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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DISCHARGE SUMMARY____________________________________ Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/---Date of Discharge: 03/30/---Admitting Diagnosis: Ectopic pregnancy. Surgical Procedures 1. Exploratory laparotomy. 2. Partial salpingectomy. 3. Evacuation of hemoperitoneum. 4. Lysis of adhesions. Complications: Blood loss requiring transfusion x2. HISTORY: This 35-year-old white female‚ gravida 3‚ para 1-0-2-1‚ had her last menstrual period in early January. Prior
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DISCHARGE SUMMARY Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/5/---- Age: 46 Sex: M Date of Admission: 11/14/ Date of Discharge: 11/17/ Admitting Physician: Bernard Kester‚ MD Discharge Diagnosis: acute superative appendicitis perforated Surgical Procedures: Laparoscopic appendectomy with placement of RLQ drain on 14 November. Complications: none. DIAGNOSTIC LAB/IMAGING: Lab results at time of admission showed a WBC count of 13. CT scan done in the ED revealed
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DISCHARGE SUMMARY Patient Name: ENGELHART‚ Benjamin Patient ID: 112592 DOB: 10/5/1967 Age: 46 Sex: Male Date of Admission: 11/14/2012 Date of Discharge: 11/17/2012 Admitting Physician: Bernard Kester‚ MD‚ General Surgery Procedures Performed: Laparoscopic appendectomy‚ with placemat of right lower quadrant drain 11/14/2012 Complications: None Discharge Diagnosis: Acute suppurative appendicitis‚ perforated. DIAGNOSTIC LAB/IMAGING: Lab results
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DISCHARGE SUMMARY Patient Name: Adela Torres Patient ID: 132463 DOB: Age: 57 Sex: Female Date of Admission: 6/22/---- Date of Discharge: 6/25/---- Admitting Physician: Liam Medina‚ MD Consultations: Sachi Kto‚ MD‚ Dermatology Procedures Performed: Intravenis Hydration Complications: None Discharge Diagnosis: 1. Methotrexate related dermatitis. 2. Rheumatoid arthritis class 3 stage 4 3. Osteoporosis
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Hillcrest Medical Centre DISCHARGE SUMMARY Patient Name: Brenda C. Seggerman Hospital No: 903321 Date of Admission: 03/27/2014 Date of Discharge: 03/30/2014 Admitting Diagnosis: Ectopic pregnancy Surgical Procedures: Exploratory laparotomy‚ Partial salpingectomy‚ evacuation of hemoperitoneum‚ lysis of adhesions. Complications: blood loss requiring transfusion x2. History: This 35 year old white female‚ gravida 3‚ para 1-0-2-1. Had her last menstrual period in early January‚ prior menstrual
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HISTORY AND PHYSICAL EXAMINATION or EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Putul Barua Patient ID: 135799 DOB: 1970 Age: 42 Sex: Male Room No.: CCU 4 Date of Admission/Date of Arrival: 01/07/2012 Admitting/Attending Physician: Simon Williams‚ MD Admitting Diagnosis: 1. Rule out myocardial infarction. 2. History of TB 3. Hemoptysis. 4. Status post embolectomy. Chief Complaint: Tightness in the chest‚ shortness of breath‚ fast heart rate. HISTORY OF
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ER ADMMISION‚ HISTORY AND PHYSICAL EXAMINATION Admitting/ Attending Physician: Alex McClure M.D. Patient name: Benjamin Engel Hart Patient ID: 112592 DOB: 10/5 Age: 46 Sex: Male Date of admission: 11/14/---- Emergency room physician: Alex McClure M.D. Admitting diagnosis: Acute appendicitis. History of present illness: This 46 year old gentlemen with past medical history significant only for the generative disease of bi-lateral hips‚ secondary arthritis presents
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DISCHARGE SUMMARY Patient Name: Adela Torres Patient ID: 132463 Date Admitted: 06/22/2013 Date Discharged: 06/25/2013 Admitting Physician: Leon Medina‚ MD‚ Internal Medicine Consultations: Sachi Kato‚ MD‚ Dermatology Procedures: Intravenous hydration. Complications: None. Admitting Diagnosis: Stomatitis‚ possibly methotrexate related. HOSPITAL COURSE: This 57-year-old Cuban female was admitted from my office for treatment of severe stomatitis and mild volume
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DISCHARGE SUMMARY Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/1967 Age: 46 Sex: M Date of Admission: 11/14/2013 Date of Discharge: 11/17/2013 Admitting Physician: Bernard Kester‚ MD General Surgery Consultations: Procedures Performed: Laparoscopic Appendectomy with placement of RLQ drain 11/14/2013 Complications: None Discharge Diagnosis: Acute Superative Appendicitis; perforated Diagnostic Lab/Imaging: Lab results at the time of admission showed
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