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There is no adenopathy.

There are no large or swollen lymph nodes.

No swollen lymph nodes.

The visualized portions of the liver, spleen, adrenal glands, and pancreas appear normal given the lack of contrast.

The visualized portions of the liver, spleen, adrenal glands, and pancreas appear normal given the lack of a special substance used for better organ visualization.

The liver, spleen, adrenal glands, and pancreas look normal, but they didn't use any special dye.

['digestion_organs']

The patient is unable to elaborate on which "certain position" causes her the most discomfort.

The patient is unable to elaborate on which "certain position" causes her the most discomfort.

She did not know which position caused the most discomfort.

ABDOMEN: Soft, nontender, and nondistended.

ABDOMEN: Soft, non-tender, and not swollen or large.

The belly feels soft and doesn't hurt or look swollen.

1. Status post right total knee replacement secondary to degenerative joint disease performed on 08/21/2007.

1. Condition after right total knee replacement because of degenerative joint disease performed on 08/21/2007.

The patient had surgery to replace her right knee because of arthritis.

The adrenal glands, pancreas, spleen, and left kidney are normal.

The adrenal glands, pancreas, spleen, and left kidney are normal.

The adrenal glands, pancreas, spleen, and left kidney are all normal.

TECHNIQUE: Noncontrast CT abdomen and pelvis.

TECHNIQUE: CT abdomen and pelvis without a special substance used for better organ visualization.

HOW IT'S DONE: X-ray of the belly and lower pelvis without using any special dye.

EKG, CXR and UA were negative.

Heart test (Electrocardiogram), chest X-ray, and urine test were negative.

Tests for heart function, chest X-ray, and urine were normal.

Care was taken to spare overlying nerves and vessels.

Care was taken to save overlying nerves and vessels.

Care was taken to avoid damaging nearby nerves and blood vessels.

No chest pain.

No chest pain.

CHEST: No pain in her chest.

There was incompletely visualized probable simple left renal cyst, exophytic at the lower pole.

There was an incompletely visualized probable fluid-filled cyst, located in the lower part of the left kidney.

Maybe a fluid-filled sac on the left kidney.

PROCEDURE PERFORMED: Open reduction and internal fixation of left lateral malleolus.

WHAT WAS DONE: Pieces of the broken ankle bone were put into place using surgery by special devices (such as metal plates, pins, rods, wires, or screws).

The procedure performed was an operation to realign and fix the broken bone on the left side of the ankle.

No complications were noted.

No complications were noted.

No complications were observed.

The temporal artery was identified and was grossly normal on both sides.

The temporal artery was found and was largely normal on both sides.

The temporal artery was found and looked normal on both sides.

An interfragmentary cortical screw was placed of 28 mm with excellent purchase.

Fractured fragments were opposed and compressed with special screws of a size of 28 millimeters with excellent purchase.

A screw was inserted to hold the bone fragments together.

2. Left atrium and right-sided chambers were of normal size and dimensions.

2. The left heart chamber that receives blood into the heart was normal size and dimensions. Right-sided chambers (one that receives blood into the heart and another that pumps blood to the arteries) were of normal size and dimensions too.

The left atrium (another heart chamber) and the right-sided chambers are of normal size.

LYMPHATIC: No adenopathy.

LYMPHATIC: No large or swollen lymph glands.

Lymph nodes: No swollen lymph nodes.

HX: This 27y/o RHF experienced sudden onset word finding difficulty and slurred speech on the evening of 2/19/96.

History: This 27-year-old patient with very weak heart's right ventricle to pump enough blood to the lungs. 2) She experienced sudden onset word finding difficulty and having trouble speaking, on the evening of 2/19/96.

This 27-year-old woman suddenly had trouble finding words and slurred speech on the evening of February 19, 1996.

The patient will also take Coumadin and the dose will be adjusted according to the INRs, which will be obtained every Monday and Thursday with results being sent to Dr. A and his fax number is 831-5926.

The patient will also take Coumadin (blood thinner) and the dose will be adjusted according to the the test result of blood cloth forming time, which will be obtained every Monday and Thursday with results being sent to Dr. A and his fax number is 831-5926.

The patient will also take Coumadin, which will be adjusted according to regular blood tests.

The leaflets of the pulley were easily identified.

The leaflets of the pulley were easily identified.

The parts of the pulley were easily seen.

REVIEW OF SYSTEMS: The system review was only positive for molar pain, but the rest of the 13 reviews of systems were negative to date.

