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The first was a small dimpled scar, 1 cm from the anal verge in the 11 o'clock position.

The first was a small scar looking like a natural dent, 1 cm from the external boundary of the anal canal in the 11 o'clock position.

The first scar was a small indentation about 1 cm away from the edge of the anus at the 11 o'clock position.

['anal_clock']

The patient is to undergo a course of angioplasty for in-stent restenosis.

The patient is to undergo a course of widening of the blocked part of the artery that sends blood to the heart muscle. The treatment includes the insertion of a small, metal mesh tube to expand inside the artery.This tube should allow uniform dose of radiation distribution and precise dosage.

The patient needs angioplasty to treat a narrowing in a stent.

The lung bases are clear.

The lower surface of the lungs is clear.

Your lungs look fine.

2. Followup with Dr. X.

2. Follow-up visit with Dr. X.

Follow up with Dr. X.

HISTORY OF PRESENT ILLNESS: The patient is an 80-year-old white female with history of atrial fibrillation, on Coumadin, who presented as outpatient, complaining of increasing fatigue.

HISTORY OF PRESENT ILLNESS: The patient is an 80-year-old white female with a history of abnormal heartbeat, on Coumadin (used to treat blood clots), who presented as an outpatient (doesn't require hospitalization), complaining of increasing fatigue.

CURRENT SITUATION: An 80-year-old white woman with a history of heart rhythm issues and fatigue came to the doctor's office.

Withdrawal notes an otherwise normal descending, rectosigmoid and rectum.

Withdrawal notes an otherwise normal descending, rectosigmoid, and rectum.

As the colonoscope was slowly pulled back, the doctor observed that the descending colon, rectosigmoid, and rectum appeared normal.

['distal_descending_colon']

In addition, scars were noted in the perianal area.

In addition, scars were found near the anus.

Additionally, there were scars in the area around the anus.

The preparation was excellent and all surfaces were well seen.

The preparation was excellent and all surfaces were well seen.

The preparation for the procedure was good, and the doctor could see all the surfaces clearly.

The ventricles and sulci are prominent, but proportionate.

There is more fluid in the fluid-filled cavity and around the groove in the cerebral cortex of the brain, but it is proportionate. <figure_brain_ventricles, figure_sulci_of_brain>

The fluid-filled spaces in the brain (ventricles) and the grooves on the brain surface (sulci) are slightly more noticeable but within normal range.

['brain_ventricles', 'sulci_of_brain']

On this regimen, his lower extremity edema and erythema resolved quite rapidly.

On this regimen, his lower leg swelling and reddening resolved quite rapidly.

With this treatment, the swelling and redness in the patient's legs improved quickly.

1. Left ventricle has normal size and dimensions with normal function.Ejection fraction of 60%.

1. The left chamber of the heart that pumps blood to the arteries has a normal size and dimensions with normal function.The amount of blood the left chamber pumps out with each contraction is 60%.

The left ventricle (a heart chamber) is normal in size and function, with an ejection fraction of 60%.

INTRAOPERATIVE FINDINGS: The patient's abdomen was explored.

FINDINGS DURING MEDICAL OPERATION: The patient's abdomen was explored.

What Was Found During Surgery: The inside of the patient's abdomen was checked during the surgery.

Comprehensive metabolic profile was unremarkable, except for a nonfasting blood sugar of 137, lactic acid was 0.8.

Comprehensive metabolic profile was unremarkable, except for a nonfasting blood sugar of 137 (used to diagnose people who have serious diabetes symptoms), lactic acid was 0.8 (used to measure pH levels in the blood and helps find out if enough oxygen is reaching the body's tissues).

The overall results of metabolic tests were normal, except for slightly high blood sugar when not fasting (137) and a measure of lactic acid (0.8).

5. Preliminary report was issued at the time of dictation.

5. The preliminary report was issued at the time of dictation.

This report is a preliminary summary and may be subject to further review.

There was an intrahepatic gallbladder.

The gallbladder was partially or completely embedded within the liver.

Gallbladder Location: The gallbladder was in an unusual place inside the liver.

2. History of dental cavities.

2. History of dental cavities.

They have had dental cavities in the past.

The patient tolerated the procedure well and was transferred to Recovery in stable condition.

The patient tolerated the procedure well and was transferred to Recovery in stable condition.

Outcome: The patient did well during the procedure and was moved to the recovery area in stable condition.

INDICATIONS: I was consulted by Dr. X for this patient with bilateral temporal headaches to rule out temporal arteritis.

