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int64
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923
Patient has trouble with walking and balance, with bladder control, and with thinking and memory.
5
8,366
The case 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.
13
9,198
Consultation for wrist pain.
4
10,603
Pain management for post-laminectomy low back syndrome and radiculopathy.
4
4,638
Right argon laser assisted stapedectomy. Bilateral conductive hearing losses with right stapedial fixation secondary to otosclerosis.
11
3,173
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.
11
7,195
Comprehensive Mental Status Evaluation for the purpose of assisting in the determination of eligibility for Disability
32
10,680
Dietary consultation for gestational diabetes.
9
1,383
Vitrectomy under general anesthesia
38
11,182
Status post brain tumor removal. The client 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.
30
10,564
Global aphasia. The client is referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy, status post stroke.
37
10,973
Acute allergic reaction, etiology uncertain, however, suspicious for Keflex.
0
6,477
Evaluation for chronic ache program
4
9,441
Lung, wedge biopsy right lower lobe and resection right upper lobe. Lymph node, biopsy level 2 and 4 and biopsy level 7 subcarinal. PET scan demonstrated a mass in the right upper lobe and also a mass in the right lower lobe, which were also identified by CT scan.
19
1,628
MRI Head W&WO Contrast.
33
2,653
Tracheostomy with skin flaps and SCOOP procedure FastTract. Oxygen dependency of approximately 5 liters nasal cannula at home and chronic obstructive pulmonary disease.
38
191
Left arm fistulogram. Percutaneous transluminal angioplasty of the proximal and distal cephalic vein. Ultrasound-guided access of left upper arm brachiocephalic fistula.
3
11,601
Hospice visit for 77-year-old gentleman with advanced colon cancer.
17
775
Patient with left renal cell carcinoma, left renal cyst, had robotic-Assisted laparoscopic left renal cyst decortication and cystoscopy.
21
5,846
Left thoracoscopy and left thoracotomy with declaudication and drainage of lung abscesses, and multiple biopsies of pleura and lung.
11
8,778
Dietary consultation for gestational diabetes.
9
8,343
The client was referred for outpatient skilled speech therapy, secondary to right hemisphere disorder, status post stroke. The client attended nine outpatient skilled speech therapy sessions.
37
767
Consultation for ICU management for a patient with possible portal vein and superior mesenteric vein thrombus leading to mesenteric ischemia.
12
8,913
Extraction of teeth. Incision and drainage (I&D) of left mandibular vestibular abscess adjacent to teeth #18 and #19.
7
7,821
Acne from continually washing area, frequent phone use so the receiver rubs on face and oral contraceptive use - Acne Vulgaris
8
2,046
Psychiatric Consultation of patient with major depression disorder.
5
11,135
Hospice care for a 41-year-old man with the AIDS complicated with recent cryptococcal infection, disseminated MAC and Kaposi's sarcoma.
17
7,861
Occupational medicine consult with questions-answers.
18
7,165
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.
18
12,565
A 23-year-old white female presents with complaint of allergies.
0
7,213
The client died of a pulmonary embolism, the underlying cause of which is currently undetermined.
1
11,424
The client is status post C3-C4 anterior cervical discectomy and fusion.
30
244
Patient with episode of lightheadedness and suddenly experienced vertigo.
5
693
Follow up consultation, second opinion, foreskin.
39
887
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.
3
4,828
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 clinical therapy, possible adenomyosis, left hydrosalpinx, and suspicion for endometriosis.
24
8,839
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.
13
3,066
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.
23
8,462
Removal of cystic lesion, removal of teeth, modified Le Fort I osteotomy.
7
7,024
Sample/template for a normal male multisystem exam.
25
4,407
Magnified Airway Study - An 11-month-old female with episodes of difficulty in breathing, cough.
33
11,205
Global aphasia. The case is referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy, status post stroke.
37
5,290
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.
28
11,110
Patient presents for care of suspected rheumatoid arthritis.
34
10,083
Patient presented with significant muscle tremor, constant headaches, excessive nervousness, poor concentration, and poor ability to focus.
18
11,516
The case was referred for outpatient skilled speech therapy, secondary to right hemisphere disorder, status post stroke. The case attended nine outpatient skilled speech therapy sessions.
37
8,801
Patient presented with significant muscle tremor, constant headaches, excessive nervousness, poor concentration, and poor ability to focus.
18
4,449
Bilateral renal ultrasound.
21
6,756
1+ year, black female for initial evaluation of a lifelong history of atopic eczema.
8
6,831
The client is a 26-year-old female, referred to Physical Therapy for low back pain. The client has a history of traumatic injury to low back.
30
8,159
Extraction of teeth #2 and #19 and incision and drainage (I&D) of intraoral and extraoral of left mandibular dental abscess.
7
9,435
Autopsy - Homicide - evidence of exsanguination - multiple stab wounds.
1
2,459
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.
