5013 Samples in 40 Types as on 07/07/2023

Medical Specialty: Cardiovascular / Pulmonary

Field of medicine related to heart, blood vessels and blood circulation system and conditions that affect the lungs such as asthma, bronchitis, or chronic lung diseases.

Cardiovascular / Pulmonary
2-D Doppler Normal left ventricle, moderate biatrial enlargement, and mild tricuspid regurgitation, but only mild increase in right heart pressures.
2-D Echocardiogram - 1 2-D M-Mode. Doppler.
2-D Echocardiogram - 2 2-D Echocardiogram
2-D Echocardiogram - 3 2-D Echocardiogram
2-D Echocardiogram - 4 Echocardiogram and Doppler
Abnormal Echocardiogram Abnormal echocardiogram findings and followup. Shortness of breath, congestive heart failure, and valvular insufficiency. The patient complains of shortness of breath, which is worsening. The patient underwent an echocardiogram, which shows severe mitral regurgitation and also large pleural effusion.
Abnormal Stress Test Patient had a markedly abnormal stress test with severe chest pain after 5 minutes of exercise on the standard Bruce with horizontal ST depressions and moderate apical ischemia on stress imaging only.
Acute Inferior Myocardial Infarction Patient presents with a chief complaint of chest pain admitted to Coronary Care Unit due to acute inferior myocardial infarction.
Adenosine Nuclear Scan Adenosine with nuclear scan as the patient unable to walk on a treadmill. Nondiagnostic adenosine stress test. Normal nuclear myocardial perfusion scan.
Angina A sample note on Angina.
Angina - Consult Patient had a recurrent left arm pain after her stent, three days ago, and this persisted after two sublingual nitroglycerin.
Angiogram & Angioplasty Lower extremity angiogram, superficial femoral artery laser atherectomy and percutaneous transluminal balloon angioplasty, external iliac artery angioplasty and stent placement, and completion angiogram.
Angiogram & StarClose Closure Left heart cath, selective coronary angiogram, right common femoral angiogram, and StarClose closure of right common femoral artery.
Angiography & Catheterization Left heart catheterization, bilateral selective coronary angiography, left ventriculography, and right heart catheterization. Positive nuclear stress test involving reversible ischemia of the lateral wall and the anterior wall consistent with left anterior descending artery lesion.
Angiography & Catheterization - 1 Selective coronary angiography of the right coronary artery, left main LAD, left circumflex artery, left ventricular catheterization, left ventricular angiography, angioplasty of totally occluded mid RCA, arthrectomy using 6-French catheter, stenting of the mid RCA, stenting of the proximal RCA, femoral angiography and Perclose hemostasis.
Aortic Valve Replacement Aortic valve replacement using a mechanical valve and two-vessel coronary artery bypass grafting procedure using saphenous vein graft to the first obtuse marginal artery and left radial artery graft to the left anterior descending artery.
Aortobifemoral Bypass Aortoiliac occlusive disease. Aortobifemoral bypass. The aorta was of normal size and consistency consistent with arteriosclerosis. A 16x8 mm Gore-Tex graft was placed without difficulty. The femoral vessels were small somewhat thin and there was posterior packing, but satisfactory bypass was performed.
Aortobifemoral Bypass - 1 Dementia and aortoiliac occlusive disease bilaterally. Aortobifemoral bypass surgery utilizing a bifurcated Hemashield graft.
Aortogram - Leg claudication. Aortogram with bilateral, segmental lower extremity run off. Left leg claudication. The patient presents with lower extremity claudication.
Arterial Imaging Arterial imaging of bilateral lower extremities.
Ash Split Venous Port Ash split venous port insertion. The right anterior chest and supraclavicular fossa area, neck, and left side of chest were prepped with Betadine and draped in a sterile fashion.
Atrial Fibrillation - Consult A 74-year-old woman for Cardiology consultation regarding atrial fibrillation and anticoagulation after a fall. The patient denies any chest pain nor clear shortness of breath.
Atrial Fibrillation - SOAP Atrial fibrillation with rapid ventricular response, Wolff-Parkinson White Syndrome, recent aortic valve replacement with bioprosthetic Medtronic valve, and hyperlipidemia.
Atrial Fibrillation Management The patient is a very pleasant 62-year-old African American female with a history of hypertension, hypercholesterolemia, and CVA, referred for evaluation and management of atrial fibrillation.
Atrial Flutter - Progress Note A critically ill 67-year-old with multiple medical problems probably still showing signs of volume depletion with hypotension and atrial flutter with difficult to control rate.
Atrioventricular Septal Defect The patient is a 5-1/2-year-old with Down syndrome, complex heart disease consisting of atrioventricular septal defect and tetralogy of Fallot with pulmonary atresia, discontinuous pulmonary arteries and bilateral superior vena cava with a left cava draining to the coronary sinus and a right aortic arch.
Bilateral Carotid Angiography Carotid artery angiograms.
Bilateral Carotid Cerebral Angiogram Bilateral carotid cerebral angiogram and right femoral-popliteal angiogram.
Biventricular Cardioverter Defibrillator Implantation Implantation of biventricular automatic implantable cardioverter defibrillator, fluoroscopic guidance for lead implantation for biventricular automatic implantable cardioverter defibrillator, coronary sinus venogram for left ventricular lead placement, and defibrillation threshold testing x2.
Bronchiolitis - 2-month-old 2-month-old female - increased work of breathing.
Bronchiolitis - Discharge Summary Bronchiolitis, respiratory syncytial virus positive; improved and stable. Innocent heart murmur, stable.
Bronchoalveolar lavage. Evaluation of airway for possible bacterial infection performed using bronchoalveolar lavage.
Bronchoscopy Bronchoscopy. Atelectasis and mucous plugging.
Bronchoscopy - 1 Bronchoscopy, right upper lobe biopsies and right upper lobe bronchial washing as well as precarinal transbronchial needle aspiration.
Bronchoscopy - 2 Bronchoscopy for persistent cough productive of sputum requiring repeated courses of oral antibiotics over the last six weeks in a patient who is a recipient of a bone marrow transplant with end-stage chemotherapy and radiation-induced pulmonary fibrosis.
Bronchoscopy - 3 Fiberoptic bronchoscopy for diagnosis of right lung atelectasis and extensive mucus plugging in right main stem bronchus.
Bronchoscopy - 4 Rigid bronchoscopy with dilation, excision of granulation tissue tumor, application of mitomycin-C, endobronchial ultrasound.
Bronchoscopy - 5 Rigid bronchoscopy, removal of foreign body, excision of granulation tissue tumor, bronchial dilation , Argon plasma coagulation, placement of a tracheal and bilateral bronchial stents.
Bronchoscopy - 6 Bronchoscopy for hypoxia and increasing pulmonary secretions
Bronchoscopy - 7 Diagnostic fiberoptic bronchoscopy.
Bronchoscopy - 8 Bronchoscopy with brush biopsies. Persistent pneumonia, right upper lobe of the lung, possible mass.
Bronchoscopy - Fiberoptic Fiberoptic bronchoscopy with endobronchial biopsies. A CT scan done of the chest there which demonstrated bilateral hilar adenopathy with extension to the subcarinal space as well as a large 6-cm right hilar mass, consistent with a primary lung carcinoma.
Bronchoscopy - Pediatric Flexible Bronchoscopy (pediatric)
Bronchoscopy & Bronchoalveolar Lavage Bronchoscopy with bronchoalveolar lavage. Refractory pneumonitis. A 69-year-old man status post trauma, slightly prolonged respiratory failure status post tracheostomy, requires another bronchoscopy for further evaluation of refractory pneumonitis.
Bronchoscopy & Foreign Body Removal Plastic piece foreign body in the right main stem bronchus. Rigid bronchoscopy with foreign body removal.
Bronchoscopy & Lobectomy Bronchoscopy with aspiration and left upper lobectomy. Carcinoma of the left upper lobe.
