SELF   IDENIFICATION   TRUST

WHOLE    COMPLEXITY    VORTEX









THE HEALTH CARE SYSTEM



3 theories  used as a metaphor to show the relationship between the healthcare system to the self.






















WHOLE


If the whole really is greater than the sum of its parts, it doesn't really matter if those parts get replaced.

The Whole is always smaller than the sum of its parts

If that means reducing things “upwards” into wholes that are greater than them, we are in all kinds of trouble: logical, ecological, geopolitical. Inflationary holism is a form of mechanism, in which the parts are imagined as replaceable components.
I can think or compute them, and yet I can't directly see them.
(Tim Morton, 2019)


The interrelationships among adaptive elements of the system produce patterns of behavior, but not in a totally predictable fashion. Novel behaviors can emerge that could not be anticipated by knowing the agents individually. Consequently, the whole system is qualitatively different than the sum of its component parts. In addition, these patterns have implications for change in systems: because multiple connections within and between systems exist, the behavior of a specific practice is influenced by both internal and external factors. Within these systems there is also tension between the status quo and the need to adapt to changing conditions. Theoretical work suggests that systems ‘‘at the edge of chaos,’’ i.e., between equilibrium and complete disorder, may in fact be the most adaptive and creative. 

(Using Complexity Theory to Build Interventions that Improve Health Care Delivery in Primary Care)

The uniqueness and individuality of any person is further explained by the interactions between the various components that make up the whole person … the synthesis of problem lists reduces what may be meaningful clusters of problems… Systems theory recognizes the existence of an organized whole with overlapping, interacting systems. (Freer, 1980)





complexity


…, the theories of ‘chaos’ and complexity suggest that much of the world is not linear and small changes can produce dramatic transformation of an entire system. … For example, individuals are more than the sum of the multitude of complex biochemical reactions taking place in their bodies, and social phenomenon cannot be fully explained in terms of the individual actions of people. (Griffith & Byrne, 1998)





vortex


Metaphorically the complexities of the ‘health care system’ can be compared to a vortex. All the elements making up the ‘health care system’ exert their pressure onto the ‘health’ of the individual’s cells through their effects on the person’s environment and their effects on the balance of his somato-psycho-socio-semiotic needs. Minor changes to a single element within the system can have major, and often unforeseen, consequences on the whole system.
(Sturmberg & Martin, 2006)



















SELF



The self is positioned in the healthcare system as a set of relations that cannot be narrowed down to the data it produce.


















//Start:
Patient > private domain > self

From the moment a patient enters the health care system, its identity is being analysed, processed and documented by humans and machines.

These separations, bits of informations of an individual are being scattered between the personal, discrete experience of its fellow humans or transformed to EHR for future use.









How am I being scattered?
Can I be traced back?
Am I a part of a new whole?
When is it not me anymore?

This combination of data is unique
This combination of data makes the person unique
This person makes this combination of data unique













Level of identifiability of information:

anonymous?

There is no definition to anonymous
Anonymous does not exist in intensive care medicine





what does it really mean in practice, is it ever possible to re-identify someone?

“Anonymization” of data refers to a subcategory of de-identification whereby data can never be re-identified. This differs from de-identified data, which is data that may be linked to individuals using a code, algorithm, or pseudonym.

Key Definition: “Pseudonymization” of data refers to a procedure by which personal identifiers in a set of information are replaced with artificial identifiers, or pseudonyms.

Key Definition: “Aggregation” of data refers to the process by which information is compiled and expressed in summary form.

Five techniques that can be used to de-identify records of information:
<1> Suppression: The personal identifiers can be suppressed, removed, or replaced with completely random values.
<2> Averaging: The personal identifiers of a selected field of data can be replaced with the average value for the entire group of data.
<3> Generalization: The personal identifiers can be reported as being within a given range or as a member of a set (names can be replaced with “person name”).
<4> Perturbation: The personal identifiers can be exchanged with other information within a defined level of variation (date of birth may be randomly adjusted -5 or +5 years).
<5> Swapping: The personal identifiers can be replaced between records (swapping the zip codes of two unrelated records).


Where it’s being separated from personal tagging and become a data point?
Where the personal indenificathion stays with the data and coming back to the patient?



De identified to the extant that the data cannot be reasonably re-identified.
This is not a guarantee, this situation can change at any moment as it depends on the technology available to mankind
.



What are the rights of each data unit? [Privacy statement by the Ministry of Health, Welfare and Sport]



Looking at data sets: how they see an individual? How would I look like as a data? How would it see me?


Training machine learning models in medical research can be include analyzing narrations (txt based reports), numerical values (monitors), imagery (scanning, X-ray).

Medical data = stories, features lists of diagnoses and template-generated descriptions of symptoms and physical examination findings. However, it provides little sense of how one event led to the next, how one symptom relates to another, the emotional context in which the symptoms or events occurred, or the thought process of the physician trying to pull together individual strands of data into a coherent narrative.

what do you see?
classifing words

How can we trust this set of values to determine what would be the solution for an individual?

Positioning the self
The idea of creating (self) custom-made medication is as complex as understanding the rules of the SELF, the individual in the complex system that called the “health care system”

Seeing the individual as a set of numerical values is impossible, as the rule of the HCS is to accept the holistic approach to care - the individual is a set of its own body, environmental, community and circumstances.

















Electronic health records (EHR) represent a rich and relatively untapped resource for characterizing the true nature of clinical practice and for quantifying the degree of inter-relatedness of medical entities such as drugs, diseases, procedures and devices.

This list is an extract from a data set: Building the graph of medicine from millions of clinical narratives

(5000 words out of 3m~)

Open Access
Published: 16 September 2014
Building the graph of medicine from millions of clinical narratives
Samuel G. Finlayson, Paea LePendu & Nigam H. Shah
Scientific Data volume 1, Article number: 140032 (2014)

