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: 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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HISTORY AND PHYSICAL EXAM Patient: T.J. Moreno Patient ID: 110497 DOB: 02/15 Age: 44 Sex: M Room No.: 502 Date of Admission: 10/09/2013 Admitting Physician: Patrick Keathley‚ MD Endocrinology Chief Complaint: Left ankle pain. DETAILS OF PRESENT ILLNESS: This is a 44 year old Hispanic male who I was kindly asked to admit by Dr. Max Hirsch. The patient is status post arthrodesis of the left ankle and has newly diagnosed diabetes and hypertension. PAST MEDICAL HISTORY: Pre-op
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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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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 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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OPERATIVE REPORT Patient Name: Patul Barua Patient ID.: 135799 Room No.: CCU 4 Date of Surgery: 01/08/---- Admitting Physician: Simon Williams‚ MD‚ Pulmonology Surgeon: Simon Williams‚ MD Preoperative Diagnosis: Recent onset hemoptysis‚ history of tuberculosis. Postoperative Diagnoses: No tuberculosis lesions seen. Surgical Procedures: Bronchoscopy. Specimen Removed: Blood clots. INDICATIONS: Mr. Barua requires bronchoscopy because of recent onset
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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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