Bronchoscopy & Thoracotomy Diagnostic bronchoscopy and limited left thoracotomy with partial pulmonary decortication and insertion of chest tubes x2. Bilateral bronchopneumonia and empyema of the chest, left.
Bronchoscopy Brushings Bronchoscopy brushings, washings and biopsies. Patient with a bilateral infiltrates, immunocompromised host, and pneumonia.
Broviac Catheter Placement Lumbar osteomyelitis and need for durable central intravenous access. Placement of left subclavian 4-French Broviac catheter.
CABG Coronary artery bypass grafting times three utilizing the left internal mammary artery, left anterior descending and reversed autogenous saphenous vein graft to the posterior descending branch of the right coronary artery and obtuse marginal coronary artery, total cardiopulmonary bypass, cold blood potassium cardioplegia, antegrade and retrograde, for myocardial protection.
CABG - 1 Coronary bypass graft x2 utilizing left internal mammary artery, the left anterior descending, reverse autogenous reverse autogenous saphenous vein graft to the obtuse marginal. Total cardiopulmonary bypass, cold-blood potassium cardioplegia, antegrade for myocardial protection.
CABG - 2 Coronary artery bypass grafting (CABG) x2, left internal mammary artery to the left anterior descending and reverse saphenous vein graft to the circumflex, St. Jude proximal anastomosis used for vein graft. Off-pump Medtronic technique for left internal mammary artery, and a BIVAD technique for the circumflex.
CABG - Redo Redo coronary bypass grafting x3, right and left internal mammary, left anterior descending, reverse autogenous saphenous vein graft to the obtuse marginal and posterior descending branch of the right coronary artery. Total cardiopulmonary bypass, cold-blood potassium cardioplegia, antegrade for myocardial protection. Placement of a right femoral intraaortic balloon pump.
CABG x4 Coronary artery bypass grafting (CABG) x4. Progressive exertional angina, three-vessel coronary artery disease, left main disease, preserved left ventricular function.
CAD - 6-Month Followup He is a 67-year-old man who suffers from chronic anxiety and coronary artery disease and DJD. He has been having some chest pains, but overall he does not sound too concerning. He does note some more shortness of breath than usual. He has had no palpitations or lightheadedness. No problems with edema.
Cardiac Allograft Transplant Orthostatic cardiac allograft transplantation utilizing total cardiopulmonary bypass, open sternotomy covered with Ioban, insertion of Mahurkar catheter for hemofiltration via the left common femoral vein.
Cardiac Cath & Coronary Angiography Left Cardiac Catheterization, Left Ventriculography, Coronary Angiography and Stent Placement.
Cardiac Cath & Selective Coronary Angiography Left cardiac catheterization with selective right and left coronary angiography. Post infarct angina.
Cardiac Catheterization Left heart catheterization, LV cineangiography, selective coronary angiography, and right heart catheterization with cardiac output by thermodilution technique with dual transducer.
Cardiac Catheterization - 1 Cardiac Catheterization - An obese female with a family history of coronary disease and history of chest radiation for Hodgkin disease, presents with an acute myocardial infarction with elevated enzymes.
Cardiac Catheterization - 10 Left Heart Catheterization. Chest pain, coronary artery disease, prior bypass surgery. Left coronary artery disease native. Patent vein graft with obtuse marginal vessel and also LIMA to LAD. Native right coronary artery is patent, mild disease.
Cardiac Catheterization - 11 Patient with significant angina with moderate anteroapical ischemia on nuclear perfusion stress imaging only. He has been referred for cardiac catheterization.
Cardiac Catheterization - 12 Cardiac catheterization. Coronary artery disease plus intimal calcification in the mid abdominal aorta without significant stenosis.
Cardiac Catheterization - 2 The patient with atypical type right arm discomfort and neck discomfort.
Cardiac Catheterization - 3 White male with onset of chest pain, with history of on and off chest discomfort over the past several days.
Cardiac Catheterization - 4 Percutaneous intervention with drug-eluting stent placement to the ostium of the PDA.
Cardiac Catheterization - 5 Left heart catheterization with coronary angiography, vein graft angiography and left ventricular pressure measurement and angiography.
Cardiac Catheterization - 6 Right heart and left heart catheterization by way of right femoral artery, right femoral vein, and right internal jugular vein.
Cardiac Catheterization - 7 Left heart catheterization, left ventriculogram, selective coronary arteriography, aortic arch angiogram, right iliofemoral angiogram, #6 French Angio-Seal placement.
Cardiac Catheterization - 8 Left heart cardiac catheterization.
Cardiac Catheterization - 9 Cardiac catheterization and coronary intervention report.
Cardiac Consult & Cardioversion Patient with a history of atrial fibrillation in the past, more recently who has had atrial flutter. The patient has noted some lightheadedness as well as chest discomfort and shortness of breath when atrial flutter recurred.
Cardiac Consultation A woman with history of coronary artery disease, has had coronary artery bypass grafting x2 and percutaneous coronary intervention with stenting x1. She also has a significant history of chronic renal insufficiency and severe COPD.
Cardiac Consultation - 1 To evaluate recurrent episodes of uncomfortable feeling in arm at rest, as well as during exertion.
Cardiac Consultation - 2 To evaluate exercise-induced chest pain, palpitations, dizzy spells, shortness of breath, and abnormal EKG.
Cardiac Consultation - 3 Patient with atrial fibrillation with slow ventricular response, partially due to medications.
Cardiac Consultation - 4 Patient with right-sided chest pain, borderline elevated high blood pressure, history of hyperlipidemia, and obesity.
Cardiac Consultation - 5 Cardiac evaluation and treatment in a patient who came in the hospital with abdominal pain.
Cardiac Consultation - 6 Preoperative cardiac evaluation in the patient with chest pain in the setting of left hip fracture.
Cardiac Consultation - 7 The patient has a previous history of aortic valve disease, status post aortic valve replacement, a previous history of paroxysmal atrial fibrillation, congestive heart failure, a previous history of transient ischemic attack with no residual neurologic deficits.
Cardiac Radionuclide Stress Test Patient with chest pains, CAD, and cardiomyopathy.
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.
Cardiolite Treadmill Stress Test Cardiolite treadmill exercise stress test. The patient was exercised on the treadmill to maximum tolerance achieving after 5 minutes a peak heart rate of 137 beats per minute with a workload of 2.3 METS.
Cardiology - Letter Follow up update on patient with left carotid angioplasty and stent placement.
Cardiology Office Visit - 1 Sample cardiology office visit note.
Cardiology Office Visit - 2 Cardiology office visit sample note.
Cardiology Progress Note Problem of essential hypertension. Symptoms that suggested intracranial pathology.
Cardiology Progress Note - 1 Congestive heart failure due to rapid atrial fibrillation and systolic dysfunction.
Cardiomyopathy & Hypotension - Consult Cardiomyopathy and hypotension. A lady with dementia, coronary artery disease, prior bypass, reduced LV function, and recurrent admissions for diarrhea and hypotension several times.
Cardiovascular - Letter Male with a history of therapy-controlled hypertension, borderline diabetes, and obesity. Risk factors for coronary heart disease.
Cardioversion Cardioversion. An 86-year-old woman with a history of aortic valve replacement in the past with paroxysmal atrial fibrillation
Cardioversion - Direct Current Direct current cardioversion. Successful direct current cardioversion with restoration of sinus rhythm from atrial fibrillation with no immediate complication.
Cardioversion - Direct Current - 1 Direct-current cardioversion. This is a 53-year-old gentleman with history of paroxysmal atrial fibrillation for 3 years. Successful DC cardioversion of atrial fibrillation.
Cardioversion - Unsuccessful Cardioversion. Unsuccessful direct current cardioversion with permanent atrial fibrillation.
Carotid & Cerebral Arteriograms Carotid and cerebral arteriogram - abnormal carotid duplex studies demonstrating occlusion of the left internal carotid artery.
Carotid Doppler Report Carotid Ultrasonic & Color Flow Imaging
Carotid Endarterectomy Right carotid stenosis and prior cerebrovascular accident. Right carotid endarterectomy with patch angioplasty.