INDICATIONS: I was consulted by Dr. X for this patient with temporal headaches on both sides of the head to rule out temporal vessel inflammatory disease.

Reasons for the procedure: The patient had headaches on both sides of their head, so we wanted to rule out temporal arteritis.

No calf tenderness bilaterally.

No calf tenderness on both legs.

There's no pain in the calves of the legs.

Placenta: Posterior without evidence of placenta previa.

The afterbirth: The afterbirth is attached to the back wall of the uterus. There is no evidence of the afterbirth blocking of baby's exit from the vagina.

The placenta is located in the back and is not blocking the cervix.

There was right lower facial weakness.

There was right lower facial weakness.

She has some weakness on the right side of her face.

She had no difficulty with calculation.

She had no difficulty with calculation.

She can do math without difficulty.

She was able to repeat, though her repetition was occasionally marked by phonemic paraphasic errors.

She was able to repeat, though her repetition was occasionally marked by mispronunciation of some phonemes.

She can repeat what someone says, but sometimes uses the wrong word.

The patient tolerated the procedure well.

The patient tolerated the procedure well.

The patient handled the procedure well and did not experience any issues.

Chemistry panel was unremarkable.

Groups of tests that are routinely ordered to determine a person's general health status were taken, and the result was normal.

Other blood tests didn't show any problems.

A jockstrap and sterile dressing were applied at the end of the case.

A tight piece of underwear to support and protect the sexual organs and a sterile pad were applied at the end of the case.

At the end of the surgery, a supportive underwear and a sterile dressing were applied.

He was given a weight-adjusted dose of antibiotics.

He was given a weight-adjusted dose of antibiotics.

The patient received antibiotics, with the dose adjusted based on their weight.

MEDICATIONS: Feosol 325 mg daily, multivitamins one daily, Protonix 40 mg b.i.d., KCl 20 mEq daily, Lasix 40 mg b.i.d., atenolol 50 mg daily, Synthroid 80 mcg daily, Actos 30 mg daily, Mevacor 40 mg daily, and lisinopril 20 mg daily.

MEDICATIONS: Feosol 325 mg daily (used to treat or prevent low blood levels of iron), multivitamins one daily, Protonix 40 mg two times a day (works by reducing the amount of acid in the stomach), KCl 20 mEq daily (used in the management and treatment of low potassium levels in the blood), Lasix 40 mg two times a day (prevents the body from absorbing too much salt), atenolol 50 mg daily (primarily used to treat high blood pressure and heart-associated chest pain), Synthroid 80 mcg daily (used to treat an underactive thyroid), Actos 30 mg daily (used to control blood sugar levels in people with Type 2 diabetes), Mevacor 40 mg daily (a medication that treats high cholesterol and reduces the risk of a heart attack and stroke), and lisinopril 20 mg daily (used to treat high blood pressure).

MEDICATIONS: Daily pills include iron, vitamins, stomach medicine, potassium, a water pill, heart medication, thyroid medicine, diabetes medicine, cholesterol medicine, and blood pressure medicine.

0.25% Marcaine was injected and Steri-Strips and sterile dressings were applied.

0.25% Marcaine (used for the production of local anesthesia) was injected and Steri-Strips (paper-like sticky bandage strips to close a wound) and sterile dressings were applied.

Pain Relief and Dressing: Pain-relieving medicine was given, and the wounds were covered with bandages.

Comprehension, naming and reading were intact.

Comprehension, naming, and reading were not damaged.

She can understand, read and name things correctly.

1. Prograf 0.5 mg p.o. b.i.d.

1. Prograf (to prevent rejection of the liver transplant) 0.5 mg by mouth two times a day.

Prograf 0.5 mg taken orally twice a day.

There is no significant surrounding soft tissue swelling.

There is no significant surrounding soft tissue {<enlargement>, <increase in size>} caused by {<a buildup of fluid>, <an accumulation of excess fluid>, <too much trapped fluid>}.

There is no significant swelling in the tissues around the ankle.

3. Labs every 2 to 3 months.

3. Take laboratory tests every 2 to 3 months.

Repeat lab tests every 2 to 3 months.

MRI brain, 2/21/96 revealed increased signal on T2 imaging in the periventricular white matter region of the right hemisphere.

MRI of the brain, 2/21/96, showed increased signal on T2 type imaging in the fluid-filled right part of the brain (called Periventricular leukomalacia or PVL).

