,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