posterior chamber intraocular lens implantation. Cataract, right eye.", Ophthalmology +2403," Visually significant cataract, left eye. Phacoemulsification cataract extraction with intraocular lens implantation, left eye. The patient was found to have a visually-significant cataract and, after discussion of the risks, benefits and alternatives to surgery, she elected to proceed with cataract extraction and lens implantation in this eye in efforts to improve her vision.", Ophthalmology +2404," Cataract, nuclear sclerotic, right eye. Phacoemulsification with intraocular lens implantation, right eye.", Ophthalmology +2405," Phacoemulsification and extracapsular cataract extraction with intraocular lens implantation, right eye.", Ophthalmology +2406," Visually significant nuclear sclerotic cataract, right eye. Phacoemulsification with posterior chamber intraocular lens implantation, right eye.", Ophthalmology +2407," Nuclear sclerotic cataract, right eye. Kelman phacoemulsification with posterior chamber intraocular lens, right eye.", Ophthalmology +2408, Cataract extraction via phacoemulsification with posterior chamber intraocular lens implantation. An Alcon MA30BA lens was used. A lid speculum was placed into the right eye. Paracentesis was made at the infratemporal quadrant. , Ophthalmology +2409," Cataract, right eye. Phacoemulsification with intraocular lens insertion, right eye. A wire lid speculum was inserted to keep the eye open and the eye rotated downward.", Ophthalmology +2410," Cataract, right eye. Phacoemulsification with intraocular lens insertion, right eye. The patient was then prepped and draped using standard procedure. An additional drop of tetracaine was instilled in the eye, and then a lid speculum was inserted.", Ophthalmology +2411, Ophthalmology followup visit note., Ophthalmology +2412," 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.", Ophthalmology +2413, Phacoemulsification with posterior chamber intraocular lens - Sample/Template., Ophthalmology +2414, Woman with a history of macular degeneration. PDT therapy. Some vision therapy. Complete refractive work-up., Ophthalmology +2415, Patient being referred for evaluation of glaucoma., Ophthalmology +2416, Patient referred for narrow angles and possible associated glaucoma., Ophthalmology +2417, The patient was referred for evaluation of cataracts bilaterally, Ophthalmology +2418, The patient is being referred for evaluation of diabetic retinopathy., Ophthalmology +2419, Complete eye examination - Normal eye and vision exam., Ophthalmology +2420, Secondary scleral suture fixated posterior chamber intraocular lens implant with penetrating keratoplasty. A concurrent vitrectomy and endolaser was performed by the vitreoretinal team., Ophthalmology +2421," Bilateral nasolacrimal probing. Tearing, eyelash encrustation with probable tear duct obstruction bilateral. Distal nasolacrimal duct stenosis with obstruction, left and right eye", Ophthalmology +2422, Ophthalmology followup visit note., Ophthalmology +2423, Repair of upper lid canalicular laceration - Sample/Template., Ophthalmology +2424," He awoke one morning and had double vision. He states when he closed each eye, the double vision dissipated. The double vision entirely dissipated within one hour. The next day he woke up and he had double vision again. ", Ophthalmology +2425, Abnormal electronystagmogram demonstrating prominent nystagmus on position testing in the head hanging right position., Ophthalmology +2426, Difficulty with both distance vision and with fine print at near., Ophthalmology +2427, Endoscopic subperiosteal midface lift using the endotine midface suspension device. Transconjunctival lower lid blepharoplasty with removal of a portion of the medial and middle fat pad., Ophthalmology +2428, Clear corneal temporal incision (no stitches). A lid speculum was placed in the fissure of the right eye., Ophthalmology +2429, One-week history of decreased vision in the left eye. Past ocular history includes cataract extraction with lens implants in both eyes., Ophthalmology +2430, Excision of right upper eyelid squamous cell carcinoma with frozen section and full-thickness skin grafting from the opposite eyelid., Ophthalmology +2431," Cataract to right eye. Cataract extraction with intraocular lens implant of the right eye, anterior vitrectomy of the right eye.", Ophthalmology +2432, A sample note on Conjunctivitis (Pink Eye)., Ophthalmology +2433, Normal cataract surgery. , Ophthalmology +2434, She is sent for evaluation of ocular manifestations of systemic connective tissue disorders. Denies any eye problems and history includes myopia with astigmatism., Ophthalmology +2435," 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.", Ophthalmology +2436, Extracapsular cataract extraction with posterior chamber intraocular lens placement by phacoemulsification. A peribulbar block was given to the eye using 8 cc of a mixture of 0.5% Marcaine without epinephrine mixed with Wydase plus one-half of 2% lidocaine without epinephrine., Ophthalmology +2437, A sample note on Cataract, Ophthalmology +2438," Hairline biplanar temporal browlift, quadrilateral blepharoplasty, canthopexy, cervical facial rhytidectomy with purse-string SMAS elevation with submental lipectomy.", Ophthalmology +2439," Cataract extraction with lens implantation, right eye. The lens was inspected and found to be free of defects, folded, and easily inserted into the capsular bag, and unfolded.", Ophthalmology +2440," Extracapsular cataract extraction with phacoemulsification and implantation of a posterior chamber intraocular lens, left eye.", Ophthalmology +2441, Quad blepharoplasty for blepharochalasia and lower lid large primary and secondary bagging., Ophthalmology +2442, The patient seeks evaluation for a second opinion concerning cataract extraction. , Ophthalmology +2443, Blepharoplasty with direct brow repair., Ophthalmology +2444, Blepharoplasty procedure, Ophthalmology +2445," Excision of large basal cell carcinoma, right lower lid, and repaired with used dorsal conjunctival flap in the upper lid and a large preauricular skin graft.", Ophthalmology +2446, Lower lid blepharoplasty., Ophthalmology +2447," Repair of entropion, left upper lid, with excision of anterior lamella and cryotherapy. Repairs of blepharon, entropion, right lower lid with mucous membrane graft.", Ophthalmology +2448, Bilateral upper lid blepharoplasty to correct bilateral upper eyelid dermatochalasis., Ophthalmology +2449, The Ahmed shunt was primed and placed in the superior temporal quadrant and it was sutured in place with two 8-0 nylon sutures. The knots were trimmed. , Ophthalmology +2450," The patient 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.", Office Notes +2451, Small office note on premature retina and vitreous., Office Notes +2452," Right hand laceration x3, repaired.", Office Notes +2453, Underwent tonsillectomy and adenoidectomy two weeks ago. , Office Notes +2454, Left shoulder injury. A 41-year-old male presenting for initial evaluation of his left shoulder., Office Notes +2455, Quick note on tachypnea., Office Notes +2456, Sample post dilation patient instructions., Office Notes +2457, The patient had tympanoplasty surgery for a traumatic perforation of the right ear about six weeks ago. , Office Notes +2458," Normal review of systems template. No history of headaches, migraines, vertigo, syncope, visual loss, tinnitus, sinusitis, sore in the mouth, hoarseness, swelling or goiter.", Office Notes +2459," Negative for any nausea, vomiting, fevers, chills, or weight loss.", Office Notes +2460," Normal review of systems template. Negative weakness, negative fatigue, native malaise, negative chills, negative fever, negative night sweats, negative allergies.", Office Notes +2461, The patient continues to suffer from ongoing neck and lower back pain with no recent radicular complaints., Office Notes +2462," There was no weight loss, fevers, chills, sweats. There is no blurring of the vision, itching, throat or neck pain, or neck fullness. There is no vertigo or hoarseness or painful swallowing. ", Office Notes +2463, Most commonly used phrases in physical exam., Office Notes +2464," Normal Physical Exam Template. Well developed, well nourished, alert, in no acute distress. ", Office Notes +2465," Normal review of systems template. Negative weakness, negative fatigue, native malaise, negative chills, negative fever, negative night sweats, negative allergies.", Office Notes +2466, An example normal physical exam, Office Notes +2467," Normal physical exam template. Normocephalic. Negative lesions, negative masses.", Office Notes +2468," Normal physical exam template. This is a well-developed and well-nourished. The pupils were equal, round and reactive to light. Extraocular movements are intact.", Office Notes +2469," Normal review of systems template. The patient denies fever, fatigue, weakness, weight gain or weight loss.", Office Notes +2470," Normal physical exam template. Normal appearance for chronological age, does not appear chronically ill.", Office Notes +2471, An example of a physical exam, Office Notes +2472," Normal physical exam template. Well developed, well nourished, in no acute distress.", Office Notes +2473, An example/template for a routine normal male ROS., Office Notes +2474, Normal newborn infant physical exam. A well-developed infant in no acute respiratory distress., Office Notes +2475, Template for History and Physical for a newborn., Office Notes +2476, An example/template for a routine normal male physical exam., Office Notes +2477, An example/template for a routine normal male physical exam., Office Notes +2478, An example/template for a routine normal male physical exam., Office Notes +2479, Sample/template for a normal male multisystem exam., Office Notes +2480, An example/template for a routine normal male physical exam., Office Notes +2481," Normal female review of systems template. Negative for fever, weight change, fatigue, or aching.", Office Notes +2482," Sample normal ear, nose, mouth, and throat exam.", Office Notes +2483, Nephrology office visit for followup of CKD., Office Notes +2484, An example/template for a routine normal female physical exam., Office Notes +2485," Sample normal ear, nose, mouth, and throat exam.", Office Notes +2486, Normal child physical exam template., Office Notes +2487, Patient with juvenile myoclonic epilepsy and recent generalized tonic-clonic seizure., Office Notes +2488, Persistent left hip pain. Left hip avascular necrosis. Discussed the possibility of hip arthrodesis versus hip replacement versus hip resurfacing, Office Notes +2489, An example/template for a routine normal female physical exam., Office Notes +2490, Sample/template for a normal female multisystem exam, Office Notes +2491, Nephrology office visit for followup of microscopic hematuria., Office Notes +2492, Patient has a past history of known hyperthyroidism and a recent history of atrial fibrillation and congestive cardiac failure with an ejection fraction of 20%-25%., Office Notes +2493, Patient complains of constipation. Has not had BM for two days., Office Notes +2494, The patient with continued problems with her headaches. , Office Notes +2495, Patient with a family history of premature coronary artery disease came in for evaluation of recurrent chest pain, Office Notes +2496," Induction of vaginal delivery of viable male, Apgars 8 and 9. Term pregnancy and oossible rupture of membranes, prolonged.", Office Notes +2497, Cardiology office visit sample note., Office Notes +2498, 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., Obstetrics / Gynecology +2499, Patient had a markedly abnormal stress test with severe chest pain after 5 minutes of exercise on the standard Bruce with horizontal ST depressions and moderate apical ischemia on stress imaging only., Office Notes +2500, Vacuum-assisted vaginal delivery of a third-degree midline laceration and right vaginal side wall laceration and repair of the third-degree midline laceration lasting for 25 minutes., Obstetrics / Gynecology +2501," Well-woman check up for a middle-aged woman, status post hysterectomy, recent urinary tract infection.", Obstetrics / Gynecology +2502, The patient needs refills on her Xanax, Office Notes +2503, A 21-year-old female was having severe cramping and was noted to have a blighted ovum with her first ultrasound in the office., Obstetrics / Gynecology +2504, Laparoscopic-assisted vaginal hysterectomy. Abnormal uterine bleeding. Uterine fibroids., Obstetrics / Gynecology +2505," Pregnant female with nausea, vomiting, and diarrhea. OB ultrasound less than 14 weeks, transvaginal.", Obstetrics / Gynecology +2506," The patient is a 67-year-old white female with a history of uterine papillary serous carcinoma who is status post 6 cycles of carboplatin and Taxol, is here today for followup. ", Obstetrics / Gynecology +2507, A 27-year-old female with a size and date discrepancy., Obstetrics / Gynecology +2508," Exam under anesthesia with uterine suction curettage. A 10-1/2 week pregnancy, spontaneous, incomplete abortion.", Obstetrics / Gynecology +2509, Sample cardiology office visit note., Office Notes +2510, A 37 year-old female with twin pregnancy with threatened premature labor., Obstetrics / Gynecology +2511, This is a 24-year-old pregnant patient to evaluate fetal weight and placental grade., Obstetrics / Gynecology +2512, A 34-year old female with no fetal heart motion noted on office scan., Obstetrics / Gynecology +2513, Twin pregnancy with threatened preterm labor., Obstetrics / Gynecology +2514, Ultrasound - a 22-year-old pregnant female., Obstetrics / Gynecology +2515, OB Ultrasound - A 29-year-old female requests for size and date of pregnancy., Obstetrics / Gynecology +2516, Transvaginal ultrasound to evaluate pelvic pain., Obstetrics / Gynecology +2517, Ultrasound of pelvis - menorrhagia., Obstetrics / Gynecology +2518," Desires permanent sterilization. Laparoscopic tubal ligation, Falope ring method. Normal appearing uterus and adnexa bilaterally.", Obstetrics / Gynecology +2519, Ultrasound OB - followup for fetal growth., Obstetrics / Gynecology +2520, Laparoscopic bilateral tubal ligation with Falope rings., Obstetrics / Gynecology +2521, Total abdominal hysterectomy (TAH) with a uterosacral vault suspension. Enlarged fibroid uterus and abnormal uterine bleeding. , Obstetrics / Gynecology +2522, Laparoscopic tubal fulguration., Obstetrics / Gynecology +2523, Postpartum tubal ligation and removal of upper abdominal skin wall mass., Obstetrics / Gynecology +2524," Postoperative day #1, total abdominal hysterectomy. Normal postoperative course.", Obstetrics / Gynecology +2525," Laparoscopic tubal sterilization, tubal coagulation. ", Obstetrics / Gynecology +2526," True cut needle biopsy of the breast. This 65-year-old female on exam was noted to have dimpling and puckering of the skin associated with nipple discharge. On exam, she has a noticeable carcinoma of the left breast with dimpling, puckering, and erosion through the skin.", Obstetrics / Gynecology +2527," Total abdominal hysterectomy.. Severe menometrorrhagia unresponsive to medical therapy, anemia, and symptomatic fibroid uterus.", Obstetrics / Gynecology +2528," Total abdominal hysterectomy. Enlarged fibroid uterus, pelvic pain, and pelvic endometriosis. On laparotomy, the uterus did have multiple pedunculated fibroids.", Obstetrics / Gynecology +2529," Total Abdominal Hysterectomy (TAH). An incision was made into the abdomen down through the subcutaneous tissue, muscular fascia and peritoneum. Once inside the abdominal cavity, a self-retaining retractor was placed to expose the pelvic cavity with 3 lap sponges. ", Obstetrics / Gynecology +2530," The patient comes for three-week postpartum checkup, complaining of allergies.", Obstetrics / Gynecology +2531, Total abdominal hysterectomy and bilateral salpingo-oophorectomy., Obstetrics / Gynecology +2532," Suction dilation and curettage for incomplete abortion. On bimanual exam, the patient has approximately 15-week anteverted, mobile uterus with the cervix that is dilated to approximately 2 cm with multiple blood colts in the vagina. There was a large amount of tissue obtained on the procedure.", Obstetrics / Gynecology +2533," Total abdominal hysterectomy (TAH), left salpingo-oophorectomy, lysis of interloop bowel adhesions. Chronic pelvic pain, endometriosis, prior right salpingo-oophorectomy, history of intrauterine device perforation and exploratory surgery.", Obstetrics / Gynecology +2534, Total abdominal hysterectomy (TAH) with bilateral salpingooophorectomy and uterosacral ligament vault suspension. Cervical intraepithelial neoplasia grade-III postconization. Recurrent dysplasia. Uterine procidentia grade II-III. Mild vaginal vault prolapse., Obstetrics / Gynecology +2535, Total abdominal hysterectomy (TAH) with a right salpingo-oophorectomy., Obstetrics / Gynecology +2536," Total abdominal hysterectomy (TAH). Severe menometrorrhagia unresponsive to medical therapy, severe anemia, and symptomatic fibroid uterus. ", Obstetrics / Gynecology +2537," Total abdominal hysterectomy (TAH) and left salpingo-oophorectomy. Hypermenorrhea, uterine fibroids, pelvic pain, left adnexal mass, and pelvic adhesions.", Obstetrics / Gynecology +2538," Spontaneous vaginal delivery. Male infant, cephalic presentation, ROA. Apgars 2 and 7. Weight 8 pounds and 1 ounce. Intact placenta. Three-vessel cord. Third degree midline tear.", Obstetrics / Gynecology +2539, Laparoscopic right salpingooophorectomy. Right pelvic pain and ovarian mass. Right ovarian cyst with ovarian torsion., Obstetrics / Gynecology +2540, Repeat cesarean section and bilateral tubal ligation., Obstetrics / Gynecology +2541," Radical vulvectomy (complete), bilateral inguinal lymphadenectomy (superficial and deep).", Obstetrics / Gynecology +2542," Sterilization candidate. Cervical dilatation and laparoscopic bilateral partial salpingectomy. A 30-year-old female gravida 4, para-3-0-1-3 who desires permanent sterilization.", Obstetrics / Gynecology +2543," Spontaneous vaginal delivery. Term pregnancy at 40 and 3/7th weeks. On evaluation of triage, she was noted to be contracting approximately every five minutes and did have discomfort with her contractions.", Obstetrics / Gynecology +2544, Modified radical mastectomy. An elliptical incision was made to incorporate the nipple-areolar complex and the previous biopsy site. The skin incision was carried down to the subcutaneous fat but no further. , Obstetrics / Gynecology +2545, Invasive carcinoma of left breast. Left modified radical mastectomy., Obstetrics / Gynecology +2546," Exploratory laparotomy, radical hysterectomy, bilateral ovarian transposition, pelvic and obturator lymphadenectomy.", Obstetrics / Gynecology +2547," A white female who presents for complete physical, Pap and breast exam.", Obstetrics / Gynecology +2548," Preeclampsia, status post delivery with Cesarean section with uncontrolled blood pressure. The patient is a 38-year-old female admitted following a delivery. The patient had a cesarean section. Following this, the patient was treated for her blood pressure. She was sent home and she came back again apparently with uncontrolled blood pressure.", Obstetrics / Gynecology +2549," Missed abortion. Suction, dilation, and curettage.", Obstetrics / Gynecology +2550," Pelvic laparotomy, lysis of pelvic adhesions, and left salpingooophorectomy with insertion of Pain-Buster Pain Management System.", Obstetrics / Gynecology +2551, A sample note on pre-eclampsia & eclampsia., Obstetrics / Gynecology +2552, Consultation for an ASCUS Pap smear., Obstetrics / Gynecology +2553," Specimen labeled ""right ovarian cyst"" is received fresh for frozen section.", Obstetrics / Gynecology +2554, Pelvic Pain and vaginal discharge, Obstetrics / Gynecology +2555, A white female presents for exam and Pap., Obstetrics / Gynecology +2556, Initial obstetrical examination - Normal first pregnancy. Inadequate naternal nutrition., Obstetrics / Gynecology +2557," Nonpalpable neoplasm, right breast. Needle localized wide excision of nonpalpable neoplasm, right breast.", Obstetrics / Gynecology +2558," Female referred for evaluation of an abnormal colposcopy, low-grade Pap with suspicious high-grade features.", Obstetrics / Gynecology +2559, Consultation because of irregular periods and ovarian cyst., Obstetrics / Gynecology +2560, Bilateral breast MRI with & without IV contrast., Obstetrics / Gynecology +2561, A very pleasant 66-year-old woman with recurrent metastatic ovarian cancer. , Obstetrics / Gynecology +2562, Repeat low transverse cesarean section and bilateral tubal ligation (BTL). Intrauterine pregnancy at term with previous cesarean section. Desires permanent sterilization. Macrosomia., Obstetrics / Gynecology +2563, Lysis of pelvic adhesions. The patient had an 8 cm left ovarian mass. The mass was palpable on physical examination and was tender. She was scheduled for an elective pelvic laparotomy with left salpingooophorectomy., Obstetrics / Gynecology +2564," Primary low transverse cervical cesarean section. Intrauterine pregnancy of 39 weeks, Herpes simplex virus positive by history, hepatitis C positive by history with low elevation of transaminases, cephalopelvic disproportion, asynclitism, postpartum macrosomia, and delivery of viable 9 lb female neonate.", Obstetrics / Gynecology +2565," Repeat low-transverse cesarean section via Pfannenstiel incision. Intrauterine pregnancy at 39 and 1/7th weeks. Previous cesarean section, refuses trial of labor. Fibroid uterus, oligohydramnios, and nonreassuring fetal heart tones.", Obstetrics / Gynecology +2566, Primary low transverse cesarean section by Pfannenstiel skin incision with bilateral tubal sterilization. Intrauterine pregnancy at 35-1/7. Rh isoimmunization. Suspected fetal anemia. Desires permanent sterilization., Obstetrics / Gynecology +2567," 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.", Obstetrics / Gynecology +2568," Primary low-transverse C-section. Postdates pregnancy, failure to progress, meconium stained amniotic fluid.", Obstetrics / Gynecology +2569," Primary low transverse cervical cesarean section. Intrauterine pregnancy at 38 weeks and malpresentation. A viable male neonate in the left occiput transverse position with Apgars of 9 and 9 at 1 and 5 minutes respectively, weighing 3030 g. No nuchal cord. No meconium. Normal uterus, fallopian tubes, and ovaries.", Obstetrics / Gynecology +2570," Primary low transverse cesarean section via Pfannenstiel incision. Pregnancy at 40 weeks, failure to progress, premature prolonged rupture of membranes, group B strep colonization, and delivery of viable male neonate.", Obstetrics / Gynecology +2571," A repeat low transverse cervical cesarean section, Lysis of adhesions, Dissection of the bladder of the anterior abdominal wall and away from the fascia, and the patient also underwent a bilateral tubal occlusion via Hulka clips.", Obstetrics / Gynecology +2572, Primary low segment cesarean section., Obstetrics / Gynecology +2573," Repeat low-transverse C-section, lysis of omental adhesions, lysis of uterine adhesions with repair of uterine defect, and bilateral tubal ligation.", Obstetrics / Gynecology +2574, Primary low-transverse cesarean section., Obstetrics / Gynecology +2575," The patient is a 26-year-old gravida 2, para 1-0-0-1, at 28-1/7 weeks who presents to the emergency room with left lower quadrant pain, reports no bowel movement in two weeks as well as nausea and vomiting for the last 24 hours or so. She states that she has not voided in the last 24 hours as well due to pain.", Obstetrics / Gynecology +2576," Intrauterine pregnancy at 37 plus weeks, nonreassuring fetal heart rate.", Obstetrics / Gynecology +2577, LEEP procedure of endocervical polyp and Electrical excision of pigmented mole of inner right thigh., Obstetrics / Gynecology +2578, Carbon dioxide laser photo-ablation due to recurrent dysplasia of vulva., Obstetrics / Gynecology +2579," Primary cesarean section by low-transverse incision. Term pregnancy, nonreassuring fetal heart tracing.", Obstetrics / Gynecology +2580, Diagnostic laparoscopy and drainage of cyst., Obstetrics / Gynecology +2581," Laparoscopy with left salpingo-oophorectomy. Left adnexal mass/ovarian lesion. The labia and perineum were within normal limits. The hymen was found to be intact. Laparoscopic findings revealed a 4 cm left adnexal mass, which appeared fluid filled. ", Obstetrics / Gynecology +2582, Exploratory laparotomy and right salpingectomy., Obstetrics / Gynecology +2583," Attempted laparoscopy, open laparoscopy and fulguration of endometrial implant. Chronic pelvic pain, probably secondary to endometriosis.", Obstetrics / Gynecology +2584," Laparoscopy with ablation of endometriosis. Allen-Masters window in the upper left portion of the cul-de-sac, bronze lesions of endometriosis in the central portion of the cul-de-sac as well as both the left uterosacral ligament, flame lesions of the right uterosacral ligament approximately 5 mL of blood tinged fluid in the cul-de-sac.", Obstetrics / Gynecology +2585," Laparoscopy. An incision was made in the umbilicus, allowing us to insert a micro-laparoscopic trocar. We then insufflated the abdomen with approximately 3 liters of carbon dioxide gas and inserted the micro-laparoscopic instrument.", Obstetrics / Gynecology +2586," Laparotomy and myomectomy. Enlarged fibroid uterus and blood loss anemia. On bimanual exam, the patient has an enlarged, approximately 14-week sized uterus that is freely mobile and anteverted with no adnexal masses. Surgically, the patient has an enlarged fibroid uterus with a large fundal/anterior fibroids.", Obstetrics / Gynecology +2587," Pelvic pain, pelvic endometriosis, and pelvic adhesions. Laparoscopy, Harmonic scalpel ablation of endometriosis, lysis of adhesions, and cervical dilation. Laparoscopically, the patient has large omental to anterior abdominal wall adhesions along the left side of the abdomen extending down to the left adnexa. ", Obstetrics / Gynecology +2588, 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. , Obstetrics / Gynecology +2589," Dilatation and curettage (D&C) and Laparoscopic ablation of endometrial implants. Pelvic pain, hypermenorrhea, and mild pelvic endometriosis.", Obstetrics / Gynecology +2590, Laparoscopic supracervical hysterectomy. A female with a history of severe dysmenorrhea and menorrhagia unimproved with medical management., Obstetrics / Gynecology +2591," Total laparoscopic hysterectomy with laparoscopic staging, including paraaortic lymphadenectomy, bilateral pelvic and obturator lymphadenectomy, and washings.", Obstetrics / Gynecology +2592, Exam under anesthesia. Removal of intrauterine clots. Postpartum hemorrhage, Obstetrics / Gynecology +2593, Intrauterine pregnancy at term with previous cesarean. Desired sterilization. Status post repeat low transverse cesarean and bilateral tubal ligation., Obstetrics / Gynecology +2594," Dilation and curettage (D&C), hysteroscopy, and laparoscopy with right salpingooophorectomy and aspiration of cyst fluid. Thickened endometrium and tamoxifen therapy, adnexal cyst, endometrial polyp, and right ovarian cyst.", Obstetrics / Gynecology +2595," Induction of vaginal delivery of viable male, Apgars 8 and 9. Term pregnancy and oossible rupture of membranes, prolonged.", Obstetrics / Gynecology +2596," Hysteroscopy, Essure, tubal occlusion, and ThermaChoice endometrial ablation.", Obstetrics / Gynecology +2597," Exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy, right and left pelvic lymphadenectomy, common iliac lymphadenectomy, and endometrial cancer staging procedure.", Obstetrics / Gynecology +2598," Pelvic tumor, cystocele, rectocele, and uterine fibroid. Total abdominal hysterectomy, bilateral salpingooophorectomy, repair of bladder laceration, appendectomy, Marshall-Marchetti-Krantz cystourethropexy, and posterior colpoperineoplasty. She had a recent D&C and laparoscopy, and enlarged mass was noted and could not be determined if it was from the ovary or the uterus. ", Obstetrics / Gynecology +2599," Total abdominal hysterectomy, right salpingoophorectomy, and extensive adhesiolysis and enterolysis.", Obstetrics / Gynecology +2600, Total vaginal hysterectomy. Microinvasive carcinoma of the cervix., Obstetrics / Gynecology +2601, Wide Local Excision of the Vulva. Radical anterior hemivulvectomy. Posterior skinning vulvectomy., Obstetrics / Gynecology +2602, Vaginal discharge with a foul odor., Obstetrics / Gynecology +2603, Laparoscopic supracervical hysterectomy. Menorrhagia and dysmenorrhea., Obstetrics / Gynecology +2604, The patient underwent a total vaginal hysterectomy., Obstetrics / Gynecology +2605," First Pap smear, complaining of irregular periods. - Menorrhagia, pelvic pain, dysmenorrhea, and irregular periods.", Obstetrics / Gynecology +2606," Total vaginal hysterectomy. Menometrorrhagia, dysmenorrhea, and small uterine fibroids.", Obstetrics / Gynecology +2607," Mammogram, bilateral full-field digital mammography FFDM (patient with positive history of breast cancer).", Obstetrics / Gynecology +2608, Bilateral Screening Mammogram Full-Field Digital Mammography (FFDM) (Benign Findings), Obstetrics / Gynecology +2609, External cephalic version. A 39-week intrauterine pregnancy with complete breech presentation., Obstetrics / Gynecology +2610, Fractional dilatation and curettage, Obstetrics / Gynecology +2611," Stage IIIC endometrial cancer. Adjuvant chemotherapy with cisplatin, Adriamycin, and Abraxane. The patient is a 47-year-old female who was noted to have abnormal vaginal bleeding in the fall of 2009. ", Obstetrics / Gynecology +2612, A 31-year-old white female admitted to the hospital with pelvic pain and vaginal bleeding. Right ruptured ectopic pregnancy with hemoperitoneum. Anemia secondary to blood loss., Obstetrics / Gynecology +2613," Dilation and evacuation. 12 week incomplete miscarriage. The patient unlike her visit in the ER approximately 4 hours before had some tissue in the vagina protruding from the os, this was teased out and then a D&E was performed yielding significant amount of central tissue. ", Obstetrics / Gynecology +2614, Emergency cesarean section., Obstetrics / Gynecology +2615," The patient is a 39-year-old gravida 3, para 2, who is now at 20 weeks and 2 days gestation. This pregnancy is a twin gestation. The patient presents for her fetal anatomical survey. ", Obstetrics / Gynecology +2616," Exploratory laparotomy. Extensive lysis of adhesions. Right salpingo-oophorectomy. Pelvic mass, suspected right ovarian cyst.", Obstetrics / Gynecology +2617, Diagnostic Mammogram and ultrasound of the breast., Obstetrics / Gynecology +2618, She required augmentation with Pitocin to achieve a good active phase. She achieved complete cervical dilation., Obstetrics / Gynecology +2619," Her cervix on admission was not ripe, so she was given a dose of Cytotec 25 mcg intravaginally and in the afternoon, she was having frequent contractions and fetal heart tracing was reassuring. At a later time, Pitocin was started.", Obstetrics / Gynecology +2620," Diagnostic laparoscopy. Acute pelvic inflammatory disease and periappendicitis. The patient appears to have a significant pain requiring surgical evaluation. It did not appear that the pain was pelvic in nature, but more higher up in the abdomen, more towards the appendix.", Obstetrics / Gynecology +2621, The patient is a 22-year-old woman with a possible ruptured ectopic pregnancy., Obstetrics / Gynecology +2622," The patient presented to Labor and Delivery with complaints of spontaneous rupture of membranes. She was found to be positive for Nitrazine pull and fern. At that time, she was not actually contracting.", Obstetrics / Gynecology +2623, 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., Obstetrics / Gynecology +2624, Artificial rupture of membrane was performed for clear fluid. She did receive epidural anesthesia. She progressed to complete and pushing., Obstetrics / Gynecology +2625, She progressed in labor throughout the day. Finally getting the complete and began pushing. Pushed for about an hour and a half when she was starting to crown., Obstetrics / Gynecology +2626, Delivery was via spontaneous vaginal delivery. Nuchal cord x1 were tight and reduced. Infant was DeLee suctioned at perineum. , Obstetrics / Gynecology +2627, Delivery is a normal spontaneous vaginal delivery of an intrauterine fetal demise. Fetal position is right occiput anterior., Obstetrics / Gynecology +2628, Pitocin was started quickly to allow for delivery as quickly as possible. Baby was delivered with a single maternal pushing effort with retraction by the forceps., Obstetrics / Gynecology +2629, The patient had ultrasound done on admission that showed gestational age of 38-2/7 weeks. The patient progressed to a normal spontaneous vaginal delivery over an intact perineum., Obstetrics / Gynecology +2630," Dilation and curettage (D&C), laparoscopy, enterolysis, lysis of the pelvic adhesions, and left salpingo-oophorectomy. Complex left ovarian cyst, bilateral complex adnexae, bilateral hydrosalpinx, chronic pelvic inflammatory disease, and massive pelvic adhesions.", Obstetrics / Gynecology +2631, Complex right lower quadrant mass with possible ectopic pregnancy. Right ruptured tubal pregnancy and pelvic adhesions. Dilatation and curettage and laparoscopy with removal of tubal pregnancy and right partial salpingectomy., Obstetrics / Gynecology +2632," Dilation and curettage (D&C), laparoscopy, right salpingectomy, lysis of adhesions, and evacuation of hemoperitoneum. Pelvic pain, ectopic pregnancy, and hemoperitoneum.", Obstetrics / Gynecology +2633, Spontaneous controlled sterile vaginal delivery performed without episiotomy., Obstetrics / Gynecology +2634," Dilation and curettage (D&C), laparoscopy, and harmonic scalpel ablation of lesion which is suspicious for endometriosis. Chronic pelvic pain, hypermenorrhea, desire for future fertility, failed conservative medical therapy, possible adenomyosis, left hydrosalpinx, and suspicion for endometriosis.", Obstetrics / Gynecology +2635," Enlarged fibroid uterus, infertility, pelvic pain, and probable bilateral tubal occlusion. Dilatation and curettage and laparoscopy and injection of indigo carmine dye.", Obstetrics / Gynecology +2636," Enlarged fibroid uterus, hypermenorrhea, and secondary anemia. Dilatation and curettage and hysteroscopy.", Obstetrics / Gynecology +2637," Hysteroscopy, dilatation and curettage (D&C), and myomectomy. Severe menometrorrhagia unresponsive to medical therapy, severe anemia, and fibroid uterus.", Obstetrics / Gynecology +2638," D&C and hysteroscopy. Abnormal uterine bleeding, enlarged fibroid uterus, hypermenorrhea, intermenstrual spotting, and thickened endometrium per ultrasound of a 2 cm lining. +6. Grade 1+ rectocele.", Obstetrics / Gynecology +2639, A female with unknown gestational age who presents to the ED after a suicide attempt., Obstetrics / Gynecology +2640, Abdominal pain. CT examination of the abdomen and pelvis with intravenous contrast., Obstetrics / Gynecology +2641," Laparoscopic assisted vaginal hysterectomy, bilateral salpingo-oophorectomy, culdoplasty, and cystoscopy. Chronic pelvic inflammatory disease, pelvic adhesions, pelvic pain, fibroid uterus, and enterocele.", Obstetrics / Gynecology +2642," Dilation and curettage (D&C) and hysteroscopy. A female presents 7 months status post spontaneous vaginal delivery, has had abnormal uterine bleeding since her delivery with an ultrasound showing a 6 cm x 6 cm fundal mass suspicious either for retained products or endometrial polyp.", Obstetrics / Gynecology +2643," An 18-year-old white female who presents for complete physical, Pap, and breast exam.", Obstetrics / Gynecology +2644," Cervical cone biopsy, dilatation & curettage", Obstetrics / Gynecology +2645, Colpocleisis and rectocele repair., Obstetrics / Gynecology +2646," Repeat low-transverse cesarean section, bilateral tubal ligation (BTL), extensive anterior abdominal wall/uterine/bladder adhesiolysis. Term pregnancy and desires permanent sterilization.", Obstetrics / Gynecology +2647," Delivered pregnancy, cholestasis of pregnancy, fetal intolerance to labor, failure to progress. Primary low transverse cesarean section.", Obstetrics / Gynecology +2648, Excision of left breast mass. The mass was identified adjacent to the left nipple. It was freely mobile and it did not seem to hold the skin. , Obstetrics / Gynecology +2649," Breast radiation therapy followup note. Left breast adenocarcinoma stage T3 N1b M0, stage IIIA.", Obstetrics / Gynecology +2650," Cesarean Section. An incision was made as noted above in the findings and carried down through the subcutaneous tissue, muscular fascia and peritoneum. ", Obstetrics / Gynecology +2651," Suspicious calcifications upper outer quadrant, left breast. Left breast excisional biopsy with preoperative guidewire localization and intraoperative specimen radiography.", Obstetrics / Gynecology +2652," Left breast mass and hypertrophic scar of the left breast. Excision of left breast mass and revision of scar. The patient is status post left breast biopsy, which showed a fibrocystic disease with now a palpable mass just superior to the previous biopsy site.", Obstetrics / Gynecology +2653, Repeat low transverse cervical cesarean section with delivery of a viable female neonate. Bilateral tubal ligation and partial salpingectomy. Lysis of adhesions., Obstetrics / Gynecology +2654, Ultrasound BPP - Advanced maternal age and hypertension., Obstetrics / Gynecology +2655," Bilateral Mammogram, (abnormal) additional views requested", Obstetrics / Gynecology +2656," A complex closure and debridement of wound. The patient is a 26-year-old female with a long history of shunt and hydrocephalus presenting with a draining wound in the right upper quadrant, just below the costal margin that was lanced by General Surgery and resolved; however, it continued to drain.", Neurosurgery +2657, Placement of right new ventriculoperitoneal (VP) shunts Strata valve and to removal of right frontal Ommaya reservoir., Neurosurgery +2658, Endoscopic third ventriculostomy., Neurosurgery +2659," Diagnostic mammogram, full-field digital, ultrasound of the breast and mammotome core biopsy of the left breast.", Obstetrics / Gynecology +2660," Abdominosacrocolpopexy, enterocele repair, cystoscopy, and lysis of adhesions.", Obstetrics / Gynecology +2661, Placement of left ventriculostomy via twist drill. Massive intraventricular hemorrhage with hydrocephalus and increased intracranial pressure., Neurosurgery +2662, Burr hole and insertion of external ventricular drain catheter., Neurosurgery +2663," BPP of Gravida 1, para 0 at 33 weeks 5 days by early dating. The patient is developing gestational diabetes.", Obstetrics / Gynecology +2664, Desires permanent sterilization. Laparoscopic bilateral tubal occlusion with Hulka clips., Obstetrics / Gynecology +2665," Chronic venous hypertension with painful varicosities, lower extremities, bilaterally. Greater saphenous vein stripping and stab phlebectomies requiring 10 to 20 incisions, bilaterally.", Neurosurgery +2666, Excision of right breast mass. Right breast mass with atypical proliferative cells on fine-needle aspiration., Obstetrics / Gynecology +2667," Subcutaneous ulnar nerve transposition. A curvilinear incision was made over the medial elbow, starting proximally at the medial intermuscular septum, curving posterior to the medial epicondyle, then curving anteriorly along the path of the ulnar nerve. Dissection was carried down to the ulnar nerve. ", Neurosurgery +2668, Bilateral temporal artery biopsy. Rule out temporal arteritis., Neurosurgery +2669," Headaches, question of temporal arteritis. Bilateral temporal artery biopsies.", Neurosurgery +2670, Right suboccipital craniectomy for resection of tumor using the microscope modifier 22 and cranioplasty., Neurosurgery +2671, Squamous cell carcinoma of right temporal bone/middle ear space. Right temporal bone resection; rectus abdominis myocutaneous free flap for reconstruction of skull base defect; right selective neck dissection zones 2 and 3., Neurosurgery +2672, Endoscopic proximal and distal shunt revision with removal of old valve and insertion of new., Neurosurgery +2673," Anterior spine fusion from T11-L3. Posterior spine fusion from T3-L5. Posterior spine segmental instrumentation from T3-L5, placement of morcellized autograft and allograft.", Neurosurgery +2674, Thoracic right-sided discectomy at T8-T9. The patient is a 53-year-old female with a history of right thoracic rib pain related to a herniated nucleus pulposus at T8-T9. , Neurosurgery +2675, Right pterional craniotomy with obliteration of medial temporal arteriovenous malformation and associated aneurysm and evacuation of frontotemporal intracerebral hematoma., Neurosurgery +2676, Endoscopic-assisted transsphenoidal exploration and radical excision of pituitary adenoma. Endoscopic exposure of sphenoid sinus with removal of tissue from within the sinus., Neurosurgery +2677, Ventriculoperitoneal shunt revision with replacement of ventricular catheter and flushing of the distal end., Neurosurgery +2678, Endoscopic proximal shunt revision., Neurosurgery +2679," Application of PMT large halo crown and vest. Cervical spondylosis, status post complex anterior cervical discectomy, corpectomy, decompression and fusion.", Neurosurgery +2680, Bilateral endoscopic proximal shunt revision and a distal shunt revision., Neurosurgery +2681," Placement of Scott cannula, right lateral ventricle", Neurosurgery +2682," Leukemic meningitis. Right frontal side-inlet Ommaya reservoir. The patient is a 49-year-old gentleman with leukemia and meningeal involvement, who was undergoing intrathecal chemotherapy. ", Neurosurgery +2683, Transnasal transsphenoidal approach in resection of pituitary tumor. The patient is a 17-year-old girl who presented with headaches and was found to have a prolactin of 200 and pituitary tumor., Neurosurgery +2684," Botulinum toxin injection bilateral rectus femoris, medial hamstrings, and gastrocnemius soleus muscles, phenol neurolysis of bilateral obturator nerves, application of bilateral short leg fiberglass casts.", Neurosurgery +2685, Left L4-L5 transforaminal neuroplasty with nerve root decompression and lysis of adhesions followed by epidural steroid injection., Neurosurgery +2686," Phenol neurolysis right obturator nerve, botulinum toxin injection right rectus femoris and vastus medialis intermedius and right pectoralis major muscles.", Neurosurgery +2687, 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., Neurosurgery +2688," Phenol neurolysis left musculocutaneous nerve and bilateral obturator nerves. Botulinum toxin injection left pectoralis major, left wrist flexors, and bilateral knee extensors.", Neurosurgery +2689," Repair of nerve and tendon, right ring finger and exploration of digital laceration. Laceration to right ring finger with partial laceration to the ulnar slip of the FDS which is the flexor digitorum superficialis and 25% laceration to the flexor digitorum profundus of the right ring finger and laceration 100% of the ulnar digital nerve to the right ring finger.", Neurosurgery +2690, Possible CSF malignancy. This is an 83-year-old woman referred for diagnostic lumbar puncture for possible malignancy by Dr. X. The patient has gradually stopped walking even with her walker and her left arm has become gradually less functional. She is not able to use the walker because her left arm is so weak. , Neurosurgery +2691," Right L4 and L5 transpedicular decompression of distal right L4 and L5 nerve roots. Right L4-L5 and right L5-S1 laminotomies, medial facetectomies, and foraminotomies, decompression of right L5 and S1 nerve roots. Right L4-S1 posterolateral fusion with local bone graft. Left L4 through S1 segmental pedicle screw instrumentation. Preparation harvesting of local bone graft.", Neurosurgery +2692," Microscopic assisted lumbar laminotomy with discectomy at L5-S1 on the left. Herniated nucleus pulposus of L5-S1 on the left. + ", Neurosurgery +2693," L1 laminotomy, microdissection, retrieval of foreign body (retained lumbar spinal catheter), attempted insertion of new external lumbar drain, and fluoroscopy.", Neurosurgery +2694," Lumbar puncture. A 20-gauge spinal needle was then inserted into the L3-L4 space. Attempt was successful on the first try and several mLs of clear, colorless CSF were obtained. ", Neurosurgery +2695, Lumbar puncture with moderate sedation., Neurosurgery +2696," Lumbar laminectomy for decompression with foraminotomies L3-L4, L4-L5, L5-S1 microtechniques and repair of CSF fistula, microtechniques L5-S1, application of DuraSeal. Lumbar stenosis and cerebrospinal fluid fistula.", Neurosurgery +2697," 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.", Neurosurgery +2698," Microscopic-assisted revision of bilateral decompressive lumbar laminectomies and foraminotomies at the levels of L3-L4, L4-L5, and L5-S1. Posterior spinal fusion at the level of L4-L5 and L5-S1 utilizing local bone graft, allograft and segmental instrumentation. Posterior lumbar interbody arthrodesis utilizing cage instrumentation at L4-L5 with local bone graft and allograft. All procedures were performed under SSEP, EMG, and neurophysiologic monitoring.", Neurosurgery +2699, Left-sided large hemicraniectomy for traumatic brain injury and increased intracranial pressure. She came in with severe traumatic brain injury and severe multiple fractures of the right side of the skull. , Neurosurgery +2700, Decompressive left lumbar laminectomy C4-C5 and C5-C6 with neural foraminotomy. Posterior cervical fusion C4-C5. Songer wire. Right iliac bone graft., Neurosurgery +2701," Revision laminectomy L5-S1, discectomy L5-S1, right medial facetectomy, preparation of disk space and arthrodesis with interbody graft with BMP. Status post previous lumbar surgery for herniated disk with severe recurrence of axial back pain, failed conservative therapy.", Neurosurgery +2702," 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.", Neurosurgery +2703," Right frontotemporoparietal craniotomy, evacuation of acute subdural hematoma. Acute subdural hematoma, right, with herniation syndrome.", Neurosurgery +2704," Complete laminectomy, L4. and facetectomy, L3-L4 level. A dural repair, right sided, on the lateral sheath, subarticular recess at the L4 pedicle level. Posterior spinal instrumentation, L4 to S1, using Synthes Pangea System. Posterior spinal fusion, L4 to S1. Insertion of morselized autograft, L4 to S1. ", Neurosurgery +2705, Right side craniotomy for temporal lobe intracerebral hematoma evacuation and resection of temporal lobe lesion. Biopsy of dura., Neurosurgery +2706, Left C5-6 hemilaminotomy and foraminotomy with medial facetectomy for microscopic decompression of nerve root., Neurosurgery +2707, Patient returns for his first followup after shunt surgery., Neurosurgery +2708, CT-guided frameless stereotactic radiosurgery for the right occipital arteriovenous malformation using dynamic tracking., Neurosurgery +2709," Decompressive laminectomy at T12 with bilateral facetectomies, decompression of T11 and T12 nerve roots bilaterally with posterolateral fusion supplemented with allograft bone chips and pedicle screws and rods with crosslink Synthes ClickX System.", Neurosurgery +2710," Evacuation of epidural hematoma and insertion of epidural drain. Epidural hematoma, cervical spine. Status post cervical laminectomy, C3 through C7 postop day #10. Central cord syndrome and acute quadriplegia.", Neurosurgery +2711, Endoscopic and microsurgical transnasal resection of cystic suprasellar tumor. , Neurosurgery +2712," Anterior cervical discectomy, osteophytectomy, foraminotomies, spinal cord decompression, fusion with machined allografts, Eagle titanium plate, Jackson-Pratt drain placement, and intraoperative monitoring with EMGs and SSEPs", Neurosurgery +2713, Left temporal craniotomy and removal of brain tumor., Neurosurgery +2714," Biparietal craniotomy, insertion of left lateral ventriculostomy, right suboccipital craniectomy and excision of tumor.", Neurosurgery +2715, Left retrosigmoid craniotomy and excision of acoustic neuroma., Neurosurgery +2716," Occipital craniotomy, removal of large tumor using the inner hemispheric approach, stealth system operating microscope and CUSA.", Neurosurgery +2717, Right frontal craniotomy with resection of right medial frontal brain tumor. Stereotactic image-guided neuronavigation and microdissection and micro-magnification for resection of brain tumor., Neurosurgery +2718, Right burr hole craniotomy for evacuation of subdural hematoma and placement of subdural drain., Neurosurgery +2719," 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.", Neurosurgery +2720," 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.", Neurosurgery +2721," Right frontotemporal craniotomy and evacuation of hematoma, biopsy of membranes, microtechniques.", Neurosurgery +2722, Frontal craniotomy for placement of deep brain stimulator electrode. Microelectrode recording of deep brain structures. Intraoperative programming and assessment of device., Neurosurgery +2723, Right-sided craniotomy for evacuation of a right frontal intracranial hemorrhage. Status post orbitozygomatic resection of a pituitary tumor with a very large intracranial component basically a very large skull-based brain tumor., Neurosurgery +2724, Bilateral carotid cerebral angiogram and right femoral-popliteal angiogram., Neurosurgery +2725, Anterior cranial vault reconstruction with fronto-orbital bar advancement., Neurosurgery +2726," Anterior lumbar fusion, L4-L5, L5-S1, PEEK vertebral spacer, structural autograft from L5 vertebral body, BMP and anterior plate. Severe low back pain.", Neurosurgery +2727, Anterior cervical discectomy for neural decompression and anterior interbody fusion C5-C6 utilizing Bengal cage. , Neurosurgery +2728," Anterior cervical discectomy with decompression, C5-C6, arthrodesis