Datasets:
argilla
/
medical-keywords

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She has weight bearing joint pain as well as low back degenerating discs.
[ " ", "She", "has", "weight", "bearing", "joint", "pain", "as", "well", "as", "low", "back", "degenerating", "discs", "." ]
[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 34, "label": "KEYPHRASE", "score": 0, "start": 24 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.014494
null
She denies obstructive sleep apnea, kidney stones, bloody bowel movements, ulcerative colitis, Crohn's disease, dark tarry stools and melena.
[ " ", "She", "denies", "obstructive", "sleep", "apnea", ",", "kidney", "stones", ",", "bloody", "bowel", "movements", ",", "ulcerative", "colitis", ",", "Crohn", "'s", "disease", ",", "dark", "tarry", "stools", "and", "melena", "." ]
[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 59 }, { "end": 94, "label": "KEYPHRASE", "score": 0, "start": 76 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 104 }, { "end": 141, "label": "KEYPHRASE", "score": 0, "start": 135 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.014844
null
,PHYSICAL EXAMINATION: ,On examination temperature is 97.7, pulse 84, blood pressure 126/80, respiratory rate was 20.
[ ",PHYSICAL", "EXAMINATION", ":", " ", ",", "On", "examination", "temperature", "is", "97.7", ",", "pulse", "84", ",", "blood", "pressure", "126/80", ",", "respiratory", "rate", "was", "20", "." ]
[ { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 66, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 71 }, { "end": 110, "label": "KEYPHRASE", "score": 0, "start": 94 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.015204
null
Well nourished, well developed in no distress.
[ " ", "Well", "nourished", ",", "well", "developed", "in", "no", "distress", "." ]
[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 38 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.015478
null
Eye exam, pupils equal round and reactive to light.
[ " ", "Eye", "exam", ",", "pupils", "equal", "round", "and", "reactive", "to", "light", "." ]
[ { "end": 17, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 29, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.015738
null
Extraocular motions intact.
[ " ", "Extraocular", "motions", "intact", "." ]
[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 21 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.015976
null
Neuro exam deep tendon reflexes 1+ in the lower extremities.
[ " ", "Neuro", "exam", "deep", "tendon", "reflexes", "1", "+", "in", "the", "lower", "extremities", "." ]
[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 32, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 43 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.016230
null
Neck exam nonpalpable thyroid, midline trachea, no cervical lymphadenopathy, no carotid bruit.
[ " ", "Neck", "exam", "nonpalpable", "thyroid", ",", "midline", "trachea", ",", "no", "cervical", "lymphadenopathy", ",", "no", "carotid", "bruit", "." ]
[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 23 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 47, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 76, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 94, "label": "KEYPHRASE", "score": 0, "start": 81 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.016705
null
Lung exam clear breath sounds throughout without rhonchi or wheezes however diminished.
[ " ", "Lung", "exam", "clear", "breath", "sounds", "throughout", "without", "rhonchi", "or", "wheezes", "however", "diminished", "." ]
[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 17 }, { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 50 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 61 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.016994
null
Cardiac exam regular rate and rhythm without murmur or bruit.
[ " ", "Cardiac", "exam", "regular", "rate", "and", "rhythm", "without", "murmur", "or", "bruit", "." ]
[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 56 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.017267
null
Abdominal exam positive bowel sounds, soft, nontender, obese, nondistended abdomen.
[ " ", "Abdominal", "exam", "positive", "bowel", "sounds", ",", "soft", ",", "nontender", ",", "obese", ",", "nondistended", "abdomen", "." ]
[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 25 }, { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 75, "label": "KEYPHRASE", "score": 0, "start": 63 }, { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 76 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.017559
null
No palpable tenderness.
[ " ", "No", "palpable", "tenderness", "." ]
[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 4 }, { "end": 23, "label": "KEYPHRASE", "score": 0, "start": 13 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.017798
null
No right upper quadrant tenderness.
[ " ", "No", "right", "upper", "quadrant", "tenderness", "." ]
[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 16 }, { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 25 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.018021
null
No obvious hernias noted.
[ " ", "No", "obvious", "hernias", "noted", "." ]
[ { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 12 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.018411
null
Lower extremity exam +1 edema noted.
[ " ", "Lower", "extremity", "exam", "+1", "edema", "noted", "." ]
[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 25 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.018639
null
Positive dorsalis pedis pulses.
[ " ", "Positive", "dorsalis", "pedis", "pulses", "." ]
[ { "end": 31, "label": "KEYPHRASE", "score": 0, "start": 25 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.018856
null
,ASSESSMENT: , The patient is a 56-year-old female who presents to the bariatric surgery service with a body mass index of 41 with obesity related comorbidities.
[ ",ASSESSMENT", ":", ",", "The", "patient", "is", "a", "56", "-", "year", "-", "old", "female", "who", "presents", "to", "the", "bariatric", "surgery", "service", "with", "a", "body", "mass", "index", "of", "41", "with", "obesity", "related", "comorbidities", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.019189
null
The patient is interested in gastric bypass surgery.
[ " ", "The", "patient", "is", "interested", "in", "gastric", "bypass", "surgery", "." ]
[ { "end": 52, "label": "KEYPHRASE", "score": 0, "start": 30 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.019540
null
,PLAN: , In preparation for surgery will obtain the usual baseline laboratory values including baseline vitamin levels.
[ ",PLAN", ":", ",", "In", "preparation", "for", "surgery", "will", "obtain", "the", "usual", "baseline", "laboratory", "values", "including", "baseline", "vitamin", "levels", "." ]
[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 28 }, { "end": 118, "label": "KEYPHRASE", "score": 0, "start": 112 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.020156
null
Will proceed with our usual work up with an upper GI series as well as consultations with the dietician and the psychologist preoperatively.