12    left
14    pain
21    is a
24    examination
25    history of
26    time
27    report
29    blood
31    today
34    physical
35    diagnosis
36    chest
37    impression
41    clinical
44    medical
45    negative
47    specimen
48    medications
49    significant
51    disease
52    plan
53    past
55    findings
57    pressure
60    weight
62    evidence
63    status
65    family
66    abdomen
67    symptoms
68    reviewed
70    skin
71    physical examination
73    procedure
75    review
76    evidence of
77    follow
78    neck
79    rate
80    performed
81    soft
82    hospital
86    mild
87    months
88    approximately
89    biopsy
90    visit
91    therapy
92    surgery
94    evaluation
95    discharge
96    bilateral
97    stable
102    blood pressure
104    type
105    admit
106    breast
107    complaint
109    signed
111    text
112    checksum
113    allergies
114    week
115    extremities
117    subtype
118    acute
119    regular
120    area
121    status post
122    review of
124    continue
126    treatment
127    mother
128    edema
132    assessment
136    does not
137    bowel
139    submitted
141    intact
142    followup
144    review of systems
148    distress
150    comparison
151    liver
152    multiple
154    abdominal
157    pulmonary
159    signs
160    positive
161    total
165    lateral
167    medical history
169    hours
170    chronic
171    received
172    scan
174    surgical
175    cell
176    pulse
178    social
179    illness
181    reports
184    increased
186    no evidence of
187    cancer
190    lungs
191    lesion
192    contrast
194    anterior
196    past medical history
197    unremarkable
198    tube
199    including
200    physician
205    posterior
206    follow up
207    laboratory
208    last name
209    woman
210    respiratory
211    lung
213    times
215    cervical
216    family history
218    study
220    consistent
221    change
222    recent
223    infection
225    history of present illness
226    lymph
227    identified
228    renal
229    cont
233    children
234    spine
236    cells
238    cardiac
239    number
240    tumor
242    ultrasound
243    heent
244    admission
245    due to
247    fracture
248    social history
249    consistent with
250    started
251    secondary
253    interval
254    hypertension
255    extremity
259    fluid
260    auscultation
264    compliant
266    version
267    /year
269    encoding
274    temperature
275    return
277    mouth
279    noted
280    anesthesia
281    reported
283    carcinoma
285    previous
286    results
288    tenderness
289    vital signs
291    recently
292    treated
293    abnormal
294    joint
295    removed
296    incision
298    bladder
299    view
300    postoperative
301    contact
302    revealed
303    secondary to
304    prior to
305    nasal
306    accession
307    pediatric
309    distal
310    radiology
312    drug
313    medication
317    position
319    transplant
320    breath
322    final report
323    clip
327    remains
328    function
329    slightly
330    diet
331    radiation
332    night
333    bleeding
334    recommended
335    lymphadenopathy
336    decreased
337    parents
338    sounds
341    oral
342    continued
343    chemotherapy
344    palpable
346    motion
347    resp
348    nausea
350    test
352    cardiovascular
355    improved
356    diagnoses
357    primary
358    birth
360    monitor
364    medial
365    elevated
366    catheter
367    repeat
368    pelvis
370    follow-up
371    measures
372    creatinine
373    abnormality
377    neurologic
378    external
379    needed
380    include
381    difficulty
382    interpretation
383    unchanged
384    syndrome
386    department
387    related
388    diagnosed
389    oropharynx
390    moderate
391    addition
392    vomiting
393    increase
396    views
397    imaging
399    thyroid
400    diabetes
402    professor
403    condition
404    consultation
406    internal
408    identification
409    cough
413    minutes
414    region
416    shoulder
417    node
419    swelling
420    x-ray
421    technique
422    order
423    complications
424    focal
425    children's hospital
427    comments
428    activity
431    normal limits
432    wound
434    minimal
435    ct scan
437    institution
438    referred
439    active
440    alcohol
441    pleural
442    sinus
443    management
444    effusion
445    site
446    per day
447    fever
448    historical
449    operation
450    control
451    additional
452    lumbar
454    reactive
455    oncology
456    femoral
457    strength
458    was a
459    placement
464    muscle
465    scheduled
467    reason for
468    movements
469    alert
471    labeled
472    notes
474    recurrent
475    risks
477    fevers
478    hemoglobin
479    complete
481    by mouth
482    may be
484    hematocrit
485    soft tissue
486    negative for
487    initially
488    pathologist
491    within normal limits
493    tablet
494    vaginal
495    brain
496    heart rate
497    proximal
500    lower extremity
501    coronary
502    colon
503    chest pain
504    information
505    attending physician
506    benign
508    stenosis
509    peripheral
510    urine
512    nerve
513    drive
514    evaluate
515    resection
518    resolved
519    equal
521    description
523    in the past
524    preoperative
525    greater
527    repair
528    episodes
529    bone marrow
530    needle
532    vein
533    return to
535    appearance
536    shortness of breath
537    venous
543    medical record
544    diarrhea
546    action
548    urinary
549    occasional
550    shift
553    labs
554    preliminary
555    up to
556    support
557    persistent
558    neuro
560    admitting diagnosis
561    feet
562    lymph nodes
563    exercise
564    chills
566    limited
567    aortic
568    headaches
569    inferior
571    length
572    pelvic
573    aspect
574    injury
575    metastatic
576    murmur
577    specific
578    medicine
580    drug allergies
581    range of motion
582    visualized
583    abdominal pain
584    closed
585    case
586    superior
587    sensation
588    evaluated
589    weakness
590    non-
592    failure
593    physical therapy
594    cyst
595    lymphoma
596    axial
597    followed by
598    lymph node
599    back pain
600    problem
601    treated with
602    routine
604    nose
607    reflux
609    as needed
610    appointment
611    pathology
612    midline
613    ankle
614    palpation
615    rule out
616    tests
617    system
618    rash
619    pupils
621    glucose
622    antibiotics
623    cassette
624    hepatitis
626    surgeon
627    less than
629    compared
630    associated with
631    base
632    emergency
634    no known drug allergies
637    adenopathy
638    abnormalities
639    axillary
641    end of impression
642    malignancy
643    future
645    based
646    cyanosis
647    discomfort
649    injection
650    formalin
654    physical exam
655    period
656    quadrant
657    aspirin
659    prednisone
660    unit
661    basis
662    graft
663    motor
664    nodule
665    calcium
668    regimen
669    prostate
671    completed
673    erythema
674    initial
676    patent
678    operative
682    attestation
683    school
684    slight
685    provided
686    signature
687    face
689    hospitalization
691    flexion
692    cytologic
693    feeling
694    examined
695    removal
697    replacement
699    membranes
700    diagnostic
701    section
702    left breast
703    depression
704    extension
705    constipation
706    atrial
709    ventricular
710    chest x-ray
711    bowel sounds
712    frontal
714    clubbing
715    screening
717    presented
718    platelets
719    healed
720    residual
721    date of birth
722    clinic visit
724    cytotechnologist
727    operating room
729    pulses
731    right breast
734    sterile
736    enlarged
737    fatigue
738    panel
739    hepatosplenomegaly
740    units
741    prescription
742    examination performed
743    spinal
744    symmetric
745    hepatic
746    tobacco
747    diffuse
748    suture
749    greater than
750    worse
751    decrease
752    increasing
753    required
754    episode
755    gait
756    scar
758    nodules
759    oxygen
760    sats
761    thoracic
762    lower extremities
763    open
765    change in
766    final
767    potassium
770    vascular
771    care of
772    icd9
773    reflexes
774    walking
775    laboratory data
776    numbness
777    disorder
778    indication
779    mildly
781    dissection
782    valve
783    stated
784    benefits
785    excellent
786    density
787    apnea
789    pregnancy
790    obtain
792    procedures
793    clinical history
795    throat
796    degenerative