Carotid Endarterectomy - 1 Right common carotid endarterectomy, internal carotid endarterectomy, external carotid endarterectomy, and Hemashield patch angioplasty of the right common, internal and external carotid arteries.
Carotid Endarterectomy & Angioplasty. Left carotid endarterectomy with endovascular patch angioplasty. Critical left carotid stenosis. The external carotid artery was occluded at its origin. When the endarterectomy was performed, the external carotid artery back-bled nicely. The internal carotid artery had good backflow bleeding noted.
Central Line Insertion Central line insertion. Empyema thoracis and need for intravenous antibiotics.
Central Line Placement Right subclavian triple lumen central line placement
Central Venous & Arterial Line Insertion of central venous line and arterial line and transesophageal echocardiography probe.
Chest Closure Delayed primary chest closure. Open chest status post modified stage 1 Norwood operation. The patient is a newborn with diagnosis of hypoplastic left heart syndrome who 48 hours prior to the current procedure has undergone a modified stage 1 Norwood operation.
Chest discomfort & palpitations - Consult. Patient with palpitations and rcent worsening of chronic chest discomfort.
Chest PA & Lateral Chest PA & Lateral to evaluate shortness of breath and pneumothorax versus left-sided effusion.
Chest Pain - Cardiac Consult Chest pain, possible syncopal spells. She has been having multiple cardiovascular complaints including chest pains, which feel like cramps and sometimes like a dull ache, which will last all day long.
Chest Pain - Office Note Patient with a family history of premature coronary artery disease came in for evaluation of recurrent chest pain
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.
Chest Pulmonary Angio Postcontrast CT chest pulmonary embolism protocol, 100 mL of Isovue-300 contrast is utilized.
Chest Tube Insertion Right hemothorax. Insertion of a #32 French chest tube on the right hemithorax. This is a 54-year-old female with a newly diagnosed carcinoma of the cervix. The patient is to have an Infuse-A-Port insertion.
Chest Tube Insertion in ER Chest tube insertion done by two physicians in ER - spontaneous pneumothorax secondary to barometric trauma.
Chest Tube Placement Left pleural effusion, parapneumonic, loculated. Left chest tube placement.
Chest Tube Removal Bilateral pleural effusion. Removal of bilateral #32 French chest tubes with closure of wound.
Chest Wall Tumor Resection Resection of left chest wall tumor, partial resection of left diaphragm, left lower lobe lung wedge resection, left chest wall reconstruction with Gore-Tex mesh.
Chronic Atrial Fibrillation A routine return appointment for a 71-year-old woman with chronic atrial fibrillation. Chief complaint today is shortness of breath.
Cineangiography Left and right coronary system cineangiography, cineangiography of SVG to OM and LIMA to LAD. Left ventriculogram and aortogram. Percutaneous intervention of the left circumflex and obtuse marginal branch with plano balloon angioplasty unable to pass stent.
Cineangiography - 1 Left and right coronary system cineangiography. Left ventriculogram. PCI to the left circumflex with a 3.5 x 12 and a 3.5 x 8 mm Vision bare-metal stents postdilated with a 3.75-mm noncompliant balloon x2.
Coarctation of Aorta Juxtaductal coarctation of the aorta, dilated cardiomyopathy, bicuspid aortic valve, patent foramen ovale.
Complex Cyanotic Congenital Heart Disease A 10-1/2-year-old born with asplenia syndrome with a complex cyanotic congenital heart disease characterized by dextrocardia bilateral superior vena cava, complete atrioventricular septal defect, a total anomalous pulmonary venous return to the right-sided atrium, and double-outlet to the right ventricle with malposed great vessels, the aorta being anterior with a severe pulmonary stenosis.
Consult - Abnormal EKG Abnormal EKG and rapid heart rate. The patient came to the emergency room. Initially showed atrial fibrillation with rapid ventricular response. It appears that the patient has chronic atrial fibrillation. She denies any specific chest pain. Her main complaint is shortness of breath and symptoms as above.
Consult - Atrial Fibrillation Patient with past medical history significant for coronary artery disease status post bypass grafting surgery and history of a stroke with residual left sided hemiplegia.
Consult - Atrial Fibrillation - 1 Atrial fibrillation and shortness of breath. The patient is an 81-year-old gentleman with shortness of breath, progressively worsening, of recent onset. History of hypertension, no history of diabetes mellitus, ex-smoker, cholesterol status elevated, no history of established coronary artery disease, and family history positive.
Consult - Congestive Heart Failure Congestive heart failure (CHF). The patient is a 75-year-old gentleman presented through the emergency room. Symptoms are of shortness of breath, fatigue, and tiredness. Main complaints are right-sided and abdominal pain. Initial blood test in the emergency room showed elevated BNP suggestive of congestive heart failure.
Consult - Coronary Artery Disease Coronary artery disease, prior bypass surgery. The patient has history of elevated PSA and BPH. He had a prior prostate biopsy and he recently had some procedure done, subsequently developed urinary tract infection, and presently on antibiotic. From cardiac standpoint, the patient denies any significant symptom except for fatigue and tiredness.
Consult - Palpitations & Presyncope The patient admitted with palpitations and presyncope.
COPD - Discharge Summary A 67-year-old male with COPD and history of bronchospasm, who presents with a 3-day history of increased cough, respiratory secretions, wheezings, and shortness of breath.
COPD & Bronchitis - Discharge Summary Chronic obstructive pulmonary disease (COPD) exacerbation and acute bronchitis.
COPD & Pneumonia - SOAP Acute on chronic COPD exacerbation and community acquired pneumonia both resolving. However, she may need home O2 for a short period of time.
Coronary Angiography Selective coronary angiography, left heart catheterization with hemodynamics, LV gram with power injection, right femoral artery angiogram, closure of the right femoral artery using 6-French AngioSeal.
Coronary Angiography & Abdominal Aortography Selective coronary angiography. Placement of overlapping 3.0 x 18 and 3.0 x 8 mm Xience stents in the proximal right coronary artery. Abdominal aortography.
Coronary CT Angiography (CCTA) - 1 CCTA with cardiac function and calcium scoring.
Coronary CT Angiography (CCTA) - 2 CCTA with Cardiac Function/Calcium Scoring
Coronary CT Angiography (CCTA) - 3 Coronary Artery CTA with Calcium Scoring and Cardiac Function
Coronary CT Angiography (CCTA) - 4 A 51-year-old male with chest pain and history of coronary artery disease.
Coronary CT Angiography (CCTA) - 5 A 62-year-old male with a history of ischemic cardiomyopathy and implanted defibrillator.
CT Angiography Chest pain, shortness of breath and cough, evaluate for pulmonary arterial embolism. CT angiography chest with contrast. Axial CT images of the chest were obtained for pulmonary embolism protocol utilizing 100 mL of Isovue-300.
CT Angiography - 1 Shortness of breath for two weeks and a history of pneumonia. CT angiography chest with contrast. Axial CT images of the chest were obtained for pulmonary embolism protocol utilizing 100 mL of Isovue-300.
CT Chest Common CT Chest template
CT Chest - 1 CT chest with contrast.
CT Chest - 2 A 68-year-old white male with recently diagnosed adenocarcinoma by sputum cytology. An abnormal chest radiograph shows right middle lobe infiltrate and collapse. Patient needs staging CT of chest with contrast.
CT of Chest with Contrast CT of chest with contrast. Abnormal chest x-ray demonstrating a region of consolidation versus mass in the right upper lobe.
CVA - Discharge Summary Cerebrovascular accident (CVA) with right arm weakness and MRI indicating acute/subacute infarct involving the left posterior parietal lobe without mass effect. 2. Old coronary infarct, anterior aspect of the right external capsule. Acute bronchitis with reactive airway disease.
CyberKnife Treatment - Followup The patient is a 61-year-old female who was treated with CyberKnife therapy to a right upper lobe stage IA non-small cell lung cancer. CyberKnife treatment was completed one month ago. She is now being seen for her first post-CyberKnife treatment visit.