[ " ", "Will", "proceed", "with", "our", "usual", "work", "up", "with", "an", "upper", "GI", "series", "as", "well", "as", "consultations", "with", "the", "dietician", "and", "the", "psychologist", "preoperatively", "." ]
[ { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 54 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.020509
null
I have recommended six weeks of Medifast for the patient to obtain a 10% preoperative weight loss.
[ " ", "I", "have", "recommended", "six", "weeks", "of", "Medifast", "for", "the", "patient", "to", "obtain", "a", "10", "%", "preoperative", "weight", "loss", "." ]
[ { "end": 98, "label": "KEYPHRASE", "score": 0, "start": 87 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.020819
null
PREOPERATIVE DIAGNOSIS:, Completely bony impacted teeth #1, #16, #17, and #32.,POSTOPERATIVE DIAGNOSIS: , Completely bony impacted teeth #1, #16, #17, and #32.,PROCEDURE: , Surgical removal of completely bony impacted teeth #1, #16, #17, and #32.,ANESTHESIA: , General nasotracheal.
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Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.025016
null
,CONDITION: ,Stable to PACU.,DESCRIPTION OF PROCEDURE: , Patient was brought to the operating room, placed on the table in a supine position, and after demonstration of an adequate plane of general anesthesia via the nasotracheal route, patient was prepped and draped in the usual fashion for an intraoral procedure.
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Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.025704
null
A gauze throat pack was placed and local anesthetic was administered in all four quadrants, a total of 7.2 mL of lidocaine 2% with 1:100,000 epinephrine, and 3.6 mL of bupivacaine 0.5% with 1:200,000 epinephrine.
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Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.026145
null
Beginning on the upper right tooth #1, incision was made with a #15 blade.
[ " ", "Beginning", "on", "the", "upper", "right", "tooth", "#", "1", ",", "incision", "was", "made", "with", "a", "#", "15", "blade", "." ]
[ { "end": 35, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 69 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.026455
null
Envelope flap was raised with the periosteal elevator, and bone was removed on the buccal aspect with straight elevator.
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[ { "end": 14, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 84 }, { "end": 120, "label": "KEYPHRASE", "score": 0, "start": 112 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.026747
null
Potts elevator was then used to luxate the tooth from the socket.
[ " ", "Potts", "elevator", "was", "then", "used", "to", "luxate", "the", "tooth", "from", "the", "socket", "." ]
[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 44 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.027014
null
Remnants of the follicle were then removed with hemostat.
[ " ", "Remnants", "of", "the", "follicle", "were", "then", "removed", "with", "hemostat", "." ]
[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 49 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.027250
null
The area was irrigated and then closed with 3-0 gut suture.
[ " ", "The", "area", "was", "irrigated", "and", "then", "closed", "with", "3", "-", "0", "gut", "suture", "." ]
[ { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 53 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.027495
null
On the lower right tooth #32, incision was made with a #15 blade.
[ " ", "On", "the", "lower", "right", "tooth", "#", "32", ",", "incision", "was", "made", "with", "a", "#", "15", "blade", "." ]
[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 8 }, { "end": 25, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 60 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.027761
null
Envelope flap was raised with the periosteal elevator, and bone was removed on the buccal and distal aspect with a high-speed drill with a round bur.
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Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.028095
null
Remnants of the follicle were removed with a curved hemostat.
[ " ", "Remnants", "of", "the", "follicle", "were", "removed", "with", "a", "curved", "hemostat", "." ]
[ { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 46 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.028547
null
The area was irrigated with normal saline solution and closed with 3-0 gut sutures.
[ " ", "The", "area", "was", "irrigated", "with", "normal", "saline", "solution", "and", "closed", "with", "3", "-", "0", "gut", "sutures", "." ]
[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 72 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.028800
null
Moving to #16 on the upper left, incision was made with a #15 blade.
[ " ", "Moving", "to", "#", "16", "on", "the", "upper", "left", ",", "incision", "was", "made", "with", "a", "#", "15", "blade", "." ]
[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 63 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.029105
null
Envelope flap was raised with the periosteal elevator, and bone was removed on the buccal aspect with straight elevator.
[ " ", "Envelope", "flap", "was", "raised", "with", "the", "periosteal", "elevator", ",", "and", "bone", "was", "removed", "on", "the", "buccal", "aspect", "with", "straight", "elevator", "." ]
[ { "end": 14, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 35 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 84 }, { "end": 120, "label": "KEYPHRASE", "score": 0, "start": 112 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.029453
null
Potts elevator was then used to luxate the tooth from the socket.
[ " ", "Potts", "elevator", "was", "then", "used", "to", "luxate", "the", "tooth", "from", "the", "socket", "." ]
[ { "end": 15, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 44 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.029844
null
Remnants of the follicle were removed with a curved hemostat.
[ " ", "Remnants", "of", "the", "follicle", "were", "removed", "with", "a", "curved", "hemostat", "." ]
[ { "end": 61, "label": "KEYPHRASE", "score": 0, "start": 46 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.030095
null
The area was irrigated with normal saline solution and closed with 3-0 gut sutures.
[ " ", "The", "area", "was", "irrigated", "with", "normal", "saline", "solution", "and", "closed", "with", "3", "-", "0", "gut", "sutures", "." ]
[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 72 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.030363
null
Moving to the lower left #17, incision was made with a #15 blade.