with anterior interbody fusion, C5-C6, spinal instrumentation, C5-C6 using Pioneer 18-mm plate and four 14 x 4.0 mm screws (all titanium), implant using PEEK 7 mm, and Allograft using Vitoss.", Neurosurgery +2729," Bifrontal cranioplasty, cranial defect greater than 10 cm in diameter in the frontal region.", Neurosurgery +2730, Anterior cervical discectomy and osteophytectomy. Application of prosthetic interbody fusion device. Anterior cervical interbody arthrodesis. Anterior cervical instrumentation, Neurosurgery +2731," 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.", Neurosurgery +2732, Anterior cervical discectomy with spinal cord and spinal canal decompression and Anterior interbody fusion at C5-C6 utilizing Bengal cage., Neurosurgery +2733," Anterior cervical discectomy and fusions C4-5, C5-6, C6-7 using Bengal cages and Slimlock plate C4 to C7; intraoperative x-ray. Herniated nucleuses pulposus, C5-6 greater than C6-7, left greater than C4-5 right with left radiculopathy and moderate stenosis C5-6.", Neurosurgery +2734," Anterior cervical discectomy at C5-C6 and C6-C7 for neural decompression and anterior interbody fusion at C5-C6 and C6-C7 utilizing Bengal cages x2. Anterior instrumentation by Uniplate construction C5, C6, and C7 with intraoperative x-ray x2.", Neurosurgery +2735," C4-C5, C5-C6 anterior cervical discectomy and fusion. The patient is a 62-year-old female who presents with neck pain as well as upper extremity symptoms. Her MRI showed stenosis at portion of C4 to C6.", Neurosurgery +2736," Radical anterior discectomy with removal of posterior osteophytes, foraminotomies, and decompression of the spinal canal. Anterior cervical fusion. Utilization of allograft for purposes of spinal fusion. Application of anterior cervical locking plate.", Neurosurgery +2737," Anterior cervical discectomy for neural decompression and anterior interbody fusion at C4-C5, C5-C6, and C6-C7 utilizing Bengal cages times three.", Neurosurgery +2738," Herniated nucleus pulposus, C5-C6, with spinal stenosis. Anterior cervical discectomy with fusion C5-C6.", Neurosurgery +2739," Anterior cervical discectomy with decompression C6-C7, arthrodesis with anterior interbody fusion C6-C7, spinal instrumentation using Pioneer 20 mm plate and four 12 x 4.0 mm screws, PEEK implant 7 mm, and Allograft using Vitoss.", Neurosurgery +2740," C5-C6 anterior cervical discectomy, allograft fusion, and anterior plating.", Neurosurgery +2741, Anterior cervical discectomy with decompression of spinal cord. Anterior cervical fusion. Anterior cervical instrumentation. Insertion of intervertebral device. Use of operating microscope., Neurosurgery +2742, Anterior cervical discectomy with decompression and arthrodesis with anterior interbody fusion. Spinal instrumentation using Pioneer 18-mm plate and four 14 x 4.3 mm screws (all titanium)., Neurosurgery +2743," Anterior cervical discectomy C4-C5 arthrodesis with 8 mm lordotic ACF spacer, corticocancellous, and stabilization with Synthes Vector plate and screws. Cervical spondylosis and herniated nucleus pulposus of C4-C5.", Neurosurgery +2744, Anterior cervical discectomy fusion C3-C4 and C4-C5 using operating microscope and the ABC titanium plates fixation with bone black bone procedure. Cervical spondylotic myelopathy with cord compression and cervical spondylosis., Neurosurgery +2745," 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.", Neurosurgery +2746," Anterior cervical discectomy with decompression, anterior cervical fusion, anterior cervical instrumentation, and Allograft C5-C6.", Neurosurgery +2747," Anterior cervical discectomy, arthrodesis, partial corpectomy, Machine bone allograft, placement of anterior cervical plate with a Zephyr. +7. Microscopic dissection.", Neurosurgery +2748," Arthrodesis - anterior interbody technique, anterior cervical discectomy, anterior instrumentation with a 23-mm Mystique plate and the 13-mm screws, implantation of machine bone implant. Disc herniation with right arm radiculopathy.", Neurosurgery +2749, Anterior cervical discectomy and removal of herniated disk and osteophytes and decompression of spinal cord and bilateral nerve root decompression. Harvesting of autologous bone from the vertebral bodies. Grafting of allograft bone for creation of arthrodesis., Neurosurgery +2750, Anterior cervical discectomy at C5-6 and placement of artificial disk replacement. Right C5-C6 herniated nucleus pulposus., Neurosurgery +2751," C5-C6 anterior cervical discectomy, bone bank allograft, and anterior cervical plate. Left cervical radiculopathy.", Neurosurgery +2752, 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., Neurosurgery +2753," Anterior cervical discectomy, removal of herniated disc and osteophytes, bilateral C4 nerve root decompression, harvesting of bone for autologous vertebral bodies for creation of arthrodesis, grafting of fibular allograft bone for creation of arthrodesis, creation of arthrodesis via an anterior technique with fibular allograft bone and autologous bone from the vertebral bodies, and placement of anterior spinal instrumentation using the operating microscope and microdissection technique.", Neurosurgery +2754," Herniated nucleus pulposus. Anterior cervical decompression, anterior spine instrumentation, anterior cervical spine fusion, and application of machined allograft.", Neurosurgery +2755," EEG during wakefulness and light sleep is abnormal with independent, positive sharp wave activity seen in both frontotemporal head regions, more predominant in the right frontotemporal region.", Neurology +2756, A pleasant gentleman with a history of Wilson's disease who has been treated with penicillamine., Neurology +2757, This is a 43-year-old female with a history of events concerning for seizures. Video EEG monitoring is performed to capture events and/or identify etiology., Neurology +2758, The patient has a history of epilepsy and has also had non-epileptic events in the past. Video EEG monitoring is performed to assess whether it is epileptic seizures or non-epileptic events., Neurology +2759," EEG during wakefulness, drowsiness, and sleep with synchronous video monitoring demonstrated no evidence of focal or epileptogenic activity.", Neurology +2760," Chronic venous hypertension with painful varicosities, lower extremities, bilaterally. Greater saphenous vein stripping and stab phlebectomies requiring 10 to 20 incisions, bilaterally.", Neurology +2761," Patient experienced a single episode of his vision decreasing. During the episode, he felt nauseated and possibly lightheaded. His wife was present and noted that he looked extremely pale.", Neurology +2762, Placement of left ventriculostomy via twist drill. Massive intraventricular hemorrhage with hydrocephalus and increased intracranial pressure., Neurology +2763," Subcutaneous ulnar nerve transposition. A curvilinear incision was made over the medial elbow, starting proximally at the medial intermuscular septum, curving posterior to the medial epicondyle, then curving anteriorly along the path of the ulnar nerve. Dissection was carried down to the ulnar nerve. ", Neurology +2764," Headaches, question of temporal arteritis. Bilateral temporal artery biopsies.", Neurology +2765, Bilateral temporal artery biopsy. Rule out temporal arteritis., Neurology +2766, A 92-year-old female had a transient episode of slurred speech and numbness of her left cheek for a few hours. , Neurology +2767, Evaluation of possible tethered cord. She underwent a lipomyomeningocele repair at 3 days of age and then again at 3-1/2 years of age. , Neurology +2768, Right suboccipital craniectomy for resection of tumor using the microscope modifier 22 and cranioplasty., Neurology +2769," Severe back pain and sleepiness. The patient, because of near syncopal episode and polypharmacy, almost passed out for about 3 to 4 minutes with a low blood pressure.", Neurology +2770, MRI demonstrated right contrast-enhancing temporal mass., Neurology +2771," Numbness and tingling in the right upper extremity, intermittent and related to the positioning of the wrist. Carpal tunnel syndrome suspected.", Neurology +2772, Sleep study - patient with symptoms of obstructive sleep apnea with snoring., Neurology +2773," HCT: SAH, Contusion, Skull fracture", Neurology +2774," A 6-year-old male who is a former 27-week premature infant, suffered an intraventricular hemorrhage requiring shunt placement, and as a result, has developmental delay and left hemiparesis. ", Neurology +2775, Diagnosis of benign rolandic epilepsy., Neurology +2776, Reflex sympathetic dystrophy of both lower extremities., Neurology +2777," Followup left-sided rotator cuff tear and cervical spinal stenosis. Physical examination and radiographic findings are compatible with left shoulder pain and left upper extremity pain, which is due to a combination of left-sided rotator cuff tear and moderate cervical spinal stenosis.", Neurology +2778," Botulinum toxin injection bilateral rectus femoris, medial hamstrings, and gastrocnemius soleus muscles, phenol neurolysis of bilateral obturator nerves, application of bilateral short leg fiberglass casts.", Neurology +2779, Endoscopic-assisted transsphenoidal exploration and radical excision of pituitary adenoma. Endoscopic exposure of sphenoid sinus with removal of tissue from within the sinus., Neurology +2780," Phenol neurolysis right obturator nerve, botulinum toxin injection right rectus femoris and vastus medialis intermedius and right pectoralis major muscles.", Neurology +2781, Status post brain tumor removal. The patient is a 64-year-old female referred to physical therapy following complications related to brain tumor removal. She had a brain tumor removed and had left-sided weakness. , Neurology +2782, Patient continuing on Dilantin 300 mg daily and has been seizure episode free for the past 2 1/2 years., Neurology +2783," The patient with pseudotumor cerebri without papilledema, comes in because of new onset of headaches. ", Neurology +2784," Phenol neurolysis left musculocutaneous nerve and bilateral obturator nerves. Botulinum toxin injection left pectoralis major, left wrist flexors, and bilateral knee extensors.", Neurology +2785, MRI L-Spine - Bilateral lower extremity numbness, Neurology +2786," Cervical, lumbosacral, thoracic spine flexion and extension to evaluate back and neck pain.", Neurology +2787, Squamous cell carcinoma of right temporal bone/middle ear space. Right temporal bone resection; rectus abdominis myocutaneous free flap for reconstruction of skull base defect; right selective neck dissection zones 2 and 3., Neurology +2788, The patient is a 58-year-old African-American right-handed female with 16 years of education who was referred for a neuropsychological evaluation by Dr. X. A comprehensive evaluation was requested to assess current cognitive functioning and assist with diagnostic decisions and treatment planning., Neurology +2789," Patient was referred for a neuropsychological evaluation after a recent hospitalization for possible transient ischemic aphasia. Two years ago, a similar prolonged confusional spell was reported as well. A comprehensive evaluation was requested to assess current cognitive functioning and assist with diagnostic decisions and treatment planning.", Neurology +2790," A 2-1/2-year-old female with history of febrile seizures, now with concern for spells of unclear etiology, but somewhat concerning for partial complex seizures and to a slightly lesser extent nonconvulsive generalized seizures.", Neurology +2791," A neuropsychological evaluation to assess neuropsychological factors, clarify areas of strength and weakness, and to assist in therapeutic program planning in light of episodes of syncope.", Neurology +2792," Contusion of the frontal lobe of the brain, closed head injury and history of fall, and headache, probably secondary to contusion.", Neurology +2793, Patient demonstrated mild cognitive deficits on a neuropsychological screening evaluation during a followup appointment for stroke., Neurology +2794," Organic brain syndrome in the setting of multiple myeloma. The patient is a 56-year-old male with the history of multiple myeloma, who has been admitted for complains of being dehydrated and was doing good until this morning, was found to be disoriented and confused, was not able to communicate properly, and having difficulty leaving out the words. ", Neurology +2795, Sample for Neuropsychological Evaluation, Neurology +2796," Approximately one and a half years ago, patient fell down while walking in the living room from the bedroom. At that time, he reports both legs gave away on him and he fell. He reported that he had some lightheadedness just before he fell and was slightly confused, but was aware of what was happening around him.", Neurology +2797," Muscle twitching, clumsiness, progressive pain syndrome, and gait disturbance. Probable painful diabetic neuropathy. Symptoms are predominantly sensory and severely dysfunctioning, with the patient having inability to ambulate independently as well as difficulty with grip and temperature differentiation in his upper extremities. ", Neurology +2798, Neurologic examination sample. , Neurology +2799," The patient comes in for a neurology consultation regarding her difficult headaches, tunnel vision, and dizziness. ", Neurology +2800, Neurologic consultation was requested to evaluate her seizure medication and lethargy., Neurology +2801," The patient is an 11-month-old with a diagnosis of stage 2 neuroblastoma of the right adrenal gland with favorable Shimada histology and history of stage 2 left adrenal neuroblastoma, status post gross total resection.", Neurology +2802," Patient has trouble with walking and balance, with bladder control, and with thinking and memory.", Neurology +2803, The patient is a 55-year-old gentleman who presents for further evaluation of right leg weakness., Neurology +2804, Neurologic consultation was requested to assess and assist with seizure medication., Neurology +2805, Patient with juvenile myoclonic epilepsy and recent generalized tonic-clonic seizure., Neurology +2806, Neurologic consultation and follow-up., Neurology +2807, , Neurology +2808," The patient is with multiple neurologic and nonneurologic symptoms including numbness, gait instability, decreased dexterity of his arms and general fatigue. His neurological examination is notable for sensory loss in a length-dependent fashion in his feet and legs with scant fasciculations in his calves.", Neurology +2809, Patient with stable expressive aphasia and decreased vision., Neurology +2810, Patient status post vehicular trauma. Low Back syndrome and Cervicalgia., Neurology +2811, MRI T-spine and CXR - Aortic Dissection., Neurology +2812, MRI T-spine: Metastatic Adenocarcinoma of the T3-T4 vertebrae and invading the spinal canal., Neurology +2813, MRI T-L spine - L2 conus medullaris lesion and syndrome secondary to Schistosomiasis., Neurology +2814," The thoracic spine was examined in the AP, lateral and swimmer's projections.", Neurology +2815, MRI of lumbar spine without contrast to evaluate chronic back pain., Neurology +2816," MRI of the Cervical, Thoracic, and Lumbar Spine", Neurology +2817," MRI L-spine - History of progressive lower extremity weakness, right frontal glioblastoma with lumbar subarachnoid seeding.", Neurology +2818, MRI Spine - T12-L5 epidural lipoma and thoracic spinal cord infarction vs. transverse myelitis., Neurology +2819, MRI L-S-Spine for Cauda Equina Syndrome secondary to L3-4 disc herniation - Low Back Pain (LBP) with associated BLE weakness., Neurology +2820, MRI of the brain without contrast to evaluate daily headaches for 6 months in a 57-year-old., Neurology +2821, MRI Head W&WO Contrast., Neurology +2822, MRI head without contrast., Neurology +2823, MRI C-spine: C4-5 Transverse Myelitis., Neurology +2824, MRI Brain: Subacute right thalamic infarct., Neurology +2825, MRI C-spine to evaluate right shoulder pain - C5-6 disk herniation., Neurology +2826, MRI report Cervical Spine (Chiropractic Specific), Neurology +2827, MRI Cervical Spine without contrast., Neurology +2828, MRI Brain & MRI C-T spine: Multiple hemangioblastoma in Von Hippel Lindau Disease., Neurology +2829, Left third digit numbness and wrist pain., Neurology +2830, MRI cervical spine., Neurology +2831, MRI brain (Atrophy Left fronto-temporal lobe) and HCT (Left frontal SDH), Neurology +2832," MRI Brain: Left Basal Ganglia, Posterior temporal lobe, and Left cerebellar (lacunar) infarctions with Wernickes Aphasia.", Neurology +2833, MRI Brain & T-spine - Demyelinating disease., Neurology +2834, MRI brain & Cerebral Angiogram: CNS Vasculitis with evidence of ischemic infarction in the right and left frontal lobes., Neurology +2835, MRI Brain: Thrombus in torcula of venous sinuses., Neurology +2836, MRI Brain: Probable CNS Lymphoma v/s toxoplasmosis in a patient with AIDS/HIV., Neurology +2837, MRI Brain and Brainstem - Falling (Multiple System Atrophy), Neurology +2838, MRI Brain - Right frontal white matter infarct in patient with Anticardiolipin antibody syndrome and SLE., Neurology +2839, MRI Brain - Pilocytic Astrocytoma in thalamus and caudate., Neurology +2840, Right pontine pyramidal tract infarct., Neurology +2841, A middle-aged male with increasing memory loss and history of Lyme disease., Neurology +2842, MRI Brain - Progressive Multifocal Leukoencephalopathy (PML) occurring in an immunosuppressed patient with polymyositis., Neurology +2843, Progressive loss of color vision OD., Neurology +2844, A middle-aged female with memory loss., Neurology +2845," MRI Brain: Ventriculomegaly of the lateral, 3rd and 4th ventricles secondary to obstruction of the foramen of Magendie secondary to Cryptococcus (unencapsulated) in a non-immune suppressed, HIV negative, individual.", Neurology +2846," Problems with seizures, hemiparesis, has been to the hospital, developed C-diff, and is in the nursing home currently. ", Neurology +2847, MRI Brain to evaluate sudden onset blindness - Basilar/bilateral thalamic strokes., Neurology +2848, MRI Brain - Olfactory groove meningioma., Neurology +2849, Patient with sudden onset dizziness and RUE clumsiness. Giant Left MCA Aneurysm., Neurology +2850," Briefly, the patient has a lumbosacral polyradiculopathy that is temporally related to the epidural anesthesia given to her in October of 2008.", Neurology +2851," The patient with gradual onset of a headache problem, located behind both eyes.", Neurology +2852," A 21-month-old male presented for delayed motor development, ""jaw quivering"" and ""lazy eye."" ", Neurology +2853, Lumbar puncture with moderate sedation., Neurology +2854, Patient with a 1-year history of progressive anterograde amnesia, Neurology +2855," Lumbar discogram L2-3, L3-4, L4-5, and L5-S1. Low back pain.", Neurology +2856, Possible CSF malignancy. This is an 83-year-old woman referred for diagnostic lumbar puncture for possible malignancy by Dr. X. The patient has gradually stopped walking even with her walker and her left arm has become gradually less functional. She is not able to use the walker because her left arm is so weak. , Neurology +2857, The patient comes in today because of feeling lightheaded and difficulty keeping his balance., Neurology +2858," Headache, improved. Intracranial aneurysm.", Neurology +2859," Right shoulder impingement syndrome, right suprascapular neuropathy.", Neurology +2860," Woman with adult hydrocephalus, routine evaluation. ", Neurology +2861, Right iliopsoas hematoma with associated femoral neuropathy following cardiac catherization., Neurology +2862, Left Iliopsoas hematoma. Gait difficulty., Neurology +2863," Followup status post L4-L5 laminectomy and bilateral foraminotomies, and L4-L5 posterior spinal fusion with instrumentation.", Neurology +2864, A male with known alcohol cirrhosis who presented to the emergency room after an accidental fall in the bathroom., Neurology +2865," Intractable epilepsy, here for video EEG.", Neurology +2866," Caudate Nuclei atrophy, bilaterally, in patient with Huntington Disease.", Neurology +2867," This is a 69-year-old white woman with Huntington disease, who presents with the third suicide attempt in the past two months. ", Neurology +2868, The patient with continued problems with her headaches. , Neurology +2869," Closed head injury with evidence of axonal injury vs. vascular injury to the left substantia nigra, right subdural hematoma and possible subarachnoid hemorrhage, vascular/ischemic injury in the right occipital lobe-right basal ganglia/caudate nucleus-right frontal lobe, and right temporal lobe contusion.", Neurology +2870, Headache. Right frontal lobe glioma., Neurology +2871, Sellar HCT - Pituitary mass, Neurology +2872, HCT for memory loss and for calcification of basal ganglia (globus pallidi)., Neurology +2873, Headache and diplopia., Neurology +2874, Dysarthria. Probable brainstem glioma., Neurology +2875," This is a 62-year-old woman with hypertension, diabetes mellitus, prior stroke who has what sounds like Guillain-Barre syndrome, likely the Miller-Fisher variant.", Neurology +2876, CT-guided frameless stereotactic radiosurgery for the right occipital arteriovenous malformation using dynamic tracking., Neurology +2877, Right side craniotomy for temporal lobe intracerebral hematoma evacuation and resection of temporal lobe lesion. Biopsy of dura., Neurology +2878, Patient presents for further evaluation of feet and hand cramps. He describes that the foot cramps are much more notable than the hand ones. He reports that he develops muscle contractions of his toes on both feet. These occur exclusively at night., Neurology +2879," This 62-year-old white female has essential tremor and mild torticollis. Tremor not bothersome for most activities of daily living, but she does have a great difficulty writing, which is totally illegible. ", Neurology +2880, Fall with questionable associated loss of consciousness. Left parietal epidural hematoma., Neurology +2881, Falls at home. Anxiety and depression. The patient had been increasingly anxious and freely admitted that she was depressed at home., Neurology +2882," Evacuation of epidural hematoma and insertion of epidural drain. Epidural hematoma, cervical spine. Status post cervical laminectomy, C3 through C7 postop day #10. Central cord syndrome and acute quadriplegia.", Neurology +2883, Encephalopathy related to normal-pressure hydrocephalus., Neurology +2884, Patient returns for his first followup after shunt surgery., Neurology +2885, Fall/loss of consciousness., Neurology +2886," EMG/Nerve Conduction Study showing sensory motor length-dependent neuropathy consistent with diabetes, severe left ulnar neuropathy, and moderate-to-severe left median neuropathy, ", Neurology +2887, Nerve conduction screen demonstrates borderline median sensory and borderline distal median motor responses in both hands. The needle EMG examination is remarkable for rather diffuse active denervation changes in most muscles of the right upper and right lower extremity tested., Neurology +2888," A woman with a history of progression of dysphagia for the past year, dysarthria, weakness of her right arm, cramps in her legs, and now with progressive weakness in her upper extremities. Abnormal electrodiagnostic study. ", Neurology +2889, The patient is status post C3-C4 anterior cervical discectomy and fusion., Neurology +2890," Patient had movor vehicle accirdent and may have had a brief loss of consciousness. Shortly thereafter she had some blurred vision, Since that time she has had right low neck pain and left low back pain. ", Neurology +2891, Electroencephalographic findings and interpretation, Neurology +2892," 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. ", Neurology +2893, Patient with a past medical history of a left L5-S1 lumbar microdiskectomy with complete resolution of left leg symptoms., Neurology +2894, A 21-channel digital electroencephalogram was performed on a patient in the awake state., Neurology +2895," The patient 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.", Neurology +2896, Electroencephalogram (EEG). This is an 18-channel recording obtained using the standard scalp and referential electrodes observing the 10/20 international system., Neurology +2897, Electroencephalogram (EEG). Photic stimulation reveals no important changes. Essentially normal., Neurology +2898," A ight-handed inpatient with longstanding history of cervical spinal stenosis status post decompression, opioid dependence, who has had longstanding low back pain radiating into the right leg.", Neurology +2899, Normal awake and drowsy (stage I sleep) EEG for patient's age., Neurology +2900," Abnormal electroencephalogram revealing generalized poorly organized slowing, with more prominent slowing noted at the right compared to the left hemisphere head regions and rare sharp wave activity noted bilaterally, somewhat more prevalent on the right. ", Neurology +2901," 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 pain that radiates from her back into her legs. She has had no associated weakness.", Neurology +2902, Possible cerebrovascular accident. The EEG was obtained using 21 electrodes placed in scalp-to-scalp and scalp-to-vertex montages. , Neurology +2903, This is a 95.5-hour continuous video EEG monitoring study., Neurology +2904, Diagnostic cerebral angiogram and transcatheter infusion of papaverine, Neurology +2905," Patient reports a rotational sensation upon arising from the bed or chair that lasts for several minutes and requires her to sit back down and stay in one place. She gets similar symptoms when she rolls over in bed. At times, she also feels as though she is going to pass out. These sensations stop if she just sits in one place or lies down for several minutes.", Neurology +2906, Patient with episode of lightheadedness and suddenly experienced vertigo., Neurology +2907," He awoke one morning and had double vision. He states when he closed each eye, the double vision dissipated. The double vision entirely dissipated within one hour. The next day he woke up and he had double vision again. ", Neurology +2908," Cerebrovascular accident (CVA). The patient presents to the emergency room after awakening at 2:30 a.m. this morning with trouble swallowing, trouble breathing, and left-sided numbness and weakness. ", Neurology +2909," CT Brain - unshunted hydrocephalus, Dandy-Walker Malformation.", Neurology +2910," Cerebrovascular accident (CVA) with right arm weakness and MRI indicating acute/subacute infarct involving the left posterior parietal lobe without mass effect. 2. Old coronary infarct, anterior aspect of the right external capsule. Acute bronchitis with reactive airway disease.", Neurology +2911, a pleasant 62-year-old male with cerebral palsy, Neurology +2912," Brain CT with contrast - Abnormal Gyriform enhancing lesion (stroke) in the left parietal region, not seen on non-contrast HCTs.", Neurology +2913, CT Scan of brain without contrast., Neurology +2914, CT of Lumbar Spine without Contrast. Patient with history of back pain after a fall., Neurology +2915," CT head without contrast, CT facial bones without contrast, and CT cervical spine without contrast.", Neurology +2916, This is a middle-aged female with two month history of low back pain and leg pain., Neurology +2917," Noncontrast CT scan of the lumbar spine. Left lower extremity muscle spasm. Transaxial thin slice CT images of the lumbar spine were obtained with sagittal and coronal reconstructions on emergency basis, as requested.", Neurology +2918, This is a middle-aged female with low back pain radiating down the left leg and foot for one and a half years., Neurology +2919, Left arm and hand numbness. CT head without contrast. Noncontrast axial CT images of the head were obtained with 5 mm slice thickness., Neurology +2920," The patient is a 79-year-old man with adult hydrocephalus who was found to have large bilateral effusions on a CT scan. The patient's subdural effusions are still noticeable, but they are improving.", Neurology +2921, Motor vehicle collision. CT head without contrast and CT cervical spine without contrast. Noncontrast axial CT images of the head were obtained., Neurology +2922," CT head without contrast. Assaulted, positive loss of consciousness, rule out bleed. CT examination of the head was performed without intravenous contrast administration.", Neurology +2923, CT cervical spine for trauma. CT examination of the cervical spine was performed without contrast. Coronal and sagittal reformats were obtained for better anatomical localization., Neurology +2924, Common CT Head template., Neurology +2925, Noncontrast CT head due to seizure disorder., Neurology +2926, Axial images through the cervical spine with coronal and sagittal reconstructions., Neurology +2927, HCT: Subdural hemorrhage., Neurology +2928, CT Brain: Midbrain hemangioma, Neurology +2929, Common CT C-Spine template, Neurology +2930, CT of Brain - Subacute SDH., Neurology +2931, Stroke in distribution of recurrent artery of Huebner (left), Neurology +2932, CT Brain: Subarachnoid hemorrhage., Neurology +2933," CT Brain to evaluate episodic mental status change, RUE numbness, chorea, and calcification of Basal Ganglia (globus pallidi).", Neurology +2934, CT brain (post craniectomy) - RMCA stroke and SBE., Neurology +2935," CT Brain: Suprasellar aneurysm, pre and post bleed.", Neurology +2936," 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.", Neurology +2937, Heidenhain variant of Creutzfeldt-Jakob Disease (CJD), Neurology +2938, Right frontal craniotomy with resection of right medial frontal brain tumor. Stereotactic image-guided neuronavigation and microdissection and micro-magnification for resection of brain tumor., Neurology +2939, Left temporal craniotomy and removal of brain tumor., Neurology +2940, Left retrosigmoid craniotomy and excision of acoustic neuroma., Neurology +2941," Occipital craniotomy, removal of large tumor using the inner hemispheric approach, stealth system operating microscope and CUSA.", Neurology +2942," Postoperative visit for craniopharyngioma with residual disease. According to him, he is doing well, back at school without any difficulties. He has some occasional headaches and tinnitus, but his vision is much improved.", Neurology +2943, Patient referred for evaluation of her left temporal lobe epilepsy., Neurology +2944," Cerebral palsy, worsening seizures. A pleasant 43-year-old female with past medical history of CP since birth, seizure disorder, complex partial seizure with secondary generalization and on top of generalized epilepsy, hypertension, dyslipidemia, and obesity. ", Neurology +2945," Biparietal craniotomy, insertion of left lateral ventriculostomy, right suboccipital craniectomy and excision of tumor.", Neurology +2946," The patient is a 36-year-old female with past medical history of migraine headaches, who was brought to the ER after she was having uncontrolled headaches. In the ER, the patient had a CT scan done, which was reported negative, and lumbar puncture with normal pressure and the cell count, and was admitted for followup.", Neurology +2947," Right frontotemporal craniotomy and evacuation of hematoma, biopsy of membranes, microtechniques.", Neurology +2948, The patient is an 84-year-old man who returns for revaluation of possible idiopathic normal pressure hydrocephalus., Neurology +2949, Right burr hole craniotomy for evacuation of subdural hematoma and placement of subdural drain., Neurology +2950," Patient with a history of mesothelioma and likely mild dementia, most likely Alzheimer type.", Neurology +2951, Patient with a history of right upper pons and right cerebral peduncle infarction., Neurology +2952," The patient had several episodes where she felt like her face was going to twitch, which she could suppress it with grimacing movements of her mouth and face.", Neurology +2953, Chest CT - Thymoma and history of ocular myasthenia gravis., Neurology +2954," 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.", Neurology +2955, A woman presents for neurological evaluation with regards to a diagnosis of multiple sclerosis., Neurology +2956, Patient reports a six to eight-week history of balance problems with later fatigue and weakness., Neurology +2957," Cervical spondylosis and kyphotic deformity. She had a nerve conduction study and a diagnosis of radiculopathy was made. She had an MRI of lumbosacral spine, which was within normal limits. She then developed a tingling sensation in the right middle toe. ", Neurology +2958, Diagnosis of bulbar cerebral palsy and hypotonia. , Neurology +2959, Cerebral Angiogram for avascular mass - cavernous angioma (with hematoma on MRI and Bx)., Neurology +2960, Cerebral Angiogram - Lateral medullary syndrome secondary to left vertebral artery dissection., Neurology +2961, Cerebral Angiogram and MRA for bilateral ophthalmic artery aneurysms., Neurology +2962, Cerebral Angiogram - Lobulated aneurysm of the supraclinoid portion of the left internal carotid artery close to the origin of the left posterior communicating artery., Neurology +2963, Bilateral carotid cerebral angiogram and right femoral-popliteal angiogram., Neurology +2964, Bilateral carotid ultrasound., Neurology +2965, Brain CT and MRI - suprasellar mass (pituitary adenoma), Neurology +2966, Frontal craniotomy for placement of deep brain stimulator electrode. Microelectrode recording of deep brain structures. Intraoperative programming and assessment of device., Neurology +2967, MRI - Arteriovenous malformation with hemorrhage., Neurology +2968, MRI for Arnold Chiari II with syrinx, Neurology +2969, A 75-year-old female comes in with concerns of having a stroke., Neurology +2970, MRI - Right temporal lobe astrocytoma., Neurology +2971, Patient experiences a dull pain in his upper outer arm. It occurs on a daily basis. He also experiences an achy sensation in his right hand radiating to the fingers. There is no numbness or paresthesias in the hand or arm., Neurology +2972, Patient seen in Neuro-Oncology Clinic because of increasing questions about what to do next for his anaplastic astrocytoma., Neurology +2973, CT Brain - arachnoid cyst Arachnoid cyst diagnosed by CT brain., Neurology +2974, Bilateral renal ultrasound., Nephrology +2975," Right shockwave lithotripsy, cystoscopy, and stent removal x2.", Nephrology +2976, MRI - Intracerebral hemorrhage (very acute clinical changes occurred immediately prior to scan)., Neurology +2977, AP abdomen and ultrasound of kidney., Nephrology +2978," Ultrasound kidneys/renal for renal failure, neurogenic bladder, status-post cystectomy", Nephrology +2979," Patient with a history of coronary artery disease, congestive heart failure, COPD, hypertension, and renal insufficiency.", Nephrology +2980, MRI brain & PET scan - Dementia of Alzheimer type with primary parietooccipital involvement., Neurology +2981," Right ureteropelvic junction obstruction. Robotic-assisted pyeloplasty, anterograde right ureteral stent placement, transposition of anterior crossing vessels on the right, and nephrolithotomy.", Nephrology +2982, The patient is a 74-year-old woman who presents for neurological consultation for possible adult hydrocephalus. Mild gait impairment and mild cognitive slowing., Neurology +2983," Acute renal failure, suspected, likely due to multi-organ system failure syndrome.", Nephrology +2984, Cadaveric renal transplant to right pelvis - endstage renal disease., Nephrology +2985," Pyelonephritis likely secondary to mucous plugging of indwelling Foley in the ileal conduit, hypertension, mild renal insufficiency, and anemia, which has been present chronically over the past year.", Nephrology +2986, Psychosocial Evaluation of patient before kidney transplant., Nephrology +2987," 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.", Nephrology +2988, Nephrology office visit for followup of microscopic hematuria., Nephrology +2989, Psychosocial evaluation of kidney donor. Questions - Answers, Nephrology +2990, The patient is admitted with a diagnosis of acute on chronic renal insufficiency., Nephrology +2991, A 14-year-old young lady is in the renal failure and in need of dialysis., Nephrology +2992, Psychosocial donor evaluation. Following questions are mostly involved in a psychosocial donor evaluation., Nephrology +2993," Patient with end-stage renal disease secondary to hypertension, a reasonable candidate for a kidney transplantation.", Nephrology +2994, Nephrology office visit for followup of CKD., Nephrology +2995, Transplant nephrectomy after rejection of renal transplant, Nephrology +2996, Nephrology Consultation - Patient with renal failure., Nephrology +2997," Patient with a diagnosis of pancreatitis, developed hypotension and possible sepsis and respiratory, as well as renal failure.", Nephrology +2998," Septic from nephrolithiasis - Nephrolithiasis status post lithotripsy and stent placed in the left ureter, urinary incontinence, recent sepsis.", Nephrology +2999, Laparoscopic right radical nephrectomy due to right renal mass., Nephrology +3000, Right radical nephrectomy and assisted laparoscopic approach., Nephrology +3001, Laparoscopic right partial nephrectomy due to right renal mass., Nephrology +3002, Left partial nephrectomy due to left renal mass., Nephrology +3003, Status post cadaveric kidney transplant with stable function., Nephrology +3004, Right hand-assisted laparoscopic cryoablation of renal lesions x2. Lysis of adhesions and renal biopsy., Nephrology +3005, Left laparoscopic hand-assisted nephrectomy., Nephrology +3006," Laparoscopic lysis of adhesions, attempted laparoscopic pyeloplasty, and open laparoscopic pyeloplasty. Right ureteropelvic junction obstruction, severe intraabdominal adhesions, and retroperitoneal fibrosis.", Nephrology +3007, 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., Nephrology +3008, Construction of right upper arm hemodialysis fistula with transposition of deep brachial vein. End-stage renal disease with failing AV dialysis fistula., Nephrology +3009, Acute on chronic renal failure and uremia. Insertion of a right internal jugular vein hemodialysis catheter., Nephrology +3010," Fogarty thrombectomy, left forearm arteriovenous Gore-Tex bridge fistula and revision of distal anastomosis with 7 mm interposition Gore-Tex graft. Chronic renal failure and thrombosed left forearm arteriovenous Gore-Tex bridge fistula.", Nephrology +3011, Left arm fistulogram. Percutaneous transluminal angioplasty of the proximal and distal cephalic vein. Ultrasound-guided access of left upper arm brachiocephalic fistula., Nephrology +3012, Urine leaked around the ostomy site for his right sided nephrostomy tube. The patient had bilateral nephrostomy tubes placed one month ago secondary to his prostate cancer metastasizing and causing bilateral ureteral obstructions that were severe enough to cause acute renal failure., Nephrology +3013," This is a 46-year-old gentleman with end-stage renal disease (ESRD) secondary to diabetes and hypertension, who had been on hemodialysis and is also status post cadaveric kidney transplant with chronic rejection.", Nephrology +3014," Management of end-stage renal disease (ESRD), the patient on chronic hemodialysis, being admitted for chest pain.", Nephrology +3015," Patient with left renal cell carcinoma, left renal cyst, had robotic-Assisted laparoscopic left renal cyst decortication and cystoscopy.", Nephrology +3016," Presents to the ER with hematuria that began while sleeping last night. He denies any pain, nausea, vomiting or diarrhea.", Nephrology +3017, The patient is being discharged for continued hemodialysis and rehab., Nephrology +3018," Solitary left kidney with obstruction and hypertension and chronic renal insufficiency, plus a Pseudomonas urinary tract infection.", Nephrology +3019," Cystourethroscopy, right retrograde pyelogram, right ureteral pyeloscopy, right renal biopsy, and right double-J 4.5 x 26 mm ureteral stent placement. Right renal mass and ureteropelvic junction obstruction and hematuria.", Nephrology +3020," Cystourethroscopy, bilateral retrograde pyelogram, and transurethral resection of bladder tumor of 1.5 cm in size. Recurrent bladder tumor and history of bladder carcinoma.", Nephrology +3021, Common Excretory Urogram - IVP template, Nephrology +3022," Cystopyelogram, clot evacuation, transurethral resection of the bladder tumor x2 on the dome and on the left wall of the bladder.", Nephrology +3023," Right hydronephrosis, right flank pain, atypical/dysplastic urine cytology, extrarenal pelvis on the right, no evidence of obstruction or ureteral/bladder lesions. Cystoscopy, bilateral retrograde ureteropyelograms, right ureteral barbotage for urine cytology, and right ureterorenoscopy.", Nephrology +3024, Right lower pole renal stone and possibly infected stent. Cysto stent removal., Nephrology +3025," Cystopyelogram, left ureteroscopy, laser lithotripsy, stone basket extraction, stent exchange with a string attached.", Nephrology +3026, Generalized abdominal pain 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., Nephrology +3027," Generalized abdominal pain, nausea, diarrhea, and recent colonic resection. CT abdomen with and without contrast and CT pelvis with contrast. Axial CT images of the abdomen were obtained without contrast. Axial CT images of the abdomen and pelvis were then obtained utilizing 100 mL of Isovue-300.", Nephrology +3028, Noncontrast CT abdomen and pelvis per renal stone protocol., Nephrology +3029," CT-guided needle placement, CT-guided biopsy of right renal mass, and embolization of biopsy tract with gelfoam.", Nephrology +3030," Residual stone status post right percutaneous nephrolithotomy, attempted second-look nephrolithotomy, cysto with insertion of 6-French variable length double-J stent.", Nephrology +3031," Lower quadrant pain with nausea, vomiting, and diarrhea. CT abdomen without contrast and CT pelvis without contrast. Noncontrast axial CT images of the abdomen and pelvis are obtained.", Nephrology +3032, Noncontrast CT abdomen and pelvis per renal stone protocol., Nephrology +3033," CT abdomen and pelvis without contrast, stone protocol, reconstruction.", Nephrology +3034," Motor vehicle collision. CT head without contrast, CT facial bones without contrast, and CT cervical spine without contrast. ", Nephrology +3035, Right-sided abdominal pain with nausea and fever. 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., Nephrology +3036, CT of the abdomen and pelvis without contrast., Nephrology +3037, CT scan of the abdomen and pelvis with contrast to evaluate abdominal pan., Nephrology +3038," CT abdomen without contrast and pelvis without contrast, reconstruction.", Nephrology +3039, Abnormal liver enzymes and diarrhea. CT pelvis with contrast and ct abdomen with and without contrast., Nephrology +3040, CT scan of the abdomen and pelvis without and with intravenous contrast., Nephrology +3041, CT Abdomen & Pelvis W&WO Contrast, Nephrology +3042," Evaluate for retroperitoneal hematoma, the patient has been following, is currently on Coumadin. CT abdomen without contrast and CT pelvis without contrast.", Nephrology +3043," Type 1 diabetes mellitus, insulin pump requiring. Chronic kidney disease, stage III. Sweet syndrome, hypertension, and dyslipidemia.", Nephrology +3044, CT Abdomen and Pelvis with contrast , Nephrology +3045," Chronic kidney disease, stage IV, secondary to polycystic kidney disease. Hypertension, which is finally better controlled. Metabolic bone disease and anemia.", Nephrology +3046, Marked right hydronephrosis without hydruria. , Nephrology +3047," Clogged AV shunt. The patient complains of fatigue, nausea, vomiting and fever.", Nephrology +3048, Followup on chronic kidney disease., Nephrology +3049," This is a 48-year-old black male with stage IV chronic kidney disease likely secondary to HIV nephropathy, although there is no history of renal biopsy, who has been noncompliant with the Renal Clinic and presents today for followup at the recommendation of his Infection Disease doctors.", Nephrology +3050, Left forearm arteriovenous fistula between cephalic vein and radial artery., Nephrology +3051, Creation of autologous right brachiobasilic arteriovenous fistula - first stage., Nephrology +3052," Acute renal failure, probable renal vein thrombosis, hypercoagulable state, and deep venous thromboses with pulmonary embolism.", Nephrology +3053, Right basilic vein transposition. End-stage renal disease with need for a long-term hemodialysis access. Excellent flow through fistula following the procedure., Nephrology +3054," Patient with a history of coronary artery disease, hypertension, diabetes, and stage III CKD.", Nephrology +3055," Creation of AV fistula, left wrist in the anatomic snuffbox.", Nephrology +3056, Venogram of the left arm and creation of left brachiocephalic arteriovenous fistula., Nephrology +3057," He continues to have abdominal pain, and he had a diuretic renal scan, which indicates no evidence of obstruction and good differential function bilaterally. ", Letters +3058," Vasectomy 10 years ago, failed. Azoospermic. Reversal two years ago. Interested in sperm harvesting and cryopreservation", Letters +3059, Diagnosis of benign rolandic epilepsy., Letters +3060, A pleasant gentleman with a history of Wilson's disease who has been treated with penicillamine., Letters +3061, Patient continuing on Dilantin 300 mg daily and has been seizure episode free for the past 2 1/2 years., Letters +3062, Reflex sympathetic dystrophy of both lower extremities., Letters +3063, Creation of right brachiocephalic arteriovenous fistula., Nephrology +3064, The patient is being referred for evaluation of diabetic retinopathy., Letters +3065," Patient suffers from neck and lower back pain radiating into both arms and both legs with numbness, paraesthesia, and tingling in both arms.", Letters +3066, Woman with a history of macular degeneration. PDT therapy. Some vision therapy. Complete refractive work-up., Letters +3067, Patient being referred for evaluation of glaucoma., Letters +3068," 9-month-old male product of a twin gestation complicated by some very mild prematurity having problems with wheezing, cough and shortness of breath over the last several months.", Letters +3069, The patient was referred for evaluation of cataracts bilaterally, Letters +3070, A 19-year-old right-handed male injured in a motor vehicle accident., Letters +3071, Patient referred for narrow angles and possible associated glaucoma., Letters +3072," Female with intermittent rectal bleeding, not associated with any weight loss. The patient is chronically constipated.", Letters +3073, Diagnosis of bulbar cerebral palsy and hypotonia. , Letters +3074, Letter on evaluation regarding extraction of mandibular left second molar tooth #18., Letters +3075, Follow up update on patient with left carotid angioplasty and stent placement., Letters +3076," Male with a history of therapy-controlled hypertension, borderline diabetes, and obesity. Risk factors for coronary heart disease.", Letters +3077, Patient seen in Neuro-Oncology Clinic because of increasing questions about what to do next for his anaplastic astrocytoma., Letters +3078, Chiropractic IME with answers to questions from Insurance Company., Letters +3079, Chiropractic IME with old files review. Detailed Thoracic Spine Examination., Letters +3080, Letter to the patient to let him know about his abnormal cholesterol test results., Letters +3081," 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.", Lab Medicine - Pathology +3082, Prostate adenocarcinoma and erectile dysfunction - Pathology report., Lab Medicine - Pathology +3083," Specimen labeled ""right ovarian cyst"" is received fresh for frozen section.", Lab Medicine - Pathology +3084," Probable right upper lobe lung adenocarcinoma. Specimen is received fresh for frozen section, labeled with the patient's identification and ""Right upper lobe lung"".", Lab Medicine - Pathology +3085," Specimen labeled ""sesamoid bone left foot"".", Lab Medicine - Pathology +3086, 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., Lab Medicine - Pathology +3087, Blunt trauma to the distal right thumb without fracture. Worker’s Compensation Injury, IME-QME-Work Comp etc. +3088, 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., IME-QME-Work Comp etc. +3089," 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.", Lab Medicine - Pathology +3090, Qualified medical evaluation report of a patient with back pain., IME-QME-Work Comp etc. +3091, Is it BNP or BMP?, Lab Medicine - Pathology +3092," Records review. The patient developed shooting pain about the right upper extremity into his hand from his elbow down to the hand. Any type of rotation and pulling muscle did cause numbness of the middle, ring, and small finger.", IME-QME-Work Comp etc. +3093, Occupational medicine consult with questions-answers and records review., IME-QME-Work Comp etc. +3094," Right shoulder impingement syndrome, right suprascapular neuropathy.", IME-QME-Work Comp etc. +3095, Occupational medicine consult with questions-answers and records review., IME-QME-Work Comp etc. +3096, Occupational medicine consult with questions-answers., IME-QME-Work Comp etc. +3097, Work restrictions and disability evaluation , IME-QME-Work Comp etc. +3098," Patient presented with significant muscle tremor, constant headaches, excessive nervousness, poor concentration, and poor ability to focus.", IME-QME-Work Comp etc. +3099," A male presents complaining of some right periscapular discomfort, some occasional neck stiffness, and some intermittent discomfort in his low back relative to an industrial fall.", IME-QME-Work Comp etc. +3100, Occupational medicine consult with questions-answers and records review., IME-QME-Work Comp etc. +3101, Chiropractic IME with old files review. Detailed Thoracic Spine Examination., IME-QME-Work Comp etc. +3102," Patient with metastatic non-small-cell lung cancer, on hospice with inferior ST-elevation MI. The patient from prior strokes has expressive