Microwave ablation of liver tumor with CT guidance Technique and Dictation
Patient Name: , DOB: SEX: Ordering Physician: , DATE: CLINICAL HISTORY: OPERATING PHYSICIAN: John Doe, MD (Attending)/Jane Doe,
Patient Name: , DOB: SEX: Ordering Physician: , DATE: CLINICAL HISTORY: OPERATING PHYSICIAN: John Doe, MD (Attending)/Jane Doe,
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
Patient Name: , DOB: SEX: Ordering Physician: , PROCEDURE: Cryoablation of ____ with CT guidance DATE: CLINICAL HISTORY:
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
PROCEDURE: DATE OF PROCEDURE: CLINICAL INDICATION: OPERATING PHYSICIAN: [] ACCESS SITE: Right common femoral artery MEDICATIONS: Versed mg IV Fentanyl mcg IV
PROCEDURES: Cholangiography through existing drainage catheter Biliary drain removal INDICATION: History of cholecystectomy and gastric bypass with postoperative choledocholithiasis. Status post percutaneous stone sweeping
Procedures: Cholangiogram through existing catheter Biliary covered metallic stent placement Biliary catheter replacement Indication: Pancreatic cancer and biliary obstruction Date: Operators: Medications: mg
BILIARY CHECK/CHANGE FOR ANCHOR Patient Name: <<Patient Last Name>>, <<Patient First Name>> DOB: <<Patient DOB>> SEX: <<Patient Sex>> Ordering Physician: <<Ordering Last Name>>, <<Ordering
Patient Name: , DOB: SEX: Ordering Physician: , PROCEDURE: Cholangiogram through existing catheter Biliary catheter replacement INDICATION:
Patient Name: , DOB: SEX: Ordering Physician: , PROCEDURE: Sheath cholangiogram Biliary catheter replacement INDICATION: DATE: OPERATORS: