bhargavi909/Medical_Transcriptions · Datasets at Hugging Face

description stringlengths 1 492	medical_specialty int64 0 39
Bilateral Mammogram, (abnormal) additional views requested	33
Bronchoscopy with brush biopsies. Persistent pneumonia, right upper lobe of the lung, possible mass.	3
This is a middle-aged female with two month history of low back pain and leg pain.	22
MRI Brain: Thrombus in torcula of venous sinuses.	33
Followup of moderate-to-severe sleep apnea. The patient returns today to review his response to CPAP. Recommended a fiberoptic ENT exam to exclude adenoidal tissue that may be contributing to obstruction.	15
Direct right inguinal hernia. Marlex repair of right inguinal hernia.	39
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.	3
Patient with increased shortness of breath of one day duration.	15
Patient complains of chest pain - possible esophageal reflux	3
Patient started out having toothache, now radiating into his jaw and towards his left ear. Ellis type II dental fracture.	7
Percutaneous intervention with drug-eluting stent placement to the ostium of the PDA.	3
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	38
Work restrictions and disability evaluation	4
Endoscopic proximal and distal shunt revision with removal of old valve and insertion of new.	23
Laparoscopic tubal sterilization, tubal coagulation.	24
Common description of EGD.	38
Complex regional pain syndrome, right upper extremity. Stellate ganglion block.	28
Complete laminectomy, L4. and facetectomy, L3-L4 level. A dural repair, right sided, on the lateral sheath, subarticular recess at the L4 pedicle level. Posterior spinal instrumentation, L4 to S1, using Synthes Pangea System. Posterior spinal fusion, L4 to S1. Insertion of morselized autograft, L4 to S1.	23
Laparoscopy with left salpingo-oophorectomy. Left adnexal mass/ovarian lesion. The labia and perineum were within normal limits. The hymen was found to be intact. Laparoscopic findings revealed a 4 cm left adnexal mass, which appeared fluid filled.	24
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.	3
Total colonoscopy with biopsy and snare polypectomy.	14
Postcontrast CT chest pulmonary embolism protocol, 100 mL of Isovue-300 contrast is utilized.	3
A woman with a remote history of ileojejunal bypass followed by gastric banding to facilitate weight loss.	5
Common description of colonoscopy	14
CT Brain: Midbrain hemangioma	33
Contusion of the frontal lobe of the brain, closed head injury and history of fall, and headache, probably secondary to contusion.	10
Incision and drainage and removal of foreign body, right foot. The patient has had previous I&D but continues to have to purulent drainage. The patient's parents agreed to performing a surgical procedure to further clean the wound.	31
Bilateral Myringotomy with placement of PE tubes	11
Total abdominal hysterectomy (TAH), left salpingo-oophorectomy, lysis of interloop bowel adhesions. Chronic pelvic pain, endometriosis, prior right salpingo-oophorectomy, history of intrauterine device perforation and exploratory surgery.	24
Foul-smelling urine and stomach pain after meals.	14
Cognitive linguistic impairment secondary to stroke. The patient was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy secondary to cognitive linguistic deficits.	10
HCT for memory loss and for calcification of basal ganglia (globus pallidi).	33
Normal Circumcision	39
Primary low-transverse cesarean section.	24
Patient in ER with upper respiratory infection	15
Left distal both-bone forearm fracture. Closed reduction with splint application with use of image intensifier.	38
MRI Cervical Spine without contrast.	33
Pressure decubitus, right hip	15
Adenotonsillectomy. Recurrent tonsillitis. The adenoid bed was examined and was moderately hypertrophied. Adenoid curettes were used to remove this tissue and packs placed.	38
Followup dietary consultation for hyperlipidemia, hypertension, and possible metabolic syndrome	9
Left heart catheterization, left ventriculogram, selective coronary arteriography, aortic arch angiogram, right iliofemoral angiogram, #6 French Angio-Seal placement.	3
Desires permanent sterilization. Laparoscopic bilateral tubal occlusion with Hulka clips.	38
Excision of basal cell carcinoma. Closure complex, open wound. Bilateral capsulectomies. Bilateral explantation and removal of ruptured silicone gel implants	16
Circumcision. Normal male phallus. The infant is without evidence of hypospadias or chordee prior to the procedure.	39
The patient is a 39-year-old gravida 3, para 2, who is now at 20 weeks and 2 days gestation. This pregnancy is a twin gestation. The patient presents for her fetal anatomical survey.	24
Sample of Pulmonary Function Test	3
Medial branch rhizotomy, lumbosacral. Fluoroscopy was used to identify the boney landmarks of the spine and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.	28
Bilateral temporal artery biopsy. Rule out temporal arteritis.	22
Neurologic consultation and follow-up.	5
MRI brain & PET scan - Dementia of Alzheimer type with primary parietooccipital involvement.	22
Right shoulder impingement syndrome, right suprascapular neuropathy.	22
Carpal tunnel release. Nerve conduction study tests diagnostic of carpal tunnel syndrome. The patient failed to improve satisfactorily on conservative care, including anti-inflammatory medications and night splints.	38
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	3
Patient with a history of ischemic cardiac disease and hypercholesterolemia.	35
Cosmetic rhinoplasty. Request for cosmetic change in the external appearance of the nose.	11
This is a 66-year-old male with signs and symptoms of benign prostatic hypertrophy, who has had recurrent urinary retention since his kidney transplant. He passed his fill and pull study and was thought to self-catheterize in the event that he does incur urinary retention again.	39