REVIEW OF SYSTEMS: The system review was only positive for molar (grinding tooth with a broad crown) pain, but rest of the 13 review of systems were negative to date.

Review of symptoms: Apart from the molar pain, there are no other health issues reported so far.

Excellent stability of fracture was achieved.

Excellent stability of fracture was achieved.

The fracture was now stable and in the correct position.

The toes are downgoing bilaterally.

The toes are downgoing on both sides.

The toes move downward normally on both sides.

They were sent as separate specimens, right and left labeled.

They were sent as separate pieces, right and left labeled.

The samples were labeled and sent separately for analysis.

This can be correlated with a followup ultrasound if necessary.

This can be correlated with a follow-up ultrasound test if necessary.

A follow-up ultrasound can check this if needed.

3. Dental cavities.

3. Dental cavities.

Dental cavities.

EXAM: Appears healthy and in no acute distress.

EXAM: Appears healthy and no abnormality detected.

EXAM: The patient looks healthy and isn't showing any signs of distress.

3. Atrial fibrillation.

3. Abnormal heartbeat.

Atrial fibrillation (heart rhythm problem).

An Esmarch tourniquet was used to exsanguinate the ankle.

An Esmarch tourniquet was used to drain blood in the ankle.

Another tourniquet was used to remove blood from the ankle.

['esmarch_tourniquet']

FINDINGS: Three views of the right ankle are obtained.

FINDINGS: We got three views of the right ankle.

RESULTS: Three pictures of the right ankle were taken.

The scope was then slowly removed.

The tube was then slowly removed.

The tube was slowly taken out.

The duodenum was visualized well into its second portion and was free of stricture, neoplasm, or ulceration.

The first part of the small intestine was visualized well into its second part and was free of abnormal narrowing, abnormal growth of tissue, or open wounds.

The doctor could see the second part of the duodenum clearly and did not find any narrowing, abnormal growths, or ulcers.

ANESTHESIA: General LMA.

ANESTHESIA: General with a rescue device for airway maintenance during anesthesia.

ANESTHESIA: General LMA.

INTERPRETATION: The procedure and its complications were explained to the patient in detail and formal consent was obtained.

EXPLANATION: The procedure and its complications were explained to the patient in detail and formal consent was obtained.

INTERPRETATION: The patient was given detailed information about the procedure and its potential complications, and they gave formal permission for the test.

Chest x-ray was unremarkable.

Chest x-ray was normal.

The chest X-ray didn't reveal any problems.

The wound was dressed with Xeroform, dry sterile dressings, hand dressing, Kerlix, and Coban.

The wound was covered with Xeroform (a sterile wound dressing that won't stick to the wound), dry sterile dressings, hand dressing, Kerlix (to protect wound areas), and Coban (an elastic wrap to secure dressings).

The wound was covered with special dressings and wraps.

The patient is also diabetic.

The patient is also diabetic.

Additional Information: The patient has diabetes.

There are surgical clips present.

There are surgical clips present.

Surgical clips from a previous surgery are still there.

The pulses are full and symmetrical bilaterally.

The pulses are full and symmetrical on both sides.

The pulses in both sides of the body are strong and equal.

There is no evidence of fractures or dislocations.

There is no evidence of break or {<separations of two bones where they meet at a joint>, <bones in one of your joints being pushed out of their usual place>}.

There are no signs of broken bones or joint dislocation.

The guidewire and PEG tube were then pulled through the mouth and esophagus and snug to the abdominal wall.

The wire and feeding tube were then pulled back through the mouth and swallowing pipe and put outside fixing it internally against the abdominal wall.

They pulled the wire and tube out through the mouth and throat and secured it against the belly.

Tourniquet was raised to 200 torr.

The tourniquet's pressure was raised to 200 torr (200 millimeters of mercury).

A tourniquet was applied and tightened to a pressure of 200 torr.

Proximal and distal were ligated with both of 3-0 silk suture and Hem-o-Lok.

The artery was tied up on both sides with both 3-0 silk suture and Hem-o-Lok (nonabsorbable polymer locking clips) <figure_silk_suture, figure_hem-o-lok>. It was done for both the left and right arteries.

The upper and lower parts of the artery were tied off using sutures and clips.

['silk_suture', 'hem']

The uterus appears unremarkable.

The uterus appears normal.

The uterus looks normal.

No papilledema or hemorrhages seen on fundoscopy.

No swelling of optic discs in the eyes or blood is seen on fundoscopy.

There are no signs of bleeding or swelling on the retina.

['fundoscopy']

No organomegaly.

No abnormal enlargement of organs.