Cystic Fibrosis A 10 years of age carries a diagnosis of cystic fibrosis
DDDR Permanent Pacemaker DDDR permanent pacemaker, insertion of a steroid-eluting screw in right atrial lead, insertion of a steroid-eluting screw in right ventricular apical lead, pulse generator insertion, model Sigma,
Difficulty Breathing - ER Visit The patient is 14 months old, comes in with a chief complaint of difficulty breathing.
Dilated Cardiomyopathy - Consult A 63-year-old man with a dilated cardiomyopathy presents with a chief complaint of heart failure. He has noted shortness of breath with exertion and occasional shortness of breath at rest.
Direct Laryngoscopy Direct laryngoscopy and bronchoscopy.
Discharge Summary Patient had some cold symptoms, was treated as bronchitis with antibiotics.
Discharge Summary - COPD Chest x-ray on admission, no acute finding, no interval change. CT angiography, negative for pulmonary arterial embolism. Chronic obstructive pulmonary disease exacerbation improving, on steroids and bronchodilators.
Discharge Summary - Respiratory Distress A 3-year-old abrupt onset of cough and increased work of breathing.
Discharge Summary - Respiratory Failure The patient was admitted after undergoing a drawn out process with a small bowel obstruction.
Dobutamine Stress Test Dobutamine stress test for chest pain, as the patient was unable to walk on a treadmill, and allergic to adenosine. Nondiagnostic dobutamine stress test. Normal nuclear myocardial perfusion scan.
Dobutamine Stress Test - 1 Dobutamine Stress Echocardiogram. Chest discomfort, evaluation for coronary artery disease. Maximal dobutamine stress echocardiogram test achieving more than 85% of age-predicted heart rate. Negative EKG criteria for ischemia.
Double Lumen Port Inserstion Insertion of a double lumen port through the left femoral vein, radiological guidance. Open exploration of the left subclavian and axillary vein. Metastatic glossal carcinoma, needing chemotherapy and a port.
Dual Chamber Generator Replacement Dual chamber generator replacement. The patient is a pleasant patient who presented to the office, recently was found to be at ERI and she has been referred for generator replacement.
Dual Chamber ICD Implantation Dual Chamber ICD Implantation, fluoroscopy, defibrillation threshold testing, venography.
Duplex Ultrasound - Legs Duplex ultrasound of legs
Echocardiogram Echocardiogram with color flow and conventional Doppler interrogation.
Echocardiogram - 1 Echocardiogram was performed including 2-D and M-mode imaging.
Echocardiogram - 2 Echocardiogram for aortic stenosis. Transthoracic echocardiogram was performed of adequate technical quality. Concentric hypertrophy of the left ventricle with normal function. Doppler study as above, most pronounced being moderate aortic stenosis, valve area of 1.1 sq. cm
Echocardiogram - 3 Echocardiographic Examination Report. Angina and coronary artery disease. Mild biatrial enlargement, normal thickening of the left ventricle with mildly dilated ventricle and EF of 40%, mild mitral regurgitation, diastolic dysfunction grade 2, mild pulmonary hypertension.
Echocardiography Echocardiographic examination. Borderline left ventricular hypertrophy with normal ejection fraction at 60%, mitral annular calcification with structurally normal mitral valve, no intracavitary thrombi is seen, interatrial septum was somewhat difficult to assess, but appeared to be intact on the views obtained.
Elevated BNP - Consult Elevated BNP. Diastolic heart failure, not contributing to his present problem. Chest x-ray and CAT scan shows possible pneumonia. The patient denies any prior history of coronary artery disease but has a history of hypertension.
Elevated Cardiac Enzymes Abnormal cardiac enzyme profile. The patient is a 66-year-old gentleman, was brought into emergency room with obtundation. The patient was mechanically ventilated originally. His initial diagnosis was septic shock. His labs showed elevated cardiac enzyme profile.
Endotracheal Intubation Endotracheal intubation. Respiratory failure. The patient is a 52-year-old male with metastatic osteogenic sarcoma. He was admitted two days ago with small bowel obstruction.
Endotracheal Intubation - 1 Endotracheal intubation. The patient was intubated secondary to respiratory distress and increased work of breathing and falling saturation on 15 liters nonrebreather. PCO2 was 29 and pO2 was 66 on the 15 liters.
Endovascular Brachytherapy Endovascular Brachytherapy (EBT)
ER Report - Chest Pain Patient complains of chest pain - possible esophageal reflux
ER Report - COPD Patient in ER complaining of shortness of breath (COPD)
Esophagogastrectomy, Jejunostomy, & Chest Tubes Ivor-Lewis esophagogastrectomy, feeding jejunostomy, placement of two right-sided 28 French chest tubes, and right thoracotomy.
Exercise Myocardial Perfusion Study Exercise myocardial perfusion study. The exercise myocardial perfusion study shows possibility of mild ischemia in the inferolateral wall and normal LV systolic function with LV ejection fraction of 59%
Exercise Stress Test Exercise stress test with nuclear scan for chest pain. Chest pain resolved after termination of exercise. Good exercise duration, tolerance and double product. Normal nuclear myocardial perfusion scan.
Exercise Stress Test - 1 A 44-year-old woman with a history of rheumatoid arthritis admitted to the hospital with chest pain. MI has been ruled out. She has been referred for an exercise echocardiogram.
Exercise Stress Test - 2 Reduced exercise capacity for age, no chest pain with exercise, no significant ST segment changes with exercise, symptoms of left anterior chest pain were not provoked with exercise, and hypertensive response noted with exercise.
Exercise Stress Test - 3 No chest pain with exercise and no significant ECG changes with exercise. Poor exercise capacity 6 weeks following an aortic valve replacement and single-vessel bypass procedure.
Exercise Stress Test - 4 Chest pain. Achieved optimum METs for the exercise done and this is a normal exercise treadmill stress test.
Femoral Artery Cannulation & Aortogram Right common femoral artery cannulation, cnscious sedation using IV Versed and IV fentanyl, retrograde bilateral coronary angiography, abdominal aortogram with pelvic runoff, left external iliac angiogram with runoff to the patient's left foot, left external iliac angiogram with runoff to the patient's right leg, right common femoral artery angiogram runoff to the patient's right leg.
Fiberoptic Bronchoscopy Diagnostic fiberoptic bronchoscopy with biopsies and bronchoalveolar lavage. Bilateral upper lobe cavitary lung masses. Airway changes including narrowing of upper lobe segmental bronchi, apical and posterior on the right, and anterior on the left. There are also changes of inflammation throughout.
Fiberoptic Bronchoscopy - 1 Fiberoptic bronchoscopy, diagnostic. Hemoptysis and history of lung cancer. Tumor occluding right middle lobe with friability.
Fiberoptic Bronchoscopy with Lavage Emergent fiberoptic bronchoscopy with lavage. Status post multiple trauma/motor vehicle accident. Acute respiratory failure. Acute respiratory distress/ventilator asynchrony. Hypoxemia. Complete atelectasis of left lung. Clots partially obstructing the endotracheal tube and completely obstructing the entire left main stem and entire left bronchial system.
Fiberoptic Flexible Bronchoscopy Fiberoptic flexible bronchoscopy with lavage, brushings, and endobronchial mucosal biopsies of the right bronchus intermedius/right lower lobe. Right hyoid mass, rule out carcinomatosis. Chronic obstructive pulmonary disease. Changes consistent with acute and chronic bronchitis.
Fistulogram & Angioplasty Left arm fistulogram. Percutaneous transluminal angioplasty of the proximal and distal cephalic vein. Ultrasound-guided access of left upper arm brachiocephalic fistula.
Flexible Bronchoscopy Flexible bronchoscopy to evaluate the airway (chronic wheezing).
