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…
Read More →Patient Name: , DOB: SEX: Ordering Physician: , PROCEDURE: Radiofrequency ablation of liver tumor with CT guidance DATE: CLINICAL HISTORY: OPERATING PHYSICIAN:…
Read More →Patient Name: , DOB: SEX: Ordering Physician: , DATE: CLINICAL HISTORY: OPERATING PHYSICIAN: John Doe, MD (Attending)/Jane Doe, MD (Fellow) MEDICATION: …
Read More →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…
Read More →Patient Name: , DOB: SEX: Ordering Physician: , PROCEDURE: Cryoablation of ____ with CT guidance DATE: CLINICAL HISTORY: OPERATING PHYSICIAN: John Doe,…
Read More →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…
Read More →PROCEDURE: DATE OF PROCEDURE: CLINICAL INDICATION: OPERATING PHYSICIAN: [] ACCESS SITE: Right common femoral artery MEDICATIONS: Versed mg IV Fentanyl mcg IV CONTRAST: cc’ s…
Read More →PROCEDURES: Cholangiography through existing drainage catheter Biliary drain removal INDICATION: History of cholecystectomy and gastric bypass with postoperative choledocholithiasis. Status post percutaneous stone sweeping and cholangioplasty complicated by hepatic…
Read More →Procedures: Cholangiogram through existing catheter Biliary covered metallic stent placement Biliary catheter replacement Indication: Pancreatic cancer and biliary obstruction Date: Operators: Medications: mg IV Versed, mcg…
Read More →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 First Name>> PROCEDURE: Sheath…
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