aphasia, is not able to express herself in a clear meaningful fashion.", Hospice - Palliative Care +3103, Hospice visit for 77-year-old gentleman with advanced colon cancer., Hospice - Palliative Care +3104, Back injury with RLE radicular symptoms. The patient is a 52-year-old male who is here for independent medical evaluation., IME-QME-Work Comp etc. +3105, Initial visit for a 95-year-old gentleman with a Hospice diagnosis of CHF., Hospice - Palliative Care +3106, Chiropractic IME with answers to questions from Insurance Company., IME-QME-Work Comp etc. +3107," First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury.", IME-QME-Work Comp etc. +3108, Hospice care for a 55-year-old woman with carcinoma of the cervix metastatic to retroperitoneum and lungs., Hospice - Palliative Care +3109," Hospice care for a 41-year-old man with the AIDS complicated with recent cryptococcal infection, disseminated MAC and Kaposi's sarcoma.", Hospice - Palliative Care +3110, Thyroid mass diagnosed as papillary carcinoma. The patient is a 16-year-old young lady with a history of thyroid mass that is now biopsy proven as papillary. The pattern of miliary metastatic lesions in the chest is consistent with this diagnosis., Hematology - Oncology +3111, 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 patient with code last night with CPR and advanced cardiac life support., Hospice - Palliative Care +3112," Essential thrombocytosis. He underwent a bone marrow biopsy, which showed essential thrombocytosis. His CBC has been very stable. ", Hematology - Oncology +3113, Consultation for evaluation of thrombocytopenia., Hematology - Oncology +3114, Patient with immune thrombocytopenia, Hematology - Oncology +3115," True cut needle biopsy of the breast. This 65-year-old female on exam was noted to have dimpling and puckering of the skin associated with nipple discharge. On exam, she has a noticeable carcinoma of the left breast with dimpling, puckering, and erosion through the skin.", Hematology - Oncology +3116," Excisional biopsy with primary closure of a 4 mm right lateral base of tongue lesion. Right lateral base of tongue lesion, probable cancer.", Hematology - Oncology +3117," The patient is a 67-year-old white female with a history of uterine papillary serous carcinoma who is status post 6 cycles of carboplatin and Taxol, is here today for followup. ", Hematology - Oncology +3118, Newly diagnosed T-cell lymphoma. The patient reports swelling in his left submandibular region that occurred all of a sudden about a month and a half ago. , Hematology - Oncology +3119," Excision of mass, left second toe and distal Symes amputation, left hallux with excisional biopsy. Mass, left second toe. Tumor. Left hallux bone invasion of the distal phalanx.", Hematology - Oncology +3120," Posttransplant lymphoproliferative disorder, chronic renal insufficiency, squamous cell carcinoma of the skin, anemia secondary to chronic renal insufficiency and chemotherapy, and hypertension. The patient is here for followup visit and chemotherapy.", Hematology - Oncology +3121, A 19-year-old known male with sickle cell anemia comes to the emergency room on his own with 3-day history of back pain., Hematology - Oncology +3122, Prostate Brachytherapy - Prostate I-125 Implantation, Hematology - Oncology +3123," Radical resection of tumor of the scalp, excision of tumor from the skull with debridement of the superficial cortex with diamond bur, and advancement flap closure.", Hematology - Oncology +3124, Invasive carcinoma of left breast. Left modified radical mastectomy., Hematology - Oncology +3125, Sepsis. The patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter., Hematology - Oncology +3126," Excision of right superior parathyroid adenoma, seen on sestamibi parathyroid scan and an ultrasound.", Hematology - Oncology +3127, Followup for polycythemia vera with secondary myelofibrosis. JAK-2 positive myeloproliferative disorder. He is not a candidate for chlorambucil or radioactive phosphorus because of his young age and the concern for secondary malignancy., Hematology - Oncology +3128, Left breast cancer. Nuclear medicine lymphatic scan. A 16-hour left anterior oblique imaging was performed with and without shielding of the original injection site., Hematology - Oncology +3129, Polycythemia rubra vera. The patient is an 83-year-old female with a history of polycythemia vera. She comes in to clinic today for followup. She has not required phlebotomies for several months., Hematology - Oncology +3130, Pilonidal cyst with abscess formation. Excision of infected pilonidal cyst., Hematology - Oncology +3131," The patient is an 11-month-old with a diagnosis of stage 2 neuroblastoma of the right adrenal gland with favorable Shimada histology and history of stage 2 left adrenal neuroblastoma, status post gross total resection.", Hematology - Oncology +3132, Follicular non-Hodgkin's lymphoma. Biopsy of a left posterior auricular lymph node and pathology showed follicular non-Hodgkin's lymphoma. Received six cycles of CHOP chemotherapy. , Hematology - Oncology +3133," New diagnosis of non-small cell lung cancer stage IV metastatic disease. At this point, he and his wife ask about whether this is curable disease and it was difficult to inform that this was not curable disease but would be treatable.", Hematology - Oncology +3134," Left neck dissection. Metastatic papillary cancer, left neck. The patient had thyroid cancer, papillary cell type, removed with a total thyroidectomy and then subsequently recurrent disease was removed with a paratracheal dissection.", Hematology - Oncology +3135, A very pleasant 66-year-old woman with recurrent metastatic ovarian cancer. , Hematology - Oncology +3136," Nonpalpable neoplasm, right breast. Needle localized wide excision of nonpalpable neoplasm, right breast.", Hematology - Oncology +3137," MGUS. His bone marrow biopsy showed a normal cellular bone marrow; however, there were 10% plasma cells and we proceeded with the workup for a plasma cell dyscrasia. All his tests came back as consistent with an MGUS.", Hematology - Oncology +3138, Discharge summary of a patient presenting with a large mass aborted through the cervix., Hematology - Oncology +3139," Biopsy-proven mesothelioma - Placement of Port-A-Cath, left subclavian vein with fluoroscopy.", Hematology - Oncology +3140, Rhabdomyosarcoma of the left orbit. Left subclavian vein MediPort placement. Needs chemotherapy., Hematology - Oncology +3141, Right nodular malignant mesothelioma., Hematology - Oncology +3142," Marginal zone lymphoma (MALT-type lymphoma). A mass was found in her right breast on physical examination. she had a mammogram and ultrasound, which confirmed the right breast mass.", Hematology - Oncology +3143," Malignant mass of the left neck, squamous cell carcinoma. Left neck mass biopsy and selective surgical neck dissection, left.", Hematology - Oncology +3144, Right pleural effusion and suspected malignant mesothelioma., Hematology - Oncology +3145," Newly diagnosed high-risk acute lymphoblastic leukemia; extensive deep vein thrombosis, and pharmacologic thrombolysis following placement of a vena caval filter.", Hematology - Oncology +3146," Patient with metastatic non-small-cell lung cancer, on hospice with inferior ST-elevation MI. The patient from prior strokes has expressive aphasia, is not able to express herself in a clear meaningful fashion.", Hematology - Oncology +3147, A 61-year-old white male with a diagnosis of mantle cell lymphoma status post autologous transplant with BEAM regimen followed by relapse. Allogeneic peripheral stem cell transplant from match-related brother and the patient is 53 months out from transplant., Hematology - Oncology +3148, Extensive stage small cell lung cancer. Chemotherapy with carboplatin and etoposide. Left scapular pain status post CT scan of the thorax., Hematology - Oncology +3149," Discharge summary of patient with leiomyosarcoma and history of pulmonary embolism, subdural hematoma, pancytopenia, and pneumonia.", Hematology - Oncology +3150, Left axillary lymph node excisional biopsy. Left axillary adenopathy., Hematology - Oncology +3151," Marginal B-cell lymphoma, status post splenectomy. Testicular swelling - possible epididymitis or possible torsion of the testis.", Hematology - Oncology +3152," Newly diagnosed mantle cell lymphoma, admitted now to start chemotherapy. She will start treatment with hyperfractionated cyclophosphamide, vincristine, doxorubicin, dexamethasone.", Hematology - Oncology +3153, Iron deficiency anemia. She underwent a bone marrow biopsy which showed a normal cellular marrow with trilineage hematopoiesis., Hematology - Oncology +3154, A female with a history of peritoneal mesothelioma who has received prior intravenous chemotherapy. , Hematology - Oncology +3155, Intensity-modulated radiation therapy is a complex set of procedures which requires appropriate positioning and immobilization typically with customized immobilization devices., Hematology - Oncology +3156," Progressive low-grade glioma, now more than 20 years since initially diagnosed. She is status post craniotomy for debulking and has done well with the surgery.", Hematology - Oncology +3157, Hyperfractionation. This patient is to undergo a course of hyperfractionated radiotherapy in the treatment of known malignancy. , Hematology - Oncology +3158, Newly diagnosed head and neck cancer. The patient was recently diagnosed with squamous cell carcinoma of the base of the tongue bilaterally and down extension into the right tonsillar fossa., Hematology - Oncology +3159," Leukocytosis, acute deep venous thrombosis, right lower extremity with bilateral pulmonary embolism, on intravenous heparin complicated with acute renal failure for evaluation.", Hematology - Oncology +3160, Intensity-modulated radiation therapy simulation note. The patient will receive intensity-modulated radiation therapy in order to deliver high-dose treatment to sensitive structures. , Hematology - Oncology +3161, Asked to see the patient in regards to a brain tumor. She was initially diagnosed with a glioblastoma multiforme. She presented with several lesions in her brain and a biopsy confirmed the diagnosis. , Hematology - Oncology +3162, Markedly elevated PT INR despite stopping Coumadin and administering vitamin K. Patient with a history of iron-deficiency anemia due to chronic blood loss from colitis. , Hematology - Oncology +3163, HDR Brachytherapy, Hematology - Oncology +3164," Stage IIIC endometrial cancer. Adjuvant chemotherapy with cisplatin, Adriamycin, and Abraxane. The patient is a 47-year-old female who was noted to have abnormal vaginal bleeding in the fall of 2009. ", Hematology - Oncology +3165," Re-excision of squamous cell carcinoma site, right hand.", Hematology - Oncology +3166, Excision of right upper eyelid squamous cell carcinoma with frozen section and full-thickness skin grafting from the opposite eyelid., Hematology - Oncology +3167," Mesothelioma, pleural effusion, atrial fibrillation, anemia, ascites, esophageal reflux, and history of deep venous thrombosis.", Hematology - Oncology +3168, A patient with preoperative diagnosis of right pleural mass and postoperative diagnosis of mesothelioma., Hematology - Oncology +3169, Disseminated intravascular coagulation and Streptococcal pneumonia with sepsis. Patient presented with symptoms of pneumonia and developed rapid sepsis and respiratory failure requiring intubation., Hematology - Oncology +3170, Concomitant chemoradiotherapy for curative intent patients., Hematology - Oncology +3171," Postoperative visit for craniopharyngioma with residual disease. According to him, he is doing well, back at school without any difficulties. He has some occasional headaches and tinnitus, but his vision is much improved.", Hematology - Oncology +3172, 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. , Hematology - Oncology +3173, Patient presents with complaint of lump in the upper outer quadrant of the right breast, Hematology - Oncology +3174," The patient is a 57-year-old female with invasive ductal carcinoma of the left breast, T1c, Nx, M0 left breast carcinoma.", Hematology - Oncology +3175, Genetic counseling for a strong family history of colon polyps. She has had colonoscopies required every five years and every time she has polyps were found. She reports that of her 11 brothers and sister 7 have had precancerous polyps. , Hematology - Oncology +3176, Routine colorectal cancer screening. He occasionally gets some loose stools. , Hematology - Oncology +3177," Breast radiation therapy followup note. Left breast adenocarcinoma stage T3 N1b M0, stage IIIA.", Hematology - Oncology +3178, Excision of left breast mass. The mass was identified adjacent to the left nipple. It was freely mobile and it did not seem to hold the skin. , Hematology - Oncology +3179," Stage IIA right breast cancer. The pathology showed an infiltrating ductal carcinoma Nottingham grade II. The tumor was ER positive, PR positive and HER-2/neu negative.", Hematology - Oncology +3180," T1 N3 M0 cancer of the nasopharynx, status post radiation therapy with 2 cycles of high dose cisplatin with radiation.", Hematology - Oncology +3181, Excision of right breast mass. Right breast mass with atypical proliferative cells on fine-needle aspiration., Hematology - Oncology +3182," Newly diagnosed stage II colon cancer, with a stage T3c, N0, M0 colon cancer, grade 1. Although, the tumor was near obstructing, she was not having symptoms and in fact was having normal bowel movements.", Hematology - Oncology +3183, Newly diagnosed cholangiocarcinoma. The patient is noted to have an increase in her liver function tests on routine blood work. Ultrasound of the abdomen showed gallbladder sludge and gallbladder findings consistent with adenomyomatosis. , Hematology - Oncology +3184," Left breast mass and hypertrophic scar of the left breast. Excision of left breast mass and revision of scar. The patient is status post left breast biopsy, which showed a fibrocystic disease with now a palpable mass just superior to the previous biopsy site.", Hematology - Oncology +3185," A nurse with a history of breast cancer enrolled is clinical trial C40502. Her previous treatments included Zometa, Faslodex, and Aromasin. She was found to have disease progression first noted by rising tumor markers.", Hematology - Oncology +3186, Excisional biopsy of right cervical lymph node., Hematology - Oncology +3187," Excision of nasal tip basal carcinoma, previous positive biopsy.", Hematology - Oncology +3188, The patient 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., Hematology - Oncology +3189," Excision basal cell carcinoma, right medial canthus with frozen section, and reconstruction of defect with glabellar rotation flap.", Hematology - Oncology +3190," Right axillary adenopathy, thrombocytopenia, and hepatosplenomegaly. Right axillary lymph node biopsy.", Hematology - Oncology +3191, Discharge summary of a patient with a BRCA-2 mutation., Hematology - Oncology +3192," Excision of large basal cell carcinoma, right lower lid, and repaired with used dorsal conjunctival flap in the upper lid and a large preauricular skin graft.", Hematology - Oncology +3193, Patient seen in Neuro-Oncology Clinic because of increasing questions about what to do next for his anaplastic astrocytoma., Hematology - Oncology +3194," Chronic lymphocytic leukemia (CLL), autoimmune hemolytic anemia, and oral ulcer. The patient was diagnosed with chronic lymphocytic leukemia and was noted to have autoimmune hemolytic anemia at the time of his CLL diagnosis.", Hematology - Oncology +3195," Left axillary dissection with incision and drainage of left axillary mass. Right axillary mass excision and incision and drainage. Bilateral axillary masses, rule out recurrent Hodgkin's disease.", Hematology - Oncology +3196," Excision of basal cell carcinoma. Closure complex, open wound. Bilateral capsulectomies. Bilateral explantation and removal of ruptured silicone gel implants", Hematology - Oncology +3197," Aplastic anemia. After several bone marrow biopsies, she was diagnosed with aplastic anemia. She started cyclosporine and prednisone.", Hematology - Oncology +3198," Refractory anemia that is transfusion dependent. At this time, he has been admitted for anemia with hemoglobin of 7.1 and requiring transfusion.", Hematology - Oncology +3199, Laparoscopic hand-assisted left adrenalectomy and umbilical hernia repair. Patient with a 5.5-cm diameter nonfunctioning mass in his right adrenal., Hematology - Oncology +3200," This 68-year-old man presents to the emergency department for three days of cough, claims that he has brought up some green and grayish sputum. He says he does not feel short of breath. He denies any fever or chills.", General Medicine +3201, Sore throat - Upper respiratory infection., General Medicine +3202, Patient with morbid obesity., General Medicine +3203, Patient with worsening shortness of breath and cough., General Medicine +3204, 3-Dimensional Simulation. This patient is undergoing 3-dimensionally planned radiation therapy in order to adequately target structures at risk while diminishing the degree of exposure to uninvolved adjacent normal structures., Hematology - Oncology +3205, History and Physical for a 69-year-old Caucasian male complaining of difficulty breathing for 3 days., General Medicine +3206," 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 pain to both upper and lower teeth on the left side for approximately three days..", General Medicine +3207," A 54-year-old patient, here for evaluation of new-onset swelling of the tongue.", General Medicine +3208, Patient with immune thrombocytopenia, General Medicine +3209," Severe back pain and sleepiness. The patient, because of near syncopal episode and polypharmacy, almost passed out for about 3 to 4 minutes with a low blood pressure.", General Medicine +3210, Sepsis. The patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter., General Medicine +3211, The patient was admitted approximately 3 days ago with increasing shortness of breath secondary to pneumonia. Pulmonary Medicine Associates have been contacted to consult in light of the ICU admission. , General Medicine +3212, Chronic snoring in children, General Medicine +3213," He got addicted to drugs. He decided it would be a good idea to get away from the ""bad crowd"" and come up and live with his mom.", General Medicine +3214, Followup of moderate-to-severe sleep apnea. The patient returns today to review his response to CPAP. Recommended a fiberoptic ENT exam to exclude adenoidal tissue that may be contributing to obstruction. , General Medicine +3215," Right hand laceration x3, repaired.", General Medicine +3216, Consultation for evaluation of thrombocytopenia., General Medicine +3217, Followup after a full-night sleep study performed to evaluate her for daytime fatigue and insomnia. This patient presents with history of sleep disruption and daytime sleepiness with fatigue. Her symptoms are multifactorial., General Medicine +3218," Request for consultation to evaluate stomatitis, possibly methotrexate related.", General Medicine +3219," A 40-year-old male seen today for a 90-day revocation admission. Noncompliant with medications, refusing oral or IM medications, became agitated. History of hyperlipidemia with elevated triglycerides.", General Medicine +3220," Recurrent abscesses in the thigh, as well as the pubic area for at least about 2 years. In the past, Accutane has been used.", General Medicine +3221," Patient with a history of coronary artery disease, congestive heart failure, COPD, hypertension, and renal insufficiency.", General Medicine +3222, Symptomatic thyroid goiter. Total thyroidectomy., General Medicine +3223, Patient with a previous history of working in the coalmine and significant exposure to silica with resultant pneumoconiosis and fibrosis of the lung. , General Medicine +3224," Refractory hypertension, much improved, history of cardiac arrhythmia and history of pacemaker secondary to AV block, history of GI bleed, and history of depression.", General Medicine +3225," Before surgery, the patient's blood pressure was 181/107. The patient received IV labetalol. Blood pressure improved, but postsurgery, the patient's blood pressure went up again to 180/100. ", General Medicine +3226," Pressure decubitus, right hip", General Medicine +3227," Atypical pneumonia, hypoxia, rheumatoid arthritis, and suspected mild stress-induced adrenal insufficiency. This very independent 79-year old had struggled with cough, fevers, weakness, and chills for the week prior to admission.", General Medicine +3228," Pyelonephritis likely secondary to mucous plugging of indwelling Foley in the ileal conduit, hypertension, mild renal insufficiency, and anemia, which has been present chronically over the past year.", General Medicine +3229, Patient in emergency room due to high potassium value., General Medicine +3230," Obesity hypoventilation syndrome. A 61-year-old woman with a history of polyarteritis nodosa, mononeuritis multiplex involving the lower extremities, and severe sleep apnea returns in followup following an overnight sleep study.", General Medicine +3231, A 47-year-old white female presents with concern about possible spider bite to the left side of her neck., General Medicine +3232," This is a 53-year-old man, who presented to emergency room with multiple complaints including pain from his hernia, some question of blood in his stool, nausea, and vomiting, and also left lower extremity pain. ", General Medicine +3233, A 93-year-old female called up her next-door neighbor to say that she was not feeling well. The patient was given discharge instructions on dementia and congestive heart failure and asked to return to the emergency room should she have any new problems or symptoms of concern., General Medicine +3234," Normal review of systems template. Negative weakness, negative fatigue, native malaise, negative chills, negative fever, negative night sweats, negative allergies.", General Medicine +3235," Negative for any nausea, vomiting, fevers, chills, or weight loss.", General Medicine +3236," Normal physical exam template. Normal appearance for chronological age, does not appear chronically ill.", General Medicine +3237," Normal review of systems template. No history of headaches, migraines, vertigo, syncope, visual loss, tinnitus, sinusitis, sore in the mouth, hoarseness, swelling or goiter.", General Medicine +3238, Most commonly used phrases in physical exam., General Medicine +3239," Normal review of systems template. The patient denies fever, fatigue, weakness, weight gain or weight loss.", General Medicine +3240," Normal physical exam template. Normocephalic. Negative lesions, negative masses.", General Medicine +3241," Normal physical exam template. Well developed, well nourished, in no acute distress.", General Medicine +3242," There was no weight loss, fevers, chills, sweats. There is no blurring of the vision, itching, throat or neck pain, or neck fullness. There is no vertigo or hoarseness or painful swallowing. ", General Medicine +3243," Normal review of systems template. Negative weakness, negative fatigue, native malaise, negative chills, negative fever, negative night sweats, negative allergies.", General Medicine +3244, Normal newborn infant physical exam. A well-developed infant in no acute respiratory distress., General Medicine +3245, An example normal physical exam, General Medicine +3246, An example of a physical exam, General Medicine +3247," Normal Physical Exam Template. Well developed, well nourished, alert, in no acute distress. ", General Medicine +3248," Normal physical exam template. This is a well-developed and well-nourished. The pupils were equal, round and reactive to light. Extraocular movements are intact.", General Medicine +3249, Template for History and Physical for a newborn., General Medicine +3250, An example/template for a routine normal male physical exam., General Medicine +3251, An example/template for a routine normal male ROS., General Medicine +3252, An example/template for a routine normal male physical exam., General Medicine +3253, An example/template for a routine normal male physical exam., General Medicine +3254, An example/template for a routine normal male physical exam., General Medicine +3255, Sample/template for a normal male multisystem exam., General Medicine +3256, Normal child physical exam template., General Medicine +3257, Sample/template for a normal female multisystem exam, General Medicine +3258," Sample normal ear, nose, mouth, and throat exam.", General Medicine +3259, She is a 28-year-old G1 at approximately 8 plus weeks presented after intractable nausea and vomiting with blood-tinged vomit starting approximately worse over the past couple of days. This is patient's fourth trip to the emergency room and second trip for admission., General Medicine +3260, An example/template for a routine normal female physical exam., General Medicine +3261," Normal female review of systems template. Negative for fever, weight change, fatigue, or aching.", General Medicine +3262," Sample normal ear, nose, mouth, and throat exam.", General Medicine +3263, An example/template for a routine normal female physical exam., General Medicine +3264," MRI Brain, Carbon Monoxide poisoning.", General Medicine +3265," Seizure, hypoglycemia, anemia, dyspnea, edema. colon cancer status post right hemicolectomy, hospital-acquired pneumonia, +and congestive heart failure.", General Medicine +3266," Multiple contusions and abdominal pain, status post motor vehicle collision. ", General Medicine +3267, Nausea and feeling faint. She complains of some nausea. She feels weak. The patient is advised to put salt on her food for the next week. , General Medicine +3268," Patient started out having toothache, now radiating into his jaw and towards his left ear. Ellis type II dental fracture.", General Medicine +3269," Reason for ICU followup today is acute anemia secondary to upper GI bleeding with melena with dropping hemoglobin from 11 to 8, status post transfusion of 2 units PRBCs with EGD performed earlier today by Dr. X of Gastroenterology confirming diagnosis of ulcerative esophagitis, also for continuing chronic obstructive pulmonary disease exacerbation with productive cough, infection and shortness of breath. ", General Medicine +3270," A 10-day-old Caucasian female with bilateral arm and leg jerks, which started at day of life 1 and have occurred 6 total times since then.", General Medicine +3271," Local reaction secondary to insect sting. Patient was stung by a bee on his right hand, left hand, and right knee at approximately noon today. ", General Medicine +3272," Pancreatic and left adrenal lesions. The adrenal lesion is a small lesion, appears as if probable benign adenoma, where as the pancreatic lesion is the cystic lesion, and neoplasm could not be excluded. ", General Medicine +3273," Patient with Hypertension, atrial fibrillation, large cardioembolic stroke initially to the right brain requesting medical management", General Medicine +3274, 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., General Medicine +3275," Newly diagnosed high-risk acute lymphoblastic leukemia; extensive deep vein thrombosis, and pharmacologic thrombolysis following placement of a vena caval filter.", General Medicine +3276," Hypothermia. Rule out sepsis, was negative as blood cultures, sputum cultures, and urine cultures were negative. Organic brain syndrome. Seizure disorder. Adrenal insufficiency. Hypothyroidism. Anemia of chronic disease.", General Medicine +3277, Sample male exam and review of systems., General Medicine +3278," Chief complaint of chest pain, previously diagnosed with hyperthyroidism.", General Medicine +3279," Human immunodeficiency virus disease with stable control on Atripla. Resolving left gluteal abscess, completing Flagyl. Diabetes mellitus, currently on oral therapy. Hypertension, depression, and chronic musculoskeletal pain of unclear etiology.", General Medicine +3280," Nonischemic cardiomyopathy, branch vessel coronary artery disease, congestive heart failure - NYHA Class III, history of nonsustained ventricular tachycardia, hypertension, and hepatitis C.", General Medicine +3281, Probable Coumadin hypersensitivity., General Medicine +3282," Human immunodeficiency virus, stable on Trizivir. Hepatitis C with stable transaminases. History of depression, stable off meds. Hypertension, moderately controlled on meds.", General Medicine +3283, Non-healing surgical wound to the left posterior thigh. Several multiple areas of hypergranulation tissue on the left posterior leg associated with a sense of trauma to his right posterior leg., General Medicine +3284," The patient ingested tiki oil (kerosene, liquid paraffin, citronella oil) approximately two days prior to admission. He subsequently developed progressive symptoms of dyspnea, pleuritic chest pain, hemoptysis with nausea and vomiting. ", General Medicine +3285," An 84-year-old woman with a history of hypertension, severe tricuspid regurgitation with mild pulmonary hypertension, mild aortic stenosis, and previously moderate mitral regurgitation.", General Medicine +3286, The patient with continued problems with her headaches. , General Medicine +3287," History of diabetes, osteoarthritis, atrial fibrillation, hypertension, asthma, obstructive sleep apnea on CPAP, diabetic foot ulcer, anemia, and left lower extremity cellulitis.", General Medicine +3288," Upper respiratory tract infection, persistent. Tinea pedis. Wart on the finger. Hyperlipidemia. Tobacco abuse.", General Medicine +3289, Muscle tension cephalgia. Right trapezius and rhomboid muscle spasm., General Medicine +3290," An 85-year-old female with diarrhea, vomiting, and abdominal pain.", General Medicine +3291," Patient with right-sided arm weakness with speech difficulties, urinary tract infection, dehydration, and diabetes mellitus type 2", General Medicine +3292, Intractable nausea and vomiting/history of diabetic gastroparesis/multiple endoscopies revealing gastritis and esophagitis. , General Medicine +3293, Migraine headache - The patient was seen in the urgent care., General Medicine +3294," One-month followup for unintentional weight loss, depression, paranoia, dementia, and osteoarthritis of knees. Doing well.", General Medicine +3295," General Medicine SOAP note. Patient with shoulder bursitis, pharyngitis, attention deficit disorder, ", General Medicine +3296, Patient today with multiple issues. , General Medicine +3297," Patient with several medical problems - mouth being sore, cough, right shoulder pain, and neck pain", General Medicine +3298, General Medicine SOAP note., General Medicine +3299, General Medicine SOAP note., General Medicine +3300, The patient has recently had an admission for pneumonia with positive blood count. She returned after vomiting and a probable seizure., General Medicine +3301," Patient with NIDDM, hypertension, CAD status post CABG, hyperlipidemia, etc.", General Medicine +3302," Multiple problems including left leg swelling, history of leukocytosis, joint pain left shoulder, low back pain, obesity, frequency with urination, and tobacco abuse.", General Medicine +3303, The patient has NG tube in place for decompression., General Medicine +3304," Short-term followup - Hypertension, depression, osteoporosis, and osteoarthritis.", General Medicine +3305," Palpitations, possibly related to anxiety. Fatigue. Loose stools with some green color and also some nausea.", General Medicine +3306, Sample progress note - Gen Med., General Medicine +3307, A 62-year-old white female with multiple chronic problems including hypertension and a lipometabolism disorder., General Medicine +3308, Patient with a three-day history of emesis and a four-day history of diarrhea, General Medicine +3309," A 3-year-old male brought in by his mother with concerns about his eating - a very particular eater, not eating very much in general.", General Medicine +3310, The patient is in complaining of headaches and dizzy spells., General Medicine +3311," Patient comes in for two-month followup - Hypertension, family history of CVA, Compression fracture of L1, and osteoarthritis of knee.", General Medicine +3312," Rhabdomyolysis, acute on chronic renal failure, anemia, leukocytosis, elevated liver enzyme, hypertension, elevated cardiac enzyme, obesity.", General Medicine +3313," 5-month recheck on type II diabetes mellitus, as well as hypertension.", General Medicine +3314, Patient has a past history of known hyperthyroidism and a recent history of atrial fibrillation and congestive cardiac failure with an ejection fraction of 20%-25%., General Medicine +3315, Sample progress note - Gen Med., General Medicine +3316, The patient states that he feels sick and weak., General Medicine +3317, Sample progress note - Gen Med., General Medicine +3318, Sample progress note - Gen Med., General Medicine +3319," Weakness, malaise dyspnea on exertion, 15-pound weight loss - Bilateral pneumonia, hepatitis, renal insufficiency, ", General Medicine +3320, Sepsis due to urinary tract infection., General Medicine +3321, Right-sided facial droop and right-sided weakness. Recent cerebrovascular accident. he CT scan of the head did not show any acute events with the impression of a new-onset cerebrovascular accident., General Medicine +3322," Comprehensive Evaluation - Generalized anxiety and hypertension, both under fair control.", General Medicine +3323," Comprehensive Evaluation - Diabetes, hypertension, irritable bowel syndrome, and insomnia.", General Medicine +3324," Patient with several medical problems - numbness, tingling, and a pain in the toes.", General Medicine +3325," The patient is a 35-year-old lady who was admitted with chief complaints of chest pain, left-sided with severe chest tightness after having an emotional argument with her boyfriend. The patient has a long history of psychological disorders.", General Medicine +3326," The patient is a 61-year-old lady who was found down at home and was admitted for respiratory failure, septic shock, acute renal failure as well as metabolic acidosis.", General Medicine +3327," Abdominal pain, nausea and vomiting, rule out recurrent small bowel obstruction. The patient is an 89-year-old white male who developed lower abdominal pain, which was constant, onset approximately half an hour after dinner on the evening prior to admission.", General Medicine +3328," An 86-year-old female with persistent abdominal pain, nausea and vomiting, during evaluation in the emergency room, was found to have a high amylase, as well as lipase count and she is being admitted for management of acute pancreatitis.", General Medicine +3329," History and Physical - A history of stage IIIC papillary serous adenocarcinoma of the ovary, presented to the office today left leg pain (left leg DVT).", General Medicine +3330, The patient had temperature of 104 degrees F. It has been spiking ever since and she has had left sacroiliac type hip pain. She does have degenerative disk disease of her lumbar spine but no hip pathology. She has swollen inguinal nodes bilaterally., General Medicine +3331," Anxiety, alcohol abuse, and chest pain. This is a 40-year-old male with digoxin toxicity secondary to likely intentional digoxin overuse. Now, he has had significant block with EKG changes as stated. ", General Medicine +3332," Pneumonia in the face of fairly severe Crohn disease with protein-losing enteropathy and severe malnutrition with anasarca. He also has anemia and leukocytosis, which may be related to his Crohn disease as well as his underlying pneumonia.", General Medicine +3333," The patient presents to the office today with complaints of extreme fatigue, discomfort in the chest and the back that is not related to any specific activity. Stomach gets upset with pain. ", General Medicine +3334," For evaluation of left-sided chest pain, 5 days post abdominal surgery.", General Medicine +3335, Patient with swelling of lips and dysphagia and Arthritis., General Medicine +3336," A female with a past medical history of chronic kidney disease, stage 4; history of diabetes mellitus; diabetic nephropathy; peripheral vascular disease, status post recent PTA of right leg, admitted to the hospital because of swelling of the right hand and left foot.", General Medicine +3337, An 80-year-old female with recent complications of sepsis and respiratory failure who is now receiving tube feeds., General Medicine +3338," A 69-year-old female with past history of type II diabetes, atherosclerotic heart disease, hypertension, carotid stenosis. ", General Medicine +3339," Patient with one-week history of increased progressive shortness of breath, orthopnea for the past few nights, mild increase in peripheral edema, and active wheezing with dyspnea. Medifast does fatigue", General Medicine +3340," Patient admitted with abdominal pain, nausea and vomiting.", General Medicine +3341," Backache, stomachache, and dysuria for the last two days - Urinary dysuria, left flank pain, pharyngitis.", General Medicine +3342, Patient with a diagnosis of stroke., General Medicine +3343, Patient with confusion and hallucinations., General Medicine +3344," Patient with abdominal pain, nausea, vomiting, fever, altered mental status.", General Medicine +3345, A male patient presented for evaluation of chronic abdominal pain., General Medicine +3346, Patient with complaint of dark urine and generalized weakness., General Medicine +3347, Patient coughing up blood and with severe joint pain., General Medicine +3348, Patient was found to have decrease in mental alertness, General Medicine +3349, Consultation for jaw pain., General Medicine +3350," Patient was confused, had garbled speech, significantly worse from her baseline, and had decreased level of consciousness.", General Medicine +3351," Patient with osteoarthritis and osteoporosis with very limited mobility, depression, hypertension, hyperthyroidism, right breast mass, and chronic renal insufficiency", General Medicine +3352, Patient with intermittent episodes of severe nausea and abdominal pain., General Medicine +3353," Patient with hypertension, dementia, and depression.", General Medicine +3354, Examination due to blood-borne pathogen exposure., General Medicine +3355, Patient presents complaining of abdominal pain and discomfort for 3 weeks., General Medicine +3356," Nausea, vomiting, diarrhea, and fever.", General Medicine +3357," Patient complaining of headaches, neck pain, and lower back pain over the last 2-3 weeks.", General Medicine +3358," A 2-year-old little girl with stuffiness, congestion, and nasal drainage. - Allergic rhinitis", General Medicine +3359, The patient brought in by EMS with a complaint of a decreased level of consciousness., General Medicine +3360, Patient with a past medical history of atrial fibrillation and arthritis complaining of progressively worsening shortness of breath., General Medicine +3361, A 12-year-old young man with sinus congestion., General Medicine +3362, Patient in with mom for possible ear infection., General Medicine +3363, Initial clinic visit for foreign body in left eye., General Medicine +3364," An 18-month-old white male here with his mother for complaint of intermittent fever for the past five days. - Allergic rhinitis, fever history, sinusitis resolved, and teething.", General Medicine +3365," 2-year-old female who comes in for just rechecking her weight, her breathing status, and her diet.", General Medicine +3366," 11-year-old female. History of congestion, possibly enlarged adenoids. ", General Medicine +3367, Short-term memory loss (probable situational) and anxiety stress issues., General Medicine +3368, Complaint of left otalgia (serous otitis) and headache. History of atopic dermatitis., General Medicine +3369, 1-year-old male who comes in with a cough and congestion. Clinical sinusitis and secondary cough., General Medicine +3370, Checkup - Joints hurting all over - Arthralgias that are suspicious for inflammatory arthritis., General Medicine +3371, Feeling weak and shaky - Dyspnea on exertion and history of diabetes, General Medicine +3372, Return to work & Fit for duty evaluation., General Medicine +3373," Foreign body of the left fifth fingernail (wooden splinter). He attempted to remove it with tweezers at home, but was unsuccessful. He is requesting we attempt to remove this for him.", General Medicine +3374," Questionable foreign body, right nose. Belly and back pain. Mild constipation.", General Medicine +3375, Complaint of mood swings and tearfulness., General Medicine +3376, A female for a complete physical and follow up on asthma with allergic rhinitis., General Medicine +3377," Left flank pain, ureteral stone.", General Medicine +3378, Left flank pain and unable to urinate., General Medicine +3379, Sample female review of systems., General Medicine +3380," Infection (folliculitis), pelvic pain, mood swings, and painful sex (dyspareunia).", General Medicine +3381," Consult for hypertension and a med check. History of osteoarthritis, osteoporosis, hypothyroidism, allergic rhinitis and kidney stones.", General Medicine +3382, Sample female physical exam, General Medicine +3383, A 66-year-old patient who came to the emergency room because she was feeling dizzy and was found to be tachycardic and hypertensive., General Medicine +3384, Sample female exam and review of systems., General Medicine +3385, Sample female physical exam., General Medicine +3386, Fifth disease with sinusitis, General Medicine +3387," A 46-year-old white male with Down’s syndrome presents for followup of hypothyroidism, as well as onychomycosis.", General Medicine +3388," Patient went out partying last night and drank two mixed drinks last night and then over the course of the evening after midnight, the patient ended up taking a total of six Ecstasy tablets.", General Medicine +3389," Patient running to catch a taxi and stumbled, fell and struck his face on the sidewalk.", General Medicine +3390," A 50-year-old white male with dog bite to his right leg with a history of pulmonary fibrosis, status post bilateral lung transplant several years ago.", General Medicine +3391, A 48-year-old white married female presents in the emergency room after two days of increasing fever with recent diagnosis of urinary tract infection on outpatient treatment with nitrofurantoin., General Medicine +3392," The patient is an 88-year-old white female, household ambulator with a walker, who presents to the emergency department this morning after incidental fall at home.", General Medicine +3393, Patient in ER with upper respiratory infection, General Medicine +3394," Left elbow pain. Fracture of the humerus, spiral. Possible nerve injuries to the radial and median nerve, possibly neurapraxia.", General Medicine +3395, Aftercare of multiple trauma from an motor vehicle accident., General Medicine +3396," A white male veteran with multiple comorbidities, who has a history of bladder cancer diagnosed approximately two years ago by the VA Hospital. ", General Medicine +3397," A female with the past medical history of Ewing sarcoma, iron deficiency anemia, hypertension, and obesity.", General Medicine +3398, Patient admitted after an extensive workup for peritoneal carcinomatosis from appendiceal primary., General Medicine +3399, Disseminated intravascular coagulation and Streptococcal pneumonia with sepsis. Patient presented with symptoms of pneumonia and developed rapid sepsis and respiratory failure requiring intubation., General Medicine +3400," A woman presented to the ER with complaints of nausea, vomiting, and epigastric discomfort, ongoing for about 4 to 5 months. ", General Medicine +3401, Patient with complaints of shortness of breath and was found to have acute COPD exacerbation., General Medicine +3402, Patient with fever of unknown origin., General Medicine +3403, Patient with increased shortness of breath of one day duration., General Medicine +3404, A white female with a history of fevers., General Medicine +3405," Intractable migraine with aura. The patient is discharged home. Secondary diagnoses are Bipolar disorder, iron deficiency anemia, anxiety disorder, and history of tubal ligation.", General Medicine +3406," The patient is a 93-year-old Caucasian female with a past medical history of chronic right hip pain, osteoporosis, hypertension, depression, and chronic atrial fibrillation admitted for evaluation and management of severe nausea and vomiting and urinary tract infection.", General Medicine +3407," The patient is a 53-year-old woman with history of hypertension, diabetes, and depression. Serotonin syndrome secondary to high doses of Prozac and atypical chest pain with myocardial infarction ruled out.", General Medicine +3408," Bradycardia, dizziness, diabetes, hypertension, abdominal pain, and sick sinus syndrome.", General Medicine +3409," The patient underwent a scalp skin biopsy with pathology specimen obtained. At the time of discharge, the patient had improved.", General Medicine +3410," Upper respiratory illness with apnea, possible pertussis. a one plus-month-old female with respiratory symptoms for approximately a week prior to admission. This involved cough, post-tussive emesis, and questionable fever.", General Medicine +3411, Gastroenteritis and autism. She developed constipation one week prior to admission and mother gave her MiraLax and her constipation improved. , General Medicine +3412," Hyperglycemia, cholelithiasis, obstructive sleep apnea, diabetes mellitus, hypertension, and cholecystitis.", General Medicine +3413," Acute cerebrovascular accident/left basal ganglia and deep white matter of the left parietal lobe, hypertension, urinary tract infection, and hypercholesterolemia.", General Medicine +3414," The patient is a 60-year-old female patient who off and on for the past 10 to 12 months has had almost daily diarrhea, nausea, inability to eat. ", General Medicine +3415, Patient today with ongoing issues with diabetic control., General Medicine +3416," Consult for generalized body aches, cough, nausea, and right-sided abdominal pain for two days - Bronchitis.", General Medicine +3417," A gentleman with a long history of heroin abuse, trying to get off the heroin, last use shortly prior to arrival including cocaine. The patient does have a history of alcohol abuse, but mostly he is concerned about the heroin abuse.", General Medicine +3418," Patient had a piece of glass fall on to his right foot. A 4-mm laceration. Acute foot pain, now resolved. The patient was given discharge instructions on wound care.", General Medicine +3419, A 94-year-old female from the nursing home with several days of lethargy and anorexia. She was found to have evidence of UTI and also has renal insufficiency and digitalis toxicity., General Medicine +3420, Patient with a past medical history of hypertension for 15 years., General Medicine +3421," Sepsis, possible SBP. A 53-year-old Hispanic man with diabetes, morbid obesity, hepatitis C, cirrhosis, history of alcohol and cocaine abuse presented in the emergency room for ground-level fall secondary to weak knees. He complained of bilateral knee pain, but also had other symptoms including hematuria and epigastric pain for at least a month. ", General Medicine +3422, The patient needs refills on her Xanax, General Medicine +3423," Followup diabetes mellitus, type 1.", General Medicine +3424," Coronary artery disease, prior bypass surgery. The patient has history of elevated PSA and BPH. He had a prior prostate biopsy and he recently had some procedure done, subsequently developed urinary tract infection, and presently on antibiotic. From cardiac standpoint, the patient denies any significant symptom except for fatigue and tiredness.", General Medicine +3425," 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. ", General Medicine +3426, The patient is a 63-year-old white male who was admitted to the hospital with CHF and lymphedema., General Medicine +3427," Acute on chronic COPD exacerbation and community acquired pneumonia both resolving. However, she may need home O2 for a short period of time.", General Medicine +3428," A 52-year-old female who said she has had 1 week of nausea and vomiting, which is moderate-to-severe.", General Medicine +3429," Patient was brought in the Emergency Room following an episode of syncope. The patient relates that he may have had a seizure activity prior to that. Prior to the episode, he denies having any symptoms of chest pain or shortness of breath. ", General Medicine +3430," A 37-year-old admitted through emergency, presented with symptoms of chest pain, described as a pressure-type dull ache and discomfort in the precordial region. Also, shortness of breath is noted without any diaphoresis. Symptoms on and off for the last 3 to 4 days especially when he is under stress. No relation to exertional activity. No aggravating or relieving factors. ", General Medicine +3431," Followup evaluation and management of chronic medical conditions. Congestive heart failure, stable on current regimen. Diabetes type II, A1c improved with increased doses of NPH insulin. Hyperlipidemia, chronic renal insufficiency, and arthritis.", General Medicine +3432, A 2-month-old female with 1-week history of congestion and fever x2 days., General Medicine +3433," Patient with multiple problems, main one is chest pain at night.", General Medicine +3434," A 5-month-old infant with cold, cough, and runny nose for 2 days. Mom states she had no fever. Her appetite was good but she was spitting up a lot.", General Medicine +3435," Congestion, tactile temperature.", General Medicine +3436," Multiple extensive subcutaneous abscesses, right thigh. Massive open wound, right thigh, status post right excision of multiple subcutaneous abscesses, right thigh.", General Medicine +3437," Lump in the chest wall. Probably an old fracture of the area with callus formation, need to rule out the possibility of a tumor. ", General Medicine +3438," 