PATHOLOGY REPORT Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission and Surgery: 03/27/2014 Admitting Diagnosis: Ectopic pregnancy Surgeon: Rosemary Bumbak‚ MD‚ Obstetrics and Gynecology PATHOLOGY FINDINGS: Specimen number 03-S-965 SPECIMEN RECIEVE: 03/27/2014 SPECIMAN REPORTED: 03/30/2014 SURGICAL PROCEDURE: Left partial salpingectomy CLINICAL HISTORY: Patient has an ectopic pregnancy‚ as proven by pelvic ultrasound. TISSUE RECEIVED:
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PATHOLOGY REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 Date of Birth: 10/05/- - - - Age: 46 Sex: Male Pathology Report No.: 10-S-9044 Date of Admission and Surgery: 11/14/- - - - Admitting Physician: Bernard Kester‚ MD Preoperative Diagnosis: Acute appendicitis. Postoperative Diagnosis: Necrotizing acute appendicitis Specimen Received: Appendix other than incidental. Date Received: 11/14/- - - - Date Reported: 11/16/- - - - CLINICAL HISTORY: Acute Appendicitis
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axially artery treated last year at Hillcrest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. None the less‚ because of the cavitary lesions that are seen in the right and left upper lobes‚ the possibility of tuberculosis has been raised. Ancillary history was been given by the wife‚ Nupaul‚ with the patient translating for her from the Indie language. PAST HISTORY: Tuberculosis is the past. Embolectomy at Hillcrest last year. SOCIAL HISTORY: Married
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HISTORY AND PHYSICAL EXAMINATION Good morning this is Alex McClure‚ MD dictating PATIENT NAME: Brenda c. Seggerman PATIENT ID: 903321 Date of Admission: 3/27/2012 EMERGENCY ROOM Physical: Alex McClure. MD Admitting diagnosis: Egtopic pregnancy Chief Complain: The patient presents in the emergency 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
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RADIOLOGY REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/ Age: 46 Sex: M CT Scan No: 10-790031 Ordering Physician: Alex McClure‚ MD Procedure: CT scan of abdomen and pelvis without contrast. Date of Procedure: 11/14/2012 HISTORY: RLQ pain‚ no previous studies. ABDOMEN: The lung basis appeared unremarkable. The liver‚ spleen‚ gallbladder‚ adrenals‚ kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened
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multiple other surgical procedures as follows. A: She had bilateral foot surgery In the remote past. B: She had left hip surgery a year ago. C: She had right foot surgery in the remote past. D: She had left foot surgery in the remote past at Hillcrest by Dr. Smith‚ myself. E: She had right hip surgery 28 years ago. F: She had left hip surgery 26 years ago. G: 17 years ago she had a stage 2 left hip procedure completed 15 years ago. H: She had left hip revision 12 years ago. I: Nine years
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HISTORY AND PHYSICAL EXAMINATION or EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Brenda C. Seggerman Patient ID: 903321 DOB: Age: 35 Sex: F Room No.: Date of Admission/Date of Arrival: 3/27---- Admitting /Attending Physician: Alex McClure M.D. Admitting Diagnosis: Ectopic Pregnancy Chief Complaint: The patient presents in the emergency room this morning‚ complaining of lower abdominal pain. History of Present Illness: The patient states that she has been having
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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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1.0 The definition and explanation of ethical principles in the pathology laboratory Ethics is defined by moral philosophy and study of what is right‚ fair‚ just and good: about what should be done‚ not just what is most acceptable or expedient (ref). The four principles of ethics are autonomy‚ non-maleficence‚ beneficence and justice. In this report the ethical principle of non-maleficence‚ where the health care practices and obligations are to do no willful harm‚ execute no negligence or malpractice
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OPERATIVE REPORT Patient Name: Olivia Carpenter DOB: 01/15 Sex: F Age: 40 Patient ID: 110901 Admitting Physician: Dr. Leon Medina‚ MD Internal Medicine Date of Admission: 11/12/13 Date of Procedure: 11/13/13 Surgeon: Dr. Bernard Kester Assistant: Jason Wagner PA-C Preoperative Diagnosis: 1) History of breast intertriginous skin irritations. 2) Abdominal wall contour irregularities. Postoperative Diagnosis: same. Operative procedures: 1) Bilateral Reduction mammoplasty
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