None of the organs in the belly are bigger than they should be.

HOSPITAL COURSE: As mentioned above, the patient was admitted on 08/24/2007 to the Transitional Care Unit at XYZ Services for evaluation and rehabilitation.

HOSPITAL COURSE: As mentioned above, the patient was admitted on 08/24/2007 to the Transitional Care Unit at XYZ Services for evaluation and rehabilitation.

The patient was admitted to the hospital on August 24, 2007, for evaluation and rehabilitation.

However, a HCT with and without contrast reportedly revealed a left frontal gyriform enhancing lesion.

However, a head computerized tomography scan with and without contrast reportedly revealed enhancing damage to the left frontal gyrus.

However, a brain scan showed a lesion in the left frontal gyriform that was growing.

['frontal_lobe_gyrus']

SURGERY: Release of A1 pulley, CPT code 26055.

SURGERY: A small cut in the base of the palm where the palm meets the right thumb to access and release the flexor (pulley). The medical procedure code is 26055.

SURGERY: Release of A1 pulley, CPT code 26055.

['pulley']

Gen Exam: unremarkable.

General examination: unremarkable.

The general examination was normal.

COURSE: The patient was initially treated with Phenobarbital; then Dilantin was added (early 1970's); then Depakene was added (early 1980's) due to poor seizure control.

A PERIOD OF CONTINUAL TREATMENT WITH MEDICATIONS: The patient was initially treated with Phenobarbital (used to control seizures); then Dilantin (used to prevent and control seizures) was added (early 1970s); then Depakene (used to treat various types of seizure disorders) was added (early 1980's) due to poor seizure control.

COURSE: Initially, the patient was treated with Phenobarbital. Later on, Dilantin was added in the early 1970s, and then Depakene was added in the early 1980s due to poor control of the seizures.

CT PELVIS: Within the right lower quadrant, the appendix measures 16 mm and there are adjacent inflammatory changes with fluid in the right lower quadrant.

COMPUTED TOMOGRAPHY OF PELVIS: Within the right lower quadrant, the appendix measures 16 mm and there are adjacent inflammatory changes with fluid in the right lower quadrant.

CT Pelvis: In the lower right part of the abdomen, the appendix is swollen and there are signs of inflammation and fluid.

There was a small aneurysm at the origin of the LPCA.

There was a small bulge in a blood vessel of the eye arteries.

There was a small bulging blood vessel at the starting point of a specific artery (LPCA).

Dry sterile dressing was applied.

Dry sterile dressing was applied to clean, cover, and protect the wound from the external environment.

A clean bandage was applied.

She had complained of one episode of paresthesias of the LUE in 1/97.

She had complained of one episode of abnormal sensation of the skin of the left hand in 1/97.

In January 1997, she had one episode of tingling in her left arm.

The episodes were not associated with any other symptoms.

The episodes were not associated with any other symptoms.

These episodes did not have any other symptoms.

Initial laboratory data includes a UA on 08/28/2007, which was negative.

Initial laboratory data includes a urine test on 08/28/2007, which was negative for all blood, protein, leucocytes, and nitrites.

Some lab tests were done and they were normal.

No significant osseous central canal or foraminal narrowing is present.

The bone central canal which allows for blood flow to supply the bone with oxygen and carry away waste was examined and no narrowing was found.The holes in the bones through which nerves and blood vessels pass were also examined and no destructive lesions were found.

There are no significant blockages or narrowing in the central canal or openings in the neck bones.

The spell became more frequent and prolonged, and by the time of initial evaluation were occurring 2-3 times per day and lasting 2-3 minutes in duration.

The spell became more frequent and prolonged, and by the time of initial evaluation were occurring 2-3 times per day and lasting 2-3 minutes in duration.

Over time, the spells became more frequent and lasted longer. By the time of the check-up, they were happening 2-3 times a day and lasted 2-3 minutes.

SHX: Lives with boyfriend.

Sexual Health: Lives with boyfriend.

She lives with her boyfriend.

After general endotracheal intubation, the patient was prepped and draped in normal sterile fashion.

General anesthesia was done with the airway device inserted into the windpipe. After that, the patient's skin was prepared and draped in a normal sterile fashion before the performance of a procedure to avoid infection.

Preparation for Surgery: After being put to sleep, the patient was cleaned and covered with sterile sheets.

Urine beta-hCG pregnancy and drug screen were negative.

Pregnancy test (Urine beta-hCG) and drug screen were negative.

A urine test showed no pregnancy or drug use.