[ " ", "Moving", "to", "the", "lower", "left", "#", "17", ",", "incision", "was", "made", "with", "a", "#", "15", "blade", "." ]
[ { "end": 20, "label": "KEYPHRASE", "score": 0, "start": 15 }, { "end": 39, "label": "KEYPHRASE", "score": 0, "start": 31 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 60 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.030640
null
Envelope flap was raised with the periosteal elevator, and bone was removed on the buccal and distal aspect with high-speed drill with a round bur.
[ " ", "Envelope", "flap", "was", " ", "raised", "with", "the", "periosteal", "elevator", ",", "and", "bone", "was", "removed", "on", "the", "buccal", "and", "distal", "aspect", "with", "high", "-", "speed", "drill", "with", "a", "round", "bur", "." ]
[ { "end": 14, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 55, "label": "KEYPHRASE", "score": 0, "start": 36 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 61 }, { "end": 91, "label": "KEYPHRASE", "score": 0, "start": 85 }, { "end": 102, "label": "KEYPHRASE", "score": 0, "start": 96 }, { "end": 131, "label": "KEYPHRASE", "score": 0, "start": 126 }, { "end": 148, "label": "KEYPHRASE", "score": 0, "start": 139 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.030981
null
Then the bur was used to section the tooth vertically.
[ " ", "Then", "the", "bur", "was", "used", "to", "section", "the", "tooth", "vertically", "." ]
[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 26 }, { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 38 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.031262
null
The area was irrigated with normal saline solution and closed with 3-0 gut sutures.
[ " ", "The", "area", "was", "irrigated", "with", "normal", "saline", "solution", "and", "closed", "with", "3", "-", "0", "gut", "sutures", "." ]
[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 29 }, { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 72 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.031749
null
Upon completion of the procedure, the throat pack was removed and the pharynx was suctioned.
[ " ", "Upon", "completion", "of", "the", "procedure", ",", "the", "throat", "pack", "was", "removed", "and", "the", "pharynx", "was", "suctioned", "." ]
[ { "end": 50, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 78, "label": "KEYPHRASE", "score": 0, "start": 71 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.032063
null
An NG tube was then inserted and small amount of gastric contents were suctioned.
[ " ", "An", "NG", "tube", "was", "then", "inserted", "and", "small", "amount", "of", "gastric", "contents", "were", "suctioned", "." ]
[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 50 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.032344
null
Patient was then awakened, extubated, and taken to the PACU in stable condition.
[ " ", "Patient", "was", "then", "awakened", ",", "extubated", ",", "and", "taken", "to", "the", "PACU", "in", "stable", "condition", "." ]
[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 28 } ]
Argilla
null
null
null
{ "medical_specialty": " Dentistry" }
Default
2022-12-07T10:14:27.032611
null
HISTORY OF PRESENT ILLNESS: ,I have seen ABC today for her preoperative visit for weight management.
[ "HISTORY", "OF", "PRESENT", "ILLNESS", ":", ",", "I", "have", "seen", "ABC", "today", "for", "her", "preoperative", "visit", "for", "weight", "management", "." ]
[ { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 82 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.035597
null
I have explained to her the need for Optifast for weight loss prior to these procedures to make it safer because of the large size of her liver.
[ " ", "I", "have", "explained", "to", "her", "the", "need", "for", "Optifast", "for", "weight", "loss", "prior", "to", "these", "procedures", "to", "make", "it", "safer", "because", "of", "the", "large", "size", "of", "her", "liver", "." ]
[ { "end": 62, "label": "KEYPHRASE", "score": 0, "start": 51 }, { "end": 144, "label": "KEYPHRASE", "score": 0, "start": 139 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.035921
null
,IMPRESSION/PLAN:, We are going to put her on two weeks of Optifast at around 900 calories.
[ ",IMPRESSION", "/", "PLAN", ":", ",", "We", "are", "going", "to", "put", "her", "on", "two", "weeks", "of", "Optifast", "at", "around", "900", "calories", "." ]
[ { "end": 90, "label": "KEYPHRASE", "score": 0, "start": 82 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.036294
null
I have also explained the risks and potential complications of laparoscopic cholecystectomy to her in detail including bleeding, infection, deep venous thrombosis, pulmonary embolism, injury to the small intestine, stomach, liver, leak from the cystic duct, common bile duct, and possible need for ERCP and further surgery.
[ " ", "I", "have", "also", "explained", "the", "risks", "and", "potential", "complications", "of", "laparoscopic", "cholecystectomy", "to", "her", "in", "detail", "including", "bleeding", ",", "infection", ",", "deep", "venous", "thrombosis", ",", "pulmonary", "embolism", ",", "injury", "to", "the", "small", "intestine", ",", "stomach", ",", "liver", ",", "leak", "from", "the", "cystic", "duct", ",", "common", "bile", "duct", ",", "and", "possible", "need", "for", "ERCP", "and", "further", "surgery", "." ]
[ { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 92, "label": "KEYPHRASE", "score": 0, "start": 64 }, { "end": 128, "label": "KEYPHRASE", "score": 0, "start": 120 }, { "end": 139, "label": "KEYPHRASE", "score": 0, "start": 130 }, { "end": 152, "label": "KEYPHRASE", "score": 0, "start": 141 }, { "end": 163, "label": "KEYPHRASE", "score": 0, "start": 153 }, { "end": 183, "label": "KEYPHRASE", "score": 0, "start": 165 }, { "end": 191, "label": "KEYPHRASE", "score": 0, "start": 185 }, { "end": 223, "label": "KEYPHRASE", "score": 0, "start": 216 }, { "end": 230, "label": "KEYPHRASE", "score": 0, "start": 225 }, { "end": 257, "label": "KEYPHRASE", "score": 0, "start": 246 }, { "end": 275, "label": "KEYPHRASE", "score": 0, "start": 259 }, { "end": 323, "label": "KEYPHRASE", "score": 0, "start": 316 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.036716
null
This surgery is going to be planned for October 6.