23
8,852
History of numbness in both big toes and up the lateral aspect of both calves. She dose complain of longstanding low back pain, but no ache that radiates from her back into her legs. She has had no associated weakness.
30
1,098
Gentleman with long-standing morbid obesity, resistant to nonsurgical methods of weight loss with BMI of 69.7
5
5,222
Adenotonsillectomy. Adenotonsillitis with hypertrophy. The case is a very nice case with adenotonsillitis with hypertrophy and obstructive symptoms. Adenotonsillectomy is indicated.
11
1
Bronchoscopy with brush biopsies. Persistent pneumonia, right upper lobe of the lung, possible mass.
3
4,431
Newly diagnosed head and neck cancer. The case was recently diagnosed with squamous cell carcinoma of the base of the tongue bilaterally and down extension into the right tonsillar fossa.
16
309
Frontal craniotomy for placement of deep brain stimulator electrode. Microelectrode recording of deep brain structures. Intraoperative programming and assessment of device.
38
11,301
Occupational medicine consult with questions-answers and records review.
18
5,731
Right hand laceration x3, repaired.
25
3,018
Patient running to catch a taxi and stumbled, fell and struck his face on the sidewalk.
15
8,880
Ankle sprain, left ankle. The case tripped over her dog toy and fell with her left foot inverted. The case states that she received a series of x-rays and MRIs that were unremarkable. After approximately 1 month, the case continued to have significant debilitating ache in her left ankle. She then received a walking boot and has been in the boot for the past month.
30
2,078
Management of end-stage renal disease (ESRD), the patient on chronic hemodialysis, being admitted for chest pain.
5
7,532
Acute allergic reaction, etiology uncertain, however, suspicious for Keflex.
0
5,179
Left flank pain, ureteral stone.
39
2,766
Debulking of hemangioma of the nasal tip through an open rhinoplasty approach and rhinoplasty.
6
10,190
Sleep study - client with symptoms of obstructive sleep apnea with snoring.
36
5,876
Disseminated intravascular coagulation and Streptococcal pneumonia with sepsis. Patient presented with symptoms of pneumonia and developed rapid sepsis and respiratory failure requiring intubation.
16
27
Bilateral Myringotomy with placement of PE tubes
11
12,313
Patient presents for care of suspected rheumatoid arthritis.
34
9,382
Global aphasia. The case is referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy, status post stroke.
37
3,013
Revision and in situ pinning of the right hip.
38
6,629
Excisional biopsy of right cervical lymph node.
16
1,159
Fever, otitis media, and possible sepsis.
29
8,352
A lady with symptoms consistent with possible oligoarticular arthritis of her knees.
34
871
General Medicine SOAP note. Patient with shoulder bursitis, pharyngitis, attention deficit disorder,
15
515
Hairline biplanar temporal browlift, quadrilateral blepharoplasty, canthopexy, cervical facial rhytidectomy with purse-string SMAS elevation with submental lipectomy.
26
8,083
Full mouth dental rehabilitation in the operating room under general anesthesia.
7
1,597
MRI L-Spine - Bilateral lower extremity numbness
27
744
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.
38
7,711
Chiropractic Evaluation - Patient with ankle, cervical, and thoracic sprain/strain.
4
4,296
The case 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.
35
4,598
Problems with seizures, hemiparesis, has been to the hospital, developed C-diff, and is in the nursing home currently.
22
2,887
Application of PMT large halo crown and vest. Cervical spondylosis, status post complex anterior cervical discectomy, corpectomy, decompression and fusion.
23
8,792
Is it BNP or BMP?
19
11,582
The client died of a pulmonary embolism, the underlying cause of which is currently undetermined.
1
3,212
Acute appendicitis, gangrenous. Appendectomy.
14
7,980
Nipple areolar reconstruction utilizing a full-thickness skin graft and mastopexy
6
11,626
Dietary consultation for gestational diabetes.
9
7,620
Care conference with family at the bedside and decision to change posture of care from aggressive full code status to terminal wean with comfort care measures in a client with code last night with CPR and advanced cardiac life support.
17
10,149
Specimen labeled "sesamoid bone left foot".
19
5,570
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.
16
7,675
Followup dietary consultation for hyperlipidemia, hypertension, and possible metabolic syndrome
9
11,743
Autopsy of a white female who died of acute combined drug intoxication.
1
12,383
The client was referred for an outpatient speech and language pathology consult to increase speech and swallowing abilities. The client is currently NPO with G-tube to meet all of his hydration and nutritional needs. A trial of Passy-Muir valve was completed to allow the client to achieve hands-free voicing.
37
5,774
The client was referred after he was hospitalized for what eventually was diagnosed as a conversion disorder.
32
3,352
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.
21
9,534
Patient having severe sinusitis about two to three months ago with facial discomfort, nasal congestion, eye pain, and postnasal drip symptoms.
0
2,910
Incision and drainage of left neck abscess.
38