IMPRESSION: A 5 mm midline shift to the left side secondary to severe edema of the white matter of the right frontal, parietal, and temporal lobes.

SUMMARY: A 5 mm midline shift to the left side because of severe swelling of the white matter of the right frontal, parietal, and temporal lobes of the brain.

IMPRESSION: The brain has shifted 5 millimeters to the left due to severe swelling in the white matter of the right frontal, parietal, and temporal lobes.

['brain_lobes']

MS: A&O to person, place and time.

Mental status examination: Patient is alert and oriented to person, place, and time.

MENTAL: She knows who she is, where she is, and what time it is.

BRIEF HISTORY: This patient is a 42-year-old female who presented to Dr. X's office with complaints of upper abdominal and back pain, which was sudden onset for couple of weeks.

A BRIEF HISTORY OF THE ILLNESS: This patient is a 42-year-old female who presented to Dr. X's office with complaints of upper abdominal and back pain, which was sudden onset for a couple of weeks.

Brief History: A 42-year-old woman complained to the doctor about sudden pain in her upper abdomen and back that had been going on for a few weeks. She also has diabetes.

PREOPERATIVE DIAGNOSIS: Voluntary sterility.

DIAGNOSIS BEFORE THE SURGERY: The choice to receive permanent birth control.

Before the surgery, the patient wanted to become sterile on purpose.

3. Insomnia secondary to pain and anxiety postoperatively.

3. Insomnia because of pain and anxiety after the surgery.

The patient couldn't sleep because of pain and anxiety after surgery.

The skin was elevated with towel clips and a Veress needle was inserted.

The skin was elevated with towel clips. A special needle was also inserted to inflate the tummy with gas to permit the organs and structures within the tummy to be viewed so that the surgery could be performed.

Adding Air to the Belly: The surgeon used a special needle to put air into the belly to make it easier to see and work inside.

['towel_clips', 'veress_needle']

Findings are compatible with acute appendicitis.

Findings are compatible with acute appendicitis (a painful swelling of the appendix).

Findings: These results suggest the person has acute appendicitis, which is an inflamed appendix.

At this time, the patient came for a follow-up and is complaining of left upper molar pain.

At this time, the patient came for a followup and is complaining of a left upper molar (grinding tooth with a broad crown) pain.

Current concern: The child came for a check-up and is complaining of pain in their upper left molar (tooth).

POSTOPERATIVE DIAGNOSIS: Gastrostomy (gastrocutaneous fistula).

DIAGNOSIS AFTER THE SURGERY: A tube inserted through the wall of the abdomen that brings nutrition directly into the stomach

Postoperative Diagnosis: The child still has the hole between the stomach and the skin (gastrostomy).

He was placed in an incubator for 3 weeks.

He was placed in a piece of hospital equipment which helps weak or small babies to survive for 3 weeks.

They spent three weeks in an incubator.

POSTOPERATIVE DIAGNOSIS: Voluntary sterility.

DIAGNOSIS AFTER THE SURGERY: The choice to receive permanent birth control.

After the surgery, the patient became sterile as intended.

Next, an infraumbilical incision was made with a #10 scalpel.

Next, a small cut just below the belly button was made with a scalpel of size 10.

First Cut: A small cut was made below the belly button using a surgical knife.

Outpatient followup as arranged.

Outpatient follow-up as arranged.

The patient will see doctors as scheduled.

CORONARY: Regular rhythm without murmur.

MAIN HEART VESSEL: Regular rhythm without whooshing or swishing sounds.

Heart: The heartbeat is regular and there are no abnormal sounds.

HC/AC: (1.05-1.21) 1.5

HC/AC (the ratio of head circumference to abdominal circumference): (normal range: 1.05-1.21) 1.5

The ratio of head circumference to abdomen size is 1.5, which is within the expected range (1.05-1.21).

Subsequently, 2 mg of IV Versed was given for sedation.

Subsequently, 2 mg of Versed within a vein (helps to relax or sleep before a surgical procedure) was given for sedation.

Then, they received a sedative called IV Versed to help them relax.

GENERAL: The patient is in no acute distress.

GENERAL: No obvious observed sign of serious illness in the patient.

GENERAL: She doesn't seem to be in any immediate distress.

The skin was closed using 4-0 Monocryl.

The skin was closed using 4-0 Monocryl (synthetic, absorbable suture).

Closing the Skin: They stitched up the skin using a different type of thread (Monocryl).

Full EOMs.

Eye muscles work at full capacity.

Eye movements are normal.

