Sample Type / Medical Specialty: Discharge Summary

A clinical report prepared by a physician or other health professional at the conclusion of a hospital stay or series of treatments. It outlines the patient's chief complaint, the diagnostic findings, the therapy administered and the patient's response to it, and recommendations on discharge.

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Abscess with Cellulitis - Discharge Summary Incision and drainage, first metatarsal head, left foot with culture and sensitivity. Anterior Cervical Discectomy & Fusion - Discharge Summary Anterior cervical discectomy and fusions C4-5, C5-6, C6-7 using Bengal cages and Slimlock plate C4 to C7; intraoperative x-ray. Herniated nucleuses pulposus, C5-6 greater than C6-7, left greater than C4-5 right with left radiculopathy and moderate stenosis C5-6. Back & Leg Pain - Discharge Summary Bilateral l5 spondylolysis with pars defects and spinal instability with radiculopathy. Chronic pain syndrome. Back Pain - Discharge Summary Decreased ability to perform daily living activities secondary to exacerbation of chronic back pain. BRCA-2 mutation Discharge summary of a patient with a BRCA-2 mutation. Bronchiolitis - Discharge Summary Bronchiolitis, respiratory syncytial virus positive; improved and stable. Innocent heart murmur, stable. Cardiac Transfer Summary Need for cardiac catheterization. Coronary artery disease, chest pain, history of diabetes, history of hypertension, history of obesity, a 1.1 cm lesion in the medial aspect of the right parietal lobe, and deconditioning. Cardio/Pulmo Discharge Summary A 49-year-old man with respiratory distress, history of coronary artery disease with prior myocardial infarctions, and recently admitted with pneumonia and respiratory failure. Cellulitis - Discharge Summary Complex open wound right lower extremity complicated by a methicillin-resistant staphylococcus aureus cellulitis. The patient is a 52-year-old male who has had a very complex course secondary to a right lower extremity complex open wound. Chest Pain & Respiratory Insufficiency A lady was admitted to the hospital with chest pain and respiratory insufficiency. She has chronic lung disease with bronchospastic angina.

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