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.", General Medicine +3439," Suspicious calcifications upper outer quadrant, left breast. Left breast excisional biopsy with preoperative guidewire localization and intraoperative specimen radiography.", General Medicine +3440, Complex open wound right lower extremity complicated by a methicillin-resistant staphylococcus aureus cellulitis. The patient is a 52-year-old male who has had a very complex course secondary to a right lower extremity complex open wound. , General Medicine +3441," First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury.", General Medicine +3442," Left buttock abscess, status post incision and drainage. Recommended some local wound care", General Medicine +3443, 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 patient with code last night with CPR and advanced cardiac life support., General Medicine +3444," Atrial fibrillation with rapid ventricular response, Wolff-Parkinson White Syndrome, recent aortic valve replacement with bioprosthetic Medtronic valve, and hyperlipidemia.", General Medicine +3445, A lady was admitted to the hospital with chest pain and respiratory insufficiency. She has chronic lung disease with bronchospastic angina., General Medicine +3446, Patient has prostate cancer with metastatic disease to his bladder. The patient has had problems with hematuria in the past. The patient was encouraged to drink extra water and was given discharge instructions on hematuria., General Medicine +3447, Patient complaining of cough and blood mixed with sputum production with a past medical history significant for asbestos exposure., General Medicine +3448, Antibiotic management for a right foot ulcer and possible osteomyelitis., General Medicine +3449, Questionable need for antibiotic therapy for possible lower extremity cellulitis., General Medicine +3450," Refractory anemia that is transfusion dependent. At this time, he has been admitted for anemia with hemoglobin of 7.1 and requiring transfusion.", General Medicine +3451," Blood in toilet. Questionable gastrointestinal bleeding at this time, stable without any obvious signs otherwise of significant bleed.", General Medicine +3452," Patient status post gastric bypass surgery, developed nausea and right upper quadrant pain.", General Medicine +3453," Comprehensive annual health maintenance examination, dyslipidemia, tinnitus in left ear, and hemorrhoids.", General Medicine +3454," Possible exposure to ant bait. She is not exhibiting any symptoms and parents were explained that if she develops any vomiting, she should be brought back for reevaluation.", General Medicine +3455," This is a pleasant 50-year-old female who has undergone an APR secondary to refractory ulcerative colitis. Overall, her quality of life has significantly improved since she had her APR. She is functioning well with her ileostomy. ", Gastroenterology +3456, Upper endoscopy with foreign body removal (Penny in proximal esophagus)., Gastroenterology +3457, 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., General Medicine +3458," Umbilical hernia repair. A standard curvilinear umbilical incision was made, and dissection was carried down to the hernia sac using a combination of Metzenbaum scissors and Bovie electrocautery. ", Gastroenterology +3459," The patient complaining of abdominal pain, has a long-standing history of diabetes treated with Micronase daily.", General Medicine +3460, Patient is a three years old male who about 45 minutes prior admission to the emergency room ingested about two to three tablets of Celesta 40 mg per tablets., General Medicine +3461, The patient presented to the emergency room last evening with approximately 7- to 8-day history of abdominal pain which has been persistent., General Medicine +3462, Viral gastroenteritis. Patient complaining of the onset of nausea and vomiting after she drank lots of red wine. She denies any sore throat or cough. She states no one else at home has been ill., Gastroenterology +3463, Upper endoscopy with removal of food impaction., Gastroenterology +3464," Insertion of a triple-lumen central line through the right subclavian vein by the percutaneous technique. This lady has a bowel obstruction. She was being fed through a central line, which as per the patient was just put yesterday and this slipped out. ", Gastroenterology +3465, Ultrasound Abdomen - elevated liver function tests., Gastroenterology +3466," Ultrasound abdomen, complete", Gastroenterology +3467," Left thoracotomy with drainage of pleural fluid collection, esophageal exploration and repair of esophageal perforation, diagnostic laparoscopy and gastrostomy, and radiographic gastrostomy tube study with gastric contrast, interpretation.", Gastroenterology +3468," Umbilical hernia repair template. The umbilical hernia carefully reduced back into the cavity, and the fascia was closed with interrupted vertical mattress sutures to approximate the fascia.", Gastroenterology +3469, Closure of gastrostomy placed due to feeding difficulties. , Gastroenterology +3470," Open Stamm gastrotomy tube, lysis of adhesions, and closure of incidental colotomy", Gastroenterology +3471," She is a 79-year-old female who came in with acute cholecystitis and underwent attempted laparoscopic cholecystectomy 8 days ago. The patient 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 patient is starting to improve, gain more strength. She is tolerating her regular diet.", Gastroenterology +3472, Pediatric Gastroenterology - Rectal Bleeding Consult., Gastroenterology +3473, A 10-year-old with a history of biliary atresia and status post orthotopic liver transplantation., Gastroenterology +3474," History of abdominal pain, obstipation, and distention with nausea and vomiting - paralytic ileus and mechanical obstruction.", Gastroenterology +3475," A 68-year-old male with history of bilateral hernia repair, who presents with 3 weeks of diarrhea and 1 week of rectal bleeding. He states that he had some stomach discomfort in the last 4 weeks. ", Gastroenterology +3476," Sigmoidoscopy performed for evaluation of anemia, gastrointestinal Bleeding.", Gastroenterology +3477, Ultrasound-Guided Paracentesis for Ascites, Gastroenterology +3478, Bleeding after transanal excision five days ago. Exam under anesthesia with control of bleeding via cautery. The patient is a 42-year-old gentleman who is five days out from transanal excision of a benign anterior base lesion. He presents today with diarrhea and bleeding., Gastroenterology +3479," Percutaneous endoscopic gastrostomy tube. Protein-calorie malnutrition. The patient was unable to sustain enough caloric intake and had markedly decreased albumin stores. After discussion with the patient and the son, they agreed to place a PEG tube for nutritional supplementation.", Gastroenterology +3480," Paracentesis. A large abdominal mass, which was cystic in nature and the radiologist inserted a pigtail catheter in the emergency room. ", Gastroenterology +3481, Acute acalculous cholecystitis. Open cholecystectomy. The patient's gallbladder had some patchy and necrosis areas. There were particular changes on the serosal surface as well as on the mucosal surface with multiple clots within the gallbladder., Gastroenterology +3482, Nissen fundoplication. A 2 cm midline incision was made at the junction of the upper two-thirds and lower one-third between the umbilicus and the xiphoid process. , Gastroenterology +3483, Patient presents to the emergency department (ED) with rectal bleeding and pain on defecation., Gastroenterology +3484," The patient has had abdominal pain associated with a 30-pound weight loss and then developed jaundice. He had epigastric pain and was admitted to the hospital. A thin-slice CT scan was performed, which revealed a pancreatic mass with involved lymph nodes and ring enhancing lesions consistent with liver metastases. ", Gastroenterology +3485," Patient seen initially with epigastric and right upper quadrant abdominal pain, nausea, dizziness, and bloating.", Gastroenterology +3486," Seizure, hypoglycemia, anemia, dyspnea, edema. colon cancer status post right hemicolectomy, hospital-acquired pneumonia, +and congestive heart failure.", Gastroenterology +3487," Percutaneous liver biopsy. With the patient lying in the supine position and the right hand underneath the head, an area of maximal dullness was identified in the mid-axillary location by percussion.", Gastroenterology +3488," Abdominal pain right lower quadrant, radiating around her side to her right flank. Etiology is unclear. ", Gastroenterology +3489," Diagnostic laparoscopy and laparoscopic appendectomy. Right lower quadrant abdominal pain, rule out acute appendicitis.", Gastroenterology +3490," Reason for ICU followup today is acute anemia secondary to upper GI bleeding with melena with dropping hemoglobin from 11 to 8, status post transfusion of 2 units PRBCs with EGD performed earlier today by Dr. X of Gastroenterology confirming diagnosis of ulcerative esophagitis, also for continuing chronic obstructive pulmonary disease exacerbation with productive cough, infection and shortness of breath. ", Gastroenterology +3491," Morbid obesity. Laparoscopic Roux-en-Y gastric bypass, antecolic, antegastric with 25-mm EEA anastamosis, esophagogastroduodenoscopy.", Gastroenterology +3492," Diagnostic laparoscopy and rigid sigmoidoscopy. Acute pain, fever postoperatively, hemostatic uterine perforation, no bowel or vascular trauma.", Gastroenterology +3493," Laparoscopy, laparotomy, cholecystectomy with operative cholangiogram, choledocholithotomy with operative choledochoscopy and T-tube drainage of the common bile duct.", Gastroenterology +3494, Laparoscopic cholecystectomy with cholangiogram. Acute gangrenous cholecystitis with cholelithiasis. The patient had essentially a dead gallbladder with stones and positive wide bile/pus coming from the gallbladder., Gastroenterology +3495, Laparoscopic cholecystectomy with attempted intraoperative cholangiogram. A 2 cm infraumbilical midline incision was made. The fascia was then cleared of subcutaneous tissue using a tonsil clamp., Gastroenterology +3496," Morbid obesity. Laparoscopic antecolic antegastric Roux-en-Y gastric bypass with EEA anastomosis. This is a 30-year-old female, who has been overweight for many years. She has tried many different diets, but is unsuccessful. ", Gastroenterology +3497, Laparoscopic cholecystectomy. A 2 cm infraumbilical midline incision was made. The fascia was then cleared of subcutaneous tissue using a tonsil clamp., Gastroenterology +3498," Symptomatic cholelithiasis. Laparoscopic cholecystectomy and appendectomy (CPT 47563, 44970). The patient requested appendectomy because of the concern of future diagnostic dilemma with pain crisis. Laparoscopic cholecystectomy and appendectomy were recommended to her. ", Gastroenterology +3499," Chronic cholecystitis, cholelithiasis, and liver cyst. Laparoscopic cholecystectomy and excision of liver cyst. Exploration of the abdomen revealed multiple adhesions of omentum overlying the posterior aspect of the gallbladder. ", Gastroenterology +3500," 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. ", Gastroenterology +3501, Acute cholecystitis. Laparoscopic cholecystectomy. The abdominal area was prepped and draped in the usual sterile fashion. A small skin incision was made below the umbilicus. It was carried down in the transverse direction on the side of her old incision. It was carried down to the fascia., Gastroenterology +3502," Chronic cholecystitis. Laparoscopic cholecystectomy. Patient with increasingly severe more frequent right upper quadrant abdominal pain, more after meals, had a positive ultrasound for significant biliary sludge.", Gastroenterology +3503, Cholecystitis and cholelithiasis. Laparoscopic cholecystectomy and intraoperative cholangiogram. The patient received 1 gm of IV Ancef intravenously piggyback. The abdomen was prepared and draped in routine sterile fashion., Gastroenterology +3504," Cholelithiasis; possible choledocholithiasis. Laparoscopic cholecystectomy and intraoperative cholangiogram. A small incision was made in the umbilicus, and a Veress needle was introduced into the abdomen. CO2 insufflation was done to a maximum pressure of 15 mmHg, and a 12-mm VersaStep port was placed into the umbilicus.", Gastroenterology +3505," Laparoscopic cholecystectomy. Biliary colic and biliary dyskinesia. The patient had a workup for her gallbladder, which showed evidence of biliary dyskinesia.", Gastroenterology +3506, Laparoscopic cholecystectomy., Gastroenterology +3507, Appendicitis. Laparoscopic appendectomy. CO2 insufflation was done to a maximum pressure of 15 mmHg and a 12-mm VersaStep port was placed through his umbilicus., Gastroenterology +3508, Laparoscopic cholecystectomy due to chronic cholecystitis and cholelithiasis., Gastroenterology +3509, Standard Laparoscopic Cholecystectomy Operative Note., Gastroenterology +3510, Acute appendicitis with perforation. Laparoscopic appendectomy. A CT scan of abdomen showed evidence of appendicitis with perforation. , Gastroenterology +3511, Chronic cholecystitis without cholelithiasis., Gastroenterology +3512, Laparoscopic appendectomy. The patient is a 42-year-old female who presented with right lower quadrant pain. She was evaluated and found to have a CT evidence of appendicitis., Gastroenterology +3513," Laparoscopic cholecystectomy. Acute cholecystitis, status post laparoscopic cholecystectomy, end-stage renal disease on hemodialysis, hyperlipidemia, hypertension, congestive heart failure, skin lymphoma 5 years ago, and hypothyroidism.", Gastroenterology +3514, Ruptured appendicitis., Gastroenterology +3515, Repair of juxtarenal abdominal aortic aneurysm with 14 mm Hemashield tube graft., Gastroenterology +3516, Appendicitis. Laparoscopic appendectomy. Infraumbilical incision was performed and taken down to the fascia. The fascia was incised. The peritoneal cavity was carefully entered. Two other ports were placed in the right and left lower quadrants., Gastroenterology +3517, Laparoscopic appendectomy. Acute appendicitis., Gastroenterology +3518," Pneumatosis coli in the cecum. Possible ischemic cecum with possible metastatic disease, bilateral hydronephrosis on atrial fibrillation, aspiration pneumonia, chronic alcohol abuse, acute renal failure, COPD, anemia with gastric ulcer.", Gastroenterology +3519, Debridement left ischial ulcer., Gastroenterology +3520," Exploratory laparotomy, lysis of adhesions, and right hemicolectomy. Right colon cancer, ascites, and adhesions.", Gastroenterology +3521, Nausea and abdominal pain after eating - Gall bladder disease - Laparoscopic cholecystectomy scheduled., Gastroenterology +3522, A male with known alcohol cirrhosis who presented to the emergency room after an accidental fall in the bathroom., Gastroenterology +3523, Right upper quadrant pain. Nuclear medicine hepatobiliary scan. Radiopharmaceutical 6.9 mCi of Technetium-99m Choletec., Gastroenterology +3524," Gastrostomy, a 6-week-old with feeding disorder and Down syndrome.", Gastroenterology +3525, GI Consultation for Chrohn's disease., Gastroenterology +3526," GI Consultation for chronic abdominal pain, nausea, vomiting, abnormal liver function tests.", Gastroenterology +3527," GI Consultation due to rectal bleeding, positive celiac sprue panel", Gastroenterology +3528, GI bleed. Upper gastrointestinal bleed. CBC revealed microcytic anemia., Gastroenterology +3529, Gastroscopy. Dysphagia and globus. No evidence of inflammation or narrowing to explain her symptoms., Gastroenterology +3530," Dysphagia, possible stricture. Retained gastric contents forming a partial bezoar, suggestive of gastroparesis.", Gastroenterology +3531," Gastroscopy. A short-segment Barrett esophagus, hiatal hernia, and incidental fundic gland polyps in the gastric body; otherwise, normal upper endoscopy to the transverse duodenum.", Gastroenterology +3532, Gastrointestinal Bleed. An 81-year-old presented to the emergency room after having multiple black tarry stools and a weak spell. She woke yesterday morning had a very dark and smelly bowel movement. , Gastroenterology +3533, Followup of laparoscopic fundoplication and gastrostomy. Laparoscopic fundoplication and gastrostomy was done because of the need for enteral feeding access., Gastroenterology +3534," Acute gastroenteritis, resolved. Gastrointestinal bleed and chronic inflammation of the mesentery of unknown etiology.", Gastroenterology +3535, Pediatric Gastroenterology - History of gagging., Gastroenterology +3536, Foul-smelling urine and stomach pain after meals., Gastroenterology +3537, Flexible sigmoidoscopy due to rectal bleeding., Gastroenterology +3538, Flexible sigmoidoscopy. The Olympus video colonoscope then introduced into the rectum and passed by directed vision to the distal descending colon., Gastroenterology +3539," Gastrointestinal bleed, source undetermined, but possibly due to internal hemorrhoids. Poor prep with friable internal hemorrhoids, but no gross lesions, no source of bleed.", Gastroenterology +3540," Esophagitis, minor stricture at the gastroesophageal junction, hiatal hernia. Otherwise normal upper endoscopy to the transverse duodenum.", Gastroenterology +3541," Female with intermittent rectal bleeding, not associated with any weight loss. The patient is chronically constipated.", Gastroenterology +3542," Flexible sigmoidoscopy. Sigmoid and left colon diverticulosis; otherwise, normal flexible sigmoidoscopy to the proximal descending colon.", Gastroenterology +3543," Exploratory laparotomy, release of small bowel obstruction, and repair of periumbilical hernia. Acute small bowel obstruction and incarcerated umbilical Hernia.", Gastroenterology +3544, Flexible Sigmoidoscopy., Gastroenterology +3545," Exploratory laparotomy, low anterior colon resection, flexible colonoscopy, and transverse loop colostomy and JP placement. Colovesical fistula and intraperitoneal abscess.", Gastroenterology +3546, Leaking anastomosis from esophagogastrectomy. Exploratory laparotomy and drainage of intra-abdominal abscesses with control of leakage. , Gastroenterology +3547," Esophageal foreign body, US penny. Esophagoscopy with foreign body removal. The patient had a penny lodged in the proximal esophagus in the typical location. ", Gastroenterology +3548," Esophagoscopy with removal of foreign body. Esophageal foreign body, no associated comorbidities are noted.", Gastroenterology +3549," Exploratory laparotomy, lysis of adhesions and removal, reversal of Hartmann's colostomy, flexible sigmoidoscopy, and cystoscopy with left ureteral stent.", Gastroenterology +3550," Esophagogastroduodenoscopy with biopsies. Gastroesophageal reflux disease, chronic dyspepsia, alkaline reflux gastritis, gastroparesis, probable Billroth II anastomosis, and status post Whipple's pancreaticoduodenectomy.", Gastroenterology +3551, Esophagogastroduodenoscopy with photo. Insertion of a percutaneous endoscopic gastrostomy tube. Neuromuscular dysphagia. Protein-calorie malnutrition., Gastroenterology +3552, Esophagogastroduodenoscopy with pseudo and esophageal biopsy. Hiatal hernia and reflux esophagitis. The patient is a 52-year-old female morbidly obese black female who has a long history of reflux and GERD type symptoms including complications such as hoarseness and chronic cough., Gastroenterology +3553, Esophagogastroduodenoscopy with biopsy of one of the polyps and percutaneous endoscopic gastrostomy tube placement. Malnutrition and dysphagia with two antral polyps and large hiatal hernia., Gastroenterology +3554," Esophagogastroduodenoscopy with gastric biopsies. Antral erythema; 2 cm polypoid pyloric channel tissue, questionable inflammatory polyp which was biopsied; duodenal erythema and erosion.", Gastroenterology +3555," Positive peptic ulcer disease. Gastritis. Esophagogastroduodenoscopy with photography and biopsy. The patient had a history of peptic ulcer disease, epigastric abdominal pain x2 months, being evaluated at this time for ulcer disease.", Gastroenterology +3556, Esophagogastroduodenoscopy with biopsy and colonoscopy with biopsy., Gastroenterology +3557, Esophagogastroduodenoscopy. The Olympus video gastroscope was then introduced into the upper esophagus and passed by direct vision to the descending duodenum., Gastroenterology +3558, Esophagogastroduodenoscopy and colonoscopy with biopsy and polypectomy., Gastroenterology +3559," Chronic abdominal pain and heme positive stool, antral gastritis, and duodenal polyp. Esophagogastroduodenoscopy with photos and antral biopsy.", Gastroenterology +3560, 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. , Gastroenterology +3561," Esophagogastroduodenoscopy, photography, and biopsy. Gastroesophageal reflux disease, hiatal hernia, and enterogastritis.", Gastroenterology +3562, Esophagogastroduodenoscopy with biopsy., Gastroenterology +3563, Esophagogastroduodenoscopy performed in the emergency department., Gastroenterology +3564, Esophagogastroduodenoscopy with bile aspirate. Recurrent right upper quadrant pain with failure of antacid medical therapy. Normal esophageal gastroduodenoscopy., Gastroenterology +3565, Patient presents to the emergency room with complaints of mid-epigastric and right upper quadrant abdominal pain for the last 14 days., Gastroenterology +3566," Ivor-Lewis esophagogastrectomy, feeding jejunostomy, placement of two right-sided 28 French chest tubes, and right thoracotomy.", Gastroenterology +3567, Endoscopic retrograde cholangiopancreatography (ERCP) with brush cytology and biopsy., Gastroenterology +3568," Esophagogastroduodenoscopy with biopsy, a 1-year-10-month-old with a history of dysphagia to solids.", Gastroenterology +3569, The patient was brought to the OR with the known 4 cm abdominal aortic aneurysm + 2.5 cm right common iliac artery aneurysm., Gastroenterology +3570, Esophagogastroduodenoscopy with biopsy and snare polypectomy - Iron-deficiency anemia, Gastroenterology +3571, Esophagogastroduodenoscopy with antral biopsies for H. pylori x2 with biopsy forceps. Nausea and vomiting and upper abdominal pain., Gastroenterology +3572," Upper endoscopy with biopsy. The patient admitted for coffee-ground emesis, which has been going on for the past several days. An endoscopy is being done to evaluate for source of upper GI bleeding.", Gastroenterology +3573, Intermittent rectal bleeding with abdominal pain., Gastroenterology +3574, Epigastric herniorrhaphy. Epigastric hernia., Gastroenterology +3575, Normal upper GI endoscopy., Gastroenterology +3576, Patient with dysphagia., Gastroenterology +3577," EGD with photos and biopsies. This is a 75-year-old female who presents with difficulty swallowing, occasional choking, and odynophagia. She has a previous history of hiatal hernia. She was on Prevacid currently. ", Gastroenterology +3578, Upper gastrointestinal endoscopy., Gastroenterology +3579, EGD with dilation for dysphagia., Gastroenterology +3580," Patient admitted because of recurrent nausea and vomiting, with displacement of the GEJ feeding tube.", Gastroenterology +3581," Melena and solitary erosion over a fold at the GE junction, gastric side.", Gastroenterology +3582, Common description of EGD, Gastroenterology +3583, Common description of EGD., Gastroenterology +3584," Esophagogastroduodenoscopy with biopsy. Patient has had biliary colic-type symptoms for the past 3-1/2 weeks, characterized by severe pain, and brought on by eating greasy foods.", Gastroenterology +3585," EGD with PEG tube placement using Russell technique. Protein-calorie malnutrition, intractable nausea, vomiting, and dysphagia, and enterogastritis.", Gastroenterology +3586, Common description of EGD., Gastroenterology +3587," Upper endoscopy, patient with dysphagia.", Gastroenterology +3588, Common description of EGD., Gastroenterology +3589," Esophagogastroduodenoscopy, patient with dysphagia.", Gastroenterology +3590," EGD and colonoscopy. Blood loss anemia, normal colon with no evidence of bleeding, hiatal hernia, fundal gastritis with polyps, and antral mass.", Gastroenterology +3591, Problems with dysphagia to solids and had food impacted in the lower esophagus. Upper endoscopy to evaluate the esophagus., Gastroenterology +3592," Diagnostic laparotomy, exploratory laparotomy, Meckel's diverticulectomy, open incidental appendectomy, and peritoneal toilet.", Gastroenterology +3593, Esophagogastroduodenoscopy and colonoscopy with polypectomy, Gastroenterology +3594, Patient with complaint of symptomatic cholelithiasis., Gastroenterology +3595, Dysphagia and hematemesis while vomiting. Diffuse esophageal dilatation/hematemesis, Gastroenterology +3596, Patient with a history of a Nissen fundoplication performed six years ago for gastric reflux. , Gastroenterology +3597, Modified Barium swallow (Deglutition Study) for Dysphagia with possible aspiration., Gastroenterology +3598, CT scan of the abdomen and pelvis with contrast to evaluate abdominal pan., Gastroenterology +3599," Generalized abdominal pain, nausea, diarrhea, and recent colonic resection. CT abdomen with and without contrast and CT pelvis with contrast. Axial CT images of the abdomen were obtained without contrast. Axial CT images of the abdomen and pelvis were then obtained utilizing 100 mL of Isovue-300.", Gastroenterology +3600, Generalized abdominal pain 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., Gastroenterology +3601, Abdominal pain. CT examination of the abdomen and pelvis with intravenous contrast., Gastroenterology +3602," Lower quadrant pain with nausea, vomiting, and diarrhea. CT abdomen without contrast and CT pelvis without contrast. Noncontrast axial CT images of the abdomen and pelvis are obtained.", Gastroenterology +3603, Right-sided abdominal pain with nausea and fever. 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., Gastroenterology +3604," CT abdomen without contrast and pelvis without contrast, reconstruction.", Gastroenterology +3605," CT abdomen and pelvis without contrast, stone protocol, reconstruction.", Gastroenterology +3606, CT of the abdomen and pelvis without contrast., Gastroenterology +3607, Patient presents for a colostomy reversal as well as repair of an incisional hernia. , Gastroenterology +3608, CT Abdomen & Pelvis W&WO Contrast, Gastroenterology +3609, Patient with family history of colon cancer and has rectal bleeding on a weekly basis and also heartburn once every 1 or 2 weeks. , Gastroenterology +3610, Patient comes for discussion of a screening colonoscopy. , Gastroenterology +3611, Abnormal liver enzymes and diarrhea. CT pelvis with contrast and ct abdomen with and without contrast., Gastroenterology +3612," A 50-year-old female whose 51-year-old sister has a history of multiple colon polyps, which may slightly increase her risk for colon cancer in the future.", Gastroenterology +3613," Evaluate for retroperitoneal hematoma, the patient has been following, is currently on Coumadin. CT abdomen without contrast and CT pelvis without contrast.", Gastroenterology +3614, CT scan of the abdomen and pelvis without and with intravenous contrast., Gastroenterology +3615, CT Abdomen and Pelvis with contrast , Gastroenterology +3616, Patient in ER due to colostomy failure - bowel obstruction., Gastroenterology +3617, Patient with mid-epigastric abdominal pain. Sonogram revealed gallstones., Gastroenterology +3618, Patient complains of constipation. Has not had BM for two days., Gastroenterology +3619," Colonoscopy with photos. The patient is an 85-year-old female who was admitted to the hospital with a markedly decreased hemoglobin and blood loss anemia. She underwent an EGD and attempted colonoscopy; however, due to a very poor prep, only a flexible sigmoidoscopy was performed at that time. A coloscopy is now being performed for completion.", Gastroenterology +3620, Colonoscopy with random biopsies and culture., Gastroenterology +3621, Common description of colonoscopy, Gastroenterology +3622, The patient with a recent change in bowel function and hematochezia., Gastroenterology +3623," Colonoscopy with multiple biopsies, including terminal ileum, cecum, hepatic flexure, and sigmoid colon.", Gastroenterology +3624, Common description of colonoscopy, Gastroenterology +3625, Small internal hemorrhoids and Ileal colonic anastomosis., Gastroenterology +3626, Common description of colonoscopy, Gastroenterology +3627," A woman referred for colonoscopy secondary to heme-positive stools. Procedure done to rule out generalized diverticular change, colitis, and neoplasia.", Gastroenterology +3628," Colonoscopy, conscious sedation, and snare polypectomy.", Gastroenterology +3629, Common description of colonoscopy, Gastroenterology +3630, Total colonoscopy and polypectomy, Gastroenterology +3631, Total colonoscopy with biopsy and snare polypectomy., Gastroenterology +3632, Common description of colonoscopy, Gastroenterology +3633," Patient with active flare of Inflammatory Bowel Disease, not responsive to conventional therapy including sulfasalazine, cortisone, local therapy.", Gastroenterology +3634," Colonoscopy - Diarrhea, suspected irritable bowel", Gastroenterology +3635," 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. +", Gastroenterology +3636, Colonoscopy due to hematochezia and personal history of colonic polyps., Gastroenterology +3637, Patient with history of polyps., Gastroenterology +3638, Patient with history of adenomas and irregular bowel habits., Gastroenterology +3639, Colonoscopy to evaluate prior history of neoplastic polyps., Gastroenterology +3640, Colonoscopy to screen for colon cancer, Gastroenterology +3641," Screening colonoscopy. Tiny polyps. If adenomatous, repeat exam in five years. ", Gastroenterology +3642," Colonoscopy and biopsies, epinephrine sclerotherapy, hot biopsy cautery, and snare polypectomy. Colon cancer screening. Family history of colon polyps.", Gastroenterology +3643, Mild-to-moderate diverticulosis. She was referred for a screening colonoscopy. There is no family history of colon cancer. No evidence of polyps or malignancy., Gastroenterology +3644, Colonoscopy with terminal ileum examination. Iron deficiency anemia. Following titrated intravenous sedation the flexible video endoscope was introduced into the rectum and advanced to the cecum without difficulty. , Gastroenterology +3645, Universal diverticulosis and nonsurgical internal hemorrhoids. Total colonoscopy with photos. The patient is a 62-year-old white male who presents to the office with a history of colon polyps and need for recheck., Gastroenterology +3646, Possible inflammatory bowel disease. Polyp of the sigmoid colon.. Total colonoscopy with photography and polypectomy., Gastroenterology +3647," Colonoscopy. History of colon polyps and partial colon resection, right colon. Mild diverticulosis of the sigmoid colon. Hemorrhoids.", Gastroenterology +3648, Colonoscopy in a patient with prior history of anemia and abdominal bloating., Gastroenterology +3649," Colonoscopy. Rectal bleeding and perirectal abscess. Normal colonoscopy to the terminal ileum. Opening in the skin at the external anal verge, consistent with drainage from a perianal abscess, with no palpable abscess at this time, and with no evidence of fistulous connection to the bowel lumen.", Gastroenterology +3650," History of polyps. Total colonoscopy and photography. Normal colonoscopy, left colonic diverticular disease. 3+ benign prostatic hypertrophy.", Gastroenterology +3651, Colonoscopy. Change in bowel habits and rectal prolapse. Normal colonic mucosa to the cecum. , Gastroenterology +3652, Routine colorectal cancer screening. He occasionally gets some loose stools. , Gastroenterology +3653, Colon cancer screening and family history of polyps. Sigmoid diverticulosis and internal hemorrhoids., Gastroenterology +3654, Colonoscopy. The Olympus video colonoscope then was introduced into the rectum and passed by directed vision to the cecum and into the terminal ileum. , Gastroenterology +3655," Colonoscopy. The Olympus video colonoscope was inserted through the anus and was advanced in retrograde fashion through the sigmoid colon, descending colon, around the splenic flexure, into the transverse colon, around the hepatic flexure, down the ascending colon, into the cecum. ", Gastroenterology +3656," Newly diagnosed stage II colon cancer, with a stage T3c, N0, M0 colon cancer, grade 1. Although, the tumor was near obstructing, she was not having symptoms and in fact was having normal bowel movements.", Gastroenterology +3657," Still having diarrhea, decreased appetite.", Gastroenterology +3658," Colonoscopy due to rectal bleeding, constipation, abnormal CT scan, rule out inflammatory bowel disease.", Gastroenterology +3659, Genetic counseling for a strong family history of colon polyps. She has had colonoscopies required every five years and every time she has polyps were found. She reports that of her 11 brothers and sister 7 have had precancerous polyps. , Gastroenterology +3660, Iron deficiency anemia. Diverticulosis in the sigmoid., Gastroenterology +3661, Placement of cholecystostomy tube under ultrasound guidance. Acute acalculous cholecystitis., Gastroenterology +3662, Cholecystitis with choledocholithiasis. Laparoscopic cholecystectomy with laparoscopy converted to open common bile duct exploration and stone extraction., Gastroenterology +3663, Laparoscopic cholecystectomy with cholangiogram., Gastroenterology +3664," Status post colonoscopy. After discharge, experienced bloody bowel movements and returned to the emergency department for evaluation.", Gastroenterology +3665, Laparoscopic resection of cecal polyp. Local anesthetic was infiltrated into the right upper quadrant where a small incision was made. Blunt dissection was carried down to the fascia which was grasped with Kocher clamps. , Gastroenterology +3666," 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.", Gastroenterology +3667, Laparoscopic cholecystectomy. Gallstone pancreatitis. Video laparoscopy revealed dense omental adhesions surrounding the gallbladder circumferentially. , Gastroenterology +3668, Newly diagnosed cholangiocarcinoma. The patient is noted to have an increase in her liver function tests on routine blood work. Ultrasound of the abdomen showed gallbladder sludge and gallbladder findings consistent with adenomyomatosis. , Gastroenterology +3669, Open cholecystectomy (attempted laparoscopic cholecystectomy)., Gastroenterology +3670," Blood in toilet. Questionable gastrointestinal bleeding at this time, stable without any obvious signs otherwise of significant bleed.", Gastroenterology +3671, Modified Barium swallow study evaluation to objectively evaluate swallowing function and safety. The patient complained of globus sensation high in her throat particularly with solid foods and with pills. She denied history of coughing and chocking with meals. , Gastroenterology +3672," The patient is a 76-year-old male, with previous history of dysphagia, status post stroke. A modified barium swallow study was ordered to objectively evaluate the patient's swallowing function and safety and to rule out aspiration.", Gastroenterology +3673, Barium enema - history of encopresis and constipation., Gastroenterology +3674, Laparoscopic appendectomy and peritoneal toilet and photos. Pelvic inflammatory disease and periappendicitis., Gastroenterology +3675," Hematemesis in a patient with longstanding diabetes. Submucosal hemorrhage consistent with trauma from vomiting and grade 2 esophagitis. Mallory-Weiss tear, successful BICAP cautery. ", Gastroenterology +3676," Appendicitis, nonperforated. Appendectomy. A transverse right lower quadrant incision was made directly over the point of maximal tenderness. ", Gastroenterology +3677," Acute appendicitis, gangrenous. Appendectomy.", Gastroenterology +3678, The patient was referred for an outpatient speech and language pathology consult to increase speech and swallowing abilities. The patient 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 patient to achieve hands-free voicing., Gastroenterology +3679, , Gastroenterology +3680, Laparoscopic appendectomy. Acute suppurative appendicitis. A CAT scan of the abdomen and pelvis was obtained revealing findings consistent with acute appendicitis. There was no evidence of colitis on the CAT scan. , Gastroenterology +3681, 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., Gastroenterology +3682, Laparoscopic hand-assisted left adrenalectomy and umbilical hernia repair. Patient with a 5.5-cm diameter nonfunctioning mass in his right adrenal., Gastroenterology +3683, The patient presented to the emergency room last evening with approximately 7- to 8-day history of abdominal pain which has been persistent., Gastroenterology +3684," Excision of abscess, removal of foreign body. Repair of incisional hernia. Recurrent re-infected sebaceous cyst of abdomen. Abscess secondary to retained foreign body and incisional hernia.", Gastroenterology +3685," Patient status post gastric bypass surgery, developed nausea and right upper quadrant pain.", Gastroenterology +3686, Laparoscopic appendectomy. Acute appendicitis., Gastroenterology +3687, The patient is having recurrent attacks of imbalance rather than true vertigo following the history of head trauma and loss of consciousness. Symptoms are not accompanied by tinnitus or deafness. , ENT - Otolaryngology +3688," Incision and drainage (I&D) of abdominal abscess, excisional debridement of nonviable and viable skin, subcutaneous tissue and muscle, then removal of foreign body.", Gastroenterology +3689, Congenital chylous ascites and chylothorax and rule out infradiaphragmatic lymphatic leak. Diffuse intestinal and mesenteric lymphangiectasia. , Gastroenterology +3690," Uvulopalatopharyngoplasty and tonsillectomy. The patient with a history of obstructive sleep apnea who has been using CPAP, however, he was not tolerating used of the machine and requested a surgical procedure for correction of his apnea.", ENT - Otolaryngology +3691, Bilateral tympanostomy with myringotomy tube placement. The patient is a 1-year-old male with a history of chronic otitis media with effusion and conductive hearing loss refractory to outpatient medical therapy. , ENT - Otolaryngology +3692, The patient's main complaint is vertigo. The patient is having recurrent attacks of vertigo and imbalance over the last few years with periods of free symptoms and no concurrent tinnitus or hearing impairment., ENT - Otolaryngology +3693, Adenotonsillar hypertrophy and chronic otitis media. Tympanostomy and tube placement and adenoidectomy., ENT - Otolaryngology +3694, Viral upper respiratory infection (URI) with sinus and eustachian congestion. Patient is a 14-year-old white female who presents with her mother complaining of a four-day history of cold symptoms consisting of nasal congestion and left ear pain. , ENT - Otolaryngology +3695," Tonsillectomy, uvulopalatopharyngoplasty, and septoplasty for obstructive sleep apnea syndrome with hypertrophy of tonsils and of uvula and soft palate with deviation of nasal septum", ENT - Otolaryngology +3696, Tracheostomy and thyroid isthmusectomy. Ventilator-dependent respiratory failure and multiple strokes., ENT - Otolaryngology +3697, Tonsillectomy and adenoidectomy. Obstructive adenotonsillar hypertrophy with chronic recurrent pharyngitis., ENT - Otolaryngology +3698," Left canal wall down tympanomastoidectomy with ossicular chain reconstruction, microdissection, NIM facial nerve monitoring for three hours.", ENT - Otolaryngology +3699, Tonsillectomy and adenoidectomy. Chronic adenotonsillitis. The patient is a 9-year-old Caucasian male with history of recurrent episodes of adenotonsillitis that has been refractory to outpatient antibiotic therapy. , ENT - Otolaryngology +3700, Tonsillectomy. Chronic tonsillitis., ENT - Otolaryngology +3701, Tonsillectomy and adenoidectomy and Left superficial nasal cauterization. Recurrent tonsillitis. Deeply cryptic hypertrophic tonsils with numerous tonsillolith. Residual adenoid hypertrophy and recurrent epistaxis., ENT - Otolaryngology +3702, Tonsillectomy & adenoidectomy. Chronic tonsillitis with symptomatic tonsil and adenoid hypertrophy. , ENT - Otolaryngology +3703," Tonsillectomy and adenoidectomy. McIvor mouth gag was placed in the oral cavity, and a tongue depressor applied.", ENT - Otolaryngology +3704, Tonsillectomy. Tonsillitis. McIvor mouth gag was placed in the oral cavity and a tongue depressor applied. , ENT - Otolaryngology +3705," Tonsillectomy, adenoidectomy, and removal of foreign body (rock) from right ear.", ENT - Otolaryngology +3706, The patient had tympanoplasty surgery for a traumatic perforation of the right ear about six weeks ago. , ENT - Otolaryngology +3707, Right argon laser assisted stapedectomy. Bilateral conductive hearing losses with right stapedial fixation secondary to otosclerosis., ENT - Otolaryngology +3708," Left thoracoscopy and left thoracotomy with declaudication and drainage of lung abscesses, and multiple biopsies of pleura and lung.", ENT - Otolaryngology +3709, Underwent tonsillectomy and adenoidectomy two weeks ago. , ENT - Otolaryngology +3710," 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.", ENT - Otolaryngology +3711," Patient with postnasal drainage, sore throat, facial pain, coughing, headaches, congestion, snoring, nasal burning and teeth pain.", ENT - Otolaryngology +3712, A sample note on serous otitis media, ENT - Otolaryngology +3713," 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.", ENT - Otolaryngology +3714," Septoplasty with partial inferior middle turbinectomy with KTP laser, sinus endoscopy with maxillary antrostomies, removal of tissue, with septoplasty and partial ethmoidectomy bilaterally.", ENT - Otolaryngology +3715, Acute supraglottitis with airway obstruction and parapharyngeal cellulitis and peritonsillar cellulitis., ENT - Otolaryngology +3716, Revision rhinoplasty and left conchal cartilage harvest to correct nasal deformity., ENT - Otolaryngology +3717, Open septorhinoplasty with placement of bilateral spreader grafts. Bilateral lateral osteotomies., ENT - Otolaryngology +3718," Nasal endoscopy and partial rhinectomy due to squamous cell carcinoma, left nasal cavity.", ENT - Otolaryngology +3719," Open reduction and internal plate and screw fixation of depressed anterior table right frontal sinus, transconjunctival exploration of orbital floor, open reduction of nasal septum and nasal pyramid fracture with osteotomy.", ENT - Otolaryngology +3720, Cosmetic rhinoplasty. Request for cosmetic change in the external appearance of the nose., ENT - Otolaryngology +3721," Patient with suspected nasal obstruction, possible sleep apnea. ", ENT - Otolaryngology +3722, An example of normal ENT exam., ENT - Otolaryngology +3723," A 3-year-old female for evaluation of chronic ear infections bilateral - OM (otitis media), suppurative without spontaneous rupture. Adenoid hyperplasia bilateral.", ENT - Otolaryngology +3724, This patient is one-day postop open parathyroid exploration with subtotal parathyroidectomy and intraoperative PTH monitoring for parathyroid hyperplasia. She has had an uneventful postoperative night. , ENT - Otolaryngology +3725, Parotidectomy procedure, ENT - Otolaryngology +3726," Fever, otitis media, and possible sepsis.", ENT - Otolaryngology +3727," The patient is now on his third postoperative day for an open reduction and internal fixation for two facial fractures, as well as open reduction nasal fracture. He is on his eighth hospital day.", ENT - Otolaryngology +3728," Sample normal ear, nose, mouth, and throat exam.", ENT - Otolaryngology +3729, A sample note on otitis media., ENT - Otolaryngology +3730," Sample normal ear, nose, mouth, and throat exam.", ENT - Otolaryngology +3731," Left neck dissection. Metastatic papillary cancer, left neck. The patient had thyroid cancer, papillary cell type, removed with a total thyroidectomy and then subsequently recurrent disease was removed with a paratracheal dissection.", ENT - Otolaryngology +3732, Left midface elevation with nasolabial fold elevation and nasolabial fold z-plasty and right symmetrization midface elevation., ENT - Otolaryngology +3733," Nasal septoplasty, bilateral submucous resection of the inferior turbinates, and tonsillectomy and resection of soft palate. Nasal septal deviation with bilateral inferior turbinate hypertrophy. Tonsillitis with hypertrophy. Edema to the uvula and soft palate.", ENT - Otolaryngology +3734, Bilateral myringotomies with insertion of Santa Barbara T-tube., ENT - Otolaryngology +3735," Nasal septal reconstruction, bilateral submucous resection of the inferior turbinates, and bilateral outfracture of the inferior turbinates. Chronic nasal obstruction secondary to deviated nasal septum and inferior turbinate hypertrophy.", ENT - Otolaryngology +3736, Right middle ear exploration with a Goldenberg TORP reconstruction., ENT - Otolaryngology +3737, Removal of the old right pressure equalizing tube. Myringotomy with placement of a left pressure equalizing tube., ENT - Otolaryngology +3738, Bilateral myringotomies and insertion of Shepard grommet draining tubes., ENT - Otolaryngology +3739, Microsuspension direct laryngoscopy with biopsy. Fullness in right base of the tongue and chronic right ear otalgia., ENT - Otolaryngology +3740," Open reduction, nasal fracture with nasal septoplasty.", ENT - Otolaryngology +3741," Suspension microlaryngoscopy, rigid bronchoscopy, dilation of tracheal stenosis.", ENT - Otolaryngology +3742," 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. ", ENT - Otolaryngology +3743," Bilateral myringotomies, insertion of PE tubes, and pharyngeal anesthesia.", ENT - Otolaryngology +3744," Direct laryngoscopy, rigid bronchoscopy and dilation of subglottic upper tracheal stenosis.", ENT - Otolaryngology +3745, Incision and drainage with bolster dressing placement of right ear recurrent auricular hematoma., ENT - Otolaryngology +3746," Flexible nasal laryngoscopy. Foreign body, left vallecula at the base of the tongue. Airway is patent and stable.", ENT - Otolaryngology +3747," Microscopic suspension direct laryngoscopy with biopsy of left true vocal cord stripping. Hoarseness, bilateral true vocal cord lesions, and leukoplakia.", ENT - Otolaryngology +3748," Squamous cell carcinoma of the larynx. Total laryngectomy, right level 2, 3, 4 neck dissection, tracheoesophageal puncture, cricopharyngeal myotomy, right thyroid lobectomy.", ENT - Otolaryngology +3749," Functional endoscopic sinus surgery, bilateral maxillary antrostomy, bilateral total ethmoidectomy, bilateral nasal polypectomy, and right middle turbinate reduction. ", ENT - Otolaryngology +3750," Incompetent glottis. Fat harvesting from the upper thigh, micro-laryngoscopy, fat injection thyroplasty.", ENT - Otolaryngology +3751," Fiberoptic nasolaryngoscopy. Dysphagia with no signs of piriform sinus pooling or aspiration. Right parapharyngeal lesion, likely thyroid cartilage, nonhemorrhagic.", ENT - Otolaryngology +3752, Persistent dysphagia. Deviated nasal septum. Inferior turbinate hypertrophy. Chronic rhinitis. Conductive hearing loss. Tympanosclerosis., ENT - Otolaryngology +3753," Ethmoidectomy, antrostomy with polyp removal, turbinectomy, and septoplasty.", ENT - Otolaryngology +3754," Chronic eustachian tube dysfunction, chronic otitis media with effusion, recurrent acute otitis media, adenoid hypertrophy.", ENT - Otolaryngology +3755," Severe tonsillitis, palatal cellulitis, and inability to swallow.", ENT - Otolaryngology +3756," Left ear cartilage graft, repair of nasal vestibular stenosis using an ear cartilage graft, cosmetic rhinoplasty, left inferior turbinectomy.", ENT - Otolaryngology +3757, Direct laryngoscopy and bronchoscopy., ENT - Otolaryngology +3758, Right ear examination under anesthesia. Right tympanic membrane perforation along with chronic otitis media., ENT - Otolaryngology +3759, Right ear pain with drainage - otitis media and otorrhea., ENT - Otolaryngology +3760, Common CT Neck template., ENT - Otolaryngology +3761," Repair of left ear laceration deformity Y-V plasty 2 cm. Repair of right ear laceration deformity, complex repair 2 cm.", ENT - Otolaryngology +3762, 13 years old complaining about severe ear pain - Chronic otitis media., ENT - Otolaryngology +3763," The patient is a 40-year-old female with a past medical history of repair of deviated septum with complication of a septal perforation. At this time, the patient states that her septal perforation bothers her as she feels that she has very dry air through her nose as well as occasional epistaxis.", ENT - Otolaryngology +3764, CT maxillofacial for trauma. CT examination of the maxillofacial bones was performed without contrast. Coronal reconstructions were obtained for better anatomical localization., ENT - Otolaryngology +3765, Postoperative hemorrhage. Examination under anesthesia with control of right parapharyngeal space hemorrhage. The patient is a 35-year-old female with a history of a chronic pharyngitis and obstructive adenotonsillar hypertrophy. , ENT - Otolaryngology +3766, Chronic headaches and pulsatile tinnitus., ENT - Otolaryngology +3767," A 14-month-old with history of chronic recurrent episodes of otitis media, totalling 6 bouts, requiring antibiotics since birth. ", ENT - Otolaryngology +3768," Cauterization of epistaxis, left nasal septum. Fiberoptic nasal laryngoscopy. Atrophic dry nasal mucosa. Epistaxis. Atrophic laryngeal changes secondary to inhaled steroid use.", ENT - Otolaryngology +3769, Chronic adenotonsillitis with adenotonsillar hypertrophy. Upper respiratory tract infection with mild acute laryngitis., ENT - Otolaryngology +3770," Recurrent jaw pain, described as numbness and tingling along the jaw, teeth, and tongue.", ENT - Otolaryngology +3771, Collar Tubes technique, ENT - Otolaryngology +3772, Repair of bilateral cleft of the palate with vomer flaps., ENT - Otolaryngology +3773," Bilateral myringotomy and tube placement, tonsillectomy and adenoidectomy.", ENT - Otolaryngology +3774," Cleft soft palate. Repair of cleft soft palate and excise accessory ear tag, right ear. ", ENT - Otolaryngology +3775, Bilateral myringotomy tubes and adenoidectomy., ENT - Otolaryngology +3776," T1 N3 M0 cancer of the nasopharynx, status post radiation therapy with 2 cycles of high dose cisplatin with radiation.", ENT - Otolaryngology +3777," Bilateral myringotomies, placement of ventilating tubes, nasal endoscopy, and adenoidectomy.", ENT - Otolaryngology +3778, Adenotonsillectomy. Adenotonsillitis with hypertrophy. The patient is a very nice patient with adenotonsillitis with hypertrophy and obstructive symptoms. Adenotonsillectomy is indicated., ENT - Otolaryngology +3779, Bilateral Myringotomy with placement of PE tubes, ENT - Otolaryngology +3780, A sample note on bilateral myringotomy tubes, ENT - Otolaryngology +3781, Adenoidectomy. Adenoid hypertrophy. The McIvor mouth gag was placed in the oral cavity and the tongue depressor applied. , ENT - Otolaryngology +3782, Adenotonsillectomy. Recurrent tonsillitis. The adenoid bed was examined and was moderately hypertrophied. Adenoid curettes were used to remove this tissue and packs placed. , ENT - Otolaryngology +3783," Adenotonsillectomy, primary, patient under age 12.", ENT - Otolaryngology +3784, Adenoidectomy procedure, ENT - Otolaryngology +3785," Bilateral myringotomies with Armstrong grommet tubes, Adenoidectomy, and Tonsillectomy.", ENT - Otolaryngology +3786," Left thyroid mass. Left total thyroid lumpectomy. The patient with a history of a left thyroid mass nodule that was confirmed with CT scan along with thyroid uptake scan, which demonstrated a hot nodule on the left anterior pole.", Endocrinology +3787, Adenoidectomy and tonsillectomy and lingual frenulectomy. Chronic adenotonsillitis and ankyloglossia., ENT - Otolaryngology +3788, Tracheostomy and thyroid isthmusectomy. Ventilator-dependent respiratory failure and multiple strokes., Endocrinology +3789, Total thyroidectomy with removal of substernal extension on the left. Thyroid goiter with substernal extension on the left., Endocrinology +3790," This is a 55-year-old female with weight gain and edema, as well as history of hypothyroidism. She also has a history of fibromyalgia, inflammatory bowel disease, Crohn disease, COPD, and disc disease as well as thyroid disorder.", Endocrinology +3791," Total thyroidectomy. The patient is a female with a history of Graves disease. Suppression was attempted, however, unsuccessful. She presents today with her thyroid goiter. ", Endocrinology +3792, Total thyroidectomy for goiter. Multinodular thyroid goiter with compressive symptoms and bilateral dominant thyroid nodules proven to be benign by fine needle aspiration., Endocrinology +3793," Pancreatic and left adrenal lesions. The adrenal lesion is a small lesion, appears as if probable benign adenoma, where as the pancreatic lesion is the cystic lesion, and neoplasm could not be excluded. ", Endocrinology +3794," Squamous cell carcinoma of the larynx. Total laryngectomy, right level 2, 3, 4 neck dissection, tracheoesophageal puncture, cricopharyngeal myotomy, right thyroid lobectomy.", Endocrinology +3795," Chief complaint of chest pain, previously diagnosed with hyperthyroidism.", Endocrinology +3796, Return visit to the endocrine clinic for followup management of type 1 diabetes mellitus. Plan today is to make adjustments to her pump based on a total daily dose of 90 units of insulin., Endocrinology +3797, Thyroid mass diagnosed as papillary carcinoma. The patient is a 16-year-old young lady with a history of thyroid mass that is now biopsy proven as papillary. The pattern of miliary metastatic lesions in the chest is consistent with this diagnosis., Endocrinology +3798," The patient with left completion hemithyroidectomy and reimplantation of the left parathyroid and left sternocleidomastoid region in the inferior 1/3rd region. Papillary carcinoma of the follicular variant of the thyroid in the right lobe, status post right hemithyroidectomy.", Endocrinology +3799, Central neck reoperation with removal of residual metastatic lymphadenopathy and thyroid tissue in the central neck. Left reoperative neck dissection levels 1 and the infraclavicular fossa on the left side. Right levels 2 through 5 neck dissection and superior mediastinal dissection of lymph nodes and pretracheal dissection of lymph nodes in a previously operative field., Endocrinology +3800, Patient today with ongoing issues with diabetic control., Endocrinology +3801," Left axillary dissection with incision and drainage of left axillary mass. Right axillary mass excision and incision and drainage. Bilateral axillary masses, rule out recurrent Hodgkin's disease.", Endocrinology +3802, Urgent cardiac catheterization with coronary angiogram., Emergency Room Reports +3803," Followup diabetes mellitus, type 1.", Endocrinology +3804," This 68-year-old man presents to the emergency department for three days of cough, claims that he has brought up some green and grayish sputum. He says he does not feel short of breath. He denies any fever or chills.", Emergency Room Reports +3805, Completion thyroidectomy with limited right paratracheal node dissection., Endocrinology +3806," 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 pain to both upper and lower teeth on the left side for approximately three days..", Emergency Room Reports +3807, The patient has a possibly torsion detorsion versus other acute testicular problem. , Emergency Room Reports +3808," The patient complaining of abdominal pain, has a long-standing history of diabetes treated with Micronase daily.", Endocrinology +3809, The patient had a syncopal episode last night. She did not have any residual deficit. She had a headache at that time. She denies chest pains or palpitations., Emergency Room Reports +3810," Patient with a history of coronary artery disease, status post coronary artery bypass grafting presented to the emergency room following a syncopal episode.", Emergency Room Reports +3811," Return visit to the endocrine clinic for acquired hypothyroidism, papillary carcinoma of the thyroid gland status post total thyroidectomy in 1992, and diabetes mellitus.", Endocrinology +3812, A 19-year-old known male with sickle cell anemia comes to the emergency room on his own with 3-day history of back pain., Emergency Room Reports +3813, A 93-year-old female called up her next-door neighbor to say that she was not feeling well. The patient was given discharge instructions on dementia and congestive heart failure and asked to return to the emergency room should she have any new problems or symptoms of concern., Emergency Room Reports +3814," This is a 53-year-old man, who presented to emergency room with multiple complaints including pain from his hernia, some question of blood in his stool, nausea, and vomiting, and also left lower extremity pain. ", Emergency Room Reports +3815, Patient presents to the emergency department (ED) with rectal bleeding and pain on defecation., Emergency Room Reports +3816, Nausea and feeling faint. She complains of some nausea. She feels weak. The patient is advised to put salt on her food for the next week. , Emergency Room Reports +3817, Penile injury and continuous bleeding from a penile laceration., Emergency Room Reports +3818, Complete heart block with pacemaker malfunction and a history of Shone complex., Emergency Room Reports +3819, Methicillin-resistant Staphylococcus aureus (MRSA) infection. A 14-day-old was seen by private doctor because of blister. , Emergency Room Reports +3820," Multiple contusions and abdominal pain, status post motor vehicle collision. ", Emergency Room Reports +3821, She is a 28-year-old G1 at approximately 8 plus weeks presented after intractable nausea and vomiting with blood-tinged vomit starting approximately worse over the past couple of days. This is patient's fourth trip to the emergency room and second trip for admission., Emergency Room Reports +3822," Patient started out having toothache, now radiating into his jaw and towards his left ear. Ellis type II dental fracture.", Emergency Room Reports +3823," Reason for ICU followup today is acute anemia secondary to upper GI bleeding with melena with dropping hemoglobin from 11 to 8, status post transfusion of 2 units PRBCs with EGD performed earlier today by Dr. X of Gastroenterology confirming diagnosis of ulcerative esophagitis, also for continuing chronic obstructive pulmonary disease exacerbation with productive cough, infection and shortness of breath. ", Emergency Room Reports +3824, Patient presents to the Emergency Department with complaint of a bleeding bump on his penis., Emergency Room Reports +3825," The patient is a 26-year-old gravida 2, para 1-0-0-1, at 28-1/7 weeks who presents to the emergency room with left lower quadrant pain, reports no bowel movement in two weeks as well as nausea and vomiting for the last 24 hours or so. She states that she has not voided in the last 24 hours as well due to pain.", Emergency Room Reports +3826," 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. ", Emergency Room Reports +3827, 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., Emergency Room Reports +3828, Urine leaked around the ostomy site for his right sided nephrostomy tube. The patient had bilateral nephrostomy tubes placed one month ago secondary to his prostate cancer metastasizing and causing bilateral ureteral obstructions that were severe enough to cause acute renal failure., Emergency Room Reports +3829," Headache, improved. Intracranial aneurysm.", Emergency Room Reports +3830," An 84-year-old woman with a history of hypertension, severe tricuspid regurgitation with mild pulmonary hypertension, mild aortic stenosis, and previously moderate mitral regurgitation.", Emergency Room Reports +3831," The patient ingested tiki oil (kerosene, liquid paraffin, citronella oil) approximately two days prior to admission. He subsequently developed progressive symptoms of dyspnea, pleuritic chest pain, hemoptysis with nausea and vomiting. ", Emergency Room Reports +3832," Presents to the ER with hematuria that began while sleeping last night. He denies any pain, nausea, vomiting or diarrhea.", Emergency Room Reports +3833, Left hip fracture. The patient is a 53-year-old female with probable pathological fracture of the left proximal femur., Emergency Room Reports +3834, A male with known alcohol cirrhosis who presented to the emergency room after an accidental fall in the bathroom., Emergency Room Reports +3835, Migraine headache - The patient was seen in the urgent care., Emergency Room Reports +3836," Very high PT-INR. she came in with pneumonia and CHF. She was noticed to be in atrial fibrillation, which is a chronic problem for her.", Emergency Room Reports +3837, 4-day-old with hyperbilirubinemia and heart murmur., Emergency Room Reports +3838," Head injury, anxiety, and hypertensive emergency.", Emergency Room Reports +3839, Gastrointestinal Bleed. An 81-year-old presented to the emergency room after having multiple black tarry stools and a weak spell. She woke yesterday morning had a very dark and smelly bowel movement. , Emergency Room Reports +3840, Patient dropped a weight on the dorsal aspects of his feet., Emergency Room Reports +3841, Muscle tension cephalgia. Right trapezius and rhomboid muscle spasm., Emergency Room Reports +3842," The patient is an 88-year-old white female, household ambulator with a walker, who presents to the emergency department this morning after incidental fall at home.", Emergency Room Reports +3843, Vaginal discharge with a foul odor., Emergency Room Reports +3844, Patient in ER with upper respiratory infection, Emergency Room Reports +3845, A 66-year-old patient who came to the emergency room because she was feeling dizzy and was found to be tachycardic and hypertensive., Emergency Room Reports +3846," Patient running to catch a taxi and stumbled, fell and struck his face on the sidewalk.", Emergency Room Reports +3847, Emergent fiberoptic bronchoscopy with lavage. Status post multiple trauma/motor vehicle accident. Acute respiratory failure. Acute respiratory distress/ventilator asynchrony. Hypoxemia. Complete atelectasis of left lung. Clots partially obstructing the endotracheal tube and completely obstructing the entire left main stem and entire left bronchial system., Emergency Room Reports +3848," Questionable foreign body, right nose. Belly and back pain. Mild constipation.", Emergency Room Reports +3849, Patient presents to the emergency room with complaints of mid-epigastric and right upper quadrant abdominal pain for the last 14 days., Emergency Room Reports +3850," Patient went out partying last night and drank two mixed drinks last night and then over the course of the evening after midnight, the patient ended up taking a total of six Ecstasy tablets.", Emergency Room Reports +3851," The patient is 14 months old, comes in with a chief complaint of difficulty breathing. ", Emergency Room Reports +3852, This is a 27-year-old female who presents with a couple of days history of some dental pain. She has had increasing swelling and pain to the left lower mandible area today., Emergency Room Reports +3853, Patient complains of chest pain - possible esophageal reflux, Emergency Room Reports +3854, A 48-year-old white married female presents in the emergency room after two days of increasing fever with recent diagnosis of urinary tract infection on outpatient treatment with nitrofurantoin., Emergency Room Reports +3855, This is a 25-year-old male with nonspecific right-sided chest/abdominal pain from an unknown etiology., Emergency Room Reports +3856, Patient in ER complaining of shortness of breath (COPD), Emergency Room Reports +3857, Significant pain in left lower jaw., Emergency Room Reports +3858," Cerebrovascular accident (CVA). The patient presents to the emergency room after awakening at 2:30 a.m. this morning with trouble swallowing, trouble breathing, and left-sided numbness and weakness. ", Emergency Room Reports +3859, Consultation for ICU management for a patient with possible portal vein and superior mesenteric vein thrombus leading to mesenteric ischemia., Emergency Room Reports +3860, A female with unknown gestational age who presents to the ED after a suicide attempt., Emergency Room Reports +3861," Status post colonoscopy. After discharge, experienced bloody bowel movements and returned to the emergency department for evaluation.", Emergency Room Reports +3862, Chest tube insertion done by two physicians in ER - spontaneous pneumothorax secondary to barometric trauma., Emergency Room Reports +3863," Patient had a piece of glass fall on to his right foot. A 4-mm laceration. Acute foot pain, now resolved. The patient was given discharge instructions on wound care.", Emergency Room Reports +3864, Status post a high-speed motor vehicle accident in which patient was ejected from the vehicle., Emergency Room Reports +3865, 2-month-old female - increased work of breathing., Emergency Room Reports +3866, Patient in ER due to colostomy failure - bowel obstruction., Emergency Room Reports +3867," Blood in toilet. Questionable gastrointestinal bleeding at this time, stable without any obvious signs otherwise of significant bleed.", Emergency Room Reports +3868, Mother states he has been wheezing and coughing., Emergency Room Reports +3869," Acute foot or ankle sprain, possible small fracture.", Emergency Room Reports +3870, Patient has prostate cancer with metastatic disease to his bladder. The patient has had problems with hematuria in the past. The patient was encouraged to drink extra water and was given discharge instructions on hematuria., Emergency Room Reports +3871," Patient had a recurrent left arm pain after her stent, three days ago, and this persisted after two sublingual nitroglycerin.", Emergency Room Reports +3872," The patient is a 17-year-old female, who presents to the emergency room with foreign body and airway compromise and was taken to the operating room. She was intubated and fishbone.", Emergency Room Reports +3873," Possible exposure to ant bait. She is not exhibiting any symptoms and parents were explained that if she develops any vomiting, she should be brought back for reevaluation.", Emergency Room Reports +3874," A 6-year-old was laying down on one side, and he was crying and moaning, sent from the Emergency Room with the diagnosis of intracranial bleeding.", Emergency Room Reports +3875, 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., Emergency Room Reports +3876, Acute episode of agitation. She was complaining that she felt she might have been poisoned at her care facility., Emergency Room Reports +3877," The patient was referred for outpatient skilled speech therapy, secondary to right hemisphere disorder, status post stroke. The patient attended nine outpatient skilled speech therapy sessions.", Discharge Summary +3878, Patient is a three years old male who about 45 minutes prior admission to the emergency room ingested about two to three tablets of Celesta 40 mg per tablets., Emergency Room Reports +3879," A 12-year-old fell off his bicycle, not wearing a helmet, a few hours ago. There was loss of consciousness. The patient complains of neck pain.", Emergency Room Reports +3880," Total abdominal hysterectomy (TAH). Severe menometrorrhagia unresponsive to medical therapy, severe anemia, and symptomatic fibroid uterus. ", Discharge Summary +3881, Hispanic male patient was admitted because of enlarged prostate and symptoms of bladder neck obstruction., Discharge Summary +3882, Patient presents with a chief complaint of chest pain admitted to Coronary Care Unit due to acute inferior myocardial infarction., Emergency Room Reports +3883, The patient presented to the emergency room last evening with approximately 7- to 8-day history of abdominal pain which has been persistent., Emergency Room Reports +3884," Syncope, end-stage renal disease requiring hemodialysis, congestive heart failure, and hypertension.", Discharge Summary +3885, The patient was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy to improve her functional communication skills and swallowing function and safety., Discharge Summary +3886, The patient was discharged by court as a voluntary drop by prosecution. , Discharge Summary +3887, Discharge summary of a patient with depression and high risk behavior., Discharge Summary +3888, Speech therapy discharge summary. The patient was admitted for skilled speech therapy secondary to cognitive-linguistic deficits. , Discharge Summary +3889," Pyelonephritis likely secondary to mucous plugging of indwelling Foley in the ileal conduit, hypertension, mild renal insufficiency, and anemia, which has been present chronically over the past year.", Discharge Summary +3890, Discharge summary of a patient with mood swings and oppositional and defiant behavior., Discharge Summary +3891," Prematurity, 34 weeks' gestation, now 5 days old, group B streptococcus exposure, but no sepsis, physiologic jaundice, and feeding problem.", Discharge Summary +3892," The patient has had abdominal pain associated with a 30-pound weight loss and then developed jaundice. He had epigastric pain and was admitted to the hospital. A thin-slice CT scan was performed, which revealed a pancreatic mass with involved lymph nodes and ring enhancing lesions consistent with liver metastases. ", Discharge Summary +3893," Fever, otitis media, and possible sepsis.", Discharge Summary +3894, Open reduction and internal fixation (ORIF) of right Schatzker III tibial plateau fracture with partial medial meniscectomy., Discharge Summary +3895, Aspiration pneumonia and chronic obstructive pulmonary disease (COPD) exacerbation. Acute respiratory on chronic respiratory failure secondary to chronic obstructive pulmonary disease exacerbation. Systemic inflammatory response syndrome secondary to aspiration pneumonia. No bacteria identified with blood cultures or sputum culture., Discharge Summary +3896," Contusion of the frontal lobe of the brain, closed head injury and history of fall, and headache, probably secondary to contusion.", Discharge Summary +3897," Occupational therapy discharge summary. Traumatic brain injury, cervical musculoskeletal strain.", Discharge Summary +3898," Atypical pneumonia, hypoxia, rheumatoid arthritis, and suspected mild stress-induced adrenal insufficiency. This very independent 79-year old had struggled with cough, fevers, weakness, and chills for the week prior to admission.", Discharge Summary +3899, Symptomatic thyroid goiter. Total thyroidectomy., Discharge Summary +3900," 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. ", Discharge Summary +3901, Discharge summary of a patient presenting with a large mass aborted through the cervix., Discharge Summary +3902," 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.", Discharge Summary +3903," Discharge summary of patient with leiomyosarcoma and history of pulmonary embolism, subdural hematoma, pancytopenia, and pneumonia.", Discharge Summary +3904," Seizure, hypoglycemia, anemia, dyspnea, edema. colon cancer status post right hemicolectomy, hospital-acquired pneumonia, +and congestive heart failure.", Discharge Summary +3905," Chronic laryngitis, hoarseness. The patient was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy secondary to voicing difficulties. ", Discharge Summary +3906," The patient is an 1812 g baby boy born by vaginal delivery to a 32-year-old gravida 3, para 2 at 34 weeks of gestation. Mother had two previous C-sections.", Discharge Summary +3907," Neck pain with right upper extremity radiculopathy and cervical spondylosis with herniated nucleus pulposus C4-C5, C5-C6, and C6-C7 with stenosis.", Discharge Summary +3908, Decreased ability to perform daily living activities secondary to right knee surgery., Discharge Summary +3909," This is a 14-month-old baby boy Caucasian who came in with presumptive diagnosis of Kawasaki with fever for more than 5 days and conjunctivitis, mild arthritis with edema, rash, resolving and with elevated neutrophils and thrombocytosis, elevated CRP and ESR. ", Discharge Summary +3910, Total vaginal hysterectomy. Microinvasive carcinoma of the cervix., Discharge Summary +3911," Laparoscopic cholecystectomy. Acute cholecystitis, status post laparoscopic cholecystectomy, end-stage renal disease on hemodialysis, hyperlipidemia, hypertension, congestive heart failure, skin lymphoma 5 years ago, and hypothyroidism.", Discharge Summary +3912," Painful right knee status post total knee arthroplasty many years ago. Status post poly exchange, right knee, total knee arthroplasty.", Discharge Summary +3913, A 66-year-old female with knee osteoarthrosis who failed conservative management., Discharge Summary +3914," Total vaginal hysterectomy. Menometrorrhagia, dysmenorrhea, and small uterine fibroids.", Discharge Summary +3915," Hemiarthroplasty, right hip. Fracture of the right femoral neck, also history of Alzheimer's dementia, hypothyroidism, and status post hemiarthroplasty of the hip.", Discharge Summary +3916, Decreased ability to perform daily living activity secondary to recent right hip surgery., Discharge Summary +3917, Intrauterine pregnancy at term with previous cesarean. Desired sterilization. Status post repeat low transverse cesarean and bilateral tubal ligation., Discharge Summary +3918, GI bleed. Upper gastrointestinal bleed. CBC revealed microcytic anemia., Discharge Summary +3919, The patient underwent a total vaginal hysterectomy., Discharge Summary +3920," Hypothermia. Rule out sepsis, was negative as blood cultures, sputum cultures, and urine cultures were negative. Organic brain syndrome. Seizure disorder. Adrenal insufficiency. Hypothyroidism. Anemia of chronic disease.", Discharge Summary +3921, Patient discharged after laparoscopic Roux-en-Y gastric bypass., Discharge Summary +3922," Acute gastroenteritis, resolved. Gastrointestinal bleed and chronic inflammation of the mesentery of unknown etiology.", Discharge Summary +3923," Gastroenteritis versus bowel obstruction, gastroesophageal reflux, Goldenhar syndrome, and anemia, probably iron deficiency.", Discharge Summary +3924," Gastrointestinal bleed, source undetermined, but possibly due to internal hemorrhoids. Poor prep with friable internal hemorrhoids, but no gross lesions, no source of bleed.", Discharge Summary +3925," Solitary left kidney with obstruction and hypertension and chronic renal insufficiency, plus a Pseudomonas urinary tract infection.", Discharge Summary +3926, Falls at home. Anxiety and depression. The patient had been increasingly anxious and freely admitted that she was depressed at home., Discharge Summary +3927, A 31-year-old white female admitted to the hospital with pelvic pain and vaginal bleeding. Right ruptured ectopic pregnancy with hemoperitoneum. Anemia secondary to blood loss., Discharge Summary +3928," Discharge Summary of a patient with hematuria, benign prostatic hyperplasia, complex renal cyst versus renal cell carcinoma, and osteoarthritis.", Discharge Summary +3929, A 48-year-old white married female presents in the emergency room after two days of increasing fever with recent diagnosis of urinary tract infection on outpatient treatment with nitrofurantoin., Discharge Summary +3930," This is a 46-year-old gentleman with end-stage renal disease (ESRD) secondary to diabetes and hypertension, who had been on hemodialysis and is also status post cadaveric kidney transplant with chronic rejection.", Discharge Summary +3931, A 3-year-old abrupt onset of cough and increased work of breathing., Discharge Summary +3932," The patient with multiple medical conditions including coronary artery disease, hypothyroidism, and severe peripheral vascular disease status post multiple revascularizations.", Discharge Summary +3933, The patient was admitted after undergoing a drawn out process with a small bowel obstruction., Discharge Summary +3934, Aftercare of multiple trauma from an motor vehicle accident., Discharge Summary +3935," Patient with left renal cell carcinoma, left renal cyst, had robotic-Assisted laparoscopic left renal cyst decortication and cystoscopy.", Discharge Summary +3936, Diffuse Large B-cell Lymphoma, Discharge Summary +3937," Mesothelioma, pleural effusion, atrial fibrillation, anemia, ascites, esophageal reflux, and history of deep venous thrombosis.", Discharge Summary +3938," Chest x-ray on admission, no acute finding, no interval change. CT angiography, negative for pulmonary arterial embolism. Chronic obstructive pulmonary disease exacerbation improving, on steroids and bronchodilators.", Discharge Summary +3939, The patient is being discharged for continued hemodialysis and rehab., Discharge Summary +3940," Intractable migraine with aura. The patient is discharged home. Secondary diagnoses are Bipolar disorder, iron deficiency anemia, anxiety disorder, and history of tubal ligation.", Discharge Summary +3941, Trauma/ATV accident resulting in left open humerus fracture., Discharge Summary +3942, Patient suffered from morbid obesity for many years and made multiple attempts at nonsurgical weight loss without success. , Discharge Summary +3943, A patient with preoperative diagnosis of right pleural mass and postoperative diagnosis of mesothelioma., Discharge Summary +3944, A 47-year-old female with a posttraumatic AV in the right femoral head., Discharge Summary +3945, Patient with fever of unknown origin., Discharge Summary +3946, Patient with complaint of symptomatic cholelithiasis., Discharge Summary +3947, A white female with a history of fevers., Discharge Summary +3948, a pleasant 62-year-old male with cerebral palsy, Discharge Summary +3949," A woman presented to the ER with complaints of nausea, vomiting, and epigastric discomfort, ongoing for about 4 to 5 months. ", Discharge Summary +3950," A white male veteran with multiple comorbidities, who has a history of bladder cancer diagnosed approximately two years ago by the VA Hospital. ", Discharge Summary +3951," The patient is a 53-year-old woman with history of hypertension, diabetes, and depression. Serotonin syndrome secondary to high doses of Prozac and atypical chest pain with myocardial infarction ruled out.", Discharge Summary +3952, Patient with increased shortness of breath of one day duration., Discharge Summary +3953, Patient with complaints of shortness of breath and was found to have acute COPD exacerbation., Discharge Summary +3954," The patient is a 93-year-old Caucasian female with a past medical history of chronic right hip pain, osteoporosis, hypertension, depression, and chronic atrial fibrillation admitted for evaluation and management of severe nausea and vomiting and urinary tract infection.", Discharge Summary +3955," The patient underwent a scalp skin biopsy with pathology specimen obtained. At the time of discharge, the patient had improved.", Discharge Summary +3956," A female with the past medical history of Ewing sarcoma, iron deficiency anemia, hypertension, and obesity.", Discharge Summary +3957, Patient admitted after an extensive workup for peritoneal carcinomatosis from appendiceal primary., Discharge Summary +3958, A 94-year-old female from the nursing home with several days of lethargy and anorexia. She was found to have evidence of UTI and also has renal insufficiency and digitalis toxicity., Discharge Summary +3959, Gastroenteritis and autism. She developed constipation one week prior to admission and mother gave her MiraLax and her constipation improved. , Discharge Summary +3960," Hyperglycemia, cholelithiasis, obstructive sleep apnea, diabetes mellitus, hypertension, and cholecystitis.", Discharge Summary +3961," Bradycardia, dizziness, diabetes, hypertension, abdominal pain, and sick sinus syndrome.", Discharge Summary +3962," Cardiac arrest, severe congestive heart failure, acute on chronic respiratory failure, osteoporosis, and depression.", Discharge Summary +3963," The patient is a 60-year-old female patient who off and on for the past 10 to 12 months has had almost daily diarrhea, nausea, inability to eat. ", Discharge Summary +3964, Death summary of patient with advanced non-small cell lung carcinoma with left malignant pleural effusion status post chest tube insertion status post chemical pleurodesis., Discharge Summary +3965," Upper respiratory illness with apnea, possible pertussis. a one plus-month-old female with respiratory symptoms for approximately a week prior to admission. This involved cough, post-tussive emesis, and questionable fever.", Discharge Summary +3966, Patient with a history of a Nissen fundoplication performed six years ago for gastric reflux. , Discharge Summary +3967," Cerebrovascular accident (CVA) with right arm weakness and MRI indicating acute/subacute infarct involving the left posterior parietal lobe without mass effect. 2. Old coronary infarct, anterior aspect of the right external capsule. Acute bronchitis with reactive airway disease.", Discharge Summary +3968," Acute cerebrovascular accident/left basal ganglia and deep white matter of the left parietal lobe, hypertension, urinary tract infection, and hypercholesterolemia.", Discharge Summary +3969, Death summary of an 80-year-old patient with a history of COPD., Discharge Summary +3970, Cognitive linguistic impairment secondary to stroke. The patient was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy secondary to cognitive linguistic deficits. , Discharge Summary +3971," Patient had some cold symptoms, was treated as bronchitis with antibiotics.", Discharge Summary +3972," Delivered pregnancy, cholestasis of pregnancy, fetal intolerance to labor, failure to progress. Primary low transverse cesarean section.", Discharge Summary +3973, Cholecystitis with choledocholithiasis. Laparoscopic cholecystectomy with laparoscopy converted to open common bile duct exploration and stone extraction., Discharge Summary +3974," A 67-year-old male with COPD and history of bronchospasm, who presents with a 3-day history of increased cough, respiratory secretions, wheezings, and shortness of breath.", Discharge Summary +3975," Hysteroscopy, dilatation and curettage (D&C), and myomectomy. Severe menometrorrhagia unresponsive to medical therapy, severe anemia, and fibroid uterus.", Discharge Summary +3976, Chronic obstructive pulmonary disease (COPD) exacerbation and acute bronchitis., Discharge Summary +3977, Congestive heart failure (CHF) with left pleural effusion. Anemia of chronic disease., Discharge Summary +3978," Multiple extensive subcutaneous abscesses, right thigh. Massive open wound, right thigh, status post right excision of multiple subcutaneous abscesses, right thigh.", Discharge Summary +3979," A 49-year-old man with respiratory distress, history of coronary artery disease with prior myocardial infarctions, and recently admitted with pneumonia and respiratory failure.", Discharge Summary +3980, Complex open wound right lower extremity complicated by a methicillin-resistant staphylococcus aureus cellulitis. The patient is a 52-year-old male who has had a very complex course secondary to a right lower extremity complex open wound. , Discharge Summary +3981, Bilateral l5 spondylolysis with pars defects and spinal instability with radiculopathy. Chronic pain syndrome., Discharge Summary +3982, A lady was admitted to the hospital with chest pain and respiratory insufficiency. She has chronic lung disease with bronchospastic angina., Discharge Summary +3983," Bronchiolitis, respiratory syncytial virus positive; improved and stable. Innocent heart murmur, stable.", Discharge Summary +3984, Discharge summary of a patient with a BRCA-2 mutation., Discharge Summary +3985, Decreased ability to perform daily living activities secondary to exacerbation of chronic back pain., Discharge Summary +3986," Need for cardiac catheterization. Coronary artery disease, chest pain, history of diabetes, history of hypertension, history of obesity, a 1.1 cm lesion in the medial aspect of the right parietal lobe, and deconditioning.", Discharge Summary +3987," Counting calorie points, exercising pretty regularly, seems to be doing well", Diets and Nutritions +3988," Dietary consultation for hyperlipidemia, hypertension, gastroesophageal reflux disease and weight reduction.", Diets and Nutritions +3989, Dietary consultation for gestational diabetes., Diets and Nutritions +3990, Dietary consultation for diabetes during pregnancy., Diets and Nutritions +3991," Anterior cervical discectomy and fusions C4-5, C5-6, C6-7 using Bengal cages and Slimlock plate C4 to C7; intraoperative x-ray. Herniated nucleuses pulposus, C5-6 greater than C6-7, left greater than C4-5 right with left radiculopathy and moderate stenosis C5-6.", Discharge Summary +3992," Followup dietary consultation for hyperlipidemia, hypertension, and possible metabolic syndrome", Diets and Nutritions +3993, Elevated cholesterol and is on medication to lower it., Diets and Nutritions +3994," Incision and drainage, first metatarsal head, left foot with culture and sensitivity.", Discharge Summary +3995, Dietary consult for a 79-year-old African-American female diagnosed with type 2 diabetes in 1983., Diets and Nutritions +3996, The patient is brought in by an assistant with some of his food diary sheets., Diets and Nutritions +3997," The patient 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.", Diets and Nutritions +3998," Skin biopsy, scalp mole. Darkened mole status post punch biopsy, scalp lesion. Rule out malignant melanoma with pulmonary metastasis.", Dermatology +3999, Punch biopsy of right upper chest skin lesion., Dermatology +4000, Dietary consultation for carbohydrate counting for type I diabetes., Diets and Nutritions +4001," Maculopapular rash in kind of a linear pattern over arms, legs, and chest area which are consistent with a poison ivy or a poison oak.", Dermatology +4002," The skin biopsy was performed on the right ankle and right thigh. The patient was consented for skin biopsy. The complications, instructions as to how the procedure will be performed, and postoperative instructions were given to the patient. ", Dermatology +4003, Mohs Micrographic Surgery for basal cell CA at medial right inferior helix., Dermatology +4004, Mohs Micrographic Surgery for basal cell CA at mid parietal scalp., Dermatology +4005, Comes in complaining that he was stung by a Yellow Jacket Wasp yesterday and now has a lot of swelling in his right hand and right arm., Dermatology +4006, Worrisome skin lesion. A punch biopsy of the worrisome skin lesion was obtained. Lesion was removed., Dermatology +4007, Methicillin-resistant Staphylococcus aureus (MRSA) infection. A 14-day-old was seen by private doctor because of blister. , Dermatology +4008, Patient comes in for initial evaluation of a hyperesthesia on his right abdomen., Dermatology +4009, Excision of the left upper cheek actinic neoplasm and left lower cheek upper neck skin neoplasm with two-layer plastic closures, Dermatology +4010, Incision and drainage (I&D) of buttock abscess. , Dermatology +4011," A 60% total body surface area flame burns, status post multiple prior excisions and staged graftings. Epidermal autograft on Integra to the back and application of allograft to areas of the lost Integra, not grafted on the back.", Dermatology +4012, 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., Dermatology +4013, The patient presents for a followup for history of erythema nodosum., Dermatology +4014, Evaluation and recommendations regarding facial rhytids., Dermatology +4015, Excision of left upper cheek skin neoplasm and left lower cheek skin neoplasm with two-layer closure. Shave excision of the right nasal ala skin neoplasm., Dermatology +4016, Excision of the left temple keratotic neoplasm and left nasolabial fold defect and right temple keratotic neoplasm., Dermatology +4017, Hand dermatitis., Dermatology +4018," Excisional biopsy of actinic keratosis and skin nevus, two-layer and one-layer plastic closures, ", Dermatology +4019," Temporal cheek-neck facelift and submental suction assisted lipectomy to correct facial and neck skin ptosis and cheek, neck, and jowl lipotosis, and facial rhytides.", Dermatology +4020," First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury.", Dermatology +4021," 1+ year, black female for initial evaluation of a lifelong history of atopic eczema.", Dermatology +4022," 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 pain to both upper and lower teeth on the left side for approximately three days..", Dentistry +4023, Cauterization of peri and intra-anal condylomas. Extensive perianal and intra-anal condyloma which are likely represent condyloma acuminata., Dermatology +4024," Left buttock abscess, status post incision and drainage. Recommended some local wound care", Dermatology +4025, Extraction of teeth #2 and #19 and incision and drainage (I&D) of intraoral and extraoral of left mandibular dental abscess., Dentistry +4026, Extraction of teeth. Incision and drainage (I&D) of left mandibular vestibular abscess adjacent to teeth #18 and #19., Dentistry +4027, Acne with folliculitis., Dermatology +4028," Removal of cystic lesion, removal of teeth, modified Le Fort I osteotomy. +", Dentistry +4029, Extraction of tooth #T and incision and drainage (I&D) of right buccal space infection. Right buccal space infection and abscess tooth #T., Dentistry +4030, Full-mouth extraction of teeth and alveoloplasty in all four quadrants., Dentistry +4031, A simple note on Acne Vulgaris., Dermatology +4032," Acne from continually washing area, frequent phone use so the receiver rubs on face and oral contraceptive use - Acne Vulgaris", Dermatology +4033," Open left angle comminuted angle of mandible, 802.35, and open symphysis of mandible, 802.36. Open reduction, internal fixation (ORIF) of bilateral mandible fractures with multiple approaches, CPT code 21470, and surgical extraction of teeth #17, CPT code 41899.", Dentistry +4034," Open reduction and internal fixation of left atrophic mandibular fracture, removal of failed dental implant from the left mandible. The patient fell following an episode of syncope and sustained a blunt trauma to his ribs resulting in multiple fractures and presumably also struck his mandible resulting in fracture. ", Dentistry +4035, Left facial cellulitis and possible odontogenic abscess. Attempted incision and drainage (I&D) of odontogenic abscess., Dentistry +4036, Letter on evaluation regarding extraction of mandibular left second molar tooth #18., Dentistry +4037," Autologous iliac crest bone graft to maxilla and mandible under general anesthetic. Maxillary atrophy, severe mandibular atrophy, acquired facial deformity, and masticatory dysfunction.", Dentistry +4038, Excisional biopsy of skin nevus and two-layer plastic closure. Trichloroacetic acid treatment to left lateral nasal skin 2.5 cm to treat actinic keratosis., Dermatology +4039," Right buccal and canine's base infection from necrotic teeth. ICD9 CODE: 528.3. Incision and drainage of multiple facial spaces; CPT Code: 40801. Surgical removal of the following teeth. The teeth numbers 1, 2, 3, 4, and 5. CPT code: 41899 and dental code 7210.", Dentistry +4040," Patient started out having toothache, now radiating into his jaw and towards his left ear. Ellis type II dental fracture.", Dentistry +4041, Full mouth dental rehabilitation in the operative room under general anesthesia., Dentistry +4042, Incision and drainage of right buccal space abscess and teeth extraction., Dentistry +4043, Closed reduction of mandible fractures with Erich arch bars and elastic fixation. Left angle and right body mandible fractures., Dentistry +4044, Full mouth dental rehabilitation in the operating room under general anesthesia., Dentistry +4045, Dental restoration. Dental caries. Cavities have been noted by his parents and pediatrician that have been noted to be pretty severe. , Dentistry +4046, Left masticator space infection secondary to necrotic tooth #17. Extraoral incision and drainage of facial space infection and extraction of necrotic tooth #17., Dentistry +4047, Significant pain in left lower jaw., Dentistry +4048, Carious teeth and periodontal disease affecting all remaining teeth and partial bony impacted tooth #32. Extraction of teeth., Dentistry +4049, Dental prophylaxis under general anesthesia., Dentistry +4050," Dentigerous cyst, left mandible associated with full bone impacted wisdom tooth #17. Removal of benign cyst and extraction of full bone impacted tooth #17.", Dentistry +4051, Dental restorations and extractions. Dental caries. He has had multiple severe carious lesions that warrant multiple extractions at this time., Dentistry +4052, This is a 27-year-old female who presents with a couple of days history of some dental pain. She has had increasing swelling and pain to the left lower mandible area today., Dentistry +4053, Cosmetic rhinoplasty. Request for cosmetic change in the external appearance of the nose., Cosmetic / Plastic Surgery +4054," Bilateral open mandible fracture, open left angle and open symphysis fracture. Closed reduction of mandible fracture with MMF.", Dentistry +4055," Cervical facial rhytidectomy. Quadrilateral blepharoplasty. Autologous fat injection to the upper lip - donor site, abdomen.", Cosmetic / Plastic Surgery +4056, Nipple areolar reconstruction utilizing a full-thickness skin graft and mastopexy, Cosmetic / Plastic Surgery +4057, Perlane injection for the nasolabial fold. Restylane injection for the glabellar fold., Cosmetic / Plastic Surgery +4058, Endoscopic subperiosteal midface lift using the endotine midface suspension device. Transconjunctival lower lid blepharoplasty with removal of a portion of the medial and middle fat pad., Cosmetic / Plastic Surgery +4059, Split-thickness skin grafting a total area of approximately 15 x 18 cm on the right leg and 15 x 15 cm on the left leg., Cosmetic / Plastic Surgery +4060, Bilateral transaxillary subpectoral mammoplasty with saline-filled implants., Cosmetic / Plastic Surgery +4061, Left midface elevation with nasolabial fold elevation and nasolabial fold z-plasty and right symmetrization midface elevation., Cosmetic / Plastic Surgery +4062," Bilateral augmentation mammoplasty, breast implant, TCA peel to lesions, vein stripping.", Cosmetic / Plastic Surgery +4063," Breast flap revision, nipple reconstruction, reduction mammoplasty, breast medial lesion enclosure.", Cosmetic / Plastic Surgery +4064, Suction-assisted lipectomy - lipodystrophy of the abdomen and thighs., Cosmetic / Plastic Surgery +4065, Debulking of hemangioma of the nasal tip through an open rhinoplasty approach and rhinoplasty., Cosmetic / Plastic Surgery +4066," Liposuction of the supraumbilical abdomen, revision of right breast reconstruction, excision of soft tissue fullness of the lateral abdomen and flank. +", Cosmetic / Plastic Surgery +4067, Bilateral reduction mammoplasty for bilateral macromastia, Cosmetic / Plastic Surgery +4068, Bilateral reduction mammoplasty with superior and inferiorly based dermal parenchymal pedicle with transposition of the nipple-areolar complex., Cosmetic / Plastic Surgery +4069, Suction-assisted lipectomy of the breast with removal of 350 cc of breast tissue from both sides and two mastopexies., Cosmetic / Plastic Surgery +4070, Quad blepharoplasty for blepharochalasia and lower lid large primary and secondary bagging., Cosmetic / Plastic Surgery +4071," Temporal cheek-neck facelift and submental suction assisted lipectomy to correct facial and neck skin ptosis and cheek, neck, and jowl lipotosis, and facial rhytides.", Cosmetic / Plastic Surgery +4072," Hairline biplanar temporal browlift, quadrilateral blepharoplasty, canthopexy, cervical facial rhytidectomy with purse-string SMAS elevation with submental lipectomy.", Cosmetic / Plastic Surgery +4073," A 60% total body surface area flame burns, status post multiple prior excisions and staged graftings. Epidermal autograft on Integra to the back and application of allograft to areas of the lost Integra, not grafted on the back.", Cosmetic / Plastic Surgery +4074," Capsulotomy left breast and flat advancement V to Y, left breast, for correction of lower pole defect (breast assymetry) status post previous breast surgery.", Cosmetic / Plastic Surgery +4075," Hypomastia. Patient wants breast augmentation and liposuction of her abdomen, ", Cosmetic / Plastic Surgery +4076," Breast reconstruction post mastectomy. A 51-year-old lady for mastectomy on the right side, who is interested in the possibility of breast reconstruction.", Cosmetic / Plastic Surgery +4077, Blepharoplasty procedure, Cosmetic / Plastic Surgery +4078, Bilateral orbital frontozygomatic craniotomy with bilateral orbital advancement with Z-osteotomies and bilateral forehead reconstruction with autologous graft., Cosmetic / Plastic Surgery +4079," Left upper extremity amputation. This 3-year-old male suffered amputation of his left upper extremity with complications of injury. He presents at this time for further attempts at closure. Left abdominal flap 5 x 5 cm to left forearm, debridement of skin, subcutaneous tissue, muscle, and bone, closure of wounds, placement of VAC negative pressure wound dressing.", Cosmetic / Plastic Surgery +4080, Belly button piercing for insertion of belly button ring., Cosmetic / Plastic Surgery +4081, A well-child check with concern of some spitting up quite a bit., Consult - History and Phy. +4082, Blunt trauma to the distal right thumb without fracture. Worker’s Compensation Injury, Consult - History and Phy. +4083, A 3-month well-child check. , Consult - History and Phy. +4084," Well-woman check up for a middle-aged woman, status post hysterectomy, recent urinary tract infection.", Consult - History and Phy. +4085, A woman with a remote history of ileojejunal bypass followed by gastric banding to facilitate weight loss. , Consult - History and Phy. +4086, 1-year well child check., Consult - History and Phy. +4087, 1-month-old for a healthy checkup - Well child check, Consult - History and Phy. +4088, A two week well-child check., Consult - History and Phy. +4089, Consultation for wrist pain., Consult - History and Phy. +4090, A 9-month well-child check., Consult - History and Phy. +4091, Well child - Left lacrimal duct stenosis, Consult - History and Phy. +4092, Patient with morbid obesity., Consult - History and Phy. +4093, Viral gastroenteritis. Patient complaining of the onset of nausea and vomiting after she drank lots of red wine. She denies any sore throat or cough. She states no one else at home has been ill., Consult - History and Phy. +4094," This is a 55-year-old female with weight gain and edema, as well as history of hypothyroidism. She also has a history of fibromyalgia, inflammatory bowel disease, Crohn disease, COPD, and disc disease as well as thyroid disorder.", Consult - History and Phy. +4095, Blood in urine - Transitional cell cancer of the bladder., Consult - History and Phy. +4096, Ventricular ectopy and coronary artery disease. He is a 69-year-old gentleman with established history coronary artery disease and peripheral vascular disease with prior stent-supported angioplasty., Consult - History and Phy. +4097," The patient with recurrent nongranulomatous anterior iritis and most recently, pain in left eye associated with headache and photophobia.", Consult - History and Phy. +4098," This is a 66-year-old male with signs and symptoms of benign prostatic hypertrophy, who has had recurrent urinary retention since his kidney transplant. He passed his fill and pull study and was thought to self-catheterize in the event that he does incur urinary retention again.", Consult - History and Phy. +4099, The patient's main complaint is vertigo. The patient is having recurrent attacks of vertigo and imbalance over the last few years with periods of free symptoms and no concurrent tinnitus or hearing impairment., Consult - History and Phy. +4100, 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. , Consult - History and Phy. +4101, The patient is having recurrent attacks of imbalance rather