An MRI scan of the brain on February 21, 1996 showed increased signals in the white matter area near the fluid-filled spaces of the right side of the brain.

['periventricular_leukomalacia']

The gallbladder was intrahepatic somewhat.

The gallbladder was embedded within the liver somewhat.

Gallbladder Location: The gallbladder was found inside the liver, which is a bit unusual.

PREOPERATIVE DIAGNOSIS: Rule out temporal arteritis.

BEFORE OPERATION: Rule out an inflammatory disease affecting the large blood vessels or arteries near the temple.

Reason for surgery: Checking for temporal arteritis.

The rest of the CN exam was unremarkable.

The rest of the brain nerves exam was unremarkable.

The other cranial nerves are normal.

The patient tolerated the procedure well and was sent to the recovery room.

The patient tolerated the procedure well and was sent to the recovery room.

The patient tolerated the procedure well and was taken to the recovery room.

PROCEDURE: The patient was brought into the operating room and placed on the operating table in supine position.

PROCEDURE: The patient was brought into the operating room and placed on the operating table lying horizontally with the face and torso facing up.

What happened during the procedure: The patient was taken to the operating room and placed on the operating table lying flat on their back.

FINDINGS:

FINDINGS:

FINDINGS:

She was seen in consultation by Physical Therapy and Occupational Therapy and had begun her rehabilitation till recovery.

She was seen in consultation by Physical Therapy and Occupational Therapy and had begun her rehabilitation till recovery.

Physical and occupational therapists evaluated the patient and began rehabilitation.

There was no suggestion of significant perianal reservoir of inflamed tissue or undrained material.

There was no suggestion of significant inflammation of tissues located around the anus or undrained material.

There were no signs of a significant buildup of inflamed tissue or undrained material around the anus.

EOM intact.

The function of the eye muscles is complete.

Her eye movements are normal.

4. Non-insulin-dependent diabetes mellitus.

4. Non-insulin-dependent diabetes (develops when the body's cells can't properly take up sugar from the food).

Diabetes (non-insulin dependent).

If this patient has not had a recent catheterization, correlate for signs and symptoms of urinary tract infection.

If this patient has not had a recent tube inserted into the body, correlate for signs and symptoms of urinary tract infection.

If the patient hasn't had a recent catheter, check for signs of a urinary tract infection.

The patient tolerated the procedure, was awakened and taken to the recovery room in stable condition.

The patient tolerated the procedure, was awakened, and taken to the recovery room in stable condition.

The patient handled the surgery well, woke up, and was moved to the recovery room in stable condition.

There is no significant mastoid air cell fluid.

There is no significant air cell fluid in the part of the skull just behind the ear.

No significant fluid in the mastoid air cells.

The wound was then closed with interrupted 3-0 Monocryl subcuticular sutures and Dermabond.

The wound was then closed with interrupted 3-0 Monocryl subcuticular sutures (synthetic, absorbable suture) and Dermabond (a sterile, liquid skin adhesive that holds wound edges together).

The incision was closed using stitches under the skin and a special glue.

Orchidopexy was done to allow the testes to stay stable in the postoperative period using 4-0 Vicryl and was tied at 3 different locations.

Fixing of the right testicle to adjacent tissues using sutures was done to allow the testes to stay stable in the postoperative period using 4-0 Vicryl (a synthetic absorbable sterile surgical suture) and was tied at 3 different locations.

Fixing Testicle in Place: They used special thread (Vicryl) to keep the testicle steady after surgery, tying it at three different spots.

5. History of urinary tract infections.

5. History of urinary tract infections.

History of urinary tract infections.

EEG reportedly showed diffuse slowing.

The test that measures electrical activity in the brain reportedly showed diffuse slowing, which indicated brain dysfunction.

An EEG showed a slow brain wave pattern.

HISTORY: The patient is a 73-year-old male who was admitted to the hospital with some mentation changes.

MEDICAL HISTORY: The patient is a 73-year-old male who was admitted to the hospital with some mentation changes.

About the patient: A 73-year-old man came to the hospital because he was having trouble thinking clearly.

The Coumadin was adjusted accordingly according to the INRs during her hospital course.

Coumadin (blood thinner) was adjusted according to the blood clot test during her hospital course.

Her blood test results were used to adjust her medicine to prevent blood clots.

HOSPITAL COURSE: The patient was admitted to the General Medical floor and treated with intravenous ceftriaxone and topical Lotrimin.