797    oriented
799    portion
800    referral
801    percentile
803    consent
804    temp
805    asthma
806    involving
807    stomach
808    cord
810    first name
811    informed
812    stool
813    cath
814    options
815    irregular
816    vent
817    wrist
818    anemia
819    intermittent
820    concern
821    space
822    subcutaneous
823    controlled
825    mammogram
826    headache
827    possibly
830    hemorrhage
831    sodium
833    local
834    discontinued
835    area code
836    extensive
837    platelet
838    portable
839    uterus
840    receive
841    obstruction
842    hernia
843    university
844    chief complaint
846    rectal
847    levels
849    entire
851    cavity
852    discussion
853    patient's
854    unable
855    atelectasis
856    systolic
858    pending
859    refills
861    difficult
863    clinical information
864    right side
865    secretions
866    voiding
867    protein
868    fluids
869    adequate
870    rest
871    optiray
872    coronary artery
873    fragments
874    colonoscopy
875    smear
876    pattern
877    touch
878    minute
880    changed
882    growth
883    mucosa
884    arthritis
886    left side
887    response
888    thought
889    smoking
891    culture
893    partial
894    cranial
896    cycle
897    inguinal
899    life
900    represent
901    seizures
903    cholesterol
907    trial
909    question
910    respiratory rate
911    assess
912    visual
913    pneumonia
914    iron
917    zone
918    right knee
919    rays
920    worsening
921    prominent
922    volume
923    intake
924    excision
925    x-rays
926    vision
929    supine
931    vitamin
932    drainage
933    weight loss
934    hospital course
935    echocardiogram
937    inches
938    program
941    feeding
942    development
943    left knee
944    iliac
945    baseline
946    atypical
947    bilirubin
948    tablets
949    aorta
950    use of
951    endotracheal
952    activities
953    diameter
954    facial
957    aneurysm
958    similar
960    vertebral
962    cystic
964    intravenous
965    clinical diagnosis
966    vicodin
967    wife
969    neurosurgery
970    sutures
971    recurrence
972    outpatient
973    saturation
974    differential
975    block
978    ears
980    seizure
981    recovery
982    marked
983    at night
985    progress
986    breast cancer
988    infections
989    etiology
992    component
993    onset
996    positive for
997    referring
999    palate
1000    suggest
1001    vicryl
1002    series
1003    married
1004    term
1005    protocol
1006    image
1009    transverse
1011    cultures
1012    appetite
1014    sleep apnea
1015    nerves
1016    primary care
1017    arterial
1018    complex
1019    gallbladder
1021    comprehensive
1022    potential
1024    most recent
1026    maternal
1027    team
1029    pneumothorax
1030    thickening
1031    delivery
1032    daughter
1033    allergic
1034    insulin
1035    lumbar spine
1036    musculoskeletal
1037    hyperlipidemia
1038    no history of
1039    inflammatory
1040    pleural effusion
1041    attending
1043    neurological
1044    kidneys
1045    cell count
1046    anxiety
1048    nipple
1049    estimated
1050    infectious
1052    aspiration
1053    segment
1054    muscles
1055    albumin
1056    tylenol
1057    arteries
1058    yellow
1059    platelet count
1060    breathing
1061    ductal
1062    movement
1063    trauma
1064    squamous
1066    inflammation
1067    afebrile
1068    nursing
1069    upper extremity
1070    benefit
1071    rashes
1072    fragment
1074    defect
1075    images
1076    thyromegaly
1077    blood cell
1078    twice a day
1082    brother
1083    except for
1084    disk
1085    compression
1090    adenocarcinoma
1091    lasix
1092    advanced
1093    request
1094    in the morning
1095    couple
1096    relief
1097    reduction
1098    cpap
1099    biopsies
1100    lymphocytes
1103    table
1104    emergency room
1107    involved
1108    fio2
1110    eating
1111    thigh
1113    coumadin
1114    superficial
1115    involvement
1116    films
1117    attention
1118    color
1119    schedule
1121    anicteric
1122    rotation
1123    stent
1125    emergency department
1126    died
1128    elbow
1129    food
1130    services
1131    addendum
1132    tender
1133    sweats
1135    cervix
1136    fascia
1138    microscopic
1139    finding
1141    great
1142    distinct procedural service
1143    applied
1144    abdomen and pelvis
1145    family history of
1146    blood loss
1147    legs
1148    gastric
1149    medical center
1150    phone
1151    small bowel
1152    drinks
1154    fibrillation
1155    metabolic
1156    sheath
1157    intraepithelial
1158    radiologist
1159    breasts
1161    direct
1163    account
1164    referred to
1165    intervention
1166    tubes
1168    hemostasis
1169    aspirate
1170    lipitor
1171    coarse
1173    allergy
1174    ongoing
1175    transformation
1176    supraclavicular
1177    menstrual
1178    junction
1180    tissues
1182    drain
1183    indications
1185    pressures
1186    developmental
1188    dictated by
1191    complicated
1192    mediastinal
1193    neurology
1196    to the right
1197    uptake
1198    documented
1199    acid
1203    adjacent
1204    patient name
1205    and/or
1207    to the left
1209    denied
1210    hematology
1212    enhancement
1213    scattered
1214    stroke
1215    sponges
1216    confirmed
1217    bypass
1218    subsequent
1219    ethnicity
1221    consolidation
1222    tear
1225    dizziness
1226    resolution
1227    pancreas
1228    administration
1229    radiation therapy
1230    index
1231    insufficiency
1232    on room air
1233    leukemia
1234    chloride
1235    preoperative diagnosis
1236    core
1237    progress note
1238    flap
1239    frequency
1240    reconstruction
1242    duct
1243    ovarian
1244    includes
1246    uterine
1248    albuterol
1249    water
1250    measured
1252    doppler
1253    bilaterally
1255    right hip
1256    fibrosis
1257    left hip
1258    polyp
1259    lidocaine
1260    scale
1261    angiogram
1262    gastrointestinal
1263    consult
1264    dominant
1265    maintenance
1267    location
1268    hydronephrosis
1269    living
1271    suggestive of
1273    white blood cell
1274    measure
1275    ordered
1276    postoperative diagnosis
1277    veins
1280    sitting
1282    epidural
1283    pap smear
1284    knees
1285    tingling
1286    loops
1287    radial
1288    cardiology
1290    opacity
1291    job id
1293    endoscopy
1294    left eye
1295    bedtime
1296    administered
1299    dyspnea
1300    doses
1301    spits
1302    endometrial
1304    wire
1305    pulmonary edema
1306    fusion
1307    neonatology
1308    effect
1309    electrolytes
1310    checked
1311    dressing
1313    dilated
1314    congestion
1315    right eye
1316    narrowing
1317    blood cell count
1318    risk of
1320    steroid
1321    episode of
1323    overlying
1324    frequent
1325    sagittal
1326    exercises
1328    laboratory studies
1329    injections
1330    cranial nerves
1331    urology
1333    prophylaxis
1334    progressive
1336    femur
1337    dysfunction
1338    aware
1339    sensory
1340    cerebral
1342    performance
1343    medical record number
1344    clean
1346    with no
1347    hypothyroidism
1348    cervical spine
1349    monitoring
1350    invasive
1351    evening
1352    biliary
1353    aggregate
1354    pediatrics
1356    patch
1357    nutrition
1358    no hepatosplenomegaly
1359    ligament
1360    asymptomatic
1361    right shoulder
1363    atrial fibrillation
1365    details
1366    improving
1367    kg/day
1368    intracranial
1369    airway
1370    immediately
1371    energy
1372    sinuses
1373    lives with
1374    informed consent
1376    antibiotic
1377    visit date
1378    extending
1379    joints
1380    sepsis
1382    per week
1385    no lymphadenopathy
1386    esophagus
1387    disc
1388    wheezing
1389    carotid
1390    fractures
1391    answer
1392    groin
1393    focus
1394    ratio
1395    material
1396    maximum
1397    surrounding
1398    capsule
1399    stop
1400    hearing loss
1402    deformity
1404    directly
1405    collection
1406    palpitations
1408    dilatation
1410    bases
1411    reported by
1412    toes
1414    stools
1415    cold
1416    transplantation
1417    lisinopril
1418    recall
1419    membrane
1421    correlation
1422    double
1424    division
1425    device
1426    appointments
1427    rectum
1428    respiratory distress
1429    antibody
1430    pancreatic
1431    evidence for
1432    initials
1433    side effects
1434    mucous
1435    dermatology
1437    carotid artery
1438    output
1440    counseling