[ " ", "This", "surgery", "is", "going", "to", "be", "planned", "for", "October", "6", "." ]
[ { "end": 13, "label": "KEYPHRASE", "score": 0, "start": 6 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.036993
null
This is for cholelithiasis prior to her Lap-Banding procedure.
[ " ", "This", "is", "for", "cholelithiasis", "prior", "to", "her", "Lap", "-", "Banding", "procedure", "." ]
[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 13 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.037194
null
,I have also reviewed with her the risks and potential complications of laparoscopic gastric banding including bleeding, infection, deep venous thrombosis, pulmonary embolism, slippage of the band, erosion of the band, injury to the esophagus, stomach, small intestine, large intestine, spleen, liver, injury to the band, port, or tubing necessitating replacement of the band, port, or tubing among other potential complications and she understands.
[ ",I", "have", "also", "reviewed", "with", "her", "the", "risks", "and", "potential", "complications", "of", "laparoscopic", "gastric", "banding", "including", "bleeding", ",", "infection", ",", "deep", "venous", "thrombosis", ",", "pulmonary", "embolism", ",", "slippage", "of", "the", "band", ",", "erosion", "of", "the", "band", ",", "injury", "to", "the", "esophagus", ",", "stomach", ",", "small", "intestine", ",", "large", "intestine", ",", "spleen", ",", "liver", ",", "injury", "to", "the", "band", ",", "port", ",", "or", "tubing", "necessitating", "replacement", "of", "the", "band", ",", "port", ",", "or", "tubing", "among", "other", "potential", "complications", "and", "she", "understands", "." ]
[ { "end": 68, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 100, "label": "KEYPHRASE", "score": 0, "start": 72 }, { "end": 119, "label": "KEYPHRASE", "score": 0, "start": 111 }, { "end": 130, "label": "KEYPHRASE", "score": 0, "start": 121 }, { "end": 143, "label": "KEYPHRASE", "score": 0, "start": 132 }, { "end": 154, "label": "KEYPHRASE", "score": 0, "start": 144 }, { "end": 174, "label": "KEYPHRASE", "score": 0, "start": 156 }, { "end": 196, "label": "KEYPHRASE", "score": 0, "start": 192 }, { "end": 205, "label": "KEYPHRASE", "score": 0, "start": 198 }, { "end": 217, "label": "KEYPHRASE", "score": 0, "start": 213 }, { "end": 225, "label": "KEYPHRASE", "score": 0, "start": 219 }, { "end": 242, "label": "KEYPHRASE", "score": 0, "start": 233 }, { "end": 251, "label": "KEYPHRASE", "score": 0, "start": 244 }, { "end": 293, "label": "KEYPHRASE", "score": 0, "start": 287 }, { "end": 300, "label": "KEYPHRASE", "score": 0, "start": 295 }, { "end": 308, "label": "KEYPHRASE", "score": 0, "start": 302 }, { "end": 320, "label": "KEYPHRASE", "score": 0, "start": 316 }, { "end": 326, "label": "KEYPHRASE", "score": 0, "start": 322 }, { "end": 363, "label": "KEYPHRASE", "score": 0, "start": 352 }, { "end": 375, "label": "KEYPHRASE", "score": 0, "start": 371 }, { "end": 381, "label": "KEYPHRASE", "score": 0, "start": 377 }, { "end": 428, "label": "KEYPHRASE", "score": 0, "start": 405 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.037708
null
We are going to proceed for laparoscopic gastric banding.
[ " ", "We", "are", "going", "to", "proceed", "for", "laparoscopic", "gastric", "banding", "." ]
[ { "end": 57, "label": "KEYPHRASE", "score": 0, "start": 29 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.038062
null
I have also gone over with her the Fairfield County Bariatrics consent form for banding and all the risks.
[ " ", "I", "have", "also", "gone", "over", "with", "her", "the", "Fairfield", "County", "Bariatrics", "consent", "form", "for", "banding", "and", "all", "the", "risks", "." ]
[ { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 81 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.038420
null
She has taken the preoperative quiz for banding.
[ " ", "She", "has", "taken", "the", "preoperative", "quiz", "for", "banding", "." ]
[ { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 41 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.038769
null
She is planned for surgical intervention.,
[ " ", "She", "is", "planned", "for", "surgical", "intervention", ".", "," ]
[ { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 29 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.039400
null
PREOPERATIVE DIAGNOSES,Airway obstruction secondary to severe subglottic tracheal stenosis with foreign body in the trachea.
[ "PREOPERATIVE", "DIAGNOSES", ",", "Airway", "obstruction", "secondary", "to", "severe", "subglottic", "tracheal", "stenosis", "with", "foreign", "body", "in", "the", "trachea", "." ]
[ { "end": 41, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 42 }, { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 62 }, { "end": 90, "label": "KEYPHRASE", "score": 0, "start": 73 }, { "end": 108, "label": "KEYPHRASE", "score": 0, "start": 96 }, { "end": 123, "label": "KEYPHRASE", "score": 0, "start": 116 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.047258
null
,POSTOPERATIVE DIAGNOSES,Airway obstruction secondary to severe subglottic tracheal stenosis with foreign body in the trachea.
[ ",POSTOPERATIVE", "DIAGNOSES", ",", "Airway", "obstruction", "secondary", "to", "severe", "subglottic", "tracheal", "stenosis", "with", "foreign", "body", "in", "the", "trachea", "." ]
[ { "end": 43, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 53, "label": "KEYPHRASE", "score": 0, "start": 44 }, { "end": 74, "label": "KEYPHRASE", "score": 0, "start": 64 }, { "end": 92, "label": "KEYPHRASE", "score": 0, "start": 75 }, { "end": 110, "label": "KEYPHRASE", "score": 0, "start": 98 }, { "end": 125, "label": "KEYPHRASE", "score": 0, "start": 118 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.047785
null
,OPERATION PERFORMED,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.
[ ",OPERATION", "PERFORMED", ",", "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", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.048358
null
,INDICATIONS FOR SURGERY,The patient is a 50-year-old white male with history of progressive tracheomalacia treated in the National Tennessee, and several years ago he had a tracheal metallic stent placed with some temporary improvement.
[ ",INDICATIONS", "FOR", "SURGERY", ",", "The", "patient", "is", "a", "50", "-", "year", "-", "old", "white", "male", "with", "history", "of", "progressive", "tracheomalacia", "treated", "in", "the", "National", "Tennessee", ",", "and", "several", "years", "ago", "he", "had", "a", "tracheal", "metallic", "stent", "placed", "with", "some", "temporary", "improvement", "." ]
[ { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 60 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 70 }, { "end": 182, "label": "KEYPHRASE", "score": 0, "start": 174 }, { "end": 197, "label": "KEYPHRASE", "score": 0, "start": 183 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.048981
null
However developed progressive problems and he had two additional stents placed with some initial improvement.
[ " ", "However", "developed", "progressive", "problems", "and", "he", "had", "two", "additional", "stents", "placed", "with", "some", "initial", "improvement", "." ]
[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 66 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.049457
null
Subsequently, he developed progressive airway obstruction and came into the ABC Hospital critical airway service for further evaluation and was admitted on Month DD, YYYY.
[ " ", "Subsequently", ",", "he", "developed", "progressive", "airway", "obstruction", "and", "came", "into", "the", "ABC", "Hospital", "critical", "airway", "service", "for", "further", "evaluation", "and", "was", "admitted", "on", "Month", "DD", ",", "YYYY", "." ]
[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 40 }, { "end": 105, "label": "KEYPHRASE", "score": 0, "start": 99 }, { "end": 136, "label": "KEYPHRASE", "score": 0, "start": 126 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.049973
null
He underwent bronchoscopy by Dr. W and found to have an extensive subglottic upper tracheal and distal tracheal stenosis secondary to metallic stent extensive granulation and inflammatory tissue changes.
[ " ", "He", "underwent", "bronchoscopy", "by", "Dr.", "W", "and", "found", "to", "have", "an", "extensive", "subglottic", "upper", "tracheal", "and", "distal", "tracheal", "stenosis", "secondary", "to", "metallic", "stent", "extensive", "granulation", "and", "inflammatory", "tissue", "changes", "." ]
[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 14 }, { "end": 92, "label": "KEYPHRASE", "score": 0, "start": 67 }, { "end": 103, "label": "KEYPHRASE", "score": 0, "start": 97 }, { "end": 121, "label": "KEYPHRASE", "score": 0, "start": 104 }, { "end": 131, "label": "KEYPHRASE", "score": 0, "start": 122 }, { "end": 149, "label": "KEYPHRASE", "score": 0, "start": 135 }, { "end": 171, "label": "KEYPHRASE", "score": 0, "start": 160 }, { "end": 188, "label": "KEYPHRASE", "score": 0, "start": 176 }, { "end": 195, "label": "KEYPHRASE", "score": 0, "start": 189 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.050600
null
The patient had some debridement and then was hospitalized and Laryngology and Thoracic Surgery services were consulted for further management.
[ " ", "The", "patient", "had", "some", "debridement", "and", "then", "was", "hospitalized", "and", "Laryngology", "and", "Thoracic", "Surgery", "services", "were", "consulted", "for", "further", "management", "." ]
[ { "end": 33, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 47 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.051179
null
Exploration of trachea, removal of foreign body stents constricting his airway, dilation and stabilization of his trachea were offered to the patient.
[ " ", "Exploration", "of", "trachea", ",", "removal", "of", "foreign", "body", "stents", "constricting", "his", "airway", ",", "dilation", "and", "stabilization", "of", "his", "trachea", "were", "offered", "to", "the", "patient", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.051650
null
Nature of the proposed procedure including risks and complications of bleeding, infection, alteration of voice, speech, swallowing, voice changes permanently, possibility of tracheotomy temporarily or permanently to maintain his airway, loss of voice, cardiac risk factors, anesthetic risks, recurrence of problems, upon surgical intervention were all discussed at length.