than true vertigo following the history of head trauma and loss of consciousness. Symptoms are not accompanied by tinnitus or deafness. , Consult - History and Phy. +4102, History and Physical for a 69-year-old Caucasian male complaining of difficulty breathing for 3 days., Consult - History and Phy. +4103, Viral upper respiratory infection (URI) with sinus and eustachian congestion. Patient is a 14-year-old white female who presents with her mother complaining of a four-day history of cold symptoms consisting of nasal congestion and left ear pain. , Consult - History and Phy. +4104, Thyroid mass diagnosed as papillary carcinoma. The patient is a 16-year-old young lady with a history of thyroid mass that is now biopsy proven as papillary. The pattern of miliary metastatic lesions in the chest is consistent with this diagnosis., Consult - History and Phy. +4105, Patient referred for evaluation of tracheostomy tube placement and treatment recommendations., Consult - History and Phy. +4106," Patient experienced a single episode of his vision decreasing. During the episode, he felt nauseated and possibly lightheaded. His wife was present and noted that he looked extremely pale.", Consult - History and Phy. +4107, Consultation for evaluation of thrombocytopenia., Consult - History and Phy. +4108," A 54-year-old patient, here for evaluation of new-onset swelling of the tongue.", Consult - History and Phy. +4109," 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 pain to both upper and lower teeth on the left side for approximately three days..", Consult - History and Phy. +4110, Evaluation of possible tethered cord. She underwent a lipomyomeningocele repair at 3 days of age and then again at 3-1/2 years of age. , Consult - History and Phy. +4111, A 92-year-old female had a transient episode of slurred speech and numbness of her left cheek for a few hours. , Consult - History and Phy. +4112, Itchy red rash on feet - Tinea Pedis, Consult - History and Phy. +4113, Newly diagnosed T-cell lymphoma. The patient reports swelling in his left submandibular region that occurred all of a sudden about a month and a half ago. , Consult - History and Phy. +4114, Therapeutic recreation initial evaluation. Patient is a 54-year-old male admitted with diagnosis of CVA with right hemiparesis., Consult - History and Phy. +4115, The patient had a syncopal episode last night. She did not have any residual deficit. She had a headache at that time. She denies chest pains or palpitations., Consult - History and Phy. +4116," A 6-year-old male who is a former 27-week premature infant, suffered an intraventricular hemorrhage requiring shunt placement, and as a result, has developmental delay and left hemiparesis. ", Consult - History and Phy. +4117, Sports physical with normal growth and development., Consult - History and Phy. +4118," Patient with a history of coronary artery disease, status post coronary artery bypass grafting presented to the emergency room following a syncopal episode.", Consult - History and Phy. +4119, The patient is a 4-month-old who presented with supraventricular tachycardia and persistent cyanosis., Consult - History and Phy. +4120, The patient was undergoing a routine physical examination and was found to have right supraclavicular lymphadenopathy. She returned for followup examination and again was noted to have right supraclavicular lymphadenopathy. She is now referred to the thoracic surgery clinic for evaluation., Consult - History and Phy. +4121, Consult and Spinal fluid evaluation in a 15-day-old, Consult - History and Phy. +4122," Status post brain tumor with removal. The patient 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. ", Consult - History and Phy. +4123," Healthy checkups and sports physical - 12 years old - Healthy Tanner III male, developing normally.", Consult - History and Phy. +4124," Patient with postnasal drainage, sore throat, facial pain, coughing, headaches, congestion, snoring, nasal burning and teeth pain.", Consult - History and Phy. +4125," Global aphasia. The patient is referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy, status post stroke. ", Consult - History and Phy. +4126, Well-child check and school physical., Consult - History and Phy. +4127," History of abdominal pain, obstipation, and distention with nausea and vomiting - paralytic ileus and mechanical obstruction.", Consult - History and Phy. +4128, Sepsis. The patient was found to have a CT scan with dilated bladder with thick wall suggesting an outlet obstruction as well as bilateral hydronephrosis and hydroureter., Consult - History and Phy. +4129," Sick sinus syndrome, atrial fibrillation, pacemaker dependent, mild cardiomyopathy with ejection fraction 40% and no significant decompensation, and dementia of Alzheimer's disease with short and long term memory dysfunction", Consult - History and Phy. +4130," Severe back pain and sleepiness. The patient, because of near syncopal episode and polypharmacy, almost passed out for about 3 to 4 minutes with a low blood pressure.", Consult - History and Phy. +4131, Consultation for right shoulder pain., Consult - History and Phy. +4132," Well-child check sports physical - Well child asthma with good control, allergic rhinitis.", Consult - History and Phy. +4133, This patient was seen in clinic for a school physical., Consult - History and Phy. +4134," A 71-year-old female who I am seeing for the first time. She has a history of rheumatoid arthritis for the last 6 years. She is not on DMARD, but as she recently had a surgery followed by a probable infection.", Consult - History and Phy. +4135," 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.", Consult - History and Phy. +4136," Request for consultation to evaluate stomatitis, possibly methotrexate related.", Consult - History and Phy. +4137, Patient presents for treatment of suspected rheumatoid arthritis., Consult - History and Phy. +4138," Shoulder pain, right shoulder diffusely - Rotator cuff syndrome, right.", Consult - History and Phy. +4139," Patient with a history of coronary artery disease, congestive heart failure, COPD, hypertension, and renal insufficiency.", Consult - History and Phy. +4140," Recurrent abscesses in the thigh, as well as the pubic area for at least about 2 years. In the past, Accutane has been used.", Consult - History and Phy. +4141," Acute renal failure, suspected, likely due to multi-organ system failure syndrome.", Consult - History and Phy. +4142," A 40-year-old male seen today for a 90-day revocation admission. Noncompliant with medications, refusing oral or IM medications, became agitated. History of hyperlipidemia with elevated triglycerides.", Consult - History and Phy. +4143," Patient with suspected nasal obstruction, possible sleep apnea. ", Consult - History and Phy. +4144," A 68-year-old male with history of bilateral hernia repair, who presents with 3 weeks of diarrhea and 1 week of rectal bleeding. He states that he had some stomach discomfort in the last 4 weeks. ", Consult - History and Phy. +4145, Obstructive sleep apnea syndrome. Loud snoring. Schedule an overnight sleep study., Consult - History and Phy. +4146," A 16-month-old with history of penile swelling for 4 days, had circumcision 1 week ago.", Consult - History and Phy. +4147, Patient with complaints of significant coughing and wheezing., Consult - History and Phy. +4148," Records review. The patient developed shooting pain about the right upper extremity into his hand from his elbow down to the hand. Any type of rotation and pulling muscle did cause numbness of the middle, ring, and small finger.", Consult - History and Phy. +4149," This 61-year-old retailer who presents with acute shortness of breath, hypertension, found to be in acute pulmonary edema. No confirmed prior history of heart attack, myocardial infarction, heart failure. ", Consult - History and Phy. +4150, 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., Consult - History and Phy. +4151, Increasing oxygen requirement. Baby boy has significant pulmonary hypertension. , Consult - History and Phy. +4152, She was admitted following an overdose of citalopram and warfarin. The patient has had increasing depression and has been under stress as a result of dissolution of her second marriage., Consult - History and Phy. +4153, Pediatric Gastroenterology - Rectal Bleeding Consult., Consult - History and Phy. +4154," Patient felt dizzy, had some cold sweats, mild shortness of breath, no chest pain, no nausea or vomiting, but mild diarrhea, and sat down and lost consciousness for a few seconds.", Consult - History and Phy. +4155, Psychiatric History and Physical - Patient with schizoaffective disorder., Consult - History and Phy. +4156, Psychiatric History and Physical - Patient with major depression, Consult - History and Phy. +4157," Bipolar disorder, apparently stable on medications. Mild organic brain syndrome, presumably secondary to her chronic inhalant, paint, abuse.", Consult - History and Phy. +4158," Psychiatric consultation has been requested as the patient has been noncompliant with treatment, leave the unit, does not return when requested, and it was unclear as to whether this is secondary to confusion or willful behavior.", Consult - History and Phy. +4159, Psychiatric consultation for management of pain medications., Consult - History and Phy. +4160," A 30-year-old white male with a history of schizophrenia, chronic paranoid, was admitted for increasing mood lability, paranoia, and agitation.", Consult - History and Phy. +4161, Psychiatric consultation for substance abuse., Consult - History and Phy. +4162," Patient with a history of PTSD, depression, and substance abuse.", Consult - History and Phy. +4163, The patient was found by outpatient case manager to be unresponsive and incontinent of urine and feces at his father's home., Consult - History and Phy. +4164, A 45-year-old white male with a history of schizophrenia and AIDS. He was admitted for disorganized and assaultive behaviors while off all medications for the last six months., Consult - History and Phy. +4165, Psychiatric Consultation of patient with recurring depression., Consult - History and Phy. +4166, Psychiatric consultation of patient with lethargy., Consult - History and Phy. +4167," A 41-year-old African-American male with a history of bipolar affective disorder, was admitted for noncompliance to the outpatient treatment and increased mood lability.", Consult - History and Phy. +4168, Psychiatric Consultation of patient with major depression disorder., Consult - History and Phy. +4169, Psychiatric consultation for alcohol withdrawal and dependance., Consult - History and Phy. +4170, Psychiatric Consultation of patient with dementia., Consult - History and Phy. +4171," The patient is admitted on a 72-hour involuntary treatment for dangerousness to others after repeated assaultive behaviors at Hospital Emergency Room, the morning prior to admission.", Consult - History and Phy. +4172, Psychiatric Consultation of patient with altered mental status., Consult - History and Phy. +4173, Psychiatric Consultation of patient with anxiety., Consult - History and Phy. +4174," The patient with pseudotumor cerebri without papilledema, comes in because of new onset of headaches. ", Consult - History and Phy. +4175," Adenocarcinoma of the prostate, Erectile dysfunction - History & Physical", Consult - History and Phy. +4176, The patient was referred due to a recent admission for pseudoseizures., Consult - History and Phy. +4177," Adenocarcinoma of the prostate. The patient underwent a transrectal ultrasound and biopsy and was found to have a Gleason 3+4 for a score of 7, 20% of the tissue removed from the left base. ", Consult - History and Phy. +4178, Cardiology consultation regarding preoperative evaluation for right hip surgery. Patient with a history of coronary artery disease status post bypass surgery, Consult - History and Phy. +4179, Consult for subcutaneous emphysema and a small right-sided pneumothorax secondary to trauma., Consult - History and Phy. +4180, Patient with a previous history of working in the coalmine and significant exposure to silica with resultant pneumoconiosis and fibrosis of the lung. , Consult - History and Phy. +4181, A white female presents for exam and Pap., Consult - History and Phy. +4182, Post-surgical medical management; right total knee replacement., Consult - History and Phy. +4183," Before surgery, the patient's blood pressure was 181/107. The patient received IV labetalol. Blood pressure improved, but postsurgery, the patient's blood pressure went up again to 180/100. ", Consult - History and Phy. +4184," Preeclampsia, status post delivery with Cesarean section with uncontrolled blood pressure. The patient is a 38-year-old female admitted following a delivery. The patient had a cesarean section. Following this, the patient was treated for her blood pressure. She was sent home and she came back again apparently with uncontrolled blood pressure.", Consult - History and Phy. +4185," The patient is a 16-month-old boy, who had a circumcision performed approximately 4 days before he developed penile swelling and fever and discharge. ", Consult - History and Phy. +4186," The patient is an 84-year-old female presented to emergency room with shortness of breath, fatigue, and tiredness. Low-grade fever was noted last few weeks. The patient also has chest pain described as dull aching type in precordial region. No relation to exertion or activity. No aggravating or relieving factors. ", Consult - History and Phy. +4187," A white female who presents for complete physical, Pap and breast exam.", Consult - History and Phy. +4188," A 7-year-old white male started to complain of pain in his fingers, elbows, and neck. This patient may have had reactive arthritis. ", Consult - History and Phy. +4189," A middle-aged white female undergoing autologous stem cell transplant for multiple myeloma, now with paroxysmal atrial fibrillation.", Consult - History and Phy. +4190, Pain management for post-laminectomy low back syndrome and radiculopathy. , Consult - History and Phy. +4191," Penile discharge, infected-looking glans. A 67-year-old male with multiple comorbidities with penile discharge and pale-appearing glans. It seems that the patient has had multiple catheterizations recently and has history of peripheral vascular disease. ", Consult - History and Phy. +4192," A 3-year-old female for evaluation of chronic ear infections bilateral - OM (otitis media), suppurative without spontaneous rupture. Adenoid hyperplasia bilateral.", Consult - History and Phy. +4193," Peripheral effusion on the CAT scan. The patient is a 70-year-old Caucasian female with prior history of lung cancer, status post upper lobectomy. She was recently diagnosed with recurrent pneumonia and does have a cancer on the CAT scan, lung cancer with metastasis. ", Consult - History and Phy. +4194, Patient with back and hip pain., Consult - History and Phy. +4195, Entrapment of the Superior Gluteal Nerve in the aponeurosis of the Gluteus Medius-Left., Consult - History and Phy. +4196, Patient with chronic pain plus lumbar disk replacement with radiculitis and myofascial complaints. , Consult - History and Phy. +4197," Low back pain, lumbar degenerative disc disease, lumbar spondylosis, facet and sacroiliac joint syndrome, lumbar spinal stenosis primarily bilateral recess, intermittent lower extremity radiculopathy, DJD of both knees, bilateral pes anserinus bursitis, and chronic pain syndrome.", Consult - History and Phy. +4198," This is a 53-year-old man, who presented to emergency room with multiple complaints including pain from his hernia, some question of blood in his stool, nausea, and vomiting, and also left lower extremity pain. ", Consult - History and Phy. +4199, A lady with symptoms consistent with possible oligoarticular arthritis of her knees., Consult - History and Phy. +4200," Toenails are discolored, thickened, and painful - Onychomycosis", Consult - History and Phy. +4201," Medical management, status post left total knee arthroplasty.", Consult - History and Phy. +4202," Degenerative disk disease of the right hip, low back pain with lumbar scoliosis post laminectomy syndrome, lumbar spinal stenosis, facet and sacroiliac joint syndrome, and post left hip arthroplasty.", Consult - History and Phy. +4203, Occupational medicine consult with questions-answers and records review., Consult - History and Phy. +4204," Back pain and right leg pain. Small cell lung cancer with metastasis at the lower lumbar spine, pelvis, and both femurs", Consult - History and Phy. +4205," Organic brain syndrome in the setting of multiple myeloma. The patient is a 56-year-old male with the history of multiple myeloma, who has been admitted for complains of being dehydrated and was doing good until this morning, was found to be disoriented and confused, was not able to communicate properly, and having difficulty leaving out the words. ", Consult - History and Phy. +4206, Occupational medicine consult with questions-answers and records review., Consult - History and Phy. +4207, Occupational medicine consult with questions-answers., Consult - History and Phy. +4208, Pelvic Pain and vaginal discharge, Consult - History and Phy. +4209, A 17-year-old male with oligoarticular arthritis of his right knee., Consult - History and Phy. +4210, Consultation for an ASCUS Pap smear., Consult - History and Phy. +4211," Female referred for evaluation of an abnormal colposcopy, low-grade Pap with suspicious high-grade features.", Consult - History and Phy. +4212, Occupational medicine consult with questions-answers and records review., Consult - History and Phy. +4213," Normal review of systems template. No history of headaches, migraines, vertigo, syncope, visual loss, tinnitus, sinusitis, sore in the mouth, hoarseness, swelling or goiter.", Consult - History and Phy. +4214, Consultation because of irregular periods and ovarian cyst., Consult - History and Phy. +4215, A 93-year-old female called up her next-door neighbor to say that she was not feeling well. The patient was given discharge instructions on dementia and congestive heart failure and asked to return to the emergency room should she have any new problems or symptoms of concern., Consult - History and Phy. +4216," Negative for any nausea, vomiting, fevers, chills, or weight loss.", Consult - History and Phy. +4217," Normal review of systems template. Negative weakness, negative fatigue, native malaise, negative chills, negative fever, negative night sweats, negative allergies.", Consult - History and Phy. +4218, Initial obstetrical examination - Normal first pregnancy. Inadequate naternal nutrition., Consult - History and Phy. +4219," There was no weight loss, fevers, chills, sweats. There is no blurring of the vision, itching, throat or neck pain, or neck fullness. There is no vertigo or hoarseness or painful swallowing. ", Consult - History and Phy. +4220," Normal review of systems template. Negative weakness, negative fatigue, native malaise, negative chills, negative fever, negative night sweats, negative allergies.", Consult - History and Phy. +4221, Most commonly used phrases in physical exam., Consult - History and Phy. +4222," Normal review of systems template. The patient denies fever, fatigue, weakness, weight gain or weight loss.", Consult - History and Phy. +4223," Normal physical exam template. Normocephalic. Negative lesions, negative masses.", Consult - History and Phy. +4224," Normal physical exam template. Well developed, well nourished, in no acute distress.", Consult - History and Phy. +4225," Normal physical exam template. This is a well-developed and well-nourished. The pupils were equal, round and reactive to light. Extraocular movements are intact.", Consult - History and Phy. +4226, An example normal physical exam, Consult - History and Phy. +4227," Normal physical exam template. Normal appearance for chronological age, does not appear chronically ill.", Consult - History and Phy. +4228, An example of a physical exam, Consult - History and Phy. +4229," Normal Physical Exam Template. Well developed, well nourished, alert, in no acute distress. ", Consult - History and Phy. +4230, Normal newborn infant physical exam. A well-developed infant in no acute respiratory distress., Consult - History and Phy. +4231, An example/template for a routine normal male ROS., Consult - History and Phy. +4232," Normal female review of systems template. Negative for fever, weight change, fatigue, or aching.", Consult - History and Phy. +4233, Template for History and Physical for a newborn., Consult - History and Phy. +4234, An example/template for a routine normal male physical exam., Consult - History and Phy. +4235, An example/template for a routine normal male physical exam., Consult - History and Phy. +4236, Sample/template for a normal male multisystem exam., Consult - History and Phy. +4237," Sample normal ear, nose, mouth, and throat exam.", Consult - History and Phy. +4238, An example/template for a routine normal female physical exam., Consult - History and Phy. +4239, An example/template for a routine normal male physical exam., Consult - History and Phy. +4240, An example/template for a routine normal male physical exam., Consult - History and Phy. +4241, An example/template for a routine normal female physical exam., Consult - History and Phy. +4242, Normal child physical exam template., Consult - History and Phy. +4243, Sample/template for a normal female multisystem exam, Consult - History and Phy. +4244," New diagnosis of non-small cell lung cancer stage IV metastatic disease. At this point, he and his wife ask about whether this is curable disease and it was difficult to inform that this was not curable disease but would be treatable.", Consult - History and Phy. +4245," A 2-1/2-year-old female with history of febrile seizures, now with concern for spells of unclear etiology, but somewhat concerning for partial complex seizures and to a slightly lesser extent nonconvulsive generalized seizures.", Consult - History and Phy. +4246," Sample normal ear, nose, mouth, and throat exam.", Consult - History and Phy. +4247, A patient with non-Q-wave myocardial infarction. No definite chest pains. The patient is breathing okay. The patient denies orthopnea or PND., Consult - History and Phy. +4248," The patient comes in for a neurology consultation regarding her difficult headaches, tunnel vision, and dizziness. ", Consult - History and Phy. +4249," Patient was referred for a neuropsychological evaluation after a recent hospitalization for possible transient ischemic aphasia. Two years ago, a similar prolonged confusional spell was reported as well. A comprehensive evaluation was requested to assess current cognitive functioning and assist with diagnostic decisions and treatment planning.", Consult - History and Phy. +4250, Neurologic examination sample. , Consult - History and Phy. +4251, Sample for Neuropsychological Evaluation, Consult - History and Phy. +4252," Approximately one and a half years ago, patient fell down while walking in the living room from the bedroom. At that time, he reports both legs gave away on him and he fell. He reported that he had some lightheadedness just before he fell and was slightly confused, but was aware of what was happening around him.", Consult - History and Phy. +4253," A neuropsychological evaluation to assess neuropsychological factors, clarify areas of strength and weakness, and to assist in therapeutic program planning in light of episodes of syncope.", Consult - History and Phy. +4254, Patient demonstrated mild cognitive deficits on a neuropsychological screening evaluation during a followup appointment for stroke., Consult - History and Phy. +4255," Muscle twitching, clumsiness, progressive pain syndrome, and gait disturbance. Probable painful diabetic neuropathy. Symptoms are predominantly sensory and severely dysfunctioning, with the patient having inability to ambulate independently as well as difficulty with grip and temperature differentiation in his upper extremities. ", Consult - History and Phy. +4256, The patient is a 58-year-old African-American right-handed female with 16 years of education who was referred for a neuropsychological evaluation by Dr. X. A comprehensive evaluation was requested to assess current cognitive functioning and assist with diagnostic decisions and treatment planning., Consult - History and Phy. +4257, Neurologic consultation and follow-up., Consult - History and Phy. +4258, Neurologic consultation was requested to assess and assist with seizure medication., Consult - History and Phy. +4259," Patient has trouble with walking and balance, with bladder control, and with thinking and memory.", Consult - History and Phy. +4260," Neurogenic bladder, in a patient catheterizing himself 3 times a day, changing his catheter 3 times a week", Consult - History and Phy. +4261, , Consult - History and Phy. +4262, Nephrology Consultation - Patient with renal failure., Consult - History and Phy. +4263, The patient is a 55-year-old gentleman who presents for further evaluation of right leg weakness., Consult - History and Phy. +4264, Neurologic consultation was requested to evaluate her seizure medication and lethargy., Consult - History and Phy. +4265," This is a 3-week-old, NSVD, Caucasian baby boy transferred from ABCD Memorial Hospital for rule out sepsis and possible congenital heart disease. ", Consult - History and Phy. +4266," The patient is an 11-month-old with a diagnosis of stage 2 neuroblastoma of the right adrenal gland with favorable Shimada histology and history of stage 2 left adrenal neuroblastoma, status post gross total resection.", Consult - History and Phy. +4267," A female admitted with jaundice and a pancreatic mass who was noted to have a new murmur, bacteremia, and fever. ", Consult - History and Phy. +4268, The patient is admitted with a diagnosis of acute on chronic renal insufficiency., Consult - History and Phy. +4269," Patient with end-stage renal disease secondary to hypertension, a reasonable candidate for a kidney transplantation.", Consult - History and Phy. +4270," Patient with a diagnosis of pancreatitis, developed hypotension and possible sepsis and respiratory, as well as renal failure.", Consult - History and Phy. +4271, Patient status post vehicular trauma. Low Back syndrome and Cervicalgia., Consult - History and Phy. +4272, Initial evaulation - neck and back pain., Consult - History and Phy. +4273, A very pleasant 66-year-old woman with recurrent metastatic ovarian cancer. , Consult - History and Phy. +4274," A 6-mm left intrarenal stone, nonobstructing, by ultrasound and IVP. ", Consult - History and Phy. +4275, Patient with stable expressive aphasia and decreased vision., Consult - History and Phy. +4276," The patient is with multiple neurologic and nonneurologic symptoms including numbness, gait instability, decreased dexterity of his arms and general fatigue. His neurological examination is notable for sensory loss in a length-dependent fashion in his feet and legs with scant fasciculations in his calves.", Consult - History and Phy. +4277," Loculated left effusion, multilobar pneumonia. Patient had a diagnosis of multilobar pneumonia along with arrhythmia and heart failure as well as renal insufficiency. ", Consult - History and Phy. +4278," Mesothelioma versus primary lung carcinoma, Chronic obstructive pulmonary disease, paroxysmal atrial fibrillation, malignant pleural effusion, status post surgery as stated above, and anemia of chronic disease.", Consult - History and Phy. +4279," The patient with gradual onset of a headache problem, located behind both eyes.", Consult - History and Phy. +4280," Newly diagnosed mantle cell lymphoma, admitted now to start chemotherapy. She will start treatment with hyperfractionated cyclophosphamide, vincristine, doxorubicin, dexamethasone.", Consult - History and Phy. +4281, Progressive loss of color vision OD., Consult - History and Phy. +4282, Mental status changes after a fall. She sustained a concussion with postconcussive symptoms and syndrome that has resolved. , Consult - History and Phy. +4283," Marginal zone lymphoma (MALT-type lymphoma). A mass was found in her right breast on physical examination. she had a mammogram and ultrasound, which confirmed the right breast mass.", Consult - History and Phy. +4284," Patient with Hypertension, atrial fibrillation, large cardioembolic stroke initially to the right brain requesting medical management", Consult - History and Phy. +4285," Patient presented with significant muscle tremor, constant headaches, excessive nervousness, poor concentration, and poor ability to focus.", Consult - History and Phy. +4286, Patient with sudden onset dizziness and RUE clumsiness. Giant Left MCA Aneurysm., Consult - History and Phy. +4287," Problems with seizures, hemiparesis, has been to the hospital, developed C-diff, and is in the nursing home currently. ", Consult - History and Phy. +4288," Abdominal pain right lower quadrant, radiating around her side to her right flank. Etiology is unclear. ", Consult - History and Phy. +4289," Low back pain, lumbar radiculopathy, degenerative disc disease, lumbar spinal stenosis, history of anemia, high cholesterol, and hypothyroidism.", Consult - History and Phy. +4290," Marginal B-cell lymphoma, status post splenectomy. Testicular swelling - possible epididymitis or possible torsion of the testis.", Consult - History and Phy. +4291," Newly diagnosed high-risk acute lymphoblastic leukemia; extensive deep vein thrombosis, and pharmacologic thrombolysis following placement of a vena caval filter.", Consult - History and Phy. +4292, Low back pain and right lower extremity pain - Lumbar spine herniated nucleus pulposus., Consult - History and Phy. +4293," Patient with metastatic non-small-cell lung cancer, on hospice with inferior ST-elevation MI. The patient from prior strokes has expressive aphasia, is not able to express herself in a clear meaningful fashion.", Consult - History and Phy. +4294," Lumbar muscle strain and chronic back pain. Patient has a history of chronic back pain, dating back to an accident that he states he suffered two years ago.", Consult - History and Phy. +4295," Briefly, the patient has a lumbosacral polyradiculopathy that is temporally related to the epidural anesthesia given to her in October of 2008.", Consult - History and Phy. +4296," New patient consultation - Low back pain, degenerative disc disease, spinal stenosis, diabetes, and history of prostate cancer status post radiation.", Consult - History and Phy. +4297," A 21-month-old male presented for delayed motor development, ""jaw quivering"" and ""lazy eye."" ", Consult - History and Phy. +4298, Patient with a 1-year history of progressive anterograde amnesia, Consult - History and Phy. +4299," Pancreatic and left adrenal lesions. The adrenal lesion is a small lesion, appears as if probable benign adenoma, where as the pancreatic lesion is the cystic lesion, and neoplasm could not be excluded. ", Consult - History and Phy. +4300, The patient comes in today because of feeling lightheaded and difficulty keeping his balance., Consult - History and Phy. +4301, Urine leaked around the ostomy site for his right sided nephrostomy tube. The patient had bilateral nephrostomy tubes placed one month ago secondary to his prostate cancer metastasizing and causing bilateral ureteral obstructions that were severe enough to cause acute renal failure., Consult - History and Phy. +4302," The patient is a 26-year-old gravida 2, para 1-0-0-1, at 28-1/7 weeks who presents to the emergency room with left lower quadrant pain, reports no bowel movement in two weeks as well as nausea and vomiting for the last 24 hours or so. She states that she has not voided in the last 24 hours as well due to pain.", Consult - History and Phy. +4303," Lightheaded, dizziness, and palpitation. This morning, the patient experienced symptoms of lightheaded, dizziness, felt like passing out; however, there was no actual syncope. During the episode, the patient describes symptoms of palpitation and fluttering of chest. She relates the heart was racing. By the time when she came into the Emergency Room, her EKG revealed normal sinus rhythm. No evidence of arrhythmia.", Consult - History and Phy. +4304," 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.", Consult - History and Phy. +4305, Consult for laparoscopic gastric bypass., Consult - History and Phy. +4306, Consult for laparoscopic gastric bypass., Consult - History and Phy. +4307, The patient with an L5 compression fracture.is to come to the hospital for bilateral L5 kyphoplasty. The patient has a history of back and buttock pain for some time. , Consult - History and Phy. +4308, A 13-year-old new patientfor evaluation of thoracic kyphosis. Family history of kyphosis in a maternal aunt and grandfather. She was noted by her parents to have round back posture., Consult - History and Phy. +4309, 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., Consult - History and Phy. +4310," 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. ", Consult - History and Phy. +4311," Patient started out having toothache, now radiating into his jaw and towards his left ear. Ellis type II dental fracture.", Consult - History and Phy. +4312," Pneumatosis coli in the cecum. Possible ischemic cecum with possible metastatic disease, bilateral hydronephrosis on atrial fibrillation, aspiration pneumonia, chronic alcohol abuse, acute renal failure, COPD, anemia with gastric ulcer.", Consult - History and Phy. +4313," Intractable epilepsy, here for video EEG.", Consult - History and Phy. +4314, Iron deficiency anemia. She underwent a bone marrow biopsy which showed a normal cellular marrow with trilineage hematopoiesis., Consult - History and Phy. +4315, Right iliopsoas hematoma with associated femoral neuropathy following cardiac catherization., Consult - History and Phy. +4316," A 10-day-old Caucasian female with bilateral arm and leg jerks, which started at day of life 1 and have occurred 6 total times since then.", Consult - History and Phy. +4317," Right shoulder impingement syndrome, right suprascapular neuropathy.", Consult - History and Phy. +4318," Chief complaint of chest pain, previously diagnosed with hyperthyroidism.", Consult - History and Phy. +4319, Left Iliopsoas hematoma. Gait difficulty., Consult - History and Phy. +4320," Nonischemic cardiomyopathy, branch vessel coronary artery disease, congestive heart failure - NYHA Class III, history of nonsustained ventricular tachycardia, hypertension, and hepatitis C.", Consult - History and Phy. +4321," Local reaction secondary to insect sting. Patient was stung by a bee on his right hand, left hand, and right knee at approximately noon today. ", Consult - History and Phy. +4322," A 1-month-26-day-old with failure-to-thrive. was only at her birth weight, and was noted to have murmur.", Consult - History and Phy. +4323," This is a 69-year-old white woman with Huntington disease, who presents with the third suicide attempt in the past two months. ", Consult - History and Phy. +4324, Probable Coumadin hypersensitivity., Consult - History and Phy. +4325, Status post left hip fracture and hemiarthroplasty. Rehab transfer as soon as medically cleared., Consult - History and Phy. +4326, Likely molluscum contagiosum (genital warts) caused by HPV. It is not clear where this came from but it is most likely sexually transmitted., Consult - History and Phy. +4327," An 84-year-old woman with a history of hypertension, severe tricuspid regurgitation with mild pulmonary hypertension, mild aortic stenosis, and previously moderate mitral regurgitation.", Consult - History and Phy. +4328, Non-healing surgical wound to the left posterior thigh. Several multiple areas of hypergranulation tissue on the left posterior leg associated with a sense of trauma to his right posterior leg., Consult - History and Phy. +4329, Patient comes in for initial evaluation of a hyperesthesia on his right abdomen., Consult - History and Phy. +4330," Caudate Nuclei atrophy, bilaterally, in patient with Huntington Disease.", Consult - History and Phy. +4331," The patient had hematuria, and unable to void. The patient had a Foley catheter, which was not in the urethra, possibly inflated in the prostatic urethra, which was removed. ", Consult - History and Phy. +4332, Left hip fracture. The patient is a 53-year-old female with probable pathological fracture of the left proximal femur., Consult - History and Phy. +4333," Presents to the ER with hematuria that began while sleeping last night. He denies any pain, nausea, vomiting or diarrhea.", Consult - History and Phy. +4334, Markedly elevated PT INR despite stopping Coumadin and administering vitamin K. Patient with a history of iron-deficiency anemia due to chronic blood loss from colitis. , Consult - History and Phy. +4335," Leukocytosis, acute deep venous thrombosis, right lower extremity with bilateral pulmonary embolism, on intravenous heparin complicated with acute renal failure for evaluation.", Consult - History and Phy. +4336," Closed head injury with evidence of axonal injury vs. vascular injury to the left substantia nigra, right subdural hematoma and possible subarachnoid hemorrhage, vascular/ischemic injury in the right occipital lobe-right basal ganglia/caudate nucleus-right frontal lobe, and right temporal lobe contusion.", Consult - History and Phy. +4337, Patient presents with gross hematuria that started this morning., Consult - History and Phy. +4338," Patient with right-sided arm weakness with speech difficulties, urinary tract infection, dehydration, and diabetes mellitus type 2", Consult - History and Phy. +4339," New patient visit for right hand pain. Punched the wall 3 days prior to presentation, complained of ulnar-sided right hand pain, and was seen in the emergency room. ", Consult - History and Phy. +4340," An 85-year-old female with diarrhea, vomiting, and abdominal pain.", Consult - History and Phy. +4341, Newly diagnosed head and neck cancer. The patient was recently diagnosed with squamous cell carcinoma of the base of the tongue bilaterally and down extension into the right tonsillar fossa., Consult - History and Phy. +4342, Intractable nausea and vomiting/history of diabetic gastroparesis/multiple endoscopies revealing gastritis and esophagitis. , Consult - History and Phy. +4343," History of diabetes, osteoarthritis, atrial fibrillation, hypertension, asthma, obstructive sleep apnea on CPAP, diabetic foot ulcer, anemia, and left lower extremity cellulitis.", Consult - History and Phy. +4344," This is a 62-year-old woman with hypertension, diabetes mellitus, prior stroke who has what sounds like Guillain-Barre syndrome, likely the Miller-Fisher variant.", Consult - History and Phy. +4345," Irritable baby, 6-week-old, with fever for approximately 24 hours.", Consult - History and Phy. +4346, H&P for a female with Angina pectoris., Consult - History and Phy. +4347, Dysarthria. Probable brainstem glioma., Consult - History and Phy. +4348, Nausea and abdominal pain after eating - Gall bladder disease - Laparoscopic cholecystectomy scheduled., Consult - History and Phy. +4349, Headache and diplopia., Consult - History and Phy. +4350, Headache. Right frontal lobe glioma., Consult - History and Phy. +4351, Asked to see the patient in regards to a brain tumor. She was initially diagnosed with a glioblastoma multiforme. She presented with several lesions in her brain and a biopsy confirmed the diagnosis. , Consult - History and Phy. +4352," Progressive low-grade glioma, now more than 20 years since initially diagnosed. She is status post craniotomy for debulking and has done well with the surgery.", Consult - History and Phy. +4353," Weakness, malaise dyspnea on exertion, 15-pound weight loss - Bilateral pneumonia, hepatitis, renal insufficiency, ", Consult - History and Phy. +4354, GI Consultation for Chrohn's disease., Consult - History and Phy. +4355," History and Physical - A history of stage IIIC papillary serous adenocarcinoma of the ovary, presented to the office today left leg pain (left leg DVT).", Consult - History and Phy. +4356," Patient with several medical problems - numbness, tingling, and a pain in the toes.", Consult - History and Phy. +4357," Comprehensive Evaluation - Diabetes, hypertension, irritable bowel syndrome, and insomnia.", Consult - History and Phy. +4358," GI Consultation due to rectal bleeding, positive celiac sprue panel", Consult - History and Phy. +4359," The patient is a 61-year-old lady who was found down at home and was admitted for respiratory failure, septic shock, acute renal failure as well as metabolic acidosis.", Consult - History and Phy. +4360," GI Consultation for chronic abdominal pain, nausea, vomiting, abnormal liver function tests.", Consult - History and Phy. +4361, Right-sided facial droop and right-sided weakness. Recent cerebrovascular accident. he CT scan of the head did not show any acute events with the impression of a new-onset cerebrovascular accident., Consult - History and Phy. +4362," Comprehensive Evaluation - Generalized anxiety and hypertension, both under fair control.", Consult - History and Phy. +4363, Patient with swelling of lips and dysphagia and Arthritis., Consult - History and Phy. +4364," A female with a past medical history of chronic kidney disease, stage 4; history of diabetes mellitus; diabetic nephropathy; peripheral vascular disease, status post recent PTA of right leg, admitted to the hospital because of swelling of the right hand and left foot.", Consult - History and Phy. +4365," An 86-year-old female with persistent abdominal pain, nausea and vomiting, during evaluation in the emergency room, was found to have a high amylase, as well as lipase count and she is being admitted for management of acute pancreatitis.", Consult - History and Phy. +4366," The patient is a 35-year-old lady who was admitted with chief complaints of chest pain, left-sided with severe chest tightness after having an emotional argument with her boyfriend. The patient has a long history of psychological disorders.", Consult - History and Phy. +4367," Abdominal pain, nausea and vomiting, rule out recurrent small bowel obstruction. The patient is an 89-year-old white male who developed lower abdominal pain, which was constant, onset approximately half an hour after dinner on the evening prior to admission.", Consult - History and Phy. +4368," For evaluation of left-sided chest pain, 5 days post abdominal surgery.", Consult - History and Phy. +4369," Pneumonia in the face of fairly severe Crohn disease with protein-losing enteropathy and severe malnutrition with anasarca. He also has anemia and leukocytosis, which may be related to his Crohn disease as well as his underlying pneumonia.", Consult - History and Phy. +4370," Anxiety, alcohol abuse, and chest pain. This is a 40-year-old male with digoxin toxicity secondary to likely intentional digoxin overuse. Now, he has had significant block with EKG changes as stated. ", Consult - History and Phy. +4371, The patient had temperature of 104 degrees F. It has been spiking ever since and she has had left sacroiliac type hip pain. She does have degenerative disk disease of her lumbar spine but no hip pathology. She has swollen inguinal nodes bilaterally., Consult - History and Phy. +4372, An 80-year-old female with recent complications of sepsis and respiratory failure who is now receiving tube feeds., Consult - History and Phy. +4373," A 69-year-old female with past history of type II diabetes, atherosclerotic heart disease, hypertension, carotid stenosis. ", Consult - History and Phy. +4374," The patient presents to the office today with complaints of extreme fatigue, discomfort in the chest and the back that is not related to any specific activity. Stomach gets upset with pain. ", Consult - History and Phy. +4375, Patient with a diagnosis of stroke., Consult - History and Phy. +4376," Backache, stomachache, and dysuria for the last two days - Urinary dysuria, left flank pain, pharyngitis.", Consult - History and Phy. +4377," Patient with one-week history of increased progressive shortness of breath, orthopnea for the past few nights, mild increase in peripheral edema, and active wheezing with dyspnea. Medifast does fatigue", Consult - History and Phy. +4378, Consultation for jaw pain., Consult - History and Phy. +4379," Patient admitted with abdominal pain, nausea and vomiting.", Consult - History and Phy. +4380," Patient with hypertension, dementia, and depression.", Consult - History and Phy. +4381, A male patient presented for evaluation of chronic abdominal pain., Consult - History and Phy. +4382, Patient with confusion and hallucinations., Consult - History and Phy. +4383," Patient with abdominal pain, nausea, vomiting, fever, altered mental status.", Consult - History and Phy. +4384, Patient coughing up blood and with severe joint pain., Consult - History and Phy. +4385, Patient with complaint of dark urine and generalized weakness., Consult - History and Phy. +4386, Examination due to blood-borne pathogen exposure., Consult - History and Phy. +4387," Patient with osteoarthritis and osteoporosis with very limited mobility, depression, hypertension, hyperthyroidism, right breast mass, and chronic renal insufficiency", Consult - History and Phy. +4388," Patient was confused, had garbled speech, significantly worse from her baseline, and had decreased level of consciousness.", Consult - History and Phy. +4389, Patient was found to have decrease in mental alertness, Consult - History and Phy. +4390, A 12-year-old young man with sinus congestion., Consult - History and Phy. +4391," Patient complaining of headaches, neck pain, and lower back pain over the last 2-3 weeks.", Consult - History and Phy. +4392, Patient in with mom for possible ear infection., Consult - History and Phy. +4393, The patient brought in by EMS with a complaint of a decreased level of consciousness., Consult - History and Phy. +4394, Patient with a past medical history of atrial fibrillation and arthritis complaining of progressively worsening shortness of breath., Consult - History and Phy. +4395," Nausea, vomiting, diarrhea, and fever.", Consult - History and Phy. +4396," A 2-year-old little girl with stuffiness, congestion, and nasal drainage. - Allergic rhinitis", Consult - History and Phy. +4397," 11-year-old female. History of congestion, possibly enlarged adenoids. ", Consult - History and Phy. +4398, Patient with intermittent episodes of severe nausea and abdominal pain., Consult - History and Phy. +4399, Initial clinic visit for foreign body in left eye., Consult - History and Phy. +4400, Patient presents complaining of abdominal pain and discomfort for 3 weeks., Consult - History and Phy. +4401, 1-year-old male who comes in with a cough and congestion. Clinical sinusitis and secondary cough., Consult - History and Phy. +4402," An 18-month-old white male here with his mother for complaint of intermittent fever for the past five days. - Allergic rhinitis, fever history, sinusitis resolved, and teething.", Consult - History and Phy. +4403," 2-year-old female who comes in for just rechecking her weight, her breathing status, and her diet.", Consult - History and Phy. +4404, Short-term memory loss (probable situational) and anxiety stress issues., Consult - History and Phy. +4405, Complaint of mood swings and tearfulness., Consult - History and Phy. +4406," Consult for hypertension and a med check. History of osteoarthritis, osteoporosis, hypothyroidism, allergic rhinitis and kidney stones.", Consult - History and Phy. +4407, Feeling weak and shaky - Dyspnea on exertion and history of diabetes, Consult - History and Phy. +4408, Gastrointestinal Bleed. An 81-year-old presented to the emergency room after having multiple black tarry stools and a weak spell. She woke yesterday morning had a very dark and smelly bowel movement. , Consult - History and Phy. +4409, Complaint of left otalgia (serous otitis) and headache. History of atopic dermatitis., Consult - History and Phy. +4410," Infection (folliculitis), pelvic pain, mood swings, and painful sex (dyspareunia).", Consult - History and Phy. +4411, Checkup - Joints hurting all over - Arthralgias that are suspicious for inflammatory arthritis., Consult - History and Phy. +4412, Return to work & Fit for duty evaluation., Consult - History and Phy. +4413, Patient presented to the bariatric surgery service for consideration of laparoscopic roux en Y gastric bypass surgery. , Consult - History and Phy. +4414, Patient scheduled for laparoscopic gastric bypass. , Consult - History and Phy. +4415, Pediatric Gastroenterology - History of gagging., Consult - History and Phy. +4416," Foreign body of the left fifth fingernail (wooden splinter). He attempted to remove it with tweezers at home, but was unsuccessful. He is requesting we attempt to remove this for him.", Consult - History and Phy. +4417," Gentleman with long-standing morbid obesity, resistant to nonsurgical methods of weight loss with BMI of 69.7", Consult - History and Phy. +4418," Abscess of the left foot, etiology unclear at this time. Possibility of foreign body.", Consult - History and Phy. +4419, Foul-smelling urine and stomach pain after meals., Consult - History and Phy. +4420, Consultation for left foot pain., Consult - History and Phy. +4421, Complete eye examination - Normal eye and vision exam., Consult - History and Phy. +4422," Questionable foreign body, right nose. Belly and back pain. Mild constipation.", Consult - History and Phy. +4423," Left flank pain, ureteral stone.", Consult - History and Phy. +4424, Patient returns for his first followup after shunt surgery., Consult - History and Phy. +4425," First Pap smear, complaining of irregular periods. - Menorrhagia, pelvic pain, dysmenorrhea, and irregular periods.", Consult - History and Phy. +4426, Patient presents for further evaluation of feet and hand cramps. He describes that the foot cramps are much more notable