1441    cuff
1443    interim
1444    continuing
1446    thickness
1447    subjective
1448    alkaline
1450    serum
1451    urinary tract
1452    hematoma
1453    phosphatase
1454    intensive care
1455    ovary
1456    presence
1457    coronary artery disease
1458    infusion
1459    delayed
1461    white blood cell count
1462    closure
1463    vessel
1464    neutrophils
1465    smoke
1466    language
1467    disposition
1469    apex
1471    dorsal
1472    light touch
1474    incontinence
1475    maxillary
1476    abscess
1477    estimated blood loss
1478    scalp
1480    infiltrate
1481    hypertrophy
1482    need for
1483    obstructive sleep apnea
1484    melanoma
1485    discharge summary
1486    screen
1487    no change
1489    adrenal
1490    definite
1491    extended
1492    part of
1493    magnesium
1494    coronal
1496    gastroesophageal
1497    methotrexate
1498    mastectomy
1499    progression
1500    hepatitis b
1501    goal
1503    osseous
1505    symptomatic
1508    thumb
1509    drink
1510    low back pain
1511    reaction
1512    milk
1514    heart failure
1516    city
1517    retractions
1518    urinalysis
1519    psychiatric
1520    annual
1521    transfer
1522    associate
1525    cream
1526    gland
1529    bili
1530    nodular
1531    right kidney
1532    ascites
1533    interrupted
1535    hysterectomy
1536    left kidney
1537    grandmother
1538    hematuria
1539    moderately
1540    awake
1542    ventricle
1543    representative
1544    reduced
1545    easily
1546    gastroenterology
1547    left shoulder
1549    release
1550    inserted
1552    bowel movements
1553    negative for intraepithelial lesion or malignancy
1554    presence of
1556    access
1557    induced
1558    accident
1559    seconds
1562    facet
1563    orthopedic
1564    provide
1565    exposure
1566    analysis
1567    hepatitis c
1568    requested
1569    correct
1570    ulnar
1571    phase
1572    steroids
1573    esophageal
1574    a 10
1575    fixation
1576    genitalia
1577    solution
1579    numerous
1580    patients
1581    tympanic membranes
1582    occurred
1583    mri scan
1584    events
1586    obese
1588    multivitamin
1589    mmhg
1590    malignant
1591    percussion
1593    slowly
1594    wheezes
1595    epic
1596    total bilirubin
1597    ph.d.
1598    attempt
1599    no pain
1600    calcification
1602    evaluate for
1603    tibia
1604    metastatic disease
1605    sleeping
1606    teeth
1607    dialysis
1609    intensive care unit
1610    dysuria
1615    interested
1616    laboratories
1617    recommendation
1618    squamous cell
1619    tomorrow
1620    hormone
1622    congenital
1623    capillary
1624    night sweats
1625    dense
1626    radiograph
1627    shunt
1628    scans
1629    axis
1630    treatments
1631    interstitial
1634    thrombosis
1635    distended
1637    date of admission
1638    arms
1639    alkaline phosphatase
1641    pleural effusions
1642    per minute
1643    dermatitis
1644    endotracheal tube
1645    vancomycin
1647    distention
1648    ductal carcinoma
1649    knee pain
1650    fistula
1651    late
1652    marrow biopsy
1653    primary care physician
1654    prograf
1657    pericardial
1658    critical
1659    alignment
1660    copy
1661    peep
1662    tonsils
1663    planned
1664    onset of
1665    sinusitis
1666    recovery room
1667    issue
1668    tachycardia
1669    mucosal
1670    medical clinic
1671    endo
1672    basal
1673    forearm
1674    genitourinary
1675    neurontin
1676    exception
1678    probable
1679    atrophy
1680    sore
1681    mood
1682    picc
1683    carbon
1684    heparin
1685    lost
1686    anastomosis
1687    remaining
1688    compatible
1689    separate
1690    left lower lobe
1693    sigmoid
1694    osteoarthritis
1695    24 hours
1696    hardware
1697    predicted
1698    drugs
1700    aspirin 81 mg
1701    decision
1702    transfusion
1703    plantar
1705    crib
1706    patella
1707    maintained
1708    completion
1710    digital
1711    last menstrual period
1712    chest wall
1715    elevation
1716    laparoscopic
1717    prolonged
1718    tonsillectomy
1719    assist
1720    caffeine
1722    penicillin
1723    branch
1724    to us
1725    descending
1728    wires
1729    liver transplant
1731    synthroid
1732    rare
1734    option
1735    markedly
1736    infectious disease
1737    colace
1738    fasting
1739    rhonchi
1740    infarction
1742    hydrochlorothiazide
1743    respiratory care
1744    distribution
1745    nonspecific
1746    rales
1747    painful
1748    atenolol
1749    pack
1750    film
1752    liver function
1753    bone marrow biopsy
1754    ct pelvis
1755    regurgitation
1757    planning
1759    overnight
1760    radiation oncology
1761    polyps
1766    rejection
1767    rhinitis
1768    discontinue
1770    radiotherapy
1771    biceps
1773    fingers
1774    septal
1776    incisions
1777    ascending
1779    gastroesophageal reflux
1781    on admission
1783    right upper lobe
1784    foods
1785    revision
1786    oxygen saturation
1787    breath sounds
1790    circumference
1791    genetic
1793    systemic
1795    instability
1796    patellar
1797    in addition to
1798    left lower extremity
1799    letter
1800    osteoporosis
1801    picc line
1802    added
1804    cannula
1806    right ear
1807    left ear
1808    parenchyma
1810    axilla
1811    subclavian
1812    right lower extremity
1813    fragment of
1814    ejection
1815    ulcer
1816    cardiopulmonary
1817    ring
1818    drug use
1819    slow
1820    endocrine
1821    sedation
1822    necrosis
1824    functional
1826    gestational
1827    admission date
1828    stain
1830    histologic
1831    blood cells
1832    topical
1833    approach
1834    right hand
1835    enlargement
1837    bone density
1838    plasma
1840    spontaneous
1843    continuous
1844    fentanyl
1845    hyperplasia
1846    pain management
1847    dysplasia
1848    rehabilitation
1849    heavy
1851    afternoon
1852    compatible with
1854    sensitivity
1856    peritoneal
1857    mental status
1858    habits
1859    balance
1860    hips
1861    observed
1862    catheterization
1863    bruising
1864    metastases
1865    band
1866    caucasian
1867    mucous membranes
1868    portable chest
1869    coordination
1870    cysts
1871    blasts
1873    bedside
1874    mixed
1875    in situ
1877    enhancing
1878    deficiency
1879    presentation
1880    heme
1881    obesity
1882    prilosec
1883    bile
1884    intensity
1885    ct abdomen
1886    exertion
1887    risks and benefits
1888    implant
1889    propofol
1890    scoliosis
1891    cleft
1892    combination
1893    left lateral
1894    presenting
1896    supine position
1897    right foot
1898    sclerosis
1899    dimension
1900    left foot
1901    head and neck
1903    arthroplasty
1904    understanding
1906    lead
1907    cholecystectomy
1909    ambien
1910    popliteal
1911    immunizations
1912    left leg
1913    generalized
1914    twice daily
1915    stiffness
1916    radical
1917    ibuprofen
1918    foci
1919    metoprolol
1920    contour
1921    thorax
1923    fetal
1924    pacifier
1925    colon cancer
1926    ischemic
1927    cirrhosis
1928    weight gain
1929    clinical data
1930    sustained
1931    fourth
1934    ativan
1935    epilepsy
1936    diminished
1937    tremor
1938    stem
1939    squamous cell carcinoma
1940    occupational
1942    as needed for
1943    disorders
1945    excessive
1946    gravida
1947    myocardial
1948    lopressor
1950    mobile
1951    mg/dl
1952    mediastinum
1953    follicular
1954    mesenteric
1956    opened
1957    left arm
1958    lumpectomy
1959    calf
1960    daytime
1961    foundation
1962    arthroscopy
1963    port
1964    maintain
1966    aggressive
1967    general anesthesia
1968    colitis
1970    origin
1971    lupus
1972    deferred
1973    scarring
1974    insomnia
1975    outer
1977    peripheral blood
1978    vaccine
1979    borderline
1980    sedated
1981    periods
1982    largest
1983    splint
1985    fatty
1986    pacemaker
1987    average
1988    cardiomyopathy
1990    cartilage
1992    plate
1993    oblique
1994    abuse
1995    b-cell
1996    guidance
1997    memory
1998    poorly
1999    upper extremities
2000    right lower lobe
2002    right leg
2004    fraction
2005    remove
2006    right and left
2007    anesthetic
2008    expected
2010    induction
2012    invasion
2013    quality
2014    right arm
2015    contraindications
2016    vagina
2017    nasogastric
2018    intraoperative
2019    modified
2021    accommodation
2022    triglycerides
2024    firm
2025    health care
2026    cabg
2027    nuclear
2028    chest tube
2029    oral cavity