[ " ", "Nature", "of", "the", "proposed", "procedure", "including", "risks", "and", "complications", "of", "bleeding", ",", "infection", ",", "alteration", "of", "voice", ",", "speech", ",", "swallowing", ",", "voice", "changes", "permanently", ",", "possibility", "of", "tracheotomy", "temporarily", "or", "permanently", "to", "maintain", "his", "airway", ",", "loss", "of", "voice", ",", "cardiac", "risk", "factors", ",", "anesthetic", "risks", ",", "recurrence", "of", "problems", ",", "upon", "surgical", "intervention", "were", "all", "discussed", "at", "length", "." ]
[ { "end": 79, "label": "KEYPHRASE", "score": 0, "start": 71 }, { "end": 90, "label": "KEYPHRASE", "score": 0, "start": 81 }, { "end": 111, "label": "KEYPHRASE", "score": 0, "start": 92 }, { "end": 119, "label": "KEYPHRASE", "score": 0, "start": 113 }, { "end": 131, "label": "KEYPHRASE", "score": 0, "start": 121 }, { "end": 186, "label": "KEYPHRASE", "score": 0, "start": 175 }, { "end": 225, "label": "KEYPHRASE", "score": 0, "start": 217 }, { "end": 236, "label": "KEYPHRASE", "score": 0, "start": 230 }, { "end": 242, "label": "KEYPHRASE", "score": 0, "start": 238 }, { "end": 260, "label": "KEYPHRASE", "score": 0, "start": 253 }, { "end": 273, "label": "KEYPHRASE", "score": 0, "start": 261 }, { "end": 285, "label": "KEYPHRASE", "score": 0, "start": 275 }, { "end": 330, "label": "KEYPHRASE", "score": 0, "start": 322 }, { "end": 343, "label": "KEYPHRASE", "score": 0, "start": 331 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.052311
null
,DESCRIPTION OF PROCEDURE,The patient was taken to the operating room, placed in the supine position.
[ ",DESCRIPTION", "OF", "PROCEDURE", ",", "The", "patient", "was", "taken", "to", "the", "operating", "room", ",", "placed", "in", "the", "supine", "position", "." ]
[ { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 100, "label": "KEYPHRASE", "score": 0, "start": 85 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.053195
null
Following adequate monitoring by Anesthesia Service to maintain sedation, the patient's neck was prepped and draped in the sterile fashion.
[ " ", "Following", "adequate", "monitoring", "by", "Anesthesia", "Service", "to", "maintain", "sedation", ",", "the", "patient", "'s", "neck", "was", "prepped", "and", "draped", "in", "the", "sterile", "fashion", "." ]
[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 20 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 56 }, { "end": 73, "label": "KEYPHRASE", "score": 0, "start": 65 }, { "end": 93, "label": "KEYPHRASE", "score": 0, "start": 89 }, { "end": 116, "label": "KEYPHRASE", "score": 0, "start": 98 }, { "end": 139, "label": "KEYPHRASE", "score": 0, "start": 124 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.053677
null
The neck was then infiltrated with 1% Xylocaine and 1000 epinephrine.
[ " ", "The", "neck", "was", "then", "infiltrated", "with", "1", "%", "Xylocaine", "and", "1000", "epinephrine", "." ]
[ { "end": 9, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 19 }, { "end": 69, "label": "KEYPHRASE", "score": 0, "start": 58 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.054119
null
A collar incision approximately 1 fingerbreadth above the clavicle, this was an outline incision, was carried out.
[ " ", "A", "collar", "incision", "approximately", "1", "fingerbreadth", "above", "the", "clavicle", ",", "this", "was", "an", "outline", "incision", ",", "was", "carried", "out", "." ]
[ { "end": 18, "label": "KEYPHRASE", "score": 0, "start": 10 }, { "end": 67, "label": "KEYPHRASE", "score": 0, "start": 59 }, { "end": 97, "label": "KEYPHRASE", "score": 0, "start": 89 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.054565
null
The skin, subcutaneous tissue, platysma, subplatysmal flaps elevated superiorly and inferiorly.
[ " ", "The", "skin", ",", "subcutaneous", "tissue", ",", "platysma", ",", "subplatysmal", "flaps", "elevated", "superiorly", "and", "inferiorly", "." ]
[ { "end": 9, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 11 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 32 }, { "end": 60, "label": "KEYPHRASE", "score": 0, "start": 55 }, { "end": 80, "label": "KEYPHRASE", "score": 0, "start": 70 }, { "end": 95, "label": "KEYPHRASE", "score": 0, "start": 85 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.054998
null
Strap muscles were separated in the midline, dissection carried down to visceral fascia.
[ " ", "Strap", "muscles", "were", "separated", "in", "the", "midline", ",", "dissection", "carried", "down", "to", "visceral", "fascia", "." ]
[ { "end": 14, "label": "KEYPHRASE", "score": 0, "start": 7 }, { "end": 44, "label": "KEYPHRASE", "score": 0, "start": 37 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 46 }, { "end": 81, "label": "KEYPHRASE", "score": 0, "start": 73 }, { "end": 88, "label": "KEYPHRASE", "score": 0, "start": 82 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.055423
null
Beneath the strap muscles, there was dense inflammation scarring obscuring palpable landmarks.
[ " ", "Beneath", "the", "strap", "muscles", ",", "there", "was", "dense", "inflammation", "scarring", "obscuring", "palpable", "landmarks", "." ]
[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 44 }, { "end": 65, "label": "KEYPHRASE", "score": 0, "start": 57 }, { "end": 84, "label": "KEYPHRASE", "score": 0, "start": 76 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.055838
null
There appeared to be significant scarring fusion of soft tissue at the perichondrium and cartilage of the cricoid making the cricoid easily definable.
[ " ", "There", "appeared", "to", "be", "significant", "scarring", "fusion", "of", "soft", "tissue", "at", "the", "perichondrium", "and", "cartilage", "of", "the", "cricoid", "making", "the", "cricoid", "easily", "definable", "." ]
[ { "end": 42, "label": "KEYPHRASE", "score": 0, "start": 34 }, { "end": 49, "label": "KEYPHRASE", "score": 0, "start": 43 }, { "end": 64, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 85, "label": "KEYPHRASE", "score": 0, "start": 72 }, { "end": 99, "label": "KEYPHRASE", "score": 0, "start": 90 }, { "end": 114, "label": "KEYPHRASE", "score": 0, "start": 107 }, { "end": 133, "label": "KEYPHRASE", "score": 0, "start": 126 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.056307
null
There was a markedly enlarged thyroid isthmus.