than the hand ones. He reports that he develops muscle contractions of his toes on both feet. These occur exclusively at night., Consult - History and Phy. +4427, The patient presents for a followup for history of erythema nodosum., Consult - History and Phy. +4428," Severe tonsillitis, palatal cellulitis, and inability to swallow.", Consult - History and Phy. +4429, Left flank pain and unable to urinate., Consult - History and Phy. +4430," This 62-year-old white female has essential tremor and mild torticollis. Tremor not bothersome for most activities of daily living, but she does have a great difficulty writing, which is totally illegible. ", Consult - History and Phy. +4431, Fall with questionable associated loss of consciousness. Left parietal epidural hematoma., Consult - History and Phy. +4432, Fall/loss of consciousness., Consult - History and Phy. +4433, This is a 25-year-old male with nonspecific right-sided chest/abdominal pain from an unknown etiology., Consult - History and Phy. +4434, Persistent dysphagia. Deviated nasal septum. Inferior turbinate hypertrophy. Chronic rhinitis. Conductive hearing loss. Tympanosclerosis., Consult - History and Phy. +4435," Management of end-stage renal disease (ESRD), the patient on chronic hemodialysis, being admitted for chest pain.", Consult - History and Phy. +4436, Encephalopathy related to normal-pressure hydrocephalus., Consult - History and Phy. +4437," Abnormal serum PSA of 16 ng/ml, dribbling urine, inability to empty bladder, nocturia, urinary hesitancy and slow urine stream.", Consult - History and Phy. +4438," Chronic eustachian tube dysfunction, chronic otitis media with effusion, recurrent acute otitis media, adenoid hypertrophy.", Consult - History and Phy. +4439," Elevated BNP. Diastolic heart failure, not contributing to his present problem. Chest x-ray and CAT scan shows possible pneumonia. The patient denies any prior history of coronary artery disease but has a history of hypertension.", Consult - History and Phy. +4440," Left elbow pain. Fracture of the humerus, spiral. Possible nerve injuries to the radial and median nerve, possibly neurapraxia.", Consult - History and Phy. +4441, 13 years old complaining about severe ear pain - Chronic otitis media., Consult - History and Phy. +4442," Abnormal cardiac enzyme profile. The patient is a 66-year-old gentleman, was brought into emergency room with obtundation. The patient was mechanically ventilated originally. His initial diagnosis was septic shock. His labs showed elevated cardiac enzyme profile. ", Consult - History and Phy. +4443," Patient went out partying last night and drank two mixed drinks last night and then over the course of the evening after midnight, the patient ended up taking a total of six Ecstasy tablets.", Consult - History and Phy. +4444," A 50-year-old white male with dog bite to his right leg with a history of pulmonary fibrosis, status post bilateral lung transplant several years ago.", Consult - History and Phy. +4445," Patient reports a rotational sensation upon arising from the bed or chair that lasts for several minutes and requires her to sit back down and stay in one place. She gets similar symptoms when she rolls over in bed. At times, she also feels as though she is going to pass out. These sensations stop if she just sits in one place or lies down for several minutes.", Consult - History and Phy. +4446, Patient with episode of lightheadedness and suddenly experienced vertigo., Consult - History and Phy. +4447, Right ear pain with drainage - otitis media and otorrhea., Consult - History and Phy. +4448, Dysphagia and hematemesis while vomiting. Diffuse esophageal dilatation/hematemesis, Consult - History and Phy. +4449, A 12-year-old with discoid lupus on the control with optimal regimen., Consult - History and Phy. +4450," He awoke one morning and had double vision. He states when he closed each eye, the double vision dissipated. The double vision entirely dissipated within one hour. The next day he woke up and he had double vision again. ", Consult - History and Phy. +4451, A 63-year-old man with a dilated cardiomyopathy presents with a chief complaint of heart failure. He has noted shortness of breath with exertion and occasional shortness of breath at rest. , Consult - History and Phy. +4452, Difficulty with both distance vision and with fine print at near., Consult - History and Phy. +4453, Dietary consultation for weight reduction secondary to diabetes., Consult - History and Phy. +4454, Disseminated intravascular coagulation and Streptococcal pneumonia with sepsis. Patient presented with symptoms of pneumonia and developed rapid sepsis and respiratory failure requiring intubation., Consult - History and Phy. +4455," Dietary consultation for hyperlipidemia, hypertension, gastroesophageal reflux disease and weight reduction.", Consult - History and Phy. +4456, Dietary consultation for gestational diabetes., Consult - History and Phy. +4457, Dietary consultation for a woman with polycystic ovarian syndrome and hyperlipidemia., Consult - History and Phy. +4458," Followup dietary consultation for hyperlipidemia, hypertension, and possible metabolic syndrome", Consult - History and Phy. +4459, Dietary consult for a 79-year-old African-American female diagnosed with type 2 diabetes in 1983., Consult - History and Phy. +4460, The patient is brought in by an assistant with some of his food diary sheets., Consult - History and Phy. +4461," The patient 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.", Consult - History and Phy. +4462, Dietary consultation for diabetes during pregnancy., Consult - History and Phy. +4463, One-week history of decreased vision in the left eye. Past ocular history includes cataract extraction with lens implants in both eyes., Consult - History and Phy. +4464," Counting calorie points, exercising pretty regularly, seems to be doing well", Consult - History and Phy. +4465, This is a 27-year-old female who presents with a couple of days history of some dental pain. She has had increasing swelling and pain to the left lower mandible area today., Consult - History and Phy. +4466," Cerebrovascular accident (CVA). The patient presents to the emergency room after awakening at 2:30 a.m. this morning with trouble swallowing, trouble breathing, and left-sided numbness and weakness. ", Consult - History and Phy. +4467, A 10 years of age carries a diagnosis of cystic fibrosis, Consult - History and Phy. +4468, A male referred to Wheelchair Clinic for evaluation for a new wheelchair. , Consult - History and Phy. +4469, A female with unknown gestational age who presents to the ED after a suicide attempt., Consult - History and Phy. +4470, The patient was referred after he was hospitalized for what eventually was diagnosed as a conversion disorder. , Consult - History and Phy. +4471, Patient presents for a colostomy reversal as well as repair of an incisional hernia. , Consult - History and Phy. +4472," A 52-year-old female who said she has had 1 week of nausea and vomiting, which is moderate-to-severe.", Consult - History and Phy. +4473," A gentleman with a long history of heroin abuse, trying to get off the heroin, last use shortly prior to arrival including cocaine. The patient does have a history of alcohol abuse, but mostly he is concerned about the heroin abuse.", Consult - History and Phy. +4474, Elevated cholesterol and is on medication to lower it., Consult - History and Phy. +4475," Patient had a piece of glass fall on to his right foot. A 4-mm laceration. Acute foot pain, now resolved. The patient was given discharge instructions on wound care.", Consult - History and Phy. +4476," Consult for generalized body aches, cough, nausea, and right-sided abdominal pain for two days - Bronchitis.", Consult - History and Phy. +4477," Cerebral palsy, worsening seizures. A pleasant 43-year-old female with past medical history of CP since birth, seizure disorder, complex partial seizure with secondary generalization and on top of generalized epilepsy, hypertension, dyslipidemia, and obesity. ", Consult - History and Phy. +4478," 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. ", Consult - History and Phy. +4479," Patient was brought in the Emergency Room following an episode of syncope. The patient relates that he may have had a seizure activity prior to that. Prior to the episode, he denies having any symptoms of chest pain or shortness of breath. ", Consult - History and Phy. +4480, Consultation - an 87-year-old white female with weakness and a history of polymyositis., Consult - History and Phy. +4481," Sepsis, possible SBP. A 53-year-old Hispanic man with diabetes, morbid obesity, hepatitis C, cirrhosis, history of alcohol and cocaine abuse presented in the emergency room for ground-level fall secondary to weak knees. He complained of bilateral knee pain, but also had other symptoms including hematuria and epigastric pain for at least a month. ", Consult - History and Phy. +4482, Patient referred for evaluation of her left temporal lobe epilepsy., Consult - History and Phy. +4483, Consult for prostate cancer, Consult - History and Phy. +4484, Patient with family history of colon cancer and has rectal bleeding on a weekly basis and also heartburn once every 1 or 2 weeks. , Consult - History and Phy. +4485, Chronic headaches and pulsatile tinnitus., Consult - History and Phy. +4486, The patient needs refills on her Xanax, Consult - History and Phy. +4487, Patient comes for discussion of a screening colonoscopy. , Consult - History and Phy. +4488, The patient is an 84-year-old man who returns for revaluation of possible idiopathic normal pressure hydrocephalus., Consult - History and Phy. +4489," A 50-year-old female whose 51-year-old sister has a history of multiple colon polyps, which may slightly increase her risk for colon cancer in the future.", Consult - History and Phy. +4490, The patient admitted with palpitations and presyncope., Consult - History and Phy. +4491," Recurrent jaw pain, described as numbness and tingling along the jaw, teeth, and tongue.", Consult - History and Phy. +4492, Consultation for ICU management for a patient with possible portal vein and superior mesenteric vein thrombus leading to mesenteric ischemia., Consult - History and Phy. +4493," The patient is a 36-year-old female with past medical history of migraine headaches, who was brought to the ER after she was having uncontrolled headaches. In the ER, the patient had a CT scan done, which was reported negative, and lumbar puncture with normal pressure and the cell count, and was admitted for followup.", Consult - History and Phy. +4494, Marked right hydronephrosis without hydruria. , Consult - History and Phy. +4495," The patient had several episodes where she felt like her face was going to twitch, which she could suppress it with grimacing movements of her mouth and face.", Consult - History and Phy. +4496, Patient with complaint of left knee pain. Patient is obese and will be starting Medifast Diet., Consult - History and Phy. +4497, Patient with mid-epigastric abdominal pain. Sonogram revealed gallstones., Consult - History and Phy. +4498, Patient with a past medical history of hypertension for 15 years., Consult - History and Phy. +4499," Coronary artery disease, prior bypass surgery. The patient has history of elevated PSA and BPH. He had a prior prostate biopsy and he recently had some procedure done, subsequently developed urinary tract infection, and presently on antibiotic. From cardiac standpoint, the patient denies any significant symptom except for fatigue and tiredness.", Consult - History and Phy. +4500," Congestive heart failure (CHF). The patient is a 75-year-old gentleman presented through the emergency room. Symptoms are of shortness of breath, fatigue, and tiredness. Main complaints are right-sided and abdominal pain. Initial blood test in the emergency room showed elevated BNP suggestive of congestive heart failure. ", Consult - History and Phy. +4501, Chronic adenotonsillitis with adenotonsillar hypertrophy. Upper respiratory tract infection with mild acute laryngitis., Consult - History and Phy. +4502," A 37-year-old admitted through emergency, presented with symptoms of chest pain, described as a pressure-type dull ache and discomfort in the precordial region. Also, shortness of breath is noted without any diaphoresis. Symptoms on and off for the last 3 to 4 days especially when he is under stress. No relation to exertional activity. No aggravating or relieving factors. ", Consult - History and Phy. +4503, The patient is a 63-year-old white male who was admitted to the hospital with CHF and lymphedema., Consult - History and Phy. +4504," Patient with multiple problems, main one is chest pain at night.", Consult - History and Phy. +4505, The patient has been suffering from intractable back and leg pain., Consult - History and Phy. +4506, Patient presents with complaint of lump in the upper outer quadrant of the right breast, Consult - History and Phy. +4507, Patient with a history of right upper pons and right cerebral peduncle infarction., Consult - History and Phy. +4508," The patient is a 57-year-old female with invasive ductal carcinoma of the left breast, T1c, Nx, M0 left breast carcinoma.", Consult - History and Phy. +4509," Patient with a history of mesothelioma and likely mild dementia, most likely Alzheimer type.", Consult - History and Phy. +4510, Patient with past medical history significant for coronary artery disease status post bypass grafting surgery and history of a stroke with residual left sided hemiplegia., Consult - History and Phy. +4511," Atrial fibrillation and shortness of breath. The patient is an 81-year-old gentleman with shortness of breath, progressively worsening, of recent onset. History of hypertension, no history of diabetes mellitus, ex-smoker, cholesterol status elevated, no history of established coronary artery disease, and family history positive.", Consult - History and Phy. +4512," A 5-month-old infant with cold, cough, and runny nose for 2 days. Mom states she had no fever. Her appetite was good but she was spitting up a lot.", Consult - History and Phy. +4513, She is sent for evaluation of ocular manifestations of systemic connective tissue disorders. Denies any eye problems and history includes myopia with astigmatism., Consult - History and Phy. +4514, A 2-month-old female with 1-week history of congestion and fever x2 days., Consult - History and Phy. +4515, Abnormal EKG and rapid heart rate. The patient came to the emergency room. Initially showed atrial fibrillation with rapid ventricular response. It appears that the patient has chronic atrial fibrillation. She denies any specific chest pain. Her main complaint is shortness of breath and symptoms as above., Consult - History and Phy. +4516, Routine colorectal cancer screening. He occasionally gets some loose stools. , Consult - History and Phy. +4517," Congestion, tactile temperature.", Consult - History and Phy. +4518," Newly diagnosed stage II colon cancer, with a stage T3c, N0, M0 colon cancer, grade 1. Although, the tumor was near obstructing, she was not having symptoms and in fact was having normal bowel movements.", Consult - History and Phy. +4519, A woman presents for neurological evaluation with regards to a diagnosis of multiple sclerosis., Consult - History and Phy. +4520, Genetic counseling for a strong family history of colon polyps. She has had colonoscopies required every five years and every time she has polyps were found. She reports that of her 11 brothers and sister 7 have had precancerous polyps. , Consult - History and Phy. +4521," Delivered pregnancy, cholestasis of pregnancy, fetal intolerance to labor, failure to progress. Primary low transverse cesarean section.", Consult - History and Phy. +4522," Clogged AV shunt. The patient complains of fatigue, nausea, vomiting and fever.", Consult - History and Phy. +4523," A 14-month-old with history of chronic recurrent episodes of otitis media, totalling 6 bouts, requiring antibiotics since birth. ", Consult - History and Phy. +4524, Newly diagnosed cholangiocarcinoma. The patient is noted to have an increase in her liver function tests on routine blood work. Ultrasound of the abdomen showed gallbladder sludge and gallbladder findings consistent with adenomyomatosis. , Consult - History and Phy. +4525," Lump in the chest wall. Probably an old fracture of the area with callus formation, need to rule out the possibility of a tumor. ", Consult - History and Phy. +4526, A routine return appointment for a 71-year-old woman with chronic atrial fibrillation. Chief complaint today is shortness of breath., Consult - History and Phy. +4527, Patient with palpitations and rcent worsening of chronic chest discomfort., Consult - History and Phy. +4528," This is a 48-year-old black male with stage IV chronic kidney disease likely secondary to HIV nephropathy, although there is no history of renal biopsy, who has been noncompliant with the Renal Clinic and presents today for followup at the recommendation of his Infection Disease doctors.", Consult - History and Phy. +4529," Patient having severe sinusitis about two to three months ago with facial discomfort, nasal congestion, eye pain, and postnasal drip symptoms.", Consult - History and Phy. +4530," Chest pain, possible syncopal spells. She has been having multiple cardiovascular complaints including chest pains, which feel like cramps and sometimes like a dull ache, which will last all day long.", Consult - History and Phy. +4531," Cervical spondylosis and kyphotic deformity. She had a nerve conduction study and a diagnosis of radiculopathy was made. She had an MRI of lumbosacral spine, which was within normal limits. She then developed a tingling sensation in the right middle toe. ", Consult - History and Phy. +4532," Cardiomyopathy and hypotension. A lady with dementia, coronary artery disease, prior bypass, reduced LV function, and recurrent admissions for diarrhea and hypotension several times.", Consult - History and Phy. +4533," The patient has a previous history of aortic valve disease, status post aortic valve replacement, a previous history of paroxysmal atrial fibrillation, congestive heart failure, a previous history of transient ischemic attack with no residual neurologic deficits.", Consult - History and Phy. +4534, Patient reports a six to eight-week history of balance problems with later fatigue and weakness., Consult - History and Phy. +4535," Patient with right-sided chest pain, borderline elevated high blood pressure, history of hyperlipidemia, and obesity.", Consult - History and Phy. +4536," To evaluate exercise-induced chest pain, palpitations, dizzy spells, shortness of breath, and abnormal EKG.", Consult - History and Phy. +4537, Preoperative cardiac evaluation in the patient with chest pain in the setting of left hip fracture., Consult - History and Phy. +4538," Patient with atrial fibrillation with slow ventricular response, partially due to medications.", Consult - History and Phy. +4539, Cardiac evaluation and treatment in a patient who came in the hospital with abdominal pain., Consult - History and Phy. +4540," Patient with a history of atrial fibrillation in the past, more recently who has had atrial flutter. The patient has noted some lightheadedness as well as chest discomfort and shortness of breath when atrial flutter recurred.", Consult - History and Phy. +4541," A woman with history of coronary artery disease, has had coronary artery bypass grafting x2 and percutaneous coronary intervention with stenting x1. She also has a significant history of chronic renal insufficiency and severe COPD. ", Consult - History and Phy. +4542," T1 N3 M0 cancer of the nasopharynx, status post radiation therapy with 2 cycles of high dose cisplatin with radiation.", Consult - History and Phy. +4543, Dietary consultation for carbohydrate counting for type I diabetes., Consult - History and Phy. +4544," To evaluate recurrent episodes of uncomfortable feeling in arm at rest, as well as during exertion.", Consult - History and Phy. +4545," 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.", Consult - History and Phy. +4546," Left buttock abscess, status post incision and drainage. Recommended some local wound care", Consult - History and Phy. +4547," First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury.", Consult - History and Phy. +4548," Suspicious calcifications upper outer quadrant, left breast. Left breast excisional biopsy with preoperative guidewire localization and intraoperative specimen radiography.", Consult - History and Phy. +4549, The patient 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., Consult - History and Phy. +4550, Patient has prostate cancer with metastatic disease to his bladder. The patient has had problems with hematuria in the past. The patient was encouraged to drink extra water and was given discharge instructions on hematuria., Consult - History and Phy. +4551," Breast reconstruction post mastectomy. A 51-year-old lady for mastectomy on the right side, who is interested in the possibility of breast reconstruction.", Consult - History and Phy. +4552," Evaluation of pain and symptoms related to a recurrent bunion deformity in bilateral feet - recurrent bunion deformity, right forefoot & pes planovalgus deformity, bilateral feet.", Consult - History and Phy. +4553, Recurrent bladder tumor. The patient on recent followup cystoscopy for transitional cell carcinomas of the bladder neck was found to have a 5-cm area of papillomatosis just above the left ureteric orifice., Consult - History and Phy. +4554," Blood in toilet. Questionable gastrointestinal bleeding at this time, stable without any obvious signs otherwise of significant bleed.", Consult - History and Phy. +4555," Patient with a history of gross hematuria. CT scan was performed, which demonstrated no hydronephrosis or upper tract process; however, there was significant thickening of the left and posterior bladder wall.", Consult - History and Phy. +4556," Hypomastia. Patient wants breast augmentation and liposuction of her abdomen, ", Consult - History and Phy. +4557, Modified Barium swallow study evaluation to objectively evaluate swallowing function and safety. The patient complained of globus sensation high in her throat particularly with solid foods and with pills. She denied history of coughing and chocking with meals. , Consult - History and Phy. +4558," The patient is a 76-year-old male, with previous history of dysphagia, status post stroke. A modified barium swallow study was ordered to objectively evaluate the patient's swallowing function and safety and to rule out aspiration.", Consult - History and Phy. +4559, Bladder instillation for chronic interstitial cystitis., Consult - History and Phy. +4560," A woman presenting to our clinic for the first time for evaluation of hip pain, right greater than left, of greater than 2 years duration. The pain is located laterally as well as anteriorly into the groin. ", Consult - History and Phy. +4561, Patient presented to the Bariatric Surgery Service for consideration of laparoscopic Roux-en-Y gastric bypass. , Consult - History and Phy. +4562, The patient was referred for an outpatient speech and language pathology consult to increase speech and swallowing abilities. The patient 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 patient to achieve hands-free voicing., Consult - History and Phy. +4563," The patient has a manic disorder, is presently psychotic with flight of ideas, tangential speech, rapid pressured speech and behavior, impulsive behavior. Bipolar affective disorder, manic state. Rule out depression.", Consult - History and Phy. +4564, Evaluation for bariatric surgery., Consult - History and Phy. +4565, , Consult - History and Phy. +4566, Evaluation for elective surgical weight loss via the Lap-Band as opposed to gastric bypass., Consult - History and Phy. +4567, Evaluation for elective surgical weight loss via the gastric bypass as opposed to Lap-Band., Consult - History and Phy. +4568," Acute renal failure, probable renal vein thrombosis, hypercoagulable state, and deep venous thromboses with pulmonary embolism.", Consult - History and Phy. +4569, A 74-year-old woman for Cardiology consultation regarding atrial fibrillation and anticoagulation after a fall. The patient denies any chest pain nor clear shortness of breath., Consult - History and Phy. +4570," 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. ", Consult - History and Phy. +4571, Patient complaining of cough and blood mixed with sputum production with a past medical history significant for asbestos exposure., Consult - History and Phy. +4572, Questionable need for antibiotic therapy for possible lower extremity cellulitis., Consult - History and Phy. +4573," The patient is a very pleasant 62-year-old African American female with a history of hypertension, hypercholesterolemia, and CVA, referred for evaluation and management of atrial fibrillation.", Consult - History and Phy. +4574," Possible exposure to ant bait. She is not exhibiting any symptoms and parents were explained that if she develops any vomiting, she should be brought back for reevaluation.", Consult - History and Phy. +4575, Antibiotic management for a right foot ulcer and possible osteomyelitis., Consult - History and Phy. +4576, The patient was running and twisted her right ankle - right ankle sprain., Consult - History and Phy. +4577, Patient experiences a dull pain in his upper outer arm. It occurs on a daily basis. He also experiences an achy sensation in his right hand radiating to the fingers. There is no numbness or paresthesias in the hand or arm., Consult - History and Phy. +4578," Patient had a recurrent left arm pain after her stent, three days ago, and this persisted after two sublingual nitroglycerin.", Consult - History and Phy. +4579, History and Physical for right ankle sprain, Consult - History and Phy. +4580," Refractory anemia that is transfusion dependent. At this time, he has been admitted for anemia with hemoglobin of 7.1 and requiring transfusion.", Consult - History and Phy. +4581," Acute allergic reaction, etiology uncertain, however, suspicious for Keflex.", Consult - History and Phy. +4582," Comprehensive annual health maintenance examination, dyslipidemia, tinnitus in left ear, and hemorrhoids.", Consult - History and Phy. +4583, 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., Consult - History and Phy. +4584," The patient is a 17-year-old female, who presents to the emergency room with foreign body and airway compromise and was taken to the operating room. She was intubated and fishbone.", Consult - History and Phy. +4585, The patient is a 74-year-old woman who presents for neurological consultation for possible adult hydrocephalus. Mild gait impairment and mild cognitive slowing., Consult - History and Phy. +4586, Acute episode of agitation. She was complaining that she felt she might have been poisoned at her care facility., Consult - History and Phy. +4587," A 12-year-old fell off his bicycle, not wearing a helmet, a few hours ago. There was loss of consciousness. The patient complains of neck pain.", Consult - History and Phy. +4588, Patient had a markedly abnormal stress test with severe chest pain after 5 minutes of exercise on the standard Bruce with horizontal ST depressions and moderate apical ischemia on stress imaging only., Consult - History and Phy. +4589," Acne from continually washing area, frequent phone use so the receiver rubs on face and oral contraceptive use - Acne Vulgaris", Consult - History and Phy. +4590," Patient status post gastric bypass surgery, developed nausea and right upper quadrant pain.", Consult - History and Phy. +4591," The patient complaining of abdominal pain, has a long-standing history of diabetes treated with Micronase daily.", Consult - History and Phy. +4592," Abnormal echocardiogram findings and followup. Shortness of breath, congestive heart failure, and valvular insufficiency. The patient complains of shortness of breath, which is worsening. The patient underwent an echocardiogram, which shows severe mitral regurgitation and also large pleural effusion.", Consult - History and Phy. +4593, The patient was referred due to concerns regarding behavioral acting out as well as encopresis., Consult - History and Phy. +4594, Patient presents with a chief complaint of chest pain admitted to Coronary Care Unit due to acute inferior myocardial infarction., Consult - History and Phy. +4595, A 5-month-old boy brought by his parents because of 2 days of cough. , Consult - History and Phy. +4596, Work restrictions and disability evaluation , Chiropractic +4597, Entrapment of the Superior Gluteal Nerve in the aponeurosis of the Gluteus Medius-Left., Chiropractic +4598, Qualified medical evaluation report of a patient with back pain., Chiropractic +4599, Initial evaulation - neck and back pain., Chiropractic +4600, Consultation for left foot pain., Chiropractic +4601, Evaluation for chronic pain program, Chiropractic +4602, The patient presented to the emergency room last evening with approximately 7- to 8-day history of abdominal pain which has been persistent., Consult - History and Phy. +4603, Consultation for wrist pain., Chiropractic +4604, MRI report Cervical Spine (Chiropractic Specific), Chiropractic +4605, Pain management for post-laminectomy low back syndrome and radiculopathy. , Chiropractic +4606," Chiropractic Evaluation - Patient with ankle, cervical, and thoracic sprain/strain.", Chiropractic +4607, Chiropractic IME with answers to questions from Insurance Company., Chiropractic +4608, Chiropractic Evaluation for neck and low back pain following a car accident., Chiropractic +4609, Ventricular ectopy and coronary artery disease. He is a 69-year-old gentleman with established history coronary artery disease and peripheral vascular disease with prior stent-supported angioplasty., Cardiovascular / Pulmonary +4610, Chiropractic IME with old files review. Detailed Thoracic Spine Examination., Chiropractic +4611, Insertion of a VVIR permanent pacemaker. This is an 87-year-old Caucasian female with critical aortic stenosis with an aortic valve area of 0.5 cm square and recurrent congestive heart failure symptoms mostly refractory to tachybrady arrhythmias, Cardiovascular / Pulmonary +4612, Patient with worsening shortness of breath and cough., Cardiovascular / Pulmonary +4613, Right and Left carotid ultrasound , Cardiovascular / Pulmonary +4614," Need for intravenous access. Insertion of a right femoral triple lumen catheter. he patient is also ventilator-dependent, respiratory failure with tracheostomy in place and dependent on parenteral nutrition secondary to dysphagia and also has history of protein-calorie malnutrition and the patient needs to receive total parenteral nutrition and therefore needs central venous access.", Cardiovascular / Pulmonary +4615," Patient with hip pain, osteoarthritis, lumbar spondylosis, chronic sacroiliitis, etc.", Chiropractic +4616, The patient was exercised according to standard Bruce protocol for 9 minutes., Cardiovascular / Pulmonary +4617," Coronary artery bypass surgery and aortic stenosis. Transthoracic echocardiogram was performed of technically limited quality. Concentric hypertrophy of the left ventricle with left ventricular function. Moderate mitral regurgitation. Severe aortic stenosis, severe.", Cardiovascular / Pulmonary +4618, Bilateral carotid ultrasound to evaluate pain., Cardiovascular / Pulmonary +4619," Insertion of a right brachial artery arterial catheter and a right subclavian vein triple lumen catheter. Hyperpyrexia/leukocytosis, ventilator-dependent respiratory failure, and acute pancreatitis.", Cardiovascular / Pulmonary +4620, Urgent cardiac catheterization with coronary angiogram., Cardiovascular / Pulmonary +4621, Transesophageal echocardiographic examination report. Aortic valve replacement. Assessment of stenotic valve. Evaluation for thrombus on the valve., Cardiovascular / Pulmonary +4622, Transesophageal Echocardiogram. A woman admitted to the hospital with a large right MCA CVA causing a left-sided neurological deficit incidentally found to have atrial fibrillation on telemetry. , Cardiovascular / Pulmonary +4623, Transesophageal echocardiogram. The transesophageal probe was introduced into the posterior pharynx and esophagus without difficulty., Cardiovascular / Pulmonary +4624," Transesophageal echocardiogram. MRSA bacteremia, rule out endocarditis. The patient has aortic stenosis.", Cardiovascular / Pulmonary +4625, Transesophageal echocardiogram due to vegetation and bacteremia. Normal left ventricular size and function. Echodensity involving the aortic valve suggestive of endocarditis and vegetation. Doppler study as above most pronounced being moderate-to-severe aortic insufficiency., Cardiovascular / Pulmonary +4626, Insertion of transesophageal echocardiography probe and unsuccessful insertion of arterial venous lines., Cardiovascular / Pulmonary +4627, Tracheostomy change. A #6 Shiley with proximal extension was changed to a #6 Shiley with proximal extension. Ventilator-dependent respiratory failure and laryngeal edema., Cardiovascular / Pulmonary +4628, Tracheostomy with skin flaps and SCOOP procedure FastTract. Oxygen dependency of approximately 5 liters nasal cannula at home and chronic obstructive pulmonary disease. , Cardiovascular / Pulmonary +4629, Transesophageal echocardiogram and direct current cardioversion., Cardiovascular / Pulmonary +4630, Tilt table test. A patient with past medical history of syncope. The patient is also complaining of dizziness., Cardiovascular / Pulmonary +4631, Patient referred for evaluation of tracheostomy tube placement and treatment recommendations., Cardiovascular / Pulmonary +4632, Tracheotomy for patient with respiratory failure., Cardiovascular / Pulmonary +4633, Transesophageal echocardiogram for aortic stenosis. Normal left ventricular size and function. Benign Doppler flow pattern. Doppler study essentially benign. Aorta essentially benign. Atrial septum intact. Study was negative., Cardiovascular / Pulmonary +4634," Aortic stenosis. Insertion of a Toronto stentless porcine valve, cardiopulmonary bypass, and cold cardioplegia arrest of the heart.", Cardiovascular / Pulmonary +4635," Thrombosed left forearm loop fistula graft, chronic renal failure, and hyperkalemia. Thrombectomy of the left forearm loop graft. The venous outflow was good. There was stenosis in the mid-venous limb of the graft.", Cardiovascular / Pulmonary +4636," Thromboendarterectomy of right common, external, and internal carotid artery utilizing internal shunt and Dacron patch angioplasty closure. Coronary artery bypass grafting x3 utilizing left internal mammary artery to left anterior descending, and reverse autogenous saphenous vein graft to the obtuse marginal, posterior descending branch of the right coronary artery.", Cardiovascular / Pulmonary +4637," Thrombectomy AV shunt, left forearm and patch angioplasty of the venous anastomosis. Thrombosed arteriovenous shunt, left forearm with venous anastomotic stenosis.", Cardiovascular / Pulmonary +4638, Left muscle sparing mini thoracotomy with left upper lobectomy and mediastinal lymph node dissection. Intercostal nerve block for postoperative pain relief at five levels., Cardiovascular / Pulmonary +4639," Left thoracotomy with total pulmonary decortication and parietal pleurectomy. Empyema of the chest, left.", Cardiovascular / Pulmonary +4640," Tilt table test. Tilt table test is negative for any evidence of vasovagal, orthostasis or vasodepressor syndrome.", Cardiovascular / Pulmonary +4641," Empyema. Right thoracotomy, total decortication and intraoperative bronchoscopy. A thoracostomy tube was placed at the bedside with only partial resolution of the pleural effusion. On CT scan evaluation, there is evidence of an entrapped right lower lobe with loculations.", Cardiovascular / Pulmonary +4642," Left thoracotomy with drainage of pleural fluid collection, esophageal exploration and repair of esophageal perforation, diagnostic laparoscopy and gastrostomy, and radiographic gastrostomy tube study with gastric contrast, interpretation.", Cardiovascular / Pulmonary +4643," Left thoracoscopy and left thoracotomy with declaudication and drainage of lung abscesses, and multiple biopsies of pleura and lung.", Cardiovascular / Pulmonary +4644," A 26-mm Dacron graft replacement of type 4 thoracoabdominal aneurysm from T10 to the bifurcation of the aorta, re-implanting the celiac, superior mesenteric artery and right renal as an island and the left renal as a 8-mm interposition Dacron graft, utilizing left heart bypass and cerebrospinal fluid drainage.", Cardiovascular / Pulmonary +4645," Left mesothelioma, focal. Left anterior pleural-based nodule, which was on a thin pleural pedicle with no invasion into the chest wall.", Cardiovascular / Pulmonary +4646," The patient 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.", Cardiovascular / Pulmonary +4647, Insertion of right internal jugular Tessio catheter and placement of left wrist primary submental arteriovenous fistula., Cardiovascular / Pulmonary +4648, Thoracentesis. Left pleural effusion. Left hemothorax., Cardiovascular / Pulmonary +4649, Quick note on tachypnea., Cardiovascular / Pulmonary +4650," Thoracentesis, left. Malignant pleural effusion, left, with dyspnea.", Cardiovascular / Pulmonary +4651, Insertion of a left subclavian Tesio hemodialysis catheter and surgeon-interpreted fluoroscopy., Cardiovascular / Pulmonary +4652, The patient was undergoing a routine physical examination and was found to have right supraclavicular lymphadenopathy. She returned for followup examination and again was noted to have right supraclavicular lymphadenopathy. She is now referred to the thoracic surgery clinic for evaluation., Cardiovascular / Pulmonary +4653, The patient is a 4-month-old who presented with supraventricular tachycardia and persistent cyanosis., Cardiovascular / Pulmonary +4654," Subxiphoid pericardiotomy. Symptomatic pericardial effusion. The patient had the appropriate inflammatory workup for pericardial effusion, however, it was nondiagnostic.", Cardiovascular / Pulmonary +4655," Emergent subxiphoid pericardial window, transesophageal echocardiogram.", Cardiovascular / Pulmonary +4656," Chest pain, Chest wall tenderness occurred with exercise.", Cardiovascular / Pulmonary +4657," Insertion of right subclavian central venous catheter. Need for intravenous access, status post fall, and status post incision and drainage of left lower extremity.", Cardiovascular / Pulmonary +4658, Dobutrex stress test for abnormal EKG, Cardiovascular / Pulmonary +4659, Thallium stress test for chest pain., Cardiovascular / Pulmonary +4660," Chest pain, hypertension. Stress test negative for dobutamine-induced myocardial ischemia. Normal left ventricular size, regional wall motion, and ejection fraction.", Cardiovascular / Pulmonary +4661, Subxiphoid pericardial window. A #10-blade scalpel was used to make an incision in the area of the xiphoid process. Dissection was carried down to the level of the fascia using Bovie electrocautery. , Cardiovascular / Pulmonary +4662, Stress test - Adenosine Myoview. Ischemic cardiomyopathy. Inferoseptal and apical transmural scar., Cardiovascular / Pulmonary +4663, Dobutamine stress test for atrial fibrillation., Cardiovascular / Pulmonary +4664, Stress test with Bruce protocol due to chest pain., Cardiovascular / Pulmonary +4665," Sick sinus syndrome, atrial fibrillation, pacemaker dependent, mild cardiomyopathy with ejection fraction 40% and no significant decompensation, and dementia of Alzheimer's disease with short and long term memory dysfunction", Cardiovascular / Pulmonary +4666," Successful stenting of the left anterior descending. Angina pectoris, tight lesion in left anterior descending.", Cardiovascular / Pulmonary +4667," The patient is admitted for shortness of breath, continues to do fairly well. The patient has chronic atrial fibrillation, on anticoagulation, INR of 1.72. The patient did undergo echocardiogram, which shows aortic stenosis, severe. The patient does have an outside cardiologist. ", Cardiovascular / Pulmonary +4668," Chest, Single view post OP for ASD (Atrial Septal Defect).", Cardiovascular / Pulmonary +4669," Pulmonary disorder with lung mass, pleural effusion, and chronic uncontrolled atrial fibrillation secondary to pulmonary disorder. The patient is admitted for lung mass and also pleural effusion. The patient had a chest tube placement, which has been taken out. The patient has chronic atrial fibrillation, on anticoagulation. ", Cardiovascular / Pulmonary +4670, Insertion of a #8 Shiley tracheostomy tube. A #10-blade scalpel was used to make an incision approximately 1 fingerbreadth above the sternal notch. Dissection was carried down using Bovie electrocautery to the level of the trachea., Cardiovascular / Pulmonary +4671," Repair of total anomalous pulmonary venous connection, ligation of patent ductus arteriosus, repair secundum type atrial septal defect (autologous pericardial patch), subtotal thymectomy, and insertion of peritoneal dialysis catheter.", Cardiovascular / Pulmonary +4672, The patient was admitted approximately 3 days ago with increasing shortness of breath secondary to pneumonia. Pulmonary Medicine Associates have been contacted to consult in light of the ICU admission. , Cardiovascular / Pulmonary +4673, Ligation and stripping of left greater saphenous vein to the level of the knee. Stripping of multiple left lower extremity varicose veins. Varicose veins., Cardiovascular / Pulmonary +4674, Complete heart block with pacemaker malfunction and a history of Shone complex., Cardiovascular / Pulmonary +4675," Selective coronary angiography, coronary angioplasty. Acute non-ST-elevation MI.", Cardiovascular / Pulmonary +4676," Elevated cardiac enzymes, fullness in chest, abnormal EKG, and risk factors. No evidence of exercise induced ischemia at a high myocardial workload. This essentially excludes obstructive CAD as a cause of her elevated troponin.", Cardiovascular / Pulmonary +4677," A 23-month-old girl has a history of reactive airway disease, is being treated on an outpatient basis for pneumonia, presents with cough and fever.", Cardiovascular / Pulmonary +4678, Pulmonary function test. Mild restrictive airflow limitation. Clinical correlation is recommended., Cardiovascular / Pulmonary +4679, A 16-year-old male with Q-fever endocarditis., Cardiovascular / Pulmonary +4680," Pulmonary valve stenosis, supple pulmonic narrowing, and static encephalopathy", Cardiovascular / Pulmonary +4681, Increasing oxygen requirement. Baby boy has significant pulmonary hypertension. , Cardiovascular / Pulmonary +4682, Patient returns to Pulmonary Medicine Clinic for followup evaluation of COPD and emphysema., Cardiovascular / Pulmonary +4683, Sample of Pulmonary Function Test, Cardiovascular / Pulmonary +4684," This 61-year-old retailer who presents with acute shortness of breath, hypertension, found to be in acute pulmonary edema. No confirmed prior history of heart attack, myocardial infarction, heart failure. ", Cardiovascular / Pulmonary +4685," Patient felt dizzy, had some cold sweats, mild shortness of breath, no chest pain, no nausea or vomiting, but mild diarrhea, and sat down and lost consciousness for a few seconds.", Cardiovascular / Pulmonary +4686, Pulmonary Function Test in a patient with smoking history., Cardiovascular / Pulmonary +4687, Sample of Pulmonary Function Test, Cardiovascular / Pulmonary +4688, Pulmonary function test. Mild-to-moderate obstructive ventilatory impairment. Some improvement in the airflows after bronchodilator therapy., Cardiovascular / Pulmonary +4689, Obstructive sleep apnea syndrome. Loud snoring. Schedule an overnight sleep study., Cardiovascular / Pulmonary +4690, Patient with complaints of significant coughing and wheezing., Cardiovascular / Pulmonary +4691, Pulmonary Function Test to evaluate dyspnea., Cardiovascular / Pulmonary +4692," The patient is a 9-year-old born with pulmonary atresia, intact ventricular septum with coronary sinusoids.", Cardiovascular / Pulmonary +4693," Port-A-Cath insertion template. Catheter was inserted after subcutaneous pocket was created, the sheath dilators were advanced, and the wire and dilator were removed.", Cardiovascular / Pulmonary +4694, Pulmonary Medicine Clinic for followup evaluation of interstitial disease secondary to lupus pneumonitis., Cardiovascular / Pulmonary +4695, Aspiration pneumonia and chronic obstructive pulmonary disease (COPD) exacerbation. Acute respiratory on chronic respiratory failure secondary to chronic obstructive pulmonary disease exacerbation. Systemic inflammatory response syndrome secondary to aspiration pneumonia. No bacteria identified with blood cultures or sputum culture., Cardiovascular / Pulmonary +4696, Insertion of subclavian dual-port Port-A-Cath and surgeon-interpreted fluoroscopy., Cardiovascular / Pulmonary +4697, Patient with a previous history of working in the coalmine and significant exposure to silica with resultant pneumoconiosis and fibrosis of the lung. , Cardiovascular / Pulmonary +4698," Preeclampsia, status post delivery with Cesarean section with uncontrolled blood pressure. The patient is a 38-year-old female admitted following a delivery. The patient had a cesarean section. Following this, the patient was treated for her blood pressure. She was sent home and she came back again apparently with uncontrolled blood pressure.", Cardiovascular / Pulmonary +4699," Atypical pneumonia, hypoxia, rheumatoid arthritis, and suspected mild stress-induced adrenal insufficiency. This very independent 79-year old had struggled with cough, fevers, weakness, and chills for the week prior to admission.", Cardiovascular / Pulmonary +4700, Consult for subcutaneous emphysema and a small right-sided pneumothorax secondary to trauma., Cardiovascular / Pulmonary +4701, Cardiology consultation regarding preoperative evaluation for right hip surgery. Patient with a history of coronary artery disease status post bypass surgery, Cardiovascular / Pulmonary +4702," Left hemothorax, rule out empyema. Insertion of a 12-French pigtail catheter in the left pleural space.", Cardiovascular / Pulmonary +4703, Chest tube talc pleurodesis of the right chest., Cardiovascular / Pulmonary +4704, Ultrasound-guided right pleurocentesis for right pleural effusion with respiratory failure and dyspnea., Cardiovascular / Pulmonary +4705," A middle-aged white female undergoing autologous stem cell transplant for multiple myeloma, now with paroxysmal atrial fibrillation.", Cardiovascular / Pulmonary +4706, Coil embolization of patent ductus arteriosus., Cardiovascular / Pulmonary +4707, Six-month follow-up visit for paroxysmal atrial fibrillation (PAF). She reports that she is getting occasional chest pains with activity. Sometimes she feels that at night when she is lying in bed and it concerns her., Cardiovascular / Pulmonary +4708," The patient is an 84-year-old female presented to emergency room with shortness of breath, fatigue, and tiredness. Low-grade fever was noted last few weeks. The patient also has chest pain described as dull aching type in precordial region. No relation to exertion or activity. No aggravating or relieving factors. ", Cardiovascular / Pulmonary +4709, Ligation (clip interruption) of patent ductus arteriosus. This premature baby with operative weight of 600 grams and evidence of persistent pulmonary over circulation and failure to thrive has been diagnosed with a large patent ductus arteriosus originating in the left-sided aortic arch. , Cardiovascular / Pulmonary +4710, PICC line insertion, Cardiovascular / Pulmonary +4711," Peripheral effusion on the CAT scan. The patient is a 70-year-old Caucasian female with prior history of lung cancer, status post upper lobectomy. She was recently diagnosed with recurrent pneumonia and does have a cancer on the CAT scan, lung cancer with metastasis. ", Cardiovascular / Pulmonary +4712," Sinus bradycardia, sick-sinus syndrome, poor threshold on the ventricular lead and chronic lead. Right ventricular pacemaker lead placement and lead revision.", Cardiovascular / Pulmonary +4713, Nuclear cardiac stress report. Recurrent angina pectoris in a patient with documented ischemic heart disease and underlying ischemic cardiomyopathy., Cardiovascular / Pulmonary +4714, Implantation of a dual-chamber pacemaker and fluoroscopic guidance for implantation of a dual-chamber pacemaker., Cardiovascular / Pulmonary +4715, Insertion of transvenous pacemaker for tachybrady syndrome, Cardiovascular / Pulmonary +4716, DDDR permanent pacemaker. Tachybrady syndrome. A ventricular pacemaker lead was advanced through the sheath and into the vascular lumen and under fluoroscopic guidance guided down into the right atrium. , Cardiovascular / Pulmonary +4717, Implantation of a single-chamber pacemaker. Fluoroscopic guidance for implantation of single-chamber pacemaker., Cardiovascular / Pulmonary +4718, Pacemaker ICD interrogation. Severe nonischemic cardiomyopathy with prior ventricular tachycardia., Cardiovascular / Pulmonary +4719, Single chamber pacemaker implantation. Successful single-chamber pacemaker implantation with left subclavian approach and venogram to assess the subclavian access site and the right atrial or right ventricle with asystole that resolved spontaneously during the procedure., Cardiovascular / Pulmonary +4720, A patient with non-Q-wave myocardial infarction. No definite chest pains. The patient is breathing okay. The patient denies orthopnea or PND., Cardiovascular / Pulmonary +4721, Implantation of a dual chamber permanent pacemaker, Cardiovascular / Pulmonary +4722," Myocardial perfusion imaging - patient with history of MI, stents placement, and chest pain.", Cardiovascular / Pulmonary +4723, Myocardial perfusion imaging - patient had previous abnormal stress test. Stress test with imaging for further classification of CAD and