2030    attenuation
2032    lymphoid
2033    population
2034    occur
2035    occipital
2036    prostate cancer
2037    morphine
2038    auditory
2039    remission
2040    vitamin d
2042    protonix
2043    perfusion
2045    6 hours
2047    pump
2048    neuropathy
2049    linear
2050    hemoglobin a1c
2051    monocytes
2052    exudate
2055    staining
2056    diabetes mellitus
2057    adjacent to
2058    tunnel
2059    dislocation
2060    pupils equal
2063    objective
2065    bicarbonate
2066    confirm
2067    debridement
2068    filled
2070    rapid
2071    turbinates
2073    cytometry
2074    rheumatology
2075    xray
2076    prolene
2077    death
2078    vena cava
2080    lipid
2081    nevus
2083    patient identification
2084    formation
2085    soft tissues
2086    adult
2088    syncope
2090    prenatal
2091    no family
2092    dependent
2093    larger
2095    nicu
2096    move
2097    date of service
2098    physical activity
2099    ankles
2100    cardiomegaly
2101    delivered
2103    sinus rhythm
2105    ablation
2107    pregnant
2109    adhesions
2110    liver disease
2111    neck pain
2112    repeated
2113    solid
2114    plastic
2115    pedal
2116    drinking
2117    lower back
2119    left hand
2120    ointment
2121    right lung
2125    hospitalizations
2126    otitis
2127    decompression
2129    emesis
2130    affect
2132    velocity
2133    abduction
2135    regular diet
2136    notify
2137    coughing
2138    aortic valve
2139    congestive
2140    frequently
2142    successful
2143    alcohol use
2144    retired
2145    duodenum
2146    crackles
2147    interventional
2148    visible
2149    parietal
2150    facility
2152    differentiated
2153    paternal
2154    hematologic
2155    insurance
2156    caliber
2158    retinal
2160    brachial
2161    feed
2162    every day
2163    epinephrine
2164    embolization
2165    mitral valve
2167    no evidence for
2168    telephone
2169    moving
2171    filed
2172    mask
2174    unusual
2175    radiographic
2176    complication
2177    original
2179    allergic rhinitis
2182    preparation
2183    flow cytometry
2184    redness
2185    endoscopic
2186    heart disease
2187    constitutional
2188    lying
2189    walks
2190    type 2
2191    bolus
2192    snoring
2193    left lung
2194    reason for hospitalization
2195    failed
2196    pediatrician
2199    screw
2201    prior study
2202    resolve
2204    g-tube
2205    hypercholesterolemia
2206    experience
2208    orthopedics
2209    duplex
2210    regional
2211    vertebral body
2212    critical care
2213    calcified
2214    san francisco
2215    behavior
2216    infiltrating
2217    marrow aspirate
2218    occlusion
2219    antigen
2220    metastasis
2222    cellular
2223    clips
2227    physiologic
2228    nasogastric tube
2229    provider
2230    glass
2231    papillary
2232    no complaints
2233    managed
2234    normal saline
2235    norvasc
2236    sore throat
2237    computer
2239    stereotactic
2241    sugar
2242    cyberknife
2243    detailed
2244    end-stage
2245    neural
2246    send
2247    thickened
2249    ability
2250    sugars
2253    insertion
2254    cellcept
2257    defects
2258    drop
2259    cerebellar
2260    visualization
2261    sputum
2262    ng tube
2264    right lateral
2266    myeloid
2267    migraine
2268    cortical
2269    presents
2270    observation
2272    referral to
2273    appendectomy
2274    respirations
2275    moved
2276    capillary refill
2279    free fluid
2282    burning
2283    absence
2286    visits
2287    morphology
2288    sacral
2289    machine
2290    turbinate
2291    damage
2292    cutaneous
2293    asymmetry
2295    sponge
2296    bone marrow aspirate
2297    slide
2298    appendix
2299    contiguous
2300    jaundice
2301    radiosurgery
2303    swallowing
2304    greatest
2305    intolerance
2306    free of
2307    cpt codes
2308    attached
2309    day care
2312    driving
2313    mechanical
2314    wanted
2315    ulcers
2316    twin
2317    feeding tube
2318    meniscus
2319    septra
2320    longitudinal
2321    rotator cuff
2322    pulmonary artery
2323    physicians
2324    trachea
2326    shoulder pain
2327    worsened
2328    ophthalmology
2329    practitioner
2330    absent
2331    bone scan
2332    foraminal
2333    wounds
2334    prevacid
2335    localized
2336    ureter
2337    electrocautery
2338    thoracic spine
2339    discrete
2340    media
2342    ventricles
2343    improvement
2344    approved
2346    ounces
2347    dermal
2348    field of view
2349    lfts
2350    preserved
2351    chromosome
2352    university medical center
2353    urinary tract infection
2354    median
2355    dysphagia
2356    guidewire
2357    questionable
2358    spot
2359    wide
2360    glasses
2361    osteopenia
2362    cast
2364    balloon
2365    counter
2366    endocrinology
2367    right lower quadrant
2369    site of
2370    4 hours
2371    patchy
2372    subcutaneous tissue
2374    opening
2375    retroperitoneal
2376    prevent
2377    inpatient
2378    definitive
2379    atrium
2380    cesarean section
2381    hormonal
2382    symmetrical
2383    expressed
2384    keflex
2385    prostatic
2386    puncture
2387    metformin
2388    gerd
2390    plaque
2391    liver function tests
2392    asleep
2394    defined
2395    performance status
2397    miralax
2399    characteristics
2400    genetics
2401    mammography
2402    neoplasm
2404    fluoroscopy
2405    monocryl
2407    at 10
2408    bactrim
2409    criteria
2410    background
2411    clot
2412    depressed
2413    core biopsy
2416    deep tendon reflexes
2417    grandfather
2418    extensor
2419    splenic
2420    resume
2421    risk factors
2422    carpal
2424    probe
2427    tobacco use
2428    meeting
2429    teaching
2430    siblings
2431    gestation
2432    walker
2435    diastolic
2436    buttock
2437    target
2438    raised
2439    adenoma
2440    diabetic
2441    clearance
2442    left upper extremity
2443    cognitive
2444    neonatal
2447    30 minutes
2448    therapeutic
2449    renal disease
2450    sentinel
2451    tympanic membrane
2452    internal carotid artery
2453    icterus
2454    chemistry
2455    proliferation
2456    acne
2458    dental
2459    epigastric
2461    duration
2462    ureteral
2463    exposed
2464    gynecologic
2465    urine output
2468    pericardial effusion
2469    right upper extremity
2470    enzymes
2471    ensure
2472    sexually
2473    malformation
2474    lung cancer
2475    arrhythmia
2476    entered
2478    hip pain
2480    resected
2481    fixed
2482    anesthesiologist
2483    intra
2484    absolute
2485    right ankle
2486    needle biopsy
2487    correction
2488    right upper quadrant
2490    bile duct
2491    stains
2493    sternotomy
2494    admission diagnosis
2495    normal range
2496    zantac
2497    lovenox
2499    ciprofloxacin
2500    reflex
2503    no family history of
2504    monthly
2505    nausea and vomiting
2506    wheelchair
2507    ischemia
2508    questionnaire
2509    deviation
2510    grade 2
2511    tamoxifen
2513    prolapse
2514    liquid
2515    benadryl
2517    decadron
2520    cellulitis
2521    skin biopsy
2522    tired
2523    renal insufficiency
2525    right atrium
2527    herniation
2528    fosamax
2530    typical
2531    tubular
2532    external rotation
2533    brace
2534    pathologic
2535    sleepiness
2536    day care center
2537    head circumference
2538    products
2539    neutropenia
2540    foley catheter
2542    pituitary
2544    atrophic
2545    left ankle
2547    adjuvant
2548    forehead
2549    gastrostomy
2552    shot
2553    mastoid
2554    ecog
2555    weak
2556    immunologic
2557    ovaries
2558    mobility
2559    kidney transplant
2561    infarct
2562    celsius
2563    plavix
2564    claritin
2565    excluded
2566    advair
2569    inhaler
2570    replaced
2573    breast tissue
2574    surveillance
2575    drops
2576    congestive heart failure
2577    resp status
2578    opacification
2579    testes
2581    permanent
2582    left anterior
2583    renal failure
2584    internal medicine
2585    lifting
2586    spray
2588    transferred to
2589    cardiologist
2590    distortion
2595    referring physician
2596    problems
2597    nasopharynx
2598    thrombocytopenia
2599    puffs
2600    mg/kg
2601    leg pain
2602    numbers
2603    itching
2604    methadone
2605    flonase
2608    optic
2609    decreasing
2610    offered
2611    sulfate
2612    rhinorrhea
2614    eosinophils
2615    scissors
2616    skeletal
2617    occupational therapy
2618    percutaneous
2621    crystalloid
2622    date of visit
2623    spinal cord
2624    dates
2625    performed by
2626    codeine
2628    red blood cells