PROCEDURE PERFORMED: Laparoscopic cholecystectomy.

PROCEDURE PERFORMED: Gallbladder removal.

Procedure Done: A surgery to remove the gallbladder was performed using small incisions.

In addition, the right lateral anterior hemisphere voltage is relatively depressed.

In addition, the frontal part of the right side of the brain had relatively low voltage.

Additionally, the voltage in the right front part of the brain is relatively low.

1. Normal colonoscopy to the terminal ileum.

1. The normal result of {<colonoscopy>, <the test to check inside bowels>, <the medical test that examines the rectum and lower bowel for abnormalities and disease>} (to the final part of the small bowel).

Normal colonoscopy up to the end of the small intestine.

Stay sutures were then placed on either side of the tract.

Temporary surgical sutures to hold or manipulate the operating area were then placed on either side of the tract.

Stitches were placed on both sides of the hole.

Blood culture and wound cultures were unremarkable.

The tests that look for germs (such as bacteria or fungi) in the blood and the wounds were normal.

Tests of blood and wound samples didn't show any significant issues.

He will hold his Plavix for now.

He will hold his Plavix (to help prevent blood clots from forming) for now.

For now, he won't take Plavix.

Examination of the extreme lung bases appear clear, no pleural effusions.

Examination of the lowest part of the lungs appears clear, with no water on the lungs.

The very bottom part of the lungs is clear, and there's no liquid around them.

PROCEDURE: Colonoscopy.

PROCEDURE: {<Colonoscopy>, <A test to check inside bowels>, <A medical test that examines the rectum and lower bowel for abnormalities and disease>}.

Procedure: Colonoscopy.

1. Bilateral lower extremity cellulitis secondary to bilateral tinea pedis.

1. A common bacterial skin infection of both legs due to the fungal infection (foot ringworm or Athlete's foot).

Infection in both lower legs caused by a fungal infection in both feet.

The underlying tendon was then identified.

The underlying tendon was then identified.

Then, the tendon below was identified.

I am hesitant to use Prilosec or Protonix because of his history of pancreatitis associated with Prilosec.

I am hesitant to use Prilosec or Protonix because of his history of pancreatitis associated with Prilosec (both used to decrease the amount of acid produced by the stomach).

I'm cautious about using Prilosec or Protonix because the patient had a history of pancreatitis related to Prilosec.

He is continuing on his usual medications of Imdur, metoprolol, and Synthroid.

He is continuing on his usual medications of Imdur (used to prevent chest pain), metoprolol (to treat high blood pressure), and Synthroid (to replace a hormone that is normally produced by a thyroid gland).

The patient is still taking their usual medicines: Imdur, metoprolol, and Synthroid.

There are no calvarial signal abnormalities.

There are no signal abnormalities in the top part of the skull.

No abnormalities in the signal from the skull bone.

SKIN: No unusual lesions.

SKIN: No unusual lesions.

Skin: No unusual skin growths or lesions.

TECHNIQUE: Axial CT images of the abdomen and pelvis were obtained utilizing 100 mL of Isovue-300.

HOW EXAM WAS DONE: Transverse (dividing the body into upper and lower parts) computed tomography images of the abdomen and pelvis were obtained. <figure_anatomical_planes> Before the exam 100 mL of Isovue-300 intravenously was introduced to allow blood vessels, organs, and other non-bony tissues to be seen more clearly on a computed tomography scan.

Technique: Pictures of the abdomen and pelvis were taken using a special scan with a contrast dye.

['anatomical_planes']

The liver bed was then copiously irrigated and aspirated.

The place of the liver where the gallbladder had been, was then copiously irrigated and drawn in.

Cleaning Up: The liver area was washed and any liquid or air was removed.

BRIEF HISTORY OF THE PATIENT: The patient is a 77-year-old male who comes to the office with a large right spermatocele.

BRIEF HISTORY OF THE PATIENT: The patient is a 77-year-old male who comes to the office with a large smooth fluid-filled swelling in the right testicle.

Patient's Background: A 77-year-old man came to the doctor's office with a big lump in his right sperm sac.

Probe was introduced without any difficulty.

Probe (the device) was introduced without any difficulty.

The doctor inserted a probe into the patient's esophagus without any difficulty.

FINDINGS: The patient was found to have limitations to extension at the IP joint to the right thumb.

WHAT WAS FOUND: The patient was found to have limitations to the extension to the right thumb at the joint that is located between two bones of the thumb.

FINDINGS: The patient was found to have limitations to extension at the IP joint to the right thumb.

['interphalangeal_joint']