[ " ", "There", "was", "a", "markedly", "enlarged", "thyroid", "isthmus", "." ]
[ { "end": 30, "label": "KEYPHRASE", "score": 0, "start": 22 }, { "end": 46, "label": "KEYPHRASE", "score": 0, "start": 31 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.056705
null
Thyroid isthmus was divided and dense inflammation, attachment of the thyroid isthmus, fusion of the thyroid gland to the capsule to the pretracheal fascia requiring extensive blunt sharp dissection.
[ " ", "Thyroid", "isthmus", "was", "divided", "and", "dense", "inflammation", ",", "attachment", "of", "the", "thyroid", "isthmus", ",", "fusion", "of", "the", "thyroid", "gland", "to", "the", "capsule", "to", "the", "pretracheal", "fascia", "requiring", "extensive", "blunt", "sharp", "dissection", "." ]
[ { "end": 16, "label": "KEYPHRASE", "score": 0, "start": 9 }, { "end": 51, "label": "KEYPHRASE", "score": 0, "start": 39 }, { "end": 63, "label": "KEYPHRASE", "score": 0, "start": 53 }, { "end": 86, "label": "KEYPHRASE", "score": 0, "start": 71 }, { "end": 94, "label": "KEYPHRASE", "score": 0, "start": 88 }, { "end": 115, "label": "KEYPHRASE", "score": 0, "start": 102 }, { "end": 130, "label": "KEYPHRASE", "score": 0, "start": 123 }, { "end": 149, "label": "KEYPHRASE", "score": 0, "start": 138 }, { "end": 156, "label": "KEYPHRASE", "score": 0, "start": 150 }, { "end": 199, "label": "KEYPHRASE", "score": 0, "start": 183 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.057187
null
Trachea was exposed from the cricoid to the fourth ring which entered down into the chest.
[ " ", "Trachea", "was", "exposed", "from", "the", "cricoid", "to", "the", "fourth", "ring", "which", "entered", "down", "into", "the", "chest", "." ]
[ { "end": 37, "label": "KEYPHRASE", "score": 0, "start": 30 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 90, "label": "KEYPHRASE", "score": 0, "start": 85 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.057693
null
The trachea was incised between the second and third ring inferior limb in the midline and excision of small ridge of cartilage on each side sent for pathologic evaluation.
[ " ", "The", "trachea", "was", "incised", "between", "the", "second", "and", "third", "ring", "inferior", "limb", "in", "the", "midline", "and", "excision", "of", "small", "ridge", "of", "cartilage", "on", "each", "side", "sent", "for", "pathologic", "evaluation", "." ]
[ { "end": 12, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 58, "label": "KEYPHRASE", "score": 0, "start": 54 }, { "end": 72, "label": "KEYPHRASE", "score": 0, "start": 68 }, { "end": 87, "label": "KEYPHRASE", "score": 0, "start": 80 }, { "end": 100, "label": "KEYPHRASE", "score": 0, "start": 92 }, { "end": 128, "label": "KEYPHRASE", "score": 0, "start": 119 }, { "end": 172, "label": "KEYPHRASE", "score": 0, "start": 162 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.058167
null
The tracheal cartilage externally had marked thickening and significant stiffness calcification, and the tracheal wall from the outside of the trachea to the mucosa measured 3 to 4 mm in thickness.
[ " ", "The", "tracheal", "cartilage", "externally", "had", "marked", "thickening", "and", "significant", "stiffness", "calcification", ",", "and", "the", "tracheal", "wall", "from", "the", "outside", "of", "the", "trachea", "to", "the", "mucosa", "measured", "3", "to", "4", "mm", "in", "thickness", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.058686
null
The trachea was entered and visualized with thickening of the mucosa and submucosa was noted.
[ " ", "The", "trachea", "was", "entered", "and", "visualized", "with", "thickening", "of", "the", "mucosa", "and", "submucosa", "was", "noted", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.059128
null
The patient, however, was able to ventilate at this point a #6 Endo Tube was inserted and general anesthesia administered.
[ " ", "The", "patient", ",", "however", ",", "was", "able", "to", "ventilate", "at", "this", "point", "a", "#", "6", "Endo", "Tube", "was", "inserted", "and", "general", "anesthesia", "administered", "." ]
[ { "end": 109, "label": "KEYPHRASE", "score": 0, "start": 99 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.059678
null
Once the airway was secured, we then proceeded working around the #6 Endo Tube as well as with the tube intake and out to explore the trachea with ridged fiberoptic scopes as well as flexible fiberoptic bronchoscopy to the trach site.
[ " ", "Once", "the", "airway", "was", "secured", ",", "we", "then", "proceeded", "working", "around", "the", "#", "6", "Endo", "Tube", "as", "well", "as", "with", "the", "tube", "intake", "and", "out", "to", "explore", "the", "trachea", "with", "ridged", "fiberoptic", "scopes", "as", "well", "as", "flexible", "fiberoptic", "bronchoscopy", "to", "the", "trach", "site", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.060359
null
Examination revealed extrusion of metallic fragments from stent and multiple metallic fragments were removed from the stent in the upper trachea.
[ " ", "Examination", "revealed", "extrusion", "of", "metallic", "fragments", "from", "stent", "and", "multiple", "metallic", "fragments", "were", "removed", "from", "the", "stent", "in", "the", "upper", "trachea", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.060881
null
A careful examination of the subglottic area showed inflamed and thickened mucosa but patent subglottis.