2630    taxol
2631    heterogeneous
2634    bipolar
2635    lung disease
2637    bodies
2639    affected
2640    radiculopathy
2641    personal
2642    upright
2643    laparotomy
2644    anatomic
2645    frozen section
2646    right posterior
2647    febrile
2648    cd19
2649    practice
2650    aunt
2651    scope
2653    education
2654    rupture
2655    zofran
2657    pulmonary function
2660    anticoagulation
2662    craniotomy
2663    radiopharmaceutical
2664    nurse practitioner
2666    operation performed
2667    endometrium
2668    brisk
2670    urination
2671    specimen type
2672    parotid
2673    nasal congestion
2674    intubation
2675    localization
2676    systolic murmur
2677    acquired
2678    cystic fibrosis
2679    heart sounds
2680    valgus
2681    humerus
2683    not have
2684    degeneration
2685    retention
2686    allograft
2687    bacterial
2688    eczema
2689    inhibitor
2690    extubation
2692    femoral artery
2693    pain control
2694    abdomen soft
2695    otitis media
2696    extent
2698    instructor
2699    fev1
2700    cipro
2704    left posterior
2706    hospital unit
2707    premature
2708    hypotension
2709    cautery
2710    otolaryngology
2711    clonus
2712    repaired
2713    stimulation
2714    interactive
2716    expression
2718    blocks
2720    apical
2721    gestational age
2722    absence of
2725    angiography
2726    immunohistochemical
2727    grade 1
2728    cerumen
2729    free t4
2730    rheumatoid arthritis
2731    multi
2732    approval
2735    vehicle
2736    marginal
2737    effort
2738    question of
2739    vitamins
2740    triceps
2741    nodularity
2743    irritation
2744    sound
2745    plas
2746    alive
2747    nystagmus
2748    fibroids
2749    intrauterine
2750    childhood
2752    cd45
2753    myocardial infarction
2755    determined by
2756    travel
2757    infiltrates
2758    perf
2759    pa-c
2760    ventilation
2761    conjunction
2762    resting
2763    basilar
2764    ocular
2765    refractory
2766    white matter
2767    analyzed
2771    left upper lobe
2773    left atrium
2774    general surgery
2775    ejection fraction
2777    weightbearing
2778    psychiatrist
2779    organisms
2780    mild to moderate
2781    clavicle
2782    shape
2783    mucus
2784    dilaudid
2786    over-the-counter
2787    subset
2788    long-term
2790    serous
2791    suicidal
2792    nephrology
2793    debris
2794    lymphocyte
2796    significance
2797    versed
2798    uvula
2799    contents
2800    knee replacement
2801    servo
2802    sensitive
2805    transient
2806    pill
2807    oophorectomy
2810    supplementation
2812    diseases
2813    perforation
2814    carboplatin
2815    gastroesophageal reflux disease
2816    scars
2817    middle ear
2818    clamp
2819    motrin
2820    levothyroxine
2821    acupuncture
2822    bronchoscopy
2823    penis
2825    consciousness
2826    plans
2827    amoxicillin
2828    no nausea
2829    peripheral edema
2831    fullness
2832    cataract
2835    hemorrhoids
2836    adrenal glands
2837    every other day
2838    thrombus
2839    decubitus
2842    sq m
2843    speaking
2844    per hour
2845    info
2848    tracheostomy
2849    /day
2850    micro
2851    advil
2852    implants
2855    head ct
2857    tightness
2858    hip replacement
2859    sarcoma
2860    estrogen
2861    augmentin
2863    address
2864    migraines
2865    dexamethasone
2867    pulm
2868    amiodarone
2869    tonsil
2870    wound care
2873    approved by
2874    play
2875    osteotomy
2876    menopausal
2878    shoulders
2881    ampicillin
2883    troponin
2884    hydrocortisone
2885    flare
2886    yearly
2887    formula
2888    prematurity
2889    symptom
2890    singulair
2891    sequences
2893    not seen
2895    spanish
2896    inspection
2897    adenoidectomy
2898    sleep study
2901    gentamicin
2902    comorbidities
2904    ser/plas
2905    developmental delay
2907    discharge date
2908    atypia
2909    myeloma
2910    hemorrhagic
2911    anatomy
2913    autoimmune
2914    extravasation
2916    point in time
2918    uncertain
2919    vaginal delivery
2920    tolerance
2921    prone
2924    placenta
2926    pet scan
2929    covered
2930    grade 3
2931    zocor
2932    liver biopsy
2933    hydrocephalus
2934    date of procedure
2935    agent
2936    cystoscopy
2937    normal bowel sounds
2938    antibodies
2939    percocet
2940    dilation
2941    subcuticular
2942    staging
2944    copd
2945    incidental
2946    ileum
2948    strain
2949    adjusted
2951    container
2952    t wave
2953    bulk
2954    intrathecal
2956    supportive
2957    waking
2958    petechiae
2959    illicit
2960    behavioral
2962    alternating
2963    urethra
2964    orbital
2965    intrahepatic
2966    keppra
2967    discharge diet
2968    tourniquet
2969    vertigo
2970    articular
2971    treating
2972    marcaine
2973    relative
2974    profile
2976    relieved
2977    pancreatitis
2978    collateral
2980    date of discharge
2981    fibrous
2982    cortex
2983    fundus
2985    prophylactic
2987    creat
2988    fetoprotein
2989    issues
2990    cramping
2992    inguinal hernia
2994    isolated
2996    abdominal wall
2997    gynecology
2998    lightheadedness
3000    immune
3001    internal rotation
3002    phototherapy
3003    palsy
3004    split
3005    pruritus
3006    ct chest
3008    both eyes
3010    peritoneum
3011    contributing
3012    central venous
3013    afib
3015    colonic
3017    splenomegaly
3018    external genitalia
3019    cd20
3020    aortic aneurysm
3021    hernia repair
3022    transfusions
3023    speculum
3024    endotracheal anesthesia
3025    renal artery
3026    stability
3027    portal vein
3028    autologous
3029    testosterone
3030    total cholesterol
3031    urgent
3032    immunosuppression
3033    respiratory infection
3034    excisional
3035    nephrectomy
3036    gadolinium
3037    fibroid
3038    cytoxan
3039    bovie
3040    understood
3041    treatment plan
3042    patches
3043    differential diagnosis
3044    endocervical
3045    lung sounds
3046    degrees celsius
3047    blood sugar
3048    celebrex
3049    created
3050    carcinoma in situ
3051    irrigation
3052    irritable
3053    urinary bladder
3054    pharynx
3055    hemodialysis
3056    displaced
3057    oxycodone
3058    positioning
3059    guide
3060    t-cell
3061    digoxin
3062    focused
3063    psychiatry
3066    carpal tunnel
3067    urgency
3069    flexible
3070    fiber
3071    assisted
3074    withdrawn
3076    folic acid
3077    placed into
3078    segmental
3079    thursday
3080    conduction
3081    right wrist
3082    virus
3083    elderly
3085    laser
3086    disability
3087    independent
3088    lymphocytic
3089    encephalopathy
3090    venous catheter
3091    gastritis
3092    subcentimeter
3093    upper gi
3094    microcalcifications
3095    structure
3096    suspected
3097    training
3098    association
3099    percent
3100    parenting
3101    detected
3102    depth
3104    at rest
3105    arthroscopic
3106    coverage
3109    vaccinations
3110    cisplatin
3112    hepatocellular
3114    cecum
3115    worker
3116    birth control
3117    incl
3118    incomplete
3119    venous thrombosis
3120    tricuspid
3121    iliac crest
3123    initiation
3124    metatarsal
3125    foreign
3127    bruit
3129    tandem
3130    excess
3131    bottle
3132    curve
3135    falling
3136    suctioning
3137    chem
3139    zyrtec
3140    paralysis
3142    antrum
3143    zosyn
3144    salt
3145    reglan
3146    sexual
3147    10th
3148    precautions
3149    basal cell
3150    bifurcation
3151    bone marrow transplant
3152    blood count
3153    hydration
3154    assessment and plan
3156    therapies
3157    actual
3159    maxillary sinus
3160    laceration
3161    operative report
3162    zoloft
3164    perrla
3165    flexor
3166    phosphorus
3169    nerve root
3170    general appearance
3171    suction
3172    barium
3173    betadine
3174    motor vehicle
3175    limitation
3176    enteral
3177    surgical intervention
3178    sclerotic
3179    locally
3180    g/dl
3181    pulmonary hypertension
3182    easy
3183    fibula
3184    terminal
3185    specialist
3187    traumatic
3188    bronchitis
3189    stricture
3190    bowel obstruction
3191    left vertebral artery
3192    treated for
3194    gout
3196    embolism
3197    paresthesias
3200    superior vena cava
3201    urethral
3203    vincristine
3205    epithelial
3206    fissure
3207    plastic surgery
3209    saturday
3211    agreement
3214    once daily
3215    allegra
3216    stretching
3217    injuries
3218    artifact
3219    ribs
3220    plasma cells
3221    muscular
3222    intracranial hemorrhage
