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PROCEDURE: Percutaneous embolization of type II aortic endoleak INDICATION: DATE: OPERATING PHYSICIAN: John Doe, MD (Attending)/Jane Doe, MD (Fellow) MEDICATIONS: 1 g IV Ancef, Versed mg IV, Fentanyl …
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PROCEDURE: Fistulogram of a colocutaneous fistula. Contrast study of the distal colon and rectum Balloon dilatation of a colonic stricture Colocutaneous fistula tract debridement using a Trerotola device Colocutaneous fistula closure/embolization with Tisseel fibrin glue…
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PROCEDURE: Antegrade nephrostogram through existing catheter. Placement of left ureteral stent. INDICATION: The patient is an __ year female with metastatic bladder carcinoma and left ureteral obstruction. Patient had left nephrostomy tube placed at an…
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PROCEDURE: Percutaneous double J ureteral stent placement DATE: CLINICAL INDICATION: OPERATING PHYSICIANS: John Doe, MD (Attending)/Jane Doe, MD (Fellow) MEDICATIONS: , Levaquin 500 mg IV ACCESS: CONTRAST: Approximately mL of…
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PROCEDURE: Superior mesenteric artery angiogram Celiac axis arteriogram Hepatic artery angiogram Chemoembolization of the subselective ___ hepatic artery Post-embolization angiogram of the subselective hepatic artery Limited right common femoral artery angiogram and deployment…
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Patient Name: , DOB: SEX: Ordering Physician: , PROCEDURE: Radiofrequency ablation of liver tumor with CT guidance DATE: CLINICAL HISTORY: OPERATING PHYSICIAN: John Doe, MD (Attending)/Jane Doe,…
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Patient Name: , DOB: SEX: Ordering Physician: , DATE: CLINICAL HISTORY: OPERATING PHYSICIAN: John Doe, MD (Attending)/Jane Doe, MD (Fellow) MEDICATION: MICROWAVE ANTENNA: Neuwave COMPLICATIONS: …
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PROCEDURE: CT-guided liver biopsy Radiofrequency biopsy tract ablation PHYSICIAN: John Doe, MD (Attending)/Jane Doe, MD (Fellow) MEDICATIONS: Versed 2 mg IV, fentanyl 150 mcg IV RADIOFREQUENCY PROBE: 15 cm x 2 cm Cool-Tip…
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Patient Name: , DOB: SEX: Ordering Physician: , PROCEDURE: Cryoablation of ____ with CT guidance DATE: CLINICAL HISTORY: OPERATING PHYSICIAN: John Doe, MD (Attending)/Jane Doe, MD (Fellow)…
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PROCEDURE: Caudal epidural steroid injection with fluoroscopy S1 and S2 epidural steroid injection DATE OF PROCEDURE: INDICATION: Patient with chronic lower back and left sciatic distribution pain. OPERATORS: John Doe, MD (Attending)/Jane Doe, MD…
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