Flexible Fiberoptic Bronchoscopy Flexible fiberoptic bronchoscopy with right lower lobe bronchoalveolar lavage and right upper lobe endobronchial biopsy. Severe tracheobronchitis, mild venous engorgement with question varicosities associated pulmonary hypertension, right upper lobe submucosal hemorrhage without frank mass underneath it status post biopsy.
Flexible Fiberoptic Bronchoscopy -1 Flexible fiberoptic bronchoscopy diagnostic with right middle and upper lobe lavage and lower lobe transbronchial biopsies. Mild tracheobronchitis with history of granulomatous disease and TB, rule out active TB/miliary TB.
Fogarty Thrombectomy Fogarty thrombectomy, left forearm arteriovenous Gore-Tex bridge fistula and revision of distal anastomosis with 7 mm interposition Gore-Tex graft. Chronic renal failure and thrombosed left forearm arteriovenous Gore-Tex bridge fistula.
Followup on Asthma A female for a complete physical and follow up on asthma with allergic rhinitis.
H&P - Cardio (Angina) H&P for a female with Angina pectoris.
Heart Cath & Coronary Angiography Left heart catheterization and bilateral selective coronary angiography. The patient is a 65-year-old male with known moderate mitral regurgitation with partial flail of the P2 and P3 gallops who underwent outpatient evaluation for increasingly severed decreased functional capacity and retrosternal chest pain that was aggravated by exertion and decreased with rest.
Heart Catheterization Right and left heart catheterization, coronary angiography, left ventriculography.
Heart Catheterization - 1 Chest pain and non-Q-wave MI with elevation of troponin I only. Left heart catheterization, left ventriculography, and left and right coronary arteriography.
Heart Catheterization - 2 Right heart catheterization. Refractory CHF to maximum medical therapy.
Heart Catheterization & Angiography Left and right heart catheterization and selective coronary angiography. Coronary artery disease, severe aortic stenosis by echo.
Heart Catheterization & Angiography - 1 Left heart cath, selective coronary angiography, LV gram, right femoral arteriogram, and Mynx closure device. Normal stress test.
Heart Catheterization & Angiography - 2 Left heart catheterization and bilateral selective coronary angiography. Left ventriculogram was not performed.
Heart Catheterization & Ventriculogram Right and left heart catheterization, left ventriculogram, aortogram, and bilateral selective coronary angiography. The patient is a 48-year-old female with severe mitral stenosis diagnosed by echocardiography, moderate aortic insufficiency and moderate to severe pulmonary hypertension who is being evaluated as a part of a preoperative workup for mitral and possible aortic valve repair or replacement.
Heart Catheterization, Ventriculography, & Angiography Left heart catheterization, bilateral selective coronary angiography, saphenous vein graft angiography, left internal mammary artery angiography, and left ventriculography.
Heart Catheterization, Ventriculography, & Angiography - 1 Left heart catheterization, left ventriculography, coronary angiography, and successful stenting of tight lesion in the distal circumflex and moderately tight lesion in the mid right coronary artery.
Heart Catheterization, Ventriculography, & Angiography - 10 Left heart catheterization, left and right coronary angiography, left ventricular angiography, and intercoronary stenting of the right coronary artery.
Heart Catheterization, Ventriculography, & Angiography - 11 Selective coronary angiography, left heart catheterization, and left ventriculography. Severe stenosis at the origin of the large diagonal artery and subtotal stenosis in the mid segment of this diagonal branch.
Heart Catheterization, Ventriculography, & Angiography - 12 Left heart catheterization, left ventriculography, selective coronary angiography, and right femoral artery approach.
Heart Catheterization, Ventriculography, & Angiography - 2 Left heart catheterization with ventriculography, selective coronary arteriographies, successful stenting of the left anterior descending diagonal.
Heart Catheterization, Ventriculography, & Angiography - 3 Left heart catheterization with ventriculography, selective coronary angiography. Standard Judkins, right groin. Catheters used were a 6 French pigtail, 6 French JL4, 6 French JR4.
Heart Catheterization, Ventriculography, & Angiography - 4 Left heart catheterization with left ventriculography and selective coronary angiography. Percutaneous transluminal coronary angioplasty and stent placement of the right coronary artery.
Heart Catheterization, Ventriculography, & Angiography - 5 Left heart catheterization, selective bilateral coronary angiography and left ventriculography. Revascularization of the left anterior descending with angioplasty and implantation of a drug-eluting stent. Right heart catheterization and Swan-Ganz catheter placement for monitoring.
Heart Catheterization, Ventriculography, & Angiography - 6 Left heart catheterization with left ventriculography and selective coronary angiography. A 50% distal left main and two-vessel coronary artery disease with normal left ventricular systolic function. Frequent PVCs. Metabolic syndrome.
Heart Catheterization, Ventriculography, & Angiography - 7 Left heart catheterization, coronary angiography, left ventriculography. Severe complex left anterior descending and distal circumflex disease with borderline, probably moderate narrowing of a large obtuse marginal branch.
Heart Catheterization, Ventriculography, & Angiography - 8 Left heart catheterization, coronary angiography, and left ventriculogram. No angiographic evidence of coronary artery disease. Normal left ventricular systolic function. Normal left ventricular end diastolic pressure.
Heart Catheterization, Ventriculography, & Angiography - 9 Left heart catheterization, left ventriculography, selective coronary angiography.
Hickman Central Venous Catheter Placement Placement of a subclavian single-lumen tunneled Hickman central venous catheter. Surgeon-interpreted fluoroscopy.
High PT-INR - ER Visit Very high PT-INR. she came in with pneumonia and CHF. She was noticed to be in atrial fibrillation, which is a chronic problem for her.
Holter Monitor Report Holter Monitor Report
Holter Monitor Report - 1 Holter monitor report. Predominant rhythm is sinus. Triplet maximum rate of 178 beats per minute noted.
Holter Monitor Report - 2 Holter monitoring for syncope. Analyzed for approximately 23 hours 57 minutes and artefact noted for approximately 23 seconds.
Holter Monitoring Holter monitoring - For bradycardia and dizziness.
Hypertension - Consult An 84-year-old woman with a history of hypertension, severe tricuspid regurgitation with mild pulmonary hypertension, mild aortic stenosis, and previously moderate mitral regurgitation.
Hypertension - Progress Note Patient with hypertension, syncope, and spinal stenosis - for recheck.
Hypertension & Cardiomyopathy Nonischemic cardiomyopathy, branch vessel coronary artery disease, congestive heart failure - NYHA Class III, history of nonsustained ventricular tachycardia, hypertension, and hepatitis C.
Immunohistochemical Study Specimen - Lung, left lower lobe resection. Sarcomatoid carcinoma with areas of pleomorphic/giant cell carcinoma and spindle cell carcinoma. The tumor closely approaches the pleural surface but does not invade the pleura.
Ischemic Cardiac Disease - Progress Note Patient with a history of ischemic cardiac disease and hypercholesterolemia.
IV Procainamide Infusion Comprehensive electrophysiology studies with attempted arrhythmia induction and IV Procainamide infusion for Brugada syndrome.
Laparoscopic Adrenalectomy Laparoscopic lysis of adhesions and Laparoscopic left adrenalectomy. Left adrenal mass, 5.5 cm and intraabdominal adhesions.
Laryngoscopy Direct laryngoscopy, rigid bronchoscopy and dilation of subglottic upper tracheal stenosis.
Lexiscan Nuclear Scan Lexiscan Nuclear Myocardial Perfusion Scan. Chest pain. Patient unable to walk on a treadmill. Nondiagnostic Lexiscan. Normal nuclear myocardial perfusion scan.
Lightheaded & Dizziness Lightheaded, dizziness, and palpitation. This morning, the patient experienced symptoms of lightheaded, dizziness, felt like passing out; however, there was no actual syncope. During the episode, the patient describes symptoms of palpitation and fluttering of chest. She relates the heart was racing. By the time when she came into the Emergency Room, her EKG revealed normal sinus rhythm. No evidence of arrhythmia.