3223    joint pain
3224    foramen
3225    severely
3226    oxycontin
3227    county
3228    pedicle
3229    was found
3230    ed course
3231    intermediate
3232    ventral
3233    corrected
3236    medrol
3237    idiopathic
3240    chronic hepatitis
3241    resistance
3242    foci of
3243    configuration
3245    lipid panel
3246    good effect
3247    left wrist
3248    endometriosis
3250    scalpel
3252    mandible
3254    90 degrees
3255    receptor
3256    label
3257    total protein
3259    spasm
3260    wellbutrin
3261    effective
3262    nocturnal
3263    women
3264    loop
3267    file
3268    restart
3269    reagents
3270    rehab
3271    seasonal
3272    right middle lobe
3273    severity
3274    hemangioma
3275    alcoholic
3278    non-tender
3280    tmax
3281    larynx
3283    gradient
3285    ligation
3286    prosthesis
3287    tension
3288    ulceration
3289    upper abdomen
3290    breakfast
3291    retraction
3293    bradycardia
3295    analyte
3296    projection
3297    usfda
3298    immunologic test
3299    soft tissue swelling
3300    deficit
3302    lumbar puncture
3303    kg/min
3304    forms
3305    gabapentin
3306    mitotic
3307    diltiazem
3308    attack
3309    2 hours
3310    collections
3311    epithelium
3312    sphincter
3313    sports
3315    atopic
3317    nexium
3318    perrl
3319    stand
3320    altered
3321    narrow
3322    maximal
3323    lymphoblastic leukemia
3325    community
3327    blood culture
3328    cd34
3329    with iv contrast
3330    chest frontal view
3331    varus
3332    kidney disease
3333    sphenoid
3334    edematous
3335    neutrophil
3337    second opinion
3338    uncomplicated
3339    bulge
3340    urine culture
3341    lens
3342    synovitis
3343    specimen source
3345    nocturia
3347    host
3348    meningioma
3349    restriction
3350    thrush
3351    fallopian tube
3352    gavage
3353    infected
3356    diuresis
3357    work-up
3358    laminectomy
3359    fine needle
3361    differentiation
3362    ruled out
3363    simvastatin
3364    characterized
3365    vasculature
3369    able to walk
3371    angio
3372    purulent
3373    remote
3374    chlamydia
3375    suggestion
3376    acetaminophen
3377    focally
3379    osteomyelitis
3380    internal fixation
3381    exclude
3382    c-section
3383    dosage
3384    dietary
3385    is negative
3386    direction
3387    12 hours
3388    located in
3391    facies
3393    threshold
3394    pain clinic
3395    varices
3397    right ovary
3398    stem cell
3399    warmth
3400    blood glucose
3401    cavernous
3402    dementia
3403    angioplasty
3404    changing
3406    tendons
3407    type 2 diabetes
3408    tips
3409    tricuspid valve
3410    exacerbated
3411    formed
3412    a 17
3413    retracted
3415    common bile duct
3416    detachment
3418    b-cell lymphoma
3419    no other
3420    oncologist
3421    checking
3422    detection
3425    goals
3426    phalanx
3427    interpreter
3428    assessed
3430    cyclosporine
3431    consented
3432    pepcid
3433    interval change
3434    minimum
3435    erythroid
3436    apply
3437    craniocaudal
3438    resulting in
3439    right ventricle
3441    a mass
3442    lipids
3443    vocal cord
3444    stimulator
3445    anomalies
3446    amlodipine
3447    both sides
3448    immunization
3450    restricted
3451    sacroiliac
3452    umbilicus
3453    expansion
3454    subarachnoid
3455    every 6 hours
3456    left ovary
3458    audiology
3459    ad lib
3460    coreg
3461    switch
3462    mandibular
3464    heat
3465    sucks
3466    chronic pain
3468    transition
3469    curettage
3470    iliac artery
3471    psoriasis
3472    lexapro
3473    open reduction
3474    multivitamins
3475    operations
3476    hemoptysis
3478    infiltrating ductal carcinoma
3479    mutation
3481    bending
3482    moves
3483    rarely
3484    low grade
3485    deceased
3486    dyspnea on exertion
3487    conclusion
3488    filter
3489    vertebral artery
3490    warmer
3491    distant
3492    audiogram
3493    high school
3494    cervical lymphadenopathy
3495    diovan
3498    may be a
3501    tumors
3502    alternative
3503    evaluation of
3504    discharge procedure
3505    acyclovir
3506    emphysema
3508    coil
3510    lupron
3511    sling
3513    maturation
3514    joint space
3515    no significant
3516    icd-9
3517    clindamycin
3518    vertex
3519    without contrast
3520    was negative
3521    lantus
3523    nonsmoker
3524    hypertrophic
3525    nostril
3526    prognosis
3527    subdural
3528    ideation
3529    deformities
3531    chest ct
3532    cranial nerve
3533    glaucoma
3534    ulcerative
3535    concurrent
3536    paxil
3537    procedure note
3539    neurologist
3540    objects
3541    atresia
3542    lump
3544    upset
3545    cement
3546    overweight
3547    rotated
3548    birth weight
3549    interest
3550    hives
3551    designated
3552    strep
3553    favor
3554    subarachnoid hemorrhage
3555    capacity
3557    devices
3558    celexa
3559    duodenal
3560    flomax
3561    type 1
3563    dilantin
3564    necrotic
3565    stress test
3566    infiltration
3567    steady
3568    deep venous thrombosis
3569    health services
3570    flashes
3571    silk
3572    appears to be
3573    fluoroscopic guidance
3574    clinical assistant
3576    gastrostomy tube
3577    leads
3578    ecchymosis
3579    dura
3580    xeloda
3581    reference
3582    normal size
3583    follow-up visit
3584    architectural distortion
3586    product
3587    ambulation
3588    fundi
3589    recurrent disease
3590    sort
3591    pulmonary embolism
3594    excisional biopsy
3595    basic
3596    paroxysmal
3597    hormonal therapy
3598    blast
3599    left internal carotid artery
3600    cleft lip
3601    gravity
3602    periodic
3603    phone number
3604    heartburn
3605    circumscribed
3606    depakote
3607    extreme
3608    dropped
3610    right elbow
3611    anus
3612    vertical
3614    category
3615    ambulatory
3616    omeprazole
3617    tetanus
3618    intestinal
3620    spectrum
3621    limit
3623    disturbance
3624    quiet
3625    esophagitis
3627    meter
3628    lumbosacral
3629    seated
3630    combined
3631    extraocular muscles
3632    spread
3634    paraspinal
3635    bronchial
3636    cover
3637    acetabulum
3638    real-time
3639    every 4 hours
3640    mature
3641    subluxation
3642    hepatomegaly
3644    sexually active
3645    lobular
3646    prostatectomy
3647    sternum
3648    humalog
3649    participating
3650    diverticulitis
3651    clinical trial
3652    stage i
3654    instrumentation
3655    liter
3656    satisfactory
3658    condyle
3659    nitrogen
3660    dermis
3662    visual fields
3663    renal function
3664    applicable
3666    herpes
3667    resistant
3668    guarding
3669    left lower quadrant
3670    birth history
3672    adnexa
3673    dcis
3674    beats per minute
3676    lytic
3677    mexico
3679    mucositis
3682    alopecia
3683    salpingo-oophorectomy
3684    vehicle accident
3685    valium
3686    missed
3687    femoral head
3688    posterolateral
3689    supplement
3690    digits
3691    video
3693    buccal
3695    prozac
3697    topamax
3698    scrotum
3699    instrument
3700    mycosis
3701    equivalent
3702    hepatocellular carcinoma
3703    right anterior
3705    unspecified
3706    left elbow
3707    needles
3708    groups
3710    suprapubic
3711    prep
3712    agitated
3713    colostomy
3714    cardiac catheterization
3715    thank you
3716    dorsum
3717    sisters
3718    confusion
3720    whole body
3721    digit
3722    microscope
3723    chromosomes
3724    no significant change
3725    cane
3726    right internal carotid artery
3727    entry
3728    tuberculosis
3729    revised
3730    levaquin
3731    hypoechoic
3732    end-stage renal disease
3733    meal
3734    impaired
3735    friends
3736    amputation
3737    compliance
3738    sigmoid colon
3739    at birth
3740    contact with
3741    gauze
3742    interview
3743    gallstones
3744    sedimentation
3745    thighs
3747    hypoxia
3748    renal transplant
3750    upper respiratory infection
3751    flaps
3752    kefzol
3753    display
3754    spinal stenosis
3755    collapse
3756    lamictal
3758    ventilator
3759    dressings
3760    maternal grandmother
3761    reviewing
3762    complaining
3763    stage iv
3764    angina
3765    leading
3767    breast milk
3768    people
3769    partner
3770    multidisciplinary
3771    mono
3772    retractor
3774    virology
3776    megakaryocytes
3777    phos
3778    toxicity
3780    tape
3781    all extremities
3782    fractions
3785    proteinuria
3786    airways
3788    punch
3789    appendicitis
3790    testis