ischemia., Cardiovascular / Pulmonary +4724," Myocardial perfusion study at rest and stress, gated SPECT wall motion study at stress and calculation of ejection fraction.", Cardiovascular / Pulmonary +4725, Multiple stent placements with Impella circulatory assist device., Cardiovascular / Pulmonary +4726, Resting Myoview perfusion scan and gated myocardial scan. Findings consistent with an inferior non-transmural scar, Cardiovascular / Pulmonary +4727, MRI: Right parietal metastatic adenocarcinoma (LUNG) metastasis., Cardiovascular / Pulmonary +4728," Seizure, hypoglycemia, anemia, dyspnea, edema. colon cancer status post right hemicolectomy, hospital-acquired pneumonia, +and congestive heart failure.", Cardiovascular / Pulmonary +4729," A female admitted with jaundice and a pancreatic mass who was noted to have a new murmur, bacteremia, and fever. ", Cardiovascular / Pulmonary +4730," Loculated left effusion, multilobar pneumonia. Patient had a diagnosis of multilobar pneumonia along with arrhythmia and heart failure as well as renal insufficiency. ", Cardiovascular / Pulmonary +4731, Mitral valve repair using a quadrangular resection of the P2 segment of the posterior leaflet. Mitral valve posterior annuloplasty using a Cosgrove Galloway Medtronic fuser band. Posterior leaflet abscess resection., Cardiovascular / Pulmonary +4732," Suspension microlaryngoscopy, rigid bronchoscopy, dilation of tracheal stenosis.", Cardiovascular / Pulmonary +4733, Right pleural effusion and suspected malignant mesothelioma., Cardiovascular / Pulmonary +4734," Mesothelioma versus primary lung carcinoma, Chronic obstructive pulmonary disease, paroxysmal atrial fibrillation, malignant pleural effusion, status post surgery as stated above, and anemia of chronic disease.", Cardiovascular / Pulmonary +4735, Posterior mediastinal mass with possible neural foraminal involvement (benign nerve sheath tumor by frozen section). Left thoracotomy with resection of posterior mediastinal mass., Cardiovascular / Pulmonary +4736," Myoview nuclear stress study. Angina, coronary artery disease. Large fixed defect, inferior and apical wall, related to old myocardial infarction.", Cardiovascular / Pulmonary +4737, Left metastasectomy of metastatic renal cell carcinoma with additional mediastinal lymph node dissection and additional fiberoptic bronchoscopy., Cardiovascular / Pulmonary +4738, Resting Myoview and adenosine Myoview SPECT, Cardiovascular / Pulmonary +4739," Patient with metastatic non-small-cell lung cancer, on hospice with inferior ST-elevation MI. The patient from prior strokes has expressive aphasia, is not able to express herself in a clear meaningful fashion.", Cardiovascular / Pulmonary +4740, Mediastinal exploration and delayed primary chest closure. The patient is a 12-day-old infant who has undergone a modified stage I Norwood procedure with a Sano modification. , Cardiovascular / Pulmonary +4741, Lexiscan myoview stress study. Chest discomfort. Normal stress/rest cardiac perfusion with no indication of ischemia. Normal LV function and low likelihood of significant epicardial coronary narrowing., Cardiovascular / Pulmonary +4742, The patient had undergone mitral valve repair about seven days ago. , Cardiovascular / Pulmonary +4743," 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.", Cardiovascular / Pulmonary +4744," Newly diagnosed high-risk acute lymphoblastic leukemia; extensive deep vein thrombosis, and pharmacologic thrombolysis following placement of a vena caval filter.", Cardiovascular / Pulmonary +4745, 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., Cardiovascular / Pulmonary +4746, Right upper lung lobectomy. Mediastinal lymph node dissection, Cardiovascular / Pulmonary +4747," VATS right middle lobectomy, fiberoptic bronchoscopy, mediastinal lymph node sampling, tube thoracostomy x2, multiple chest wall biopsies and excision of margin on anterior chest wall adjacent to adherent tumor.", Cardiovascular / Pulmonary +4748," Probable right upper lobe lung adenocarcinoma. Specimen is received fresh for frozen section, labeled with the patient's identification and ""Right upper lobe lung"".", Cardiovascular / Pulmonary +4749," Right lower lobectomy, right thoracotomy, extensive lysis of adhesions, mediastinal lymphadenectomy.", Cardiovascular / Pulmonary +4750, Left lower extremity venous Doppler ultrasound, Cardiovascular / Pulmonary +4751, Lower Extremity Arterial Doppler, Cardiovascular / Pulmonary +4752, Left lower lobectomy., Cardiovascular / Pulmonary +4753, Patient is here to discuss possible open lung biopsy., Cardiovascular / Pulmonary +4754, The patient is a 65-year-old female who underwent left upper lobectomy for stage IA non-small cell lung cancer. She returns for a routine surveillance visit. The patient has no evidence of disease now status post left upper lobectomy for stage IA non-small cell lung cancer 13 months ago., Cardiovascular / Pulmonary +4755," Lightheaded, dizziness, and palpitation. This morning, the patient experienced symptoms of lightheaded, dizziness, felt like passing out; however, there was no actual syncope. During the episode, the patient describes symptoms of palpitation and fluttering of chest. She relates the heart was racing. By the time when she came into the Emergency Room, her EKG revealed normal sinus rhythm. No evidence of arrhythmia.", Cardiovascular / Pulmonary +4756," Direct laryngoscopy, rigid bronchoscopy and dilation of subglottic upper tracheal stenosis.", Cardiovascular / Pulmonary +4757," Laparoscopic lysis of adhesions and Laparoscopic left adrenalectomy. Left adrenal mass, 5.5 cm and intraabdominal adhesions.", Cardiovascular / Pulmonary +4758, Patient with a history of ischemic cardiac disease and hypercholesterolemia., Cardiovascular / Pulmonary +4759," 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.", Cardiovascular / Pulmonary +4760, Comprehensive electrophysiology studies with attempted arrhythmia induction and IV Procainamide infusion for Brugada syndrome., Cardiovascular / Pulmonary +4761, Lexiscan Nuclear Myocardial Perfusion Scan. Chest pain. Patient unable to walk on a treadmill. Nondiagnostic Lexiscan. Normal nuclear myocardial perfusion scan., Cardiovascular / Pulmonary +4762," Nonischemic cardiomyopathy, branch vessel coronary artery disease, congestive heart failure - NYHA Class III, history of nonsustained ventricular tachycardia, hypertension, and hepatitis C.", Cardiovascular / Pulmonary +4763," An 84-year-old woman with a history of hypertension, severe tricuspid regurgitation with mild pulmonary hypertension, mild aortic stenosis, and previously moderate mitral regurgitation.", Cardiovascular / Pulmonary +4764," Patient with hypertension, syncope, and spinal stenosis - for recheck.", Cardiovascular / Pulmonary +4765, Holter monitor report. Predominant rhythm is sinus. Triplet maximum rate of 178 beats per minute noted., Cardiovascular / Pulmonary +4766, Holter monitoring for syncope. Analyzed for approximately 23 hours 57 minutes and artefact noted for approximately 23 seconds. , Cardiovascular / Pulmonary +4767, Placement of a subclavian single-lumen tunneled Hickman central venous catheter. Surgeon-interpreted fluoroscopy., Cardiovascular / Pulmonary +4768, Holter monitoring - For bradycardia and dizziness., Cardiovascular / Pulmonary +4769, Holter Monitor Report, Cardiovascular / Pulmonary +4770," Left heart catheterization, coronary angiography, and left ventriculogram. No angiographic evidence of coronary artery disease. Normal left ventricular systolic function. Normal left ventricular end diastolic pressure.", Cardiovascular / Pulmonary +4771," Left heart catheterization, coronary angiography, left ventriculography. Severe complex left anterior descending and distal circumflex disease with borderline, probably moderate narrowing of a large obtuse marginal branch.", Cardiovascular / Pulmonary +4772," Very high PT-INR. she came in with pneumonia and CHF. She was noticed to be in atrial fibrillation, which is a chronic problem for her.", Cardiovascular / Pulmonary +4773, Left heart catheterization with left ventriculography and selective coronary angiography. A 50% distal left main and two-vessel coronary artery disease with normal left ventricular systolic function. Frequent PVCs. Metabolic syndrome., Cardiovascular / Pulmonary +4774," Left heart catheterization, left ventriculography, selective coronary angiography.", Cardiovascular / Pulmonary +4775," Left heart catheterization, selective bilateral coronary angiography and left ventriculography. Revascularization of the left anterior descending with angioplasty and implantation of a drug-eluting stent. Right heart catheterization and Swan-Ganz catheter placement for monitoring.", Cardiovascular / Pulmonary +4776," Left heart catheterization, left ventriculography, selective coronary angiography, and right femoral artery approach.", Cardiovascular / Pulmonary +4777," Left heart catheterization with ventriculography, selective coronary angiography. Standard Judkins, right groin. Catheters used were a 6 French pigtail, 6 French JL4, 6 French JR4.", Cardiovascular / Pulmonary +4778, Left heart catheterization with left ventriculography and selective coronary angiography. Percutaneous transluminal coronary angioplasty and stent placement of the right coronary artery., Cardiovascular / Pulmonary +4779," Left heart catheterization with ventriculography, selective coronary arteriographies, successful stenting of the left anterior descending diagonal.", Cardiovascular / Pulmonary +4780," 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.", Cardiovascular / Pulmonary +4781," Left heart catheterization, left and right coronary angiography, left ventricular angiography, and intercoronary stenting of the right coronary artery.", Cardiovascular / Pulmonary +4782," Left heart cath, selective coronary angiography, LV gram, right femoral arteriogram, and Mynx closure device. Normal stress test.", Cardiovascular / Pulmonary +4783," Right and left heart catheterization, left ventriculogram, aortogram, and bilateral selective coronary angiography. The patient is a 48-year-old female with severe mitral stenosis diagnosed by echocardiography, moderate aortic insufficiency and moderate to severe pulmonary hypertension who is being evaluated as a part of a preoperative workup for mitral and possible aortic valve repair or replacement. ", Cardiovascular / Pulmonary +4784," Left heart catheterization, bilateral selective coronary angiography, saphenous vein graft angiography, left internal mammary artery angiography, and left ventriculography.", Cardiovascular / Pulmonary +4785, Left heart catheterization and bilateral selective coronary angiography. Left ventriculogram was not performed., Cardiovascular / Pulmonary +4786," Left heart catheterization, left ventriculography, coronary angiography, and successful stenting of tight lesion in the distal circumflex and moderately tight lesion in the mid right coronary artery.", Cardiovascular / Pulmonary +4787, Right heart catheterization. Refractory CHF to maximum medical therapy., Cardiovascular / Pulmonary +4788, Left heart catheterization and bilateral selective coronary angiography. The patient is a 65-year-old male with known moderate mitral regurgitation with partial flail of the P2 and P3 gallops who underwent outpatient evaluation for increasingly severed decreased functional capacity and retrosternal chest pain that was aggravated by exertion and decreased with rest., Cardiovascular / Pulmonary +4789, A female for a complete physical and follow up on asthma with allergic rhinitis., Cardiovascular / Pulmonary +4790," Left and right heart catheterization and selective coronary angiography. Coronary artery disease, severe aortic stenosis by echo.", Cardiovascular / Pulmonary +4791," Fogarty thrombectomy, left forearm arteriovenous Gore-Tex bridge fistula and revision of distal anastomosis with 7 mm interposition Gore-Tex graft. Chronic renal failure and thrombosed left forearm arteriovenous Gore-Tex bridge fistula.", Cardiovascular / Pulmonary +4792, H&P for a female with Angina pectoris., Cardiovascular / Pulmonary +4793," Chest pain and non-Q-wave MI with elevation of troponin I only. Left heart catheterization, left ventriculography, and left and right coronary arteriography.", Cardiovascular / Pulmonary +4794, Flexible bronchoscopy to evaluate the airway (chronic wheezing)., Cardiovascular / Pulmonary +4795," Flexible fiberoptic bronchoscopy with right lower lobe bronchoalveolar lavage and right upper lobe endobronchial biopsy. Severe tracheobronchitis, mild venous engorgement with question varicosities associated pulmonary hypertension, right upper lobe submucosal hemorrhage without frank mass underneath it status post biopsy.", Cardiovascular / Pulmonary +4796," Right and left heart catheterization, coronary angiography, left ventriculography.", Cardiovascular / Pulmonary +4797," Fiberoptic flexible bronchoscopy with lavage, brushings, and endobronchial mucosal biopsies of the right bronchus intermedius/right lower lobe. Right hyoid mass, rule out carcinomatosis. Chronic obstructive pulmonary disease. Changes consistent with acute and chronic bronchitis.", Cardiovascular / Pulmonary +4798," Flexible fiberoptic bronchoscopy diagnostic with right middle and upper lobe lavage and lower lobe transbronchial biopsies. Mild tracheobronchitis with history of granulomatous disease and TB, rule out active TB/miliary TB.", Cardiovascular / Pulmonary +4799, Left arm fistulogram. Percutaneous transluminal angioplasty of the proximal and distal cephalic vein. Ultrasound-guided access of left upper arm brachiocephalic fistula., Cardiovascular / Pulmonary +4800, Emergent fiberoptic bronchoscopy with lavage. Status post multiple trauma/motor vehicle accident. Acute respiratory failure. Acute respiratory distress/ventilator asynchrony. Hypoxemia. Complete atelectasis of left lung. Clots partially obstructing the endotracheal tube and completely obstructing the entire left main stem and entire left bronchial system., Cardiovascular / Pulmonary +4801," Right common femoral artery cannulation, cnscious sedation using IV Versed and IV fentanyl, retrograde bilateral coronary angiography, abdominal aortogram with pelvic runoff, left external iliac angiogram with runoff to the patient's left foot, left external iliac angiogram with runoff to the patient's right leg, right common femoral artery angiogram runoff to the patient's right leg.", Cardiovascular / Pulmonary +4802," Reduced exercise capacity for age, no chest pain with exercise, no significant ST segment changes with exercise, symptoms of left anterior chest pain were not provoked with exercise, and hypertensive response noted with exercise.", Cardiovascular / Pulmonary +4803, Chest pain. Achieved optimum METs for the exercise done and this is a normal exercise treadmill stress test., Cardiovascular / Pulmonary +4804," Fiberoptic bronchoscopy, diagnostic. Hemoptysis and history of lung cancer. Tumor occluding right middle lobe with friability.", Cardiovascular / Pulmonary +4805, No chest pain with exercise and no significant ECG changes with exercise. Poor exercise capacity 6 weeks following an aortic valve replacement and single-vessel bypass procedure., Cardiovascular / Pulmonary +4806," Exercise stress test with nuclear scan for chest pain. Chest pain resolved after termination of exercise. Good exercise duration, tolerance and double product. Normal nuclear myocardial perfusion scan.", Cardiovascular / Pulmonary +4807, Patient in ER complaining of shortness of breath (COPD), Cardiovascular / Pulmonary +4808," Diagnostic fiberoptic bronchoscopy with biopsies and bronchoalveolar lavage. Bilateral upper lobe cavitary lung masses. Airway changes including narrowing of upper lobe segmental bronchi, apical and posterior on the right, and anterior on the left. There are also changes of inflammation throughout.", Cardiovascular / Pulmonary +4809, Patient complains of chest pain - possible esophageal reflux, Cardiovascular / Pulmonary +4810, A 44-year-old woman with a history of rheumatoid arthritis admitted to the hospital with chest pain. MI has been ruled out. She has been referred for an exercise echocardiogram., Cardiovascular / Pulmonary +4811," Ivor-Lewis esophagogastrectomy, feeding jejunostomy, placement of two right-sided 28 French chest tubes, and right thoracotomy.", Cardiovascular / Pulmonary +4812," Elevated BNP. Diastolic heart failure, not contributing to his present problem. Chest x-ray and CAT scan shows possible pneumonia. The patient denies any prior history of coronary artery disease but has a history of hypertension.", Cardiovascular / Pulmonary +4813, Endotracheal intubation. The patient was intubated secondary to respiratory distress and increased work of breathing and falling saturation on 15 liters nonrebreather. PCO2 was 29 and pO2 was 66 on the 15 liters., Cardiovascular / Pulmonary +4814, Exercise myocardial perfusion study. The exercise myocardial perfusion study shows possibility of mild ischemia in the inferolateral wall and normal LV systolic function with LV ejection fraction of 59%, Cardiovascular / Pulmonary +4815," Echocardiographic examination. Borderline left ventricular hypertrophy with normal ejection fraction at 60%, mitral annular calcification with structurally normal mitral valve, no intracavitary thrombi is seen, interatrial septum was somewhat difficult to assess, but appeared to be intact on the views obtained.", Cardiovascular / Pulmonary +4816, Endovascular Brachytherapy (EBT), Cardiovascular / Pulmonary +4817," Abnormal cardiac enzyme profile. The patient is a 66-year-old gentleman, was brought into emergency room with obtundation. The patient was mechanically ventilated originally. His initial diagnosis was septic shock. His labs showed elevated cardiac enzyme profile. ", Cardiovascular / Pulmonary +4818, Endotracheal intubation. Respiratory failure. The patient is a 52-year-old male with metastatic osteogenic sarcoma. He was admitted two days ago with small bowel obstruction., Cardiovascular / Pulmonary +4819, Echocardiogram was performed including 2-D and M-mode imaging., Cardiovascular / Pulmonary +4820," Echocardiographic Examination Report. Angina and coronary artery disease. Mild biatrial enlargement, normal thickening of the left ventricle with mildly dilated ventricle and EF of 40%, mild mitral regurgitation, diastolic dysfunction grade 2, mild pulmonary hypertension.", Cardiovascular / Pulmonary +4821," Echocardiogram for aortic stenosis. Transthoracic echocardiogram was performed of adequate technical quality. Concentric hypertrophy of the left ventricle with normal function. Doppler study as above, most pronounced being moderate aortic stenosis, valve area of 1.1 sq. cm", Cardiovascular / Pulmonary +4822, Duplex ultrasound of legs, Cardiovascular / Pulmonary +4823," Dobutamine Stress Echocardiogram. Chest discomfort, evaluation for coronary artery disease. Maximal dobutamine stress echocardiogram test achieving more than 85% of age-predicted heart rate. Negative EKG criteria for ischemia.", Cardiovascular / Pulmonary +4824, Echocardiogram with color flow and conventional Doppler interrogation., Cardiovascular / Pulmonary +4825," Dual chamber generator replacement. The patient is a pleasant patient who presented to the office, recently was found to be at ERI and she has been referred for generator replacement.", Cardiovascular / Pulmonary +4826," Dual Chamber ICD Implantation, fluoroscopy, defibrillation threshold testing, venography.", Cardiovascular / Pulmonary +4827," Insertion of a double lumen port through the left femoral vein, radiological guidance. Open exploration of the left subclavian and axillary vein. Metastatic glossal carcinoma, needing chemotherapy and a port.", Cardiovascular / Pulmonary +4828, The patient was admitted after undergoing a drawn out process with a small bowel obstruction., Cardiovascular / Pulmonary +4829," Dobutamine stress test for chest pain, as the patient was unable to walk on a treadmill, and allergic to adenosine. Nondiagnostic dobutamine stress test. Normal nuclear myocardial perfusion scan.", Cardiovascular / Pulmonary +4830," Patient had some cold symptoms, was treated as bronchitis with antibiotics.", Cardiovascular / Pulmonary +4831, A 3-year-old abrupt onset of cough and increased work of breathing., Cardiovascular / Pulmonary +4832," The patient is 14 months old, comes in with a chief complaint of difficulty breathing. ", Cardiovascular / Pulmonary +4833," DDDR permanent pacemaker, insertion of a steroid-eluting screw in right atrial lead, insertion of a steroid-eluting screw in right ventricular apical lead, pulse generator insertion, model Sigma,", Cardiovascular / Pulmonary +4834," Chest x-ray on admission, no acute finding, no interval change. CT angiography, negative for pulmonary arterial embolism. Chronic obstructive pulmonary disease exacerbation improving, on steroids and bronchodilators.", Cardiovascular / Pulmonary +4835, A 63-year-old man with a dilated cardiomyopathy presents with a chief complaint of heart failure. He has noted shortness of breath with exertion and occasional shortness of breath at rest. , Cardiovascular / Pulmonary +4836, Direct laryngoscopy and bronchoscopy., Cardiovascular / Pulmonary +4837, The patient is a 61-year-old female who was treated with CyberKnife therapy to a right upper lobe stage IA non-small cell lung cancer. CyberKnife treatment was completed one month ago. She is now being seen for her first post-CyberKnife treatment visit., Cardiovascular / Pulmonary +4838, A 10 years of age carries a diagnosis of cystic fibrosis, Cardiovascular / Pulmonary +4839, CT of chest with contrast. Abnormal chest x-ray demonstrating a region of consolidation versus mass in the right upper lobe., Cardiovascular / Pulmonary +4840," Cerebrovascular accident (CVA) with right arm weakness and MRI indicating acute/subacute infarct involving the left posterior parietal lobe without mass effect. 2. Old coronary infarct, anterior aspect of the right external capsule. Acute bronchitis with reactive airway disease.", Cardiovascular / Pulmonary +4841, A 51-year-old male with chest pain and history of coronary artery disease., Cardiovascular / Pulmonary +4842," Chest pain, shortness of breath and cough, evaluate for pulmonary arterial embolism. CT angiography chest with contrast. Axial CT images of the chest were obtained for pulmonary embolism protocol utilizing 100 mL of Isovue-300.", Cardiovascular / Pulmonary +4843, Shortness of breath for two weeks and a history of pneumonia. CT angiography chest with contrast. Axial CT images of the chest were obtained for pulmonary embolism protocol utilizing 100 mL of Isovue-300., Cardiovascular / Pulmonary +4844, A 68-year-old white male with recently diagnosed adenocarcinoma by sputum cytology. An abnormal chest radiograph shows right middle lobe infiltrate and collapse. Patient needs staging CT of chest with contrast. , Cardiovascular / Pulmonary +4845, Coronary Artery CTA with Calcium Scoring and Cardiac Function, Cardiovascular / Pulmonary +4846, CCTA with Cardiac Function/Calcium Scoring, Cardiovascular / Pulmonary +4847, CT chest with contrast., Cardiovascular / Pulmonary +4848," 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.", Cardiovascular / Pulmonary +4849," Acute on chronic COPD exacerbation and community acquired pneumonia both resolving. However, she may need home O2 for a short period of time.", Cardiovascular / Pulmonary +4850, Common CT Chest template, Cardiovascular / Pulmonary +4851, A 62-year-old male with a history of ischemic cardiomyopathy and implanted defibrillator., Cardiovascular / Pulmonary +4852, Chronic obstructive pulmonary disease (COPD) exacerbation and acute bronchitis., Cardiovascular / Pulmonary +4853, 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., Cardiovascular / Pulmonary +4854," A 67-year-old male with COPD and history of bronchospasm, who presents with a 3-day history of increased cough, respiratory secretions, wheezings, and shortness of breath.", Cardiovascular / Pulmonary +4855, CCTA with cardiac function and calcium scoring., Cardiovascular / Pulmonary +4856, The patient admitted with palpitations and presyncope., Cardiovascular / Pulmonary +4857," Atrial fibrillation and shortness of breath. The patient is an 81-year-old gentleman with shortness of breath, progressively worsening, of recent onset. History of hypertension, no history of diabetes mellitus, ex-smoker, cholesterol status elevated, no history of established coronary artery disease, and family history positive.", Cardiovascular / Pulmonary +4858, Patient with past medical history significant for coronary artery disease status post bypass grafting surgery and history of a stroke with residual left sided hemiplegia., Cardiovascular / Pulmonary +4859," Congestive heart failure (CHF). The patient is a 75-year-old gentleman presented through the emergency room. Symptoms are of shortness of breath, fatigue, and tiredness. Main complaints are right-sided and abdominal pain. Initial blood test in the emergency room showed elevated BNP suggestive of congestive heart failure. ", Cardiovascular / Pulmonary +4860," A 10-1/2-year-old born with asplenia syndrome with a complex cyanotic congenital heart disease characterized by dextrocardia bilateral superior vena cava, complete atrioventricular septal defect, a total anomalous pulmonary venous return to the right-sided atrium, and double-outlet to the right ventricle with malposed great vessels, the aorta being anterior with a severe pulmonary stenosis. ", Cardiovascular / Pulmonary +4861," Coronary artery disease, prior bypass surgery. The patient has history of elevated PSA and BPH. He had a prior prostate biopsy and he recently had some procedure done, subsequently developed urinary tract infection, and presently on antibiotic. From cardiac standpoint, the patient denies any significant symptom except for fatigue and tiredness.", Cardiovascular / Pulmonary +4862," Left and right coronary system cineangiography. Left ventriculogram. PCI to the left circumflex with a 3.5 x 12 and a 3.5 x 8 mm Vision bare-metal stents postdilated with a 3.75-mm noncompliant balloon x2. +", Cardiovascular / Pulmonary +4863," Juxtaductal coarctation of the aorta, dilated cardiomyopathy, bicuspid aortic valve, patent foramen ovale.", Cardiovascular / Pulmonary +4864, Abnormal EKG and rapid heart rate. The patient came to the emergency room. Initially showed atrial fibrillation with rapid ventricular response. It appears that the patient has chronic atrial fibrillation. She denies any specific chest pain. Her main complaint is shortness of breath and symptoms as above., Cardiovascular / Pulmonary +4865," Left and right coronary system cineangiography, cineangiography of SVG to OM and LIMA to LAD. Left ventriculogram and aortogram. Percutaneous intervention of the left circumflex and obtuse marginal branch with plano balloon angioplasty unable to pass stent.", Cardiovascular / Pulmonary +4866," Left pleural effusion, parapneumonic, loculated. Left chest tube placement.", Cardiovascular / Pulmonary +4867, A routine return appointment for a 71-year-old woman with chronic atrial fibrillation. Chief complaint today is shortness of breath., Cardiovascular / Pulmonary +4868," Resection of left chest wall tumor, partial resection of left diaphragm, left lower lobe lung wedge resection, left chest wall reconstruction with Gore-Tex mesh.", Cardiovascular / Pulmonary +4869, Bilateral pleural effusion. Removal of bilateral #32 French chest tubes with closure of wound., Cardiovascular / Pulmonary +4870," Postcontrast CT chest pulmonary embolism protocol, 100 mL of Isovue-300 contrast is utilized.", Cardiovascular / Pulmonary +4871, A lady was admitted to the hospital with chest pain and respiratory insufficiency. She has chronic lung disease with bronchospastic angina., Cardiovascular / Pulmonary +4872, Chest tube insertion done by two physicians in ER - spontaneous pneumothorax secondary to barometric trauma., Cardiovascular / Pulmonary +4873, Chest PA & Lateral to evaluate shortness of breath and pneumothorax versus left-sided effusion., Cardiovascular / Pulmonary +4874, Patient with a family history of premature coronary artery disease came in for evaluation of recurrent chest pain, Cardiovascular / Pulmonary +4875, Patient with palpitations and rcent worsening of chronic chest discomfort., Cardiovascular / Pulmonary +4876, Delayed primary chest closure. Open chest status post modified stage 1 Norwood operation. The patient is a newborn with diagnosis of hypoplastic left heart syndrome who 48 hours prior to the current procedure has undergone a modified stage 1 Norwood operation., Cardiovascular / Pulmonary +4877, Right hemothorax. Insertion of a #32 French chest tube on the right hemithorax. This is a 54-year-old female with a newly diagnosed carcinoma of the cervix. The patient is to have an Infuse-A-Port insertion., Cardiovascular / Pulmonary +4878," Chest pain, possible syncopal spells. She has been having multiple cardiovascular complaints including chest pains, which feel like cramps and sometimes like a dull ache, which will last all day long.", Cardiovascular / Pulmonary +4879, Carotid Ultrasonic & Color Flow Imaging, Cardiovascular / Pulmonary +4880," Left carotid endarterectomy with endovascular patch angioplasty. Critical left carotid stenosis. The external carotid artery was occluded at its origin. When the endarterectomy was performed, the external carotid artery back-bled nicely. The internal carotid artery had good backflow bleeding noted.", Cardiovascular / Pulmonary +4881, Right subclavian triple lumen central line placement, Cardiovascular / Pulmonary +4882, Carotid and cerebral arteriogram - abnormal carotid duplex studies demonstrating occlusion of the left internal carotid artery., Cardiovascular / Pulmonary +4883, Insertion of central venous line and arterial line and transesophageal echocardiography probe., Cardiovascular / Pulmonary +4884, Central line insertion. Empyema thoracis and need for intravenous antibiotics., Cardiovascular / Pulmonary +4885," Right common carotid endarterectomy, internal carotid endarterectomy, external carotid endarterectomy, and Hemashield patch angioplasty of the right common, internal and external carotid arteries.", Cardiovascular / Pulmonary +4886, Right carotid stenosis and prior cerebrovascular accident. Right carotid endarterectomy with patch angioplasty., Cardiovascular / Pulmonary +4887, Direct-current cardioversion. This is a 53-year-old gentleman with history of paroxysmal atrial fibrillation for 3 years. Successful DC cardioversion of atrial fibrillation., Cardiovascular / Pulmonary +4888, Direct current cardioversion. Successful direct current cardioversion with restoration of sinus rhythm from atrial fibrillation with no immediate complication. , Cardiovascular / Pulmonary +4889," Cardiomyopathy and hypotension. A lady with dementia, coronary artery disease, prior bypass, reduced LV function, and recurrent admissions for diarrhea and hypotension several times.", Cardiovascular / Pulmonary +4890, Problem of essential hypertension. Symptoms that suggested intracranial pathology., Cardiovascular / Pulmonary +4891, Cardioversion. Unsuccessful direct current cardioversion with permanent atrial fibrillation., Cardiovascular / Pulmonary +4892," Male with a history of therapy-controlled hypertension, borderline diabetes, and obesity. Risk factors for coronary heart disease.", Cardiovascular / Pulmonary +4893, Cardiology office visit sample note., Cardiovascular / Pulmonary +4894, Congestive heart failure due to rapid atrial fibrillation and systolic dysfunction., Cardiovascular / Pulmonary +4895, Cardioversion. An 86-year-old woman with a history of aortic valve replacement in the past with paroxysmal atrial fibrillation , Cardiovascular / Pulmonary +4896," Patient with chest pains, CAD, and cardiomyopathy.", Cardiovascular / Pulmonary +4897, Follow up update on patient with left carotid angioplasty and stent placement., Cardiovascular / Pulmonary +4898," Need for cardiac catheterization. Coronary artery disease, chest pain, history of diabetes, history of hypertension, history of obesity, a 1.1 cm lesion in the medial aspect of the right parietal lobe, and deconditioning.", Cardiovascular / Pulmonary +4899," A 49-year-old man with respiratory distress, history of coronary artery disease with prior myocardial infarctions, and recently admitted with pneumonia and respiratory failure.", Cardiovascular / Pulmonary +4900, Cardiolite treadmill exercise stress test. The patient was exercised on the treadmill to maximum tolerance achieving after 5 minutes a peak heart rate of 137 beats per minute with a workload of 2.3 METS., Cardiovascular / Pulmonary +4901, Sample cardiology office visit note., Cardiovascular / Pulmonary +4902, Preoperative cardiac evaluation in the patient with chest pain in the setting of left hip fracture., Cardiovascular / Pulmonary +4903," Patient with atrial fibrillation with slow ventricular response, partially due to medications.", Cardiovascular / Pulmonary +4904," The patient has a previous history of aortic valve disease, status post aortic valve replacement, a previous history of paroxysmal atrial fibrillation, congestive heart failure, a previous history of transient ischemic attack with no residual neurologic deficits.", Cardiovascular / Pulmonary +4905," To evaluate recurrent episodes of uncomfortable feeling in arm at rest, as well as during exertion.", Cardiovascular / Pulmonary +4906," To evaluate exercise-induced chest pain, palpitations, dizzy spells, shortness of breath, and abnormal EKG.", Cardiovascular / Pulmonary +4907," Patient with right-sided chest pain, borderline elevated high blood pressure, history of hyperlipidemia, and obesity.", Cardiovascular / Pulmonary +4908," Patient with a history of atrial fibrillation in the past, more recently who has had atrial flutter. The patient has noted some lightheadedness as well as chest discomfort and shortness of breath when atrial flutter recurred.", Cardiovascular / Pulmonary +4909, Cardiac evaluation and treatment in a patient who came in the hospital with abdominal pain., Cardiovascular / Pulmonary +4910, Cardiac catheterization and coronary intervention report., Cardiovascular / Pulmonary +4911," A woman with history of coronary artery disease, has had coronary artery bypass grafting x2 and percutaneous coronary intervention with stenting x1. She also has a significant history of chronic renal insufficiency and severe COPD. ", Cardiovascular / Pulmonary +4912, Left heart cardiac catheterization., Cardiovascular / Pulmonary +4913," Right heart and left heart catheterization by way of right femoral artery, right femoral vein, and right internal jugular vein.", Cardiovascular / Pulmonary +4914," Left heart catheterization, left ventriculogram, selective coronary arteriography, aortic arch angiogram, right iliofemoral angiogram, #6 French Angio-Seal placement.", Cardiovascular / Pulmonary +4915, Percutaneous intervention with drug-eluting stent placement to the ostium of the PDA., Cardiovascular / Pulmonary +4916," Left heart catheterization with coronary angiography, vein graft angiography and left ventricular pressure measurement and angiography.", Cardiovascular / Pulmonary +4917, Cardiac catheterization. Coronary artery disease plus intimal calcification in the mid abdominal aorta without significant stenosis., Cardiovascular / Pulmonary +4918," Left Heart Catheterization. Chest pain, coronary artery disease, prior bypass surgery. Left coronary artery disease native. Patent vein graft with obtuse marginal vessel and also LIMA to LAD. Native right coronary artery is patent, mild disease.", Cardiovascular / Pulmonary +4919," Left heart catheterization, LV cineangiography, selective coronary angiography, and right heart catheterization with cardiac output by thermodilution technique with dual transducer.", Cardiovascular / Pulmonary +4920," Left Cardiac Catheterization, Left Ventriculography, Coronary Angiography and Stent Placement.", Cardiovascular / Pulmonary +4921, Left cardiac catheterization with selective right and left coronary angiography. Post infarct angina., Cardiovascular / Pulmonary +4922," Orthostatic cardiac allograft transplantation utilizing total cardiopulmonary bypass, open sternotomy covered with Ioban, insertion of Mahurkar catheter for hemofiltration via the left common femoral vein.", Cardiovascular / Pulmonary +4923," Cardiac Catheterization - An obese female with a family history of coronary disease and history of chest radiation for Hodgkin disease, presents with an acute myocardial infarction with elevated enzymes.", Cardiovascular / Pulmonary +4924, The patient with atypical type right arm discomfort and neck discomfort., Cardiovascular / Pulmonary +4925," White male with onset of chest pain, with history of on and off chest discomfort over the past several days.", Cardiovascular / Pulmonary +4926," Redo coronary bypass grafting x3, right and left internal mammary, left anterior descending, reverse autogenous saphenous vein graft to the obtuse marginal and posterior descending branch of the right coronary artery. Total cardiopulmonary bypass, cold-blood potassium cardioplegia, antegrade for myocardial protection. Placement of a right femoral intraaortic balloon pump.", Cardiovascular / Pulmonary +4927," He is a 67-year-old man who suffers from chronic anxiety and coronary artery disease and DJD. He has been having some chest pains, but overall he does not sound too concerning. He does note some more shortness of breath than usual. He has had no palpitations or lightheadedness. No problems with edema.", Cardiovascular / Pulmonary +4928," Coronary artery bypass grafting (CABG) x4. Progressive exertional angina, three-vessel coronary artery disease, left main disease, preserved left ventricular function.", Cardiovascular / Pulmonary +4929, Patient with significant angina with moderate anteroapical ischemia on nuclear perfusion stress imaging only. He has been referred for cardiac catheterization., Cardiovascular / Pulmonary +4930," Coronary artery bypass grafting (CABG) x2, left internal mammary artery to the left anterior descending and reverse saphenous vein graft to the circumflex, St. Jude proximal anastomosis used for vein graft. Off-pump Medtronic technique for left internal mammary artery, and a BIVAD technique for the circumflex.", Cardiovascular / Pulmonary +4931," Coronary artery bypass grafting times three utilizing the left internal mammary artery, left anterior descending and reversed autogenous saphenous vein graft to the posterior descending branch of the right coronary artery and obtuse marginal coronary artery, total cardiopulmonary bypass, cold blood potassium cardioplegia, antegrade and retrograde, for myocardial protection.", Cardiovascular / Pulmonary +4932," Coronary bypass graft x2 utilizing left internal mammary artery, the left anterior descending, reverse autogenous reverse autogenous saphenous vein graft to the obtuse marginal. Total cardiopulmonary bypass, cold-blood potassium cardioplegia, antegrade for myocardial protection.", Cardiovascular / Pulmonary +4933, Lumbar osteomyelitis and need for durable central intravenous access. Placement of left subclavian 4-French Broviac catheter., Cardiovascular / Pulmonary +4934, Flexible Bronchoscopy (pediatric), Cardiovascular / Pulmonary +4935," Bronchoscopy brushings, washings and biopsies. Patient with a bilateral infiltrates, immunocompromised host, and pneumonia.", Cardiovascular / Pulmonary +4936," Bronchoscopy with bronchoalveolar lavage. Refractory pneumonitis. A 69-year-old man status post trauma, slightly prolonged respiratory failure status post tracheostomy, requires another bronchoscopy for further evaluation of refractory pneumonitis.", Cardiovascular / Pulmonary +4937," Diagnostic bronchoscopy and limited left thoracotomy with partial pulmonary decortication and insertion of chest tubes x2. Bilateral bronchopneumonia and empyema of the chest, left.", Cardiovascular / Pulmonary +4938, Plastic piece foreign body in the right main stem bronchus. Rigid bronchoscopy with foreign body removal., Cardiovascular / Pulmonary +4939, Bronchoscopy for hypoxia and increasing pulmonary secretions, Cardiovascular / Pulmonary +4940, Diagnostic fiberoptic bronchoscopy., Cardiovascular / Pulmonary +4941," Rigid bronchoscopy, removal of foreign body, excision of granulation tissue tumor, bronchial dilation , Argon plasma coagulation, placement of a tracheal and bilateral bronchial stents.", Cardiovascular / Pulmonary +4942, Bronchoscopy with aspiration and left upper lobectomy. Carcinoma of the left upper lobe., Cardiovascular / Pulmonary +4943," Bronchoscopy with brush biopsies. Persistent pneumonia, right upper lobe of the lung, possible mass.", Cardiovascular / Pulmonary +4944, Bronchoscopy for persistent cough productive of sputum requiring repeated courses of oral antibiotics over the last six weeks in a patient who is a recipient of a bone marrow transplant with end-stage chemotherapy and radiation-induced pulmonary fibrosis., Cardiovascular / Pulmonary +4945," Fiberoptic bronchoscopy with endobronchial biopsies. A CT scan done of the chest there which demonstrated bilateral hilar adenopathy with extension to the subcarinal space as well as a large 6-cm right hilar mass, consistent with a primary lung carcinoma.", Cardiovascular / Pulmonary +4946," Implantation of biventricular automatic implantable cardioverter defibrillator, fluoroscopic guidance for lead implantation for biventricular automatic implantable cardioverter defibrillator, coronary sinus venogram for left ventricular lead placement, and defibrillation threshold testing x2.", Cardiovascular / Pulmonary +4947, Bronchoscopy. Atelectasis and mucous plugging., Cardiovascular / Pulmonary +4948, Evaluation of airway for possible bacterial infection performed using bronchoalveolar lavage., Cardiovascular / Pulmonary +4949," Bronchiolitis, respiratory syncytial virus positive; improved and stable. Innocent heart murmur, stable.", Cardiovascular / Pulmonary +4950, Fiberoptic bronchoscopy for diagnosis of right lung atelectasis and extensive mucus plugging in right main stem bronchus., Cardiovascular / Pulmonary +4951," Rigid bronchoscopy with dilation, excision of granulation tissue tumor, application of mitomycin-C, endobronchial ultrasound.", Cardiovascular / Pulmonary +4952, Bilateral carotid cerebral angiogram and right femoral-popliteal angiogram., Cardiovascular / Pulmonary +4953," Bronchoscopy, right upper lobe biopsies and right upper lobe bronchial washing as well as precarinal transbronchial needle aspiration.", Cardiovascular / Pulmonary +4954, 2-month-old female - increased work of breathing., Cardiovascular / Pulmonary +4955," The patient is a 5-1/2-year-old with Down syndrome, complex heart disease consisting of atrioventricular septal defect and tetralogy of Fallot with pulmonary atresia, discontinuous pulmonary arteries and bilateral superior vena cava with a left cava draining to the coronary sinus and a right aortic arch. ", Cardiovascular / Pulmonary +4956, A critically ill 67-year-old with multiple medical problems probably still showing signs of volume depletion with hypotension and atrial flutter with difficult to control rate., Cardiovascular / Pulmonary +4957," The patient is a very pleasant 62-year-old African American female with a history of hypertension, hypercholesterolemia, and CVA, referred for evaluation and management of atrial fibrillation.", Cardiovascular / Pulmonary +4958," Ash split venous port insertion. The right anterior chest and supraclavicular fossa area, neck, and left side of chest were prepped with Betadine and draped in a sterile fashion.", Cardiovascular / Pulmonary +4959, Carotid artery angiograms., Cardiovascular / Pulmonary +4960," Atrial fibrillation with rapid ventricular response, Wolff-Parkinson White Syndrome, recent aortic valve replacement with bioprosthetic Medtronic valve, and hyperlipidemia.", Cardiovascular / Pulmonary +4961," Aortogram with bilateral, segmental lower extremity run off. Left leg claudication. The patient presents with lower extremity claudication. ", Cardiovascular / Pulmonary +4962, Aortic valve replacement using a mechanical valve and two-vessel coronary artery bypass grafting procedure using saphenous vein graft to the first obtuse marginal artery and left radial artery graft to the left anterior descending artery., Cardiovascular / Pulmonary +4963," Aortoiliac occlusive disease. Aortobifemoral bypass. The aorta was of normal size and consistency consistent with arteriosclerosis. A 16x8 mm Gore-Tex graft was placed without difficulty. The femoral vessels were small somewhat thin and there was posterior packing, but satisfactory bypass was performed.", Cardiovascular / Pulmonary +4964, Dementia and aortoiliac occlusive disease bilaterally. Aortobifemoral bypass surgery utilizing a bifurcated Hemashield graft., Cardiovascular / Pulmonary +4965, A 74-year-old woman for Cardiology consultation regarding atrial fibrillation and anticoagulation after a fall. The patient denies any chest pain nor clear shortness of breath., Cardiovascular / Pulmonary +4966, Arterial imaging of bilateral lower extremities. , Cardiovascular / Pulmonary +4967," Left heart cath, selective coronary angiogram, right common femoral angiogram, and StarClose closure of right common femoral artery.", Cardiovascular / Pulmonary +4968," Selective coronary angiography of the right coronary artery, left main LAD, left circumflex artery, left ventricular catheterization, left ventricular angiography, angioplasty of totally occluded mid RCA, arthrectomy using 6-French catheter, stenting of the mid RCA, stenting of the proximal RCA, femoral angiography and Perclose hemostasis.", Cardiovascular / Pulmonary +4969," Left heart catheterization, bilateral selective coronary angiography, left ventriculography, and right heart catheterization. Positive nuclear stress test involving reversible ischemia of the lateral wall and the anterior wall consistent with left anterior descending artery lesion.", Cardiovascular / Pulmonary +4970," Lower extremity angiogram, superficial femoral artery laser atherectomy and percutaneous transluminal balloon angioplasty, external iliac artery angioplasty and stent placement, and completion angiogram.", Cardiovascular / Pulmonary +4971, A sample note on Angina., Cardiovascular / Pulmonary +4972, Adenosine with nuclear scan as the patient unable to walk on a treadmill. Nondiagnostic adenosine stress test. Normal nuclear myocardial perfusion scan., Cardiovascular / Pulmonary +4973, Patient presents with a chief complaint of chest pain admitted to Coronary Care Unit due to acute inferior myocardial infarction., Cardiovascular / Pulmonary +4974," Patient had a recurrent left arm pain after her stent, three days ago, and this persisted after two sublingual nitroglycerin.", Cardiovascular / Pulmonary +4975, Patient had a markedly abnormal stress test with severe chest pain after 5 minutes of exercise on the standard Bruce with horizontal ST depressions and moderate apical ischemia on stress imaging only., Cardiovascular / Pulmonary +4976," Abnormal echocardiogram findings and followup. Shortness of breath, congestive heart failure, and valvular insufficiency. The patient complains of shortness of breath, which is worsening. The patient underwent an echocardiogram, which shows severe mitral regurgitation and also large pleural effusion.", Cardiovascular / Pulmonary +4977," Gentleman with long-standing morbid obesity, resistant to nonsurgical methods of weight loss with BMI of 69.7", Bariatrics +4978, Preop evaluation regarding gastric bypass surgery., Bariatrics +4979, Patient scheduled for laparoscopic gastric bypass. , Bariatrics +4980, Evaluation for elective surgical weight loss via the gastric bypass as opposed to Lap-Band., Bariatrics +4981," The patient died of a pulmonary embolism, the underlying cause of which is currently undetermined.", Autopsy +4982, Evaluation for bariatric surgery., Bariatrics +4983, Autopsy - Homicide - evidence of exsanguination - multiple stab wounds., Autopsy +4984, Patient suffered from morbid obesity for many years and made multiple attempts at nonsurgical weight loss without success. , Bariatrics +4985, Patient presented to the Bariatric Surgery Service for consideration of laparoscopic Roux-en-Y gastric bypass. , Bariatrics +4986, Autopsy of a white female who died of acute combined drug intoxication., Autopsy +4987," Multiple sharp force injuries, involving chest and abdomen, multiple incised-stab wounds of the neck, and multiple incised or cutting wounds.", Autopsy +4988, Autopsy - Homicide - Blunt force cranial trauma, Autopsy +4989, Evaluation for elective surgical weight loss via the Lap-Band as opposed to gastric bypass., Bariatrics +4990, Cause of death - Anoxic Encephalopathy, Autopsy +4991, Autopsy - Asphyxia due to ligature strangulation., Autopsy +4992, Autopsy - Ligature strangulation and craniocerebral injuries., Autopsy +4993," Chronic glossitis, xerostomia, probable environmental inhalant allergies, probable food allergies, and history of asthma.", Allergy / Immunology +4994," Patient having severe sinusitis about two to three months ago with facial discomfort, nasal congestion, eye pain, and postnasal drip symptoms.", Allergy / Immunology +4995," This is a 14-month-old baby boy Caucasian who came in with presumptive diagnosis of Kawasaki with fever for more than 5 days and conjunctivitis, mild arthritis with edema, rash, resolving and with elevated neutrophils and thrombocytosis, elevated CRP and ESR. ", Allergy / Immunology +4996, A female for a complete physical and follow up on asthma with allergic rhinitis., Allergy / Immunology +4997, Mother states he has been wheezing and coughing., Allergy / Immunology +4998," Acute allergic reaction, etiology uncertain, however, suspicious for Keflex.", Allergy / Immunology