Lobectomy - Followup The patient is a 65-year-old female who underwent left upper lobectomy for stage IA non-small cell lung cancer. She returns for a routine surveillance visit. The patient has no evidence of disease now status post left upper lobectomy for stage IA non-small cell lung cancer 13 months ago.
Lobectomy - Left Lower Left lower lobectomy.
Lobectomy - VATS VATS right middle lobectomy, fiberoptic bronchoscopy, mediastinal lymph node sampling, tube thoracostomy x2, multiple chest wall biopsies and excision of margin on anterior chest wall adjacent to adherent tumor.
Lobectomy & Lymph Node Dissection Right upper lung lobectomy. Mediastinal lymph node dissection
Lobectomy & Lymphadenectomy Right lower lobectomy, right thoracotomy, extensive lysis of adhesions, mediastinal lymphadenectomy.
Lower Extremity Arterial Doppler Lower Extremity Arterial Doppler
Lower Extremity Venous Doppler Left lower extremity venous Doppler ultrasound
Lung adenocarcinoma Path Report Probable right upper lobe lung adenocarcinoma. Specimen is received fresh for frozen section, labeled with the patient's identification and "Right upper lobe lung".
Lung Biopsy Discussion Patient is here to discuss possible open lung biopsy.
Lung Biopsy Pathology Report Lung, wedge biopsy right lower lobe and resection right upper lobe. Lymph node, biopsy level 2 and 4 and biopsy level 7 subcarinal. PET scan demonstrated a mass in the right upper lobe and also a mass in the right lower lobe, which were also identified by CT scan.
Lung Biopsy Pathology Report - 1 The right upper lobe wedge biopsy shows a poorly differentiated non-small cell carcinoma with a solid growth pattern and without definite glandular differentiation by light microscopy.
Lung Cancer & MI - Hospice Cosult Patient with metastatic non-small-cell lung cancer, on hospice with inferior ST-elevation MI. The patient from prior strokes has expressive aphasia, is not able to express herself in a clear meaningful fashion.
Lymphoblastic Leukemia - Consult Newly diagnosed high-risk acute lymphoblastic leukemia; extensive deep vein thrombosis, and pharmacologic thrombolysis following placement of a vena caval filter.
Mayoview Resting Myoview and adenosine Myoview SPECT
Mayoview - 1 Myoview nuclear stress study. Angina, coronary artery disease. Large fixed defect, inferior and apical wall, related to old myocardial infarction.
Mayoview - 2 Lexiscan myoview stress study. Chest discomfort. Normal stress/rest cardiac perfusion with no indication of ischemia. Normal LV function and low likelihood of significant epicardial coronary narrowing.
Mediastinal Exploration Mediastinal exploration and delayed primary chest closure. The patient is a 12-day-old infant who has undergone a modified stage I Norwood procedure with a Sano modification.
Mediastinal Exploration & Right Atrium Repair The patient had undergone mitral valve repair about seven days ago.
Mediastinal Mass Resection Posterior mediastinal mass with possible neural foraminal involvement (benign nerve sheath tumor by frozen section). Left thoracotomy with resection of posterior mediastinal mass.
Mesothelioma - Consult Mesothelioma versus primary lung carcinoma, Chronic obstructive pulmonary disease, paroxysmal atrial fibrillation, malignant pleural effusion, status post surgery as stated above, and anemia of chronic disease.
Mesothelioma - Pleural Biopsy Right pleural effusion and suspected malignant mesothelioma.
Metastasectomy & Bronchoscopy Left metastasectomy of metastatic renal cell carcinoma with additional mediastinal lymph node dissection and additional fiberoptic bronchoscopy.
Microlaryngoscopy Suspension microlaryngoscopy, rigid bronchoscopy, dilation of tracheal stenosis.
Mitral Valve Repair & Annuloplasty Mitral valve repair using a quadrangular resection of the P2 segment of the posterior leaflet. Mitral valve posterior annuloplasty using a Cosgrove Galloway Medtronic fuser band. Posterior leaflet abscess resection.
MRI of Lung - Adenocarcinoma MRI: Right parietal metastatic adenocarcinoma (LUNG) metastasis.
Multilobar Pneumonia Loculated left effusion, multilobar pneumonia. Patient had a diagnosis of multilobar pneumonia along with arrhythmia and heart failure as well as renal insufficiency.
Multiple Medical Problems - Discharge Summary Seizure, hypoglycemia, anemia, dyspnea, edema. colon cancer status post right hemicolectomy, hospital-acquired pneumonia, and congestive heart failure.
Multiple Stent Placements Multiple stent placements with Impella circulatory assist device.
Murmur & Bacteremia. A female admitted with jaundice and a pancreatic mass who was noted to have a new murmur, bacteremia, and fever.
Myocardial Perfusion Imaging - 1 Myocardial perfusion imaging - patient with history of MI, stents placement, and chest pain.
Myocardial Perfusion Imaging - 2 Myocardial perfusion imaging - patient had previous abnormal stress test. Stress test with imaging for further classification of CAD and ischemia.
Myocardial Perfusion Imaging - 3 Myocardial perfusion study at rest and stress, gated SPECT wall motion study at stress and calculation of ejection fraction.
Myoview Perfusion Scan Resting Myoview perfusion scan and gated myocardial scan. Findings consistent with an inferior non-transmural scar
Non-Q-wave Myocardial Infarction A patient with non-Q-wave myocardial infarction. No definite chest pains. The patient is breathing okay. The patient denies orthopnea or PND.
Nuclear Cardiac Stress Report Nuclear cardiac stress report. Recurrent angina pectoris in a patient with documented ischemic heart disease and underlying ischemic cardiomyopathy.
Pacemaker - DDDR DDDR permanent pacemaker. Tachybrady syndrome. A ventricular pacemaker lead was advanced through the sheath and into the vascular lumen and under fluoroscopic guidance guided down into the right atrium.
Pacemaker (Dual Chamber) Implantation of a dual chamber permanent pacemaker
Pacemaker (Dual Chamber) - 1 Implantation of a dual-chamber pacemaker and fluoroscopic guidance for implantation of a dual-chamber pacemaker.
Pacemaker (Single Chamber) Single chamber pacemaker implantation. Successful single-chamber pacemaker implantation with left subclavian approach and venogram to assess the subclavian access site and the right atrial or right ventricle with asystole that resolved spontaneously during the procedure.
Pacemaker (Single Chamber) - 1 Implantation of a single-chamber pacemaker. Fluoroscopic guidance for implantation of single-chamber pacemaker.
Pacemaker Insertion Insertion of transvenous pacemaker for tachybrady syndrome
Pacemaker Interrogation Pacemaker ICD interrogation. Severe nonischemic cardiomyopathy with prior ventricular tachycardia.
Pacemaker Lead Placement & Rrevision. Sinus bradycardia, sick-sinus syndrome, poor threshold on the ventricular lead and chronic lead. Right ventricular pacemaker lead placement and lead revision.
PAF - 6-Month Followup Six-month follow-up visit for paroxysmal atrial fibrillation (PAF). She reports that she is getting occasional chest pains with activity. Sometimes she feels that at night when she is lying in bed and it concerns her.
Paroxysmal Atrial Fibrillation A middle-aged white female undergoing autologous stem cell transplant for multiple myeloma, now with paroxysmal atrial fibrillation.
Patent Ductus Arteriosus Coil embolization of patent ductus arteriosus.
Patent Ductus Arteriosus Ligation Ligation (clip interruption) of patent ductus arteriosus. This premature baby with operative weight of 600 grams and evidence of persistent pulmonary over circulation and failure to thrive has been diagnosed with a large patent ductus arteriosus originating in the left-sided aortic arch.
Pericardial Effusion The patient is an 84-year-old female presented to emergency room with shortness of breath, fatigue, and tiredness. Low-grade fever was noted last few weeks. The patient also has chest pain described as dull aching type in precordial region. No relation to exertion or activity. No aggravating or relieving factors.