Cystourethroscopy, urethral dilation, and bladder biopsy and fulguration. Urinary hesitancy and weak stream, urethral narrowing, mild posterior wall erythema.	38
Hammertoe deformity, left fifth digit and ulceration of the left fifth digit plantolaterally. Arthroplasty of the left fifth digit proximal interphalangeal joint laterally and excision of plantar ulceration of the left fifth digit 3 cm x 1 cm in size.	27
Gastroenteritis versus bowel obstruction, gastroesophageal reflux, Goldenhar syndrome, and anemia, probably iron deficiency.	29
Closure of gastrostomy placed due to feeding difficulties.	14
Total abdominal hysterectomy and bilateral salpingo-oophorectomy.	38
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.	25
Stage IIA right breast cancer. The pathology showed an infiltrating ductal carcinoma Nottingham grade II. The tumor was ER positive, PR positive and HER-2/neu negative.	35
Hospice care for a 41-year-old man with the AIDS complicated with recent cryptococcal infection, disseminated MAC and Kaposi's sarcoma.	17
Open reduction and internal fixation of right distal radius fracture - intraarticular four piece fracture and right carpal tunnel release.	38
Vaginal Hysterectomy. A weighted speculum was placed in the posterior vaginal vault. The cervix was grasped with a Massachusetts clamp on both its anterior and posterior lips.	38
Headaches, question of temporal arteritis. Bilateral temporal artery biopsies.	23
Patient with hypertension, dementia, and depression.	15
The patient is a 26-year-old gravida 2, para 1-0-0-1, at 28-1/7 weeks who presents to the emergency room with left lower quadrant pain, reports no bowel movement in two weeks as well as nausea and vomiting for the last 24 hours or so. She states that she has not voided in the last 24 hours as well due to pain.	12
Arthroscopic irrigation and debridement of same with partial synovectomy. Septic left total knee arthroplasty.	38
Tracheostomy and thyroid isthmusectomy. Ventilator-dependent respiratory failure and multiple strokes.	13
Chronic laryngitis, hoarseness. The patient was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy secondary to voicing difficulties.	10
Cauterization of epistaxis, left nasal septum. Fiberoptic nasal laryngoscopy. Atrophic dry nasal mucosa. Epistaxis. Atrophic laryngeal changes secondary to inhaled steroid use.	38
Direct laryngoscopy and esophagoscopy with removal of foreign body	38
A female admitted with jaundice and a pancreatic mass who was noted to have a new murmur, bacteremia, and fever.	5
Patient with a history of ischemic cardiac disease and hypercholesterolemia.	3
Uvulopalatopharyngoplasty and tonsillectomy. The patient with a history of obstructive sleep apnea who has been using CPAP, however, he was not tolerating used of the machine and requested a surgical procedure for correction of his apnea.	38
Patient with postnasal drainage, sore throat, facial pain, coughing, headaches, congestion, snoring, nasal burning and teeth pain.	11
Displaced left subtrochanteric femur fracture. Intramedullary rod in the left hip using the Synthes trochanteric fixation nail measuring 11 x 130 degrees with an 85-mm helical blade.	38
Lysis of pelvic adhesions. The patient had an 8 cm left ovarian mass. The mass was palpable on physical examination and was tender. She was scheduled for an elective pelvic laparotomy with left salpingooophorectomy.	38
LEEP procedure of endocervical polyp and Electrical excision of pigmented mole of inner right thigh.	24
Normal upper GI endoscopy.	14
Inguinal orchiopexy procedure.	38
Laparoscopic hand-assisted left adrenalectomy and umbilical hernia repair. Patient with a 5.5-cm diameter nonfunctioning mass in his right adrenal.	39
A complex closure and debridement of wound. The patient is a 26-year-old female with a long history of shunt and hydrocephalus presenting with a draining wound in the right upper quadrant, just below the costal margin that was lanced by General Surgery and resolved; however, it continued to drain.	23
Arthroscopy of the arthroscopic glenoid labrum, rotator cuff debridement shaving glenoid and humeral head, and biceps tenotomy, right shoulder. Massive rotator cuff tear, right shoulder, near complete biceps tendon tear of right shoulder, chondromalacia of glenohumeral joint or right shoulder, and glenoid labrum tear of right shoulder.	38
Excision of capsular mass and arthrotomy with ostectomy of lateral femoral condyle, right knee. Soft tissue mass and osteophyte lateral femoral condyle, right knee.	27
Initial evaulation - neck and back pain.	5
Total thyroidectomy for goiter. Multinodular thyroid goiter with compressive symptoms and bilateral dominant thyroid nodules proven to be benign by fine needle aspiration.	38
Left cardiac catheterization with selective right and left coronary angiography. Post infarct angina.	38
Status post brain tumor removal. The patient is a 64-year-old female referred to physical therapy following complications related to brain tumor removal. She had a brain tumor removed and had left-sided weakness.	30
Right phacoemulsification of cataract with intraocular lens implantation - Cataract, right eye.	38
Bilateral temporal artery biopsy. Rule out temporal arteritis.	38
Cleft soft palate. Repair of cleft soft palate and excise accessory ear tag, right ear.	38
Multiple stent placements with Impella circulatory assist device.	38
The patient is a 63-year-old white male who was admitted to the hospital with CHF and lymphedema.	15
Vitrectomy opening. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and separately the supratemporal and inferotemporal quadrants.	38
Excision of left upper cheek skin neoplasm and left lower cheek skin neoplasm with two-layer closure. Shave excision of the right nasal ala skin neoplasm.	8
Total vaginal hysterectomy. Microinvasive carcinoma of the cervix.	10
Holter monitoring for syncope. Analyzed for approximately 23 hours 57 minutes and artefact noted for approximately 23 seconds.	3