HOSPITAL COURSE: The patient was admitted to the General Medical floor and treated with intravenous ceftriaxone (an antibiotic) and topical Lotrimin (used to treat skin infections such as athlete's foot, jock itch, ringworm, and other fungal skin infections).

During the hospital stay, the patient received antibiotics through an IV and used Lotrimin cream on the skin.

7. Asthma.

7. Asthma.

Asthma (breathing condition).

The patient tolerated the procedure well.

The patient tolerated the procedure well.

The patient did well during the procedure.

The incision was carried through the dartos through the scrotal sac and the spermatocele was identified.

The cut was carried through the thin sheet of smooth muscle through the scrotal sac and the smooth fluid-filled swelling was identified.

Finding the Lump: They went through the skin, a layer called dartos, and reached the lump (spermatocele).

The abdomen was then insufflated to 15 mmHg of pressure.

The abdomen was then insufflated to 15 mmHg of pressure.

Taking Out the Needle: The needle was taken out, and a special tube (trocar) was put in without any problems.

This was incised longitudinally using #11 blade.

This was cur lengthwise using a #11 blade.

It was cut lengthwise using a specific type of blade.

As mentioned above, the patient will be discharged on 09/03/2007 in stable and improved condition since she is status post right total knee replacement and has made good progress with her therapies and rehabilitation.

As mentioned above, the patient will be discharged on 09/03/2007 in stable and improved condition after the right total knee replacement and has made good progress with her therapies and rehabilitation.

The patient is in stable condition and has made good progress after their knee replacement surgery.

There were no other abnormalities noted.

There were no other abnormalities noted.

No other abnormalities were found.

2. Atherosclerotic cardiovascular disease.

2. A disease of the heart or blood vessels due to the buildup of fats, cholesterol, and other substances in and on the artery walls.

The second diagnosis is a heart disease related to clogged blood vessels.

Followup CBC and INR were ordered.

Follow-up complete blood count (blood test used to look at overall health) and the international normalized ratio test (blood test tells how long it takes for blood to clot) were ordered.

More blood tests are planned.

An approximately 6 inch longitudinal incision was made just over the lateral malleolus.

An approximately 6-inch vertical cut was made just over the bony bump on the outside of the ankle.

A 6-inch incision was made directly above the broken bone on the outer side of the ankle.

PROCEDURE: Bilateral temporal artery biopsy.

MEDICAL OPERATION: Removal of small tissue of major blood vessels near the temple on both sides for subsequent tests on inflammation.

Procedure: Biopsy of both temporal arteries.

He will return in 1-1/2 weeks for wound inspection.

He will return in 1.5 weeks for the wound inspection.

The patient will come back in about 1 and a half weeks to have the wound checked.

Examination at the time of this admission demonstrated peeling of the skin and excoriation between all of his toes on both feet consistent with tinea pedis.

Examination at the time of this admission demonstrated peeling of the skin and raw irritated lesion between all of his toes on both feet consistent with fungal infection.

When examined during this hospital stay, there was peeling skin and irritation between the toes on both feet, which is due to a fungal infection called tinea pedis.

Coronal and sagittal reconstruction views were also obtained.

3-D images were also created using 2D X-ray images taken from left and right and front and back directions along the spine.

MORE VIEWS: Side and front views were also taken.

A small incision was made in the right hemiscrotum.

A small cut was made in the right part of the scrotal.

A small cut was made on the right side of the scrotum.

The entire area was electrofulgurated using the Bugbee electrode.

The heat from an electric current of the Bugbee electrode to destroy the tumor was applied to the entire area.

The entire area with tumors was burned using electricity.

['bugbee_electrode']

He was found to have full extension after release of A1 pulley.

He was found to have full extension after the release of the flexor surgery.

He was found to have full extension after release of A1 pulley.

PROCEDURE: Colonoscopy.

PROCEDURE: Examination of the bowel using a small camera on the end of a thin flexible tube.

They had a procedure called a colonoscopy.

The conjunctivae and sclerae are clear.

The thin, clear membrane that protects the eye and the white of the eye are clear.

The membranes covering the eyes and the whites of the eyes are clear.

The large and small bowels are normal in course and caliber without obstruction.

The large and small bowels are normal in size without blockage.

The intestines look normal and there is no blockage.

This resolved, however, recurred in both legs.

This resolved, however, recurred in both legs.

The infection got better, but then came back in both legs.

General anesthesia was induced without incident.

General anesthesia was produced in without incident.

The patient was given general anesthesia without any problems.

VITAL SIGNS: Stable.

