EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Brenda C. Seegerman Patient ID:903321 Date of Admission 3/27/2012 Emergency Room Physician: Alex McClure‚ MD Admitting Diagnosis: Eptopic Pregnancy CHIEF COMPLAINT: The patient presents to the emergency room this morning complaining of lower abdominal pain. HISTORY OF PRESENT ILLNESS: The patient states that she has been having vaginal bleeding‚ more like spotting‚ over the past month. She denies the chance of pregnancy‚ although
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OPERATIVE REPORT Patient: T.J. Moreno Patient ID: 110497 DOB: 02/15 Age: 44 Sex: M Date of Admission: 10/09/2013 Date of Procedure: 10/09/2013 Admitting Physician: Patrick Keathley‚ MD Endocrinology Surgeon : Dr. Max Hirsch‚ MD Orthopedics Assistant: Markus Leroy Johnson PAC (Surgical assistant was used for soft tissue protection and retraction and also for maintaining reduction during temporary and permanent fixation use of surgical assistant was medically necessary‚ and
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OPERATIVE REPORT Patient Name: Brenda C. Seggerman Patient ID: 903321 DOB: Age: 35 Sex: F Date of Admission: 03/27/xxxx Date of Procedure: 03/27/xxxx Admitting Physician: Surgeon: Rosemary Bumbak‚ M.D.‚ OBGYN Assistant: Michael Gerard‚ DO Preoperative Diagnosis: Left tubal ectopic pregnancy Postoperative Diagnosis: 1) Ruptured left tubal ectopic pregnancy 2) Hemoperitoneum 3) Pelvic adhesions Operative Procedure: The patient was prepped and draped in the usual manner and placed under
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OPERATIVE REPORT Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/---- Date of Surgery: 03/27/---- Surgeon: Rosemary Bumbak‚ MD Assistant: Michael Gerard‚ DO Anesthesia: General endotracheal by Dr. Carl Erickson Avalon‚ MD Estimated Blood Loss: Approximately 1‚000mL requiring transfusion up to 2 units of type O blood Specimen Removed: Portion of the left fallopian tube containing the ectopic pregnancy. Preoperative Diagnosis: Left tubal
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OPERATIVE REPORT Patient Name: Putul Barua Patient ID: 135799 Room: CCU4 Date of Surgery: 01/08/2013 Admitting Physician: Dr. Simon Williams‚ MD Pulmonology Surgeon: Dr. Simon Williams‚ MD Pulmonology Preoperative Diagnosis: Recent onset hemoptysis‚ history of tuberculosis. Postoperative Diagnosis: No tuberculosis lesions seen. Operative Procedure: Bronchoscopy. Specimens Removed: Blood clots. Indications: Patient requires bronchoscopy because of recent onset hemoptysis and a
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OPERATIVE REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/5 Age: 46 Sex: M Date of Admission: 11/15 Date of Procedure: 11/15 Admitting Physician: Bernard Caster‚ MD Surgeon: Bernard Caster‚ MD Assistant: Jason Wagner‚ PAC Circulating Nurse: Jimmy Dale Jet‚ RN Preoperative Diagnosis: Acute Appendicitis Postoperative Diagnosis: Perforated Appendicitis Operative Procedure: Laparoscopic Appendectomy Placement of right lower quadrant drain Anesthesia:
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OPERATIVE REPORT Hospital No.: 11259 Date of Surgery: 09-26-2014 Admitting Physician: Sherman Loyd‚ MD Surgeon: Carol Dodd‚ MD Preoperative Diagnosis: Right intertrochanteric femoral fracture. Postoperative Diagnosis: Right intertrochanteric femoral fracture. Operative Procedure: Open reduction internal fixation of right intertrochanteric femoral fracture with DePuy sliding screw. Anesthesia: General endotracheal. Indications: The patient is a 69-year-old
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OPERATIVE REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/65 AGE:46 SEX: M Date of Admission: 11/14/2012 Date of Procedure: 11/14/2012 Admitting Physician: Bernard Kester‚ MD Surgeon: Bernard Kester‚ MD Assistant: Jason Wagner‚ PAC Circulating Nurse: Jimmy Dale Jett‚ RN Preoperative Diagnosis: Acute Appendicitis Postoperative Diagnosis: Perforated Appendicitis
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OPERATIVE REPORT Patient Name: Gerald Edwards Hospital No.: 11058 Date of Surgery: 07/17/2010 Admitting Physician: Catherine Baker‚ MD Surgeon: Gary Sheldon‚ DPM Date: 07/17/2010 Preoperative Diagnosis: Diabetic plantar space abscess of the right foot‚ and grade 2 diabetic ulceration of the right foot. Postoperative Diagnosis: Diabetic plantar space abscess of the right foot‚ and grade 2 diabetic ulceration of the right foot. Operative Procedure: Complicated incision and drainage of the
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OPERATIVE REPORT PREOPERATIVE DIAGNOSIS 1. Left palmar mass. POSTOPERATIVE DIAGNOSIS 1. Left ring finger tendon sheath ganglion. PROCEDURE 1. Excision of left ring finger ganglion cyst. ANESTHESIA Local. ESTIMATED BLOOD LOSS 2cc. TOURNIQUET TIME 4 minutes. COMPLICATIONS None. INDICATIONS This is a 42 year old right hand dominant female who recently presented complaining of the presence of a left palmar mass. Patient states the mass has been present for several months
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