Bilateral Mammogram, (abnormal) additional views requested

33

Bronchoscopy with brush biopsies. Persistent pneumonia, right upper lobe of the lung, possible mass.

3

This is a middle-aged female with two month history of low back pain and leg pain.

22

MRI Brain: Thrombus in torcula of venous sinuses.

33

Followup of moderate-to-severe sleep apnea. The patient returns today to review his response to CPAP. Recommended a fiberoptic ENT exam to exclude adenoidal tissue that may be contributing to obstruction.

15

Direct right inguinal hernia. Marlex repair of right inguinal hernia.

39

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.

3

Patient with increased shortness of breath of one day duration.

15

Patient complains of chest pain - possible esophageal reflux

3

Patient started out having toothache, now radiating into his jaw and towards his left ear. Ellis type II dental fracture.

7

Percutaneous intervention with drug-eluting stent placement to the ostium of the PDA.

3

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

38

Work restrictions and disability evaluation

4

Endoscopic proximal and distal shunt revision with removal of old valve and insertion of new.

23

Laparoscopic tubal sterilization, tubal coagulation.

24

Common description of EGD.

38

Complex regional pain syndrome, right upper extremity. Stellate ganglion block.

28

Complete laminectomy, L4. and facetectomy, L3-L4 level. A dural repair, right sided, on the lateral sheath, subarticular recess at the L4 pedicle level. Posterior spinal instrumentation, L4 to S1, using Synthes Pangea System. Posterior spinal fusion, L4 to S1. Insertion of morselized autograft, L4 to S1.

23

Laparoscopy with left salpingo-oophorectomy. Left adnexal mass/ovarian lesion. The labia and perineum were within normal limits. The hymen was found to be intact. Laparoscopic findings revealed a 4 cm left adnexal mass, which appeared fluid filled.

24

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.

3

Total colonoscopy with biopsy and snare polypectomy.

14

Postcontrast CT chest pulmonary embolism protocol, 100 mL of Isovue-300 contrast is utilized.

3

A woman with a remote history of ileojejunal bypass followed by gastric banding to facilitate weight loss.

5

Common description of colonoscopy

14

CT Brain: Midbrain hemangioma

33

Contusion of the frontal lobe of the brain, closed head injury and history of fall, and headache, probably secondary to contusion.