VITAL SIGNS: Stable.

VITAL SIGNS: Her basic body functions are normal.

Cranial nerves II through XII are grossly intact.

Nerves that lead directly from the brain to various parts of the head, neck, and trunk are normal. All of the nerves were checked except for one that is usually evaluated only after head trauma or central nervous system tumor are suspected or when patients report abnormal smell or taste.

Cranial nerves II through XII (2-12) appear to be working fine.

The right upper extremity was then prepped and draped in a standard fashion.

The right hand was then prepared in the standard surgical fashion including the isolation of the sterile area in which a procedure is to be performed from a potentially contaminated area.

The right upper arm was cleaned and covered with sterile drapes in the usual way.

He works at a Turkey packing plant.

He works at a Turkey packing plant.

They work at a turkey packing plant.

4. Atrial septum is intact.Bubble study was negative.

4. The wall between the left and right heart chambers is without defect. The test that can provide added information about blood flow through the heart was conducted. During this test, bubbles are looked for on the echo heart pictures (if found, it strongly indicates the presence of a hole in the heart). There were no bubbles found during the test.

The atrial septum (a wall inside the heart) is intact, and a bubble study showed no issues.

['atrial_septum']

CC: Difficulty with word finding.

Main complaint: Difficulty with word finding.

Problem with finding the right words.

However, fetal anatomy is limited by the early age of the fetus and followup is recommended at 22-24 weeks.

However, the baby's anatomy is limited by an early age and follow-up is recommended at 22-24 weeks.

However, because the baby is still quite young, it's important to check again at 22-24 weeks into the pregnancy.

6. Hypothyroidism.

6. Underactive thyroid.

Low thyroid function.

HOSPITAL COURSE: The patient was admitted to the emergency room by Dr. X.

HOSPITAL COURSE: The patient was admitted to the emergency room by Dr. X.

The patient came to the emergency room because of this issue, and Dr. X admitted them to the hospital.

The underlying soft tissues were carefully spread in line longitudinally.

The underlying soft tissues were carefully spread in a line lengthwise.

The tissues underneath were carefully separated in a straight line.

The patient was without further GI complaints.

The patient was without further digestive tract complaints.

The patient didn't have any more stomach complaints.

There is no evidence of a small bowel obstruction or evidence of pericolonic inflammatory process.

There is no evidence of a small bowel blockage or evidence of an inflammatory process around the colon.

No signs of a blocked small intestine or inflammation around the colon.

S1 and S2 are normal.

Heart sounds are normal.

Normal heart sounds (S1 and S2).

A #21-French cystourethroscope was inserted into the bladder.

A #21-French cystourethroscope (a tube with a thin camera) was inserted into the bladder.

A thin tube with a camera was inserted into the bladder.

The remainder of her postoperative course was uneventful.

The remainder of her treatment after surgery was uneventful.

The rest of her recovery went well.

No evidence of any inflammatory change.

No evidence of any inflammatory change.

No Signs of Inflammation Again: There were no signs of inflammation or redness.

The patient was told about the risk of recurrence of spermatocele.

The patient was told about the risk of recurrence of smooth fluid-filled swelling.

Risk of Lump Coming Back: The patient was informed that the lump might return.

Throughout the day she continued to have difficulty with word finding and had worsening of her slurred speech.

Throughout the day she continued to have difficulty with word finding and had worsening of her trouble speaking.

Throughout the day, she continued to have trouble finding words and her slurred speech got worse.

RECOMMENDATIONS:

RECOMMENDATIONS:

Recommendations:

There is intervertebral disk space narrowing to a mild degree at L2-3 and L4-5.

There is intervertebral disk space narrowing to a mild degree at L2-3 and L4-5 (lower back).

Some wear and tear on the discs in the lower back.

['spinal_cord']

HEART: Regular rate and rhythm.

HEART: Regular rate and rhythm.

The heart beats normally.

FETAL ANATOMY: No gross abnormality but limited by the early age of the fetus.

BABY'S ANATOMY: No serious abnormality but the results are limited by the early age of the baby.

The baby's body looks okay, but it's hard to see all the details because it's still early in development.

Dentition in good repair.

Teeth in good repair.

Teeth looked good.

2/23/96, Neuro-ophthalmology evaluation revealed no evidence of retinal vasculitic change.

On 2/23/96, a specialist in visual problems related to the nervous system found no evidence of changes concerning blood vessels at the very back of the eye.

An eye test showed no damage to the eyes from blood vessel inflammation.