[ " ", "A", "careful", "examination", "of", "the", "subglottic", "area", "showed", "inflamed", "and", "thickened", "mucosa", "but", "patent", "subglottis", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.061339
null
After removal of the stents and granulation tissue, the upper trachea was widely patent.
[ " ", "After", "removal", "of", "the", "stents", "and", "granulation", "tissue", ",", "the", "upper", "trachea", "was", "widely", "patent", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.061784
null
The mid trachea had some marked narrowing secondary to granulation.
[ " ", "The", "mid", "trachea", "had", "some", "marked", "narrowing", "secondary", "to", "granulation", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.062205
null
In the distal third of the trachea, a third stent was embedded within the mucosa, not encroaching on the lumen without significant obstruction distally and this was not disturbed at this time.
[ " ", "In", "the", "distal", "third", "of", "the", "trachea", ",", "a", "third", "stent", "was", "embedded", "within", "the", "mucosa", ",", "not", "encroaching", "on", "the", "lumen", "without", "significant", "obstruction", "distally", "and", "this", "was", "not", "disturbed", "at", "this", "time", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.063079
null
All visible stent material in the upper and mid trachea were removed.
[ " ", "All", "visible", "stent", "material", "in", "the", "upper", "and", "mid", "trachea", "were", "removed", "." ]
[ { "end": 27, "label": "KEYPHRASE", "score": 0, "start": 13 }, { "end": 48, "label": "KEYPHRASE", "score": 0, "start": 45 }, { "end": 56, "label": "KEYPHRASE", "score": 0, "start": 49 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.063538
null
Initial attempt to place a #16 Montgomery T tube showed the distal lumen of the T tube to be too short to stent the granulation narrowing of the trachea at the junction of the anterior two thirds and the distal third.
[ " ", "Initial", "attempt", "to", "place", "a", "#", "16", "Montgomery", "T", "tube", "showed", "the", "distal", "lumen", "of", "the", "T", "tube", "to", "be", "too", "short", "to", "stent", "the", "granulation", "narrowing", "of", "the", "trachea", "at", "the", "junction", "of", "the", "anterior", "two", "thirds", "and", "the", "distal", "third", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.064149
null
Also, this was removed and a #8 Shiley single cannula tracheostomy tube was placed after removal of the endotracheal tube.
[ " ", "Also", ",", "this", "was", "removed", "and", "a", "#", "8", "Shiley", "single", "cannula", "tracheostomy", "tube", "was", "placed", "after", "removal", "of", "the", "endotracheal", "tube", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.064678
null
A good ventilation was confirmed and the position of the tube confirmed it to be at the level just above the metallic stent which was embedded in the mucosa.
[ " ", "A", "good", "ventilation", "was", "confirmed", "and", "the", "position", "of", "the", "tube", "confirmed", "it", "to", "be", "at", "the", "level", "just", "above", "the", "metallic", "stent", "which", "was", "embedded", "in", "the", "mucosa", "." ]
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Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.065189
null
The distal trachea and mainstem bronchi were widely patent.
[ " ", "The", "distal", "trachea", "and", "mainstem", "bronchi", "were", "widely", "patent", "." ]
[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 5 }, { "end": 19, "label": "KEYPHRASE", "score": 0, "start": 12 }, { "end": 40, "label": "KEYPHRASE", "score": 0, "start": 24 }, { "end": 59, "label": "KEYPHRASE", "score": 0, "start": 46 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.065665
null
This secured his airway and no further manipulation felt to be needed at this time.
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[ { "end": 24, "label": "KEYPHRASE", "score": 0, "start": 18 }, { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 79 } ]
Argilla
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null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.066161
null
Neck wound was thoroughly irrigated and strap muscles were closed with interrupted 3-0 Vicryl.
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[ { "end": 11, "label": "KEYPHRASE", "score": 0, "start": 6 }, { "end": 54, "label": "KEYPHRASE", "score": 0, "start": 41 }, { "end": 83, "label": "KEYPHRASE", "score": 0, "start": 72 } ]
Argilla
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null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.066607
null
The skin laterally to the trach site was closed with running 2-0 Prolene.
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[ { "end": 9, "label": "KEYPHRASE", "score": 0, "start": 5 } ]
Argilla
null
null
null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.067025
null
Tracheostomy tube was secured with interrupted 2-0 silk sutures and the patient was taken back to the Intensive Care Unit in satisfactory condition.
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Argilla
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null
{ "medical_specialty": " Cardiovascular / Pulmonary" }
Default
2022-12-07T10:14:27.067497
null
REASON FOR VISIT:, Lap band adjustment.
[ "REASON", "FOR", "VISIT", ":", ",", " ", "Lap", "band", "adjustment", "." ]
[ { "end": 28, "label": "KEYPHRASE", "score": 0, "start": 24 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.070214
null
,HISTORY OF PRESENT ILLNESS:, Ms. A is status post lap band placement back in 01/09 and she is here on a band adjustment.
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[ { "end": 70, "label": "KEYPHRASE", "score": 0, "start": 52 }, { "end": 110, "label": "KEYPHRASE", "score": 0, "start": 106 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.070480
null
Apparently, she had some problems previously with her adjustments and apparently she has been under a lot of stress.
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[ { "end": 116, "label": "KEYPHRASE", "score": 0, "start": 110 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.070713
null
She was in a car accident a couple of weeks ago and she has problems, she does not feel full.
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[ { "end": 26, "label": "KEYPHRASE", "score": 0, "start": 18 } ]
Argilla
null
null
null
{ "medical_specialty": " Bariatrics" }
Default
2022-12-07T10:14:27.070935
null