Peripheral Effusion - Consult Peripheral effusion on the CAT scan. The patient is a 70-year-old Caucasian female with prior history of lung cancer, status post upper lobectomy. She was recently diagnosed with recurrent pneumonia and does have a cancer on the CAT scan, lung cancer with metastasis.
PICC line insertion PICC line insertion
Pigtail Catheter Insertion Left hemothorax, rule out empyema. Insertion of a 12-French pigtail catheter in the left pleural space.
Pleurocentesis Ultrasound-guided right pleurocentesis for right pleural effusion with respiratory failure and dyspnea.
Pleurodesis Chest tube talc pleurodesis of the right chest.
Pneumoconiosis Patient with a previous history of working in the coalmine and significant exposure to silica with resultant pneumoconiosis and fibrosis of the lung.
Pneumonia - Discharge Summary Atypical pneumonia, hypoxia, rheumatoid arthritis, and suspected mild stress-induced adrenal insufficiency. This very independent 79-year old had struggled with cough, fevers, weakness, and chills for the week prior to admission.
Pneumonia & COPD - Discharge Summary Aspiration pneumonia and chronic obstructive pulmonary disease (COPD) exacerbation. Acute respiratory on chronic respiratory failure secondary to chronic obstructive pulmonary disease exacerbation. Systemic inflammatory response syndrome secondary to aspiration pneumonia. No bacteria identified with blood cultures or sputum culture.
Pneumothorax & Subcutaneous Emphysema Consult for subcutaneous emphysema and a small right-sided pneumothorax secondary to trauma.
Port-A-Cath Insertion Port-A-Cath insertion template. Catheter was inserted after subcutaneous pocket was created, the sheath dilators were advanced, and the wire and dilator were removed.
Port-A-Cath Insertion - 5 Insertion of subclavian dual-port Port-A-Cath and surgeon-interpreted fluoroscopy.
Preeclampsia Preeclampsia, status post delivery with Cesarean section with uncontrolled blood pressure. The patient is a 38-year-old female admitted following a delivery. The patient had a cesarean section. Following this, the patient was treated for her blood pressure. She was sent home and she came back again apparently with uncontrolled blood pressure.
Preop Cardiac Consult Cardiology consultation regarding preoperative evaluation for right hip surgery. Patient with a history of coronary artery disease status post bypass surgery
Pulmonary - Followup Note Pulmonary Medicine Clinic for followup evaluation of interstitial disease secondary to lupus pneumonitis.
Pulmonary Atresia The patient is a 9-year-old born with pulmonary atresia, intact ventricular septum with coronary sinusoids.
Pulmonary Consultation - 1 Obstructive sleep apnea syndrome. Loud snoring. Schedule an overnight sleep study.
Pulmonary Consultation - 2 Patient with complaints of significant coughing and wheezing.
Pulmonary Edema - Consult This 61-year-old retailer who presents with acute shortness of breath, hypertension, found to be in acute pulmonary edema. No confirmed prior history of heart attack, myocardial infarction, heart failure.
Pulmonary Embolism Patient felt dizzy, had some cold sweats, mild shortness of breath, no chest pain, no nausea or vomiting, but mild diarrhea, and sat down and lost consciousness for a few seconds.
Pulmonary Function Test Pulmonary function test. Mild-to-moderate obstructive ventilatory impairment. Some improvement in the airflows after bronchodilator therapy.
Pulmonary Function Test - 1 Pulmonary Function Test in a patient with smoking history.
Pulmonary Function Test - 2 Pulmonary Function Test to evaluate dyspnea.
Pulmonary Function Test - 3 Sample of Pulmonary Function Test
Pulmonary Function Test - 4 Sample of Pulmonary Function Test
Pulmonary Function Test - 5 Pulmonary function test. Mild restrictive airflow limitation. Clinical correlation is recommended.
Pulmonary Hypertension - Pediatric Consult Increasing oxygen requirement. Baby boy has significant pulmonary hypertension.
Pulmonary Medicine Clinic Followup Patient returns to Pulmonary Medicine Clinic for followup evaluation of COPD and emphysema.
Pulmonary Valve Stenosis Pulmonary valve stenosis, supple pulmonic narrowing, and static encephalopathy
Q-Fever Endocarditis A 16-year-old male with Q-fever endocarditis.
Radionuclide Stress Test Elevated cardiac enzymes, fullness in chest, abnormal EKG, and risk factors. No evidence of exercise induced ischemia at a high myocardial workload. This essentially excludes obstructive CAD as a cause of her elevated troponin.
Reactive Airway Disease A 23-month-old girl has a history of reactive airway disease, is being treated on an outpatient basis for pneumonia, presents with cough and fever.
Saphenous Vein - Ligation & Stripping Ligation and stripping of left greater saphenous vein to the level of the knee. Stripping of multiple left lower extremity varicose veins. Varicose veins.
Selective Coronary Angiography & Angioplasty Selective coronary angiography, coronary angioplasty. Acute non-ST-elevation MI.
Septal Defect Repair Repair of total anomalous pulmonary venous connection, ligation of patent ductus arteriosus, repair secundum type atrial septal defect (autologous pericardial patch), subtotal thymectomy, and insertion of peritoneal dialysis catheter.
Shiley Tracheostomy Tube Insertion Insertion of a #8 Shiley tracheostomy tube. A #10-blade scalpel was used to make an incision approximately 1 fingerbreadth above the sternal notch. Dissection was carried down using Bovie electrocautery to the level of the trachea.
Shone complex Complete heart block with pacemaker malfunction and a history of Shone complex.
Shortness Of Breath - Progress Note The patient was admitted approximately 3 days ago with increasing shortness of breath secondary to pneumonia. Pulmonary Medicine Associates have been contacted to consult in light of the ICU admission.
Sick Sinus Syndrome Sick sinus syndrome, atrial fibrillation, pacemaker dependent, mild cardiomyopathy with ejection fraction 40% and no significant decompensation, and dementia of Alzheimer's disease with short and long term memory dysfunction
Single Frontal View of Chest Chest, Single view post OP for ASD (Atrial Septal Defect).
SOAP - Lung Mass Pulmonary disorder with lung mass, pleural effusion, and chronic uncontrolled atrial fibrillation secondary to pulmonary disorder. The patient is admitted for lung mass and also pleural effusion. The patient had a chest tube placement, which has been taken out. The patient has chronic atrial fibrillation, on anticoagulation.
SOAP - Shortness of Breath The patient is admitted for shortness of breath, continues to do fairly well. The patient has chronic atrial fibrillation, on anticoagulation, INR of 1.72. The patient did undergo echocardiogram, which shows aortic stenosis, severe. The patient does have an outside cardiologist.
Stenting Successful stenting of the left anterior descending. Angina pectoris, tight lesion in left anterior descending.
Stress Test Adenosine Myoview Stress test - Adenosine Myoview. Ischemic cardiomyopathy. Inferoseptal and apical transmural scar.
Stress Test Bruce Protocol Stress test with Bruce protocol due to chest pain.
Stress Test Dobutamine Dobutamine stress test for atrial fibrillation.
Stress Test Dobutamine Myoview Chest pain, hypertension. Stress test negative for dobutamine-induced myocardial ischemia. Normal left ventricular size, regional wall motion, and ejection fraction.
Stress Test Dobutrex Dobutrex stress test for abnormal EKG
Stress Test Graded Exercise Treadmill Chest pain, Chest wall tenderness occurred with exercise.
Stress Test Thallium Thallium stress test for chest pain.
Subclavian Central Venous Catheter Insertion Insertion of right subclavian central venous catheter. Need for intravenous access, status post fall, and status post incision and drainage of left lower extremity.
Subxiphoid Pericardial Window Emergent subxiphoid pericardial window, transesophageal echocardiogram.
Subxiphoid Pericardial Window - 1 Subxiphoid pericardial window. A #10-blade scalpel was used to make an incision in the area of the xiphoid process. Dissection was carried down to the level of the fascia using Bovie electrocautery.
Subxiphoid Pericardiotomy Subxiphoid pericardiotomy. Symptomatic pericardial effusion. The patient had the appropriate inflammatory workup for pericardial effusion, however, it was nondiagnostic.