10

Incision and drainage and removal of foreign body, right foot. The patient has had previous I&D but continues to have to purulent drainage. The patient's parents agreed to performing a surgical procedure to further clean the wound.

31

Bilateral Myringotomy with placement of PE tubes

11

Total abdominal hysterectomy (TAH), left salpingo-oophorectomy, lysis of interloop bowel adhesions. Chronic pelvic pain, endometriosis, prior right salpingo-oophorectomy, history of intrauterine device perforation and exploratory surgery.

24

Foul-smelling urine and stomach pain after meals.

14

Cognitive linguistic impairment secondary to stroke. The patient was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy secondary to cognitive linguistic deficits.

10

HCT for memory loss and for calcification of basal ganglia (globus pallidi).

33

Normal Circumcision

39

Primary low-transverse cesarean section.

24

Patient in ER with upper respiratory infection

15

Left distal both-bone forearm fracture. Closed reduction with splint application with use of image intensifier.

38

MRI Cervical Spine without contrast.

33

Pressure decubitus, right hip

15

Adenotonsillectomy. Recurrent tonsillitis. The adenoid bed was examined and was moderately hypertrophied. Adenoid curettes were used to remove this tissue and packs placed.

38

Followup dietary consultation for hyperlipidemia, hypertension, and possible metabolic syndrome

9

Left heart catheterization, left ventriculogram, selective coronary arteriography, aortic arch angiogram, right iliofemoral angiogram, #6 French Angio-Seal placement.

3

Desires permanent sterilization. Laparoscopic bilateral tubal occlusion with Hulka clips.

38

Excision of basal cell carcinoma. Closure complex, open wound. Bilateral capsulectomies. Bilateral explantation and removal of ruptured silicone gel implants

16

Circumcision. Normal male phallus. The infant is without evidence of hypospadias or chordee prior to the procedure.

39

The patient is a 39-year-old gravida 3, para 2, who is now at 20 weeks and 2 days gestation. This pregnancy is a twin gestation. The patient presents for her fetal anatomical survey.

24

Sample of Pulmonary Function Test

3

Medial branch rhizotomy, lumbosacral. Fluoroscopy was used to identify the boney landmarks of the spine and the planned needle approach. The skin, subcutaneous tissue, and muscle within the planned approach were anesthetized with 1% Lidocaine.

28

Bilateral temporal artery biopsy. Rule out temporal arteritis.

22

Neurologic consultation and follow-up.

5

MRI brain & PET scan - Dementia of Alzheimer type with primary parietooccipital involvement.

22

Right shoulder impingement syndrome, right suprascapular neuropathy.

22

Carpal tunnel release. Nerve conduction study tests diagnostic of carpal tunnel syndrome. The patient failed to improve satisfactorily on conservative care, including anti-inflammatory medications and night splints.

38

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

3

Patient with a history of ischemic cardiac disease and hypercholesterolemia.

35

Cosmetic rhinoplasty. Request for cosmetic change in the external appearance of the nose.

11

This is a 66-year-old male with signs and symptoms of benign prostatic hypertrophy, who has had recurrent urinary retention since his kidney transplant. He passed his fill and pull study and was thought to self-catheterize in the event that he does incur urinary retention again.

39

Cystourethroscopy, urethral dilation, and bladder biopsy and fulguration. Urinary hesitancy and weak stream, urethral narrowing, mild posterior wall erythema.

38

Hammertoe deformity, left fifth digit and ulceration of the left fifth digit plantolaterally. Arthroplasty of the left fifth digit proximal interphalangeal joint laterally and excision of plantar ulceration of the left fifth digit 3 cm x 1 cm in size.

27

Gastroenteritis versus bowel obstruction, gastroesophageal reflux, Goldenhar syndrome, and anemia, probably iron deficiency.

29

Closure of gastrostomy placed due to feeding difficulties.

14

Total abdominal hysterectomy and bilateral salpingo-oophorectomy.

38

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.

25

Stage IIA right breast cancer. The pathology showed an infiltrating ductal carcinoma Nottingham grade II. The tumor was ER positive, PR positive and HER-2/neu negative.

35

Hospice care for a 41-year-old man with the AIDS complicated with recent cryptococcal infection, disseminated MAC and Kaposi's sarcoma.

17

Open reduction and internal fixation of right distal radius fracture - intraarticular four piece fracture and right carpal tunnel release.

38

Vaginal Hysterectomy. A weighted speculum was placed in the posterior vaginal vault. The cervix was grasped with a Massachusetts clamp on both its anterior and posterior lips.

38

Headaches, question of temporal arteritis. Bilateral temporal artery biopsies.

23

Patient with hypertension, dementia, and depression.

15

The patient is a 26-year-old gravida 2, para 1-0-0-1, at 28-1/7 weeks who presents to the emergency room with left lower quadrant pain, reports no bowel movement in two weeks as well as nausea and vomiting for the last 24 hours or so. She states that she has not voided in the last 24 hours as well due to pain.

12

Arthroscopic irrigation and debridement of same with partial synovectomy. Septic left total knee arthroplasty.

38

Tracheostomy and thyroid isthmusectomy. Ventilator-dependent respiratory failure and multiple strokes.

13

Chronic laryngitis, hoarseness. The patient was referred to Medical Center's Outpatient Rehabilitation Department for skilled speech therapy secondary to voicing difficulties.

10

Cauterization of epistaxis, left nasal septum. Fiberoptic nasal laryngoscopy. Atrophic dry nasal mucosa. Epistaxis. Atrophic laryngeal changes secondary to inhaled steroid use.

38

Direct laryngoscopy and esophagoscopy with removal of foreign body

38

A female admitted with jaundice and a pancreatic mass who was noted to have a new murmur, bacteremia, and fever.

5

Patient with a history of ischemic cardiac disease and hypercholesterolemia.

3

Uvulopalatopharyngoplasty and tonsillectomy. The patient with a history of obstructive sleep apnea who has been using CPAP, however, he was not tolerating used of the machine and requested a surgical procedure for correction of his apnea.

38

Patient with postnasal drainage, sore throat, facial pain, coughing, headaches, congestion, snoring, nasal burning and teeth pain.

11

Displaced left subtrochanteric femur fracture. Intramedullary rod in the left hip using the Synthes trochanteric fixation nail measuring 11 x 130 degrees with an 85-mm helical blade.

38

Lysis of pelvic adhesions. The patient had an 8 cm left ovarian mass. The mass was palpable on physical examination and was tender. She was scheduled for an elective pelvic laparotomy with left salpingooophorectomy.

38

LEEP procedure of endocervical polyp and Electrical excision of pigmented mole of inner right thigh.

24

Normal upper GI endoscopy.

14

Inguinal orchiopexy procedure.

38

Laparoscopic hand-assisted left adrenalectomy and umbilical hernia repair. Patient with a 5.5-cm diameter nonfunctioning mass in his right adrenal.

39

A complex closure and debridement of wound. The patient is a 26-year-old female with a long history of shunt and hydrocephalus presenting with a draining wound in the right upper quadrant, just below the costal margin that was lanced by General Surgery and resolved; however, it continued to drain.

23

Arthroscopy of the arthroscopic glenoid labrum, rotator cuff debridement shaving glenoid and humeral head, and biceps tenotomy, right shoulder. Massive rotator cuff tear, right shoulder, near complete biceps tendon tear of right shoulder, chondromalacia of glenohumeral joint or right shoulder, and glenoid labrum tear of right shoulder.

38

Excision of capsular mass and arthrotomy with ostectomy of lateral femoral condyle, right knee. Soft tissue mass and osteophyte lateral femoral condyle, right knee.

27

Initial evaulation - neck and back pain.

5

Total thyroidectomy for goiter. Multinodular thyroid goiter with compressive symptoms and bilateral dominant thyroid nodules proven to be benign by fine needle aspiration.

38

Left cardiac catheterization with selective right and left coronary angiography. Post infarct angina.

38

Status post brain tumor removal. The patient is a 64-year-old female referred to physical therapy following complications related to brain tumor removal. She had a brain tumor removed and had left-sided weakness.

30

Right phacoemulsification of cataract with intraocular lens implantation - Cataract, right eye.

38

Bilateral temporal artery biopsy. Rule out temporal arteritis.

38

Cleft soft palate. Repair of cleft soft palate and excise accessory ear tag, right ear.

38

Multiple stent placements with Impella circulatory assist device.

38

The patient is a 63-year-old white male who was admitted to the hospital with CHF and lymphedema.

15

Vitrectomy opening. A limited conjunctival peritomy was created with Westcott scissors to expose the supranasal and separately the supratemporal and inferotemporal quadrants.

38

Excision of left upper cheek skin neoplasm and left lower cheek skin neoplasm with two-layer closure. Shave excision of the right nasal ala skin neoplasm.

8

Total vaginal hysterectomy. Microinvasive carcinoma of the cervix.

10

Holter monitoring for syncope. Analyzed for approximately 23 hours 57 minutes and artefact noted for approximately 23 seconds.

3