Supraclavicular Lymphadenopathy The patient was undergoing a routine physical examination and was found to have right supraclavicular lymphadenopathy. She returned for followup examination and again was noted to have right supraclavicular lymphadenopathy. She is now referred to the thoracic surgery clinic for evaluation.
Supraventricular Tachycardia - Consult The patient is a 4-month-old who presented with supraventricular tachycardia and persistent cyanosis.
Tachypnea Quick note on tachypnea.
Telemetry Monitoring The patient was originally hospitalized secondary to dizziness and disequilibrium. Extensive workup during her first hospitalization was all negative, but a prominent feature was her very blunted affect and real anhedonia.
Tesio Hemodialysis Catheter Insertion Insertion of a left subclavian Tesio hemodialysis catheter and surgeon-interpreted fluoroscopy.
Tessio Catheter Insertion Insertion of right internal jugular Tessio catheter and placement of left wrist primary submental arteriovenous fistula.
Thoracentesis Thoracentesis. Left pleural effusion. Left hemothorax.
Thoracentesis - 1 Thoracentesis, left. Malignant pleural effusion, left, with dyspnea.
Thoracoabdominal Aneurysm A 26-mm Dacron graft replacement of type 4 thoracoabdominal aneurysm from T10 to the bifurcation of the aorta, re-implanting the celiac, superior mesenteric artery and right renal as an island and the left renal as a 8-mm interposition Dacron graft, utilizing left heart bypass and cerebrospinal fluid drainage.
Thoracoscopy & Thoracotomy - Mesothelioma Left mesothelioma, focal. Left anterior pleural-based nodule, which was on a thin pleural pedicle with no invasion into the chest wall.
Thoracoscopy/Thoracotomy Left thoracoscopy and left thoracotomy with declaudication and drainage of lung abscesses, and multiple biopsies of pleura and lung.
Thoracotomy & Bronchoscopy Empyema. Right thoracotomy, total decortication and intraoperative bronchoscopy. A thoracostomy tube was placed at the bedside with only partial resolution of the pleural effusion. On CT scan evaluation, there is evidence of an entrapped right lower lobe with loculations.
Thoracotomy & Esophageal Exploration Left thoracotomy with drainage of pleural fluid collection, esophageal exploration and repair of esophageal perforation, diagnostic laparoscopy and gastrostomy, and radiographic gastrostomy tube study with gastric contrast, interpretation.
Thoracotomy & Lobectomy Left muscle sparing mini thoracotomy with left upper lobectomy and mediastinal lymph node dissection. Intercostal nerve block for postoperative pain relief at five levels.
Thoracotomy & Pleurectomy Left thoracotomy with total pulmonary decortication and parietal pleurectomy. Empyema of the chest, left.
Thrombectomy Thrombosed left forearm loop fistula graft, chronic renal failure, and hyperkalemia. Thrombectomy of the left forearm loop graft. The venous outflow was good. There was stenosis in the mid-venous limb of the graft.
Thrombectomy AV Shunt Thrombectomy AV shunt, left forearm and patch angioplasty of the venous anastomosis. Thrombosed arteriovenous shunt, left forearm with venous anastomotic stenosis.
Thromboendarterectomy Thromboendarterectomy of right common, external, and internal carotid artery utilizing internal shunt and Dacron patch angioplasty closure. Coronary artery bypass grafting x3 utilizing left internal mammary artery to left anterior descending, and reverse autogenous saphenous vein graft to the obtuse marginal, posterior descending branch of the right coronary artery.
Tilt Table Test Tilt table test. Tilt table test is negative for any evidence of vasovagal, orthostasis or vasodepressor syndrome.
Tilt Table Test - 1 Tilt table test. A patient with past medical history of syncope. The patient is also complaining of dizziness.
Toronto Porcine Valve Insertion Aortic stenosis. Insertion of a Toronto stentless porcine valve, cardiopulmonary bypass, and cold cardioplegia arrest of the heart.
Tracheostomy Neck exploration; tracheostomy; urgent flexible bronchoscopy via tracheostomy site; removal of foreign body, tracheal metallic stent material; dilation distal trachea; placement of #8 Shiley single cannula tracheostomy tube.
Tracheostomy & SCOOP Procedure Tracheostomy with skin flaps and SCOOP procedure FastTract. Oxygen dependency of approximately 5 liters nasal cannula at home and chronic obstructive pulmonary disease.
Tracheostomy Change Tracheostomy change. A #6 Shiley with proximal extension was changed to a #6 Shiley with proximal extension. Ventilator-dependent respiratory failure and laryngeal edema.
Tracheostomy Tube Consult Patient referred for evaluation of tracheostomy tube placement and treatment recommendations.
Tracheotomy - 1 Tracheotomy for patient with respiratory failure.
Transesophageal Echocardiogram Transesophageal echocardiogram and direct current cardioversion.
Transesophageal Echocardiogram - 1 Transesophageal echocardiogram for aortic stenosis. Normal left ventricular size and function. Benign Doppler flow pattern. Doppler study essentially benign. Aorta essentially benign. Atrial septum intact. Study was negative.
Transesophageal Echocardiogram - 2 Transesophageal echocardiogram due to vegetation and bacteremia. Normal left ventricular size and function. Echodensity involving the aortic valve suggestive of endocarditis and vegetation. Doppler study as above most pronounced being moderate-to-severe aortic insufficiency.
Transesophageal Echocardiogram - 3 Transesophageal echocardiographic examination report. Aortic valve replacement. Assessment of stenotic valve. Evaluation for thrombus on the valve.
Transesophageal Echocardiogram - 4 Transesophageal echocardiogram. The transesophageal probe was introduced into the posterior pharynx and esophagus without difficulty.
Transesophageal Echocardiogram - 5 Transesophageal echocardiogram. MRSA bacteremia, rule out endocarditis. The patient has aortic stenosis.
Transesophageal Echocardiogram - 6 Transesophageal Echocardiogram. A woman admitted to the hospital with a large right MCA CVA causing a left-sided neurological deficit incidentally found to have atrial fibrillation on telemetry.
Transesophageal Echocardiography Probe Insertion of transesophageal echocardiography probe and unsuccessful insertion of arterial venous lines.
Transthoracic Echocardiography Coronary artery bypass surgery and aortic stenosis. Transthoracic echocardiogram was performed of technically limited quality. Concentric hypertrophy of the left ventricle with left ventricular function. Moderate mitral regurgitation. Severe aortic stenosis, severe.
Treadmill Test The patient was exercised according to standard Bruce protocol for 9 minutes.
Triple Lumen Catheter Insertion Insertion of a right brachial artery arterial catheter and a right subclavian vein triple lumen catheter. Hyperpyrexia/leukocytosis, ventilator-dependent respiratory failure, and acute pancreatitis.
Triple Lumen Catheter Insertion - 1 Need for intravenous access. Insertion of a right femoral triple lumen catheter. he patient is also ventilator-dependent, respiratory failure with tracheostomy in place and dependent on parenteral nutrition secondary to dysphagia and also has history of protein-calorie malnutrition and the patient needs to receive total parenteral nutrition and therefore needs central venous access.
Trouble breathing Patient with worsening shortness of breath and cough.
Ultrasound - Carotid - 1 Right and Left carotid ultrasound
Ultrasound - Carotid - 2 Bilateral carotid ultrasound to evaluate pain.
Urgent Cardiac Cath Urgent cardiac catheterization with coronary angiogram.
Ventricular Ectopy - Consult Ventricular ectopy and coronary artery disease. He is a 69-year-old gentleman with established history coronary artery disease and peripheral vascular disease with prior stent-supported angioplasty.
VVIR Permanent Pacemaker Insertion Insertion of a VVIR permanent pacemaker. This is an 87-year-old Caucasian female with critical aortic stenosis with an aortic valve area of 0.5 cm square and recurrent congestive heart failure symptoms mostly refractory to tachybrady arrhythmias