3791    scores
3792    separated
3794    verbal
3796    likely related
3798    plaquenil
3799    coordinator
3800    upper back
3801    microscopy
3803    paranasal sinuses
3804    trazodone
3805    papule
3806    withdrawal
3807    visual acuity
3808    readings
3809    diffusion
3810    ligaments
3812    flagyl
3815    dehydration
3816    axillary lymphadenopathy
3817    musculature
3818    ascending aorta
3819    high grade
3820    occluded
3821    8 hours
3822    production
3823    social services
3824    hemodynamically stable
3825    toilet
3826    hepatology
3827    dopamine
3828    speech therapy
3829    allopurinol
3830    multiple myeloma
3831    drill
3832    bloating
3833    48 hours
3834    polypoid
3835    hernias
3836    effexor
3837    mg/m2
3838    trochanter
3839    wall motion
3840    orally
3841    premarin
3842    meq/l
3843    perform
3844    fascial
3845    other medications
3847    per rectum
3848    variable
3849    weaning
3850    skin incision
3851    ileostomy
3852    history and physical examination
3854    iodine
3855    flovent
3856    responsive
3857    diverticulosis
3861    grafting
3862    established
3863    stimuli
3864    itchy
3865    contracture
3868    variety
3869    cymbalta
3870    family members
3872    cpt code
3873    basal cell carcinoma
3874    thyroid nodule
3877    uncle
3878    medical records
3879    environmental
3881    postmenopausal
3882    lifestyle
3883    reviewed by
3884    atopic dermatitis
3886    lateral decubitus
3887    calories
3889    suspicion
3890    pouch
3891    swimming
3892    wrists
3893    right vertebral artery
3894    bimanual
3895    a 19
3896    concentration
3897    vitamin c
3899    workup
3900    seizure disorder
3901    crying
3902    expiratory
3903    anesthetized
3904    evaluation date
3905    aortic arch
3906    her2
3907    fiberoptic
3908    cytogenetics
3909    neuroma
3910    orthopnea
3911    dried
3913    circumflex
3914    without evidence of
3915    unrelated
3916    urinary tract infections
3917    attending physician progress note
3918    joint disease
3919    measurement
3920    pediatric hematology
3921    seen in clinic
3922    chest, abdomen, and pelvis
3923    does not drink
3924    aged
3925    hepatic artery
3926    nasonex
3927    sacrum
3928    bicarb
3931    origin of
3932    intense
3933    thoughts
3934    interferon
3935    total knee replacement
3936    restless
3937    breakthrough
3938    % of predicted
3939    relapse
3941    feels well
3942    anterolateral
3943    tibialis
3944    /min
3945    inferior vena cava
3947    sleepy
3949    shaft
3950    fold
3951    visit for
3952    writing
3953    respiratory failure
3954    epistaxis
3955    surgically
3956    eyelid
3957    difference
3959    tympanostomy
3960    trapezius
3961    studies
3962    neutrophil count
3963    pager
3965    aortic stenosis
3967    skull base
3968    exposure to
3970    obstetrics
3972    kappa
3973    prong
3975    arrival
3976    advancement
3977    talking
3978    fine needle aspiration
3979    naprosyn
3980    clonidine
3982    alveolar
3983    buttocks
3984    coccyx
3985    exploratory laparotomy
3986    foreign body
3987    neurologic examination
3988    pacing
3989    elective
3990    hot flashes
3991    protrusion
3992    profound
3993    subcutaneous tissues
3995    laryngoscopy
3996    types
3997    lineage
3998    costal margin
3999    saphenous vein
4000    calcifications
4001    stroma
4002    keratosis
4003    sedimentation rate
4004    ladd
4005    lobectomy
4007    building
4008    bearing
4010    ruptured
4011    nipple discharge
4012    thyroidectomy
4013    splenectomy
4014    sibling
4015    renal ultrasound
4016    cerebral artery
4017    tinnitus
4018    runs
4020    high blood pressure
4021    induration
4022    motor vehicle accident
4023    nylon
4024    reconstructed
4025    traction
4026    index finger
4027    supply
4028    crohn's
4029    menopause
4030    vaginal bleeding
4032    sclerosing
4033    flow sheet
4034    ear infections
4035    infertility
4036    ceftriaxone
4037    well nourished
4038    spirometry
4040    cozaar
4041    asian
4042    cytology
4043    ear canal
4044    load
4046    urinary incontinence
4047    cholecystitis
4048    operating table
4049    mediolateral
4050    pulmicort
4052    triamcinolone
4053    claudication
4054    calculated
4055    back of
4057    hip arthroplasty
4058    anti-inflammatory
4059    bi-rads
4061    emptying
4062    beam
4063    consistency
4064    bursitis
4066    ovarian cancer
4067    hypoactive
4068    mesh
4069    manager
4071    heart transplant
4072    communication
4073    extraocular
4074    peroneal
4076    volar
4077    bronchus
4078    soft palate
4079    osteophyte
4080    cellularity
4082    mitral regurgitation
4084    scleral icterus
4085    pigmented
4086    diaphragm
4087    ovarian cyst
4088    cd10
4089    brain mri
4090    courses
4092    lymphs
4093    progesterone
4094    pvc's
4095    arteriogram
4096    retrograde
4100    bacteremia
4101    vascular surgery
4102    lymphatic
4103    septal defect
4104    vocal cords
4105    exploration
4106    released
4107    femoral neck
4108    lysis
4109    drinks alcohol
4110    surgical procedure
4112    extension of
4113    metacarpal
4114    normal gait
4115    nitroglycerin
4116    shoes
4117    cleaned
4118    pulmonary disease
4119    to be done
4121    pco2
4122    hemodynamics
4123    laryngeal
4124    lower back pain
4125    forceps
4126    impact
4128    pacu
4129    hemidiaphragm
4130    cholelithiasis
4131    survey
4132    gemcitabine
4133    agitation
4134    normal sinus rhythm
4135    liver enzymes
4136    no definite
4138    once a week
4139    ill-defined
4140    break
4141    deviated
4142    treadmill
4143    aciphex
4144    atrovent
4146    massage
4147    expander
4148    levophed
4150    warfarin
4151    phenobarbital
4152    nutritional
4153    jugular vein
4154    perc
4155    lyrica
4156    intraocular
4157    amber
4158    retinopathy
4159    psychologist
4160    mycosis fungoides
4161    stabilized
4162    systems
4163    asterixis
4164    proton
4165    chronic inflammation
4166    amniocentesis
4167    docusate
4168    polysomnogram
4169    ivig
4170    hypertensive
4171    lactulose
4172    aldactone
4173    global
4174    hiatal hernia
4175    coronary disease
4176    migraine headaches
4177    irritable bowel
4178    scrotal
4179    contralateral
4180    trocar
4181    fontanelle
4182    current medications
4183    substance
4184    bronchiectasis
4185    azithromycin
4186    implantation
4187    aches
4188    no evidence of disease
4189    diplopia
4191    ferritin
4192    unilateral
4193    surgical clips
4194    granuloma
4195    mesentery
4196    supraspinatus
4197    right thigh
4199    left ventricle
4202    vesicoureteral reflux
4204    lipoma
4206    arrived
4207    chop
4209    and plan
4210    hilum
4212    central line
4213    hispanic
4214    degenerative joint disease
4215    intraventricular
4216    orthotopic
4218    success
4220    blood smear
4221    endometrial biopsy
4222    picture
4223    acute lymphoblastic leukemia
4224    left thigh
4225    gradual
4226    displacement
4227    hypoglycemia
4228    breast mass
4229    role
4230    bike
4231    follicles
4232    antegrade
4233    discharge medications
4234    bathroom
4235    nasal spray
4236    testicle
4237    comprehensive metabolic panel
4238    menarche
4239    total hip replacement
4240    pitting
4241    replacement therapy
4242    prescriptions
4244    cytoplasm
4245    healthcare
4246    chronic sinusitis
4247    left upper quadrant
4248    adenoid
4250    inflamed
4251    lorazepam
4252    sliding
4253    adriamycin
4254    joint effusion
4256    granulation tissue
4258    hydrocodone
4260    laparoscopy
4261    pelvic pain
4262    microorganisms
4264    neonatal intensive care
4265    thing
4267    levoxyl
4268    arthropathy
4269    medical oncology
4270    smokes
4271    hoarseness
4272    horizontal
4273    biopsy site
4274    comminuted
4275    optimal
4276    hyperbilirubinemia
4277    blood per rectum
4278    aids
4280    lung transplant
4281    collar
4282    cancer center
4283    hallucinations
4284    ductal carcinoma in situ
4285    ulcerative colitis
4288    mail
4289    deltoid
4290    viable
4291    o2 saturation
4293    staphylococcus
4294    versus
4295    low dose
4296    vascularity
4297    pericardium
4298    two times
4300    chest discomfort
4302    coils
4303    cerebrovascular
4304    business
4305    wheeze
4306    cva tenderness
4307    mineral
4309    small cell
4312    avastin
4313    dermatologist
4314    distal radius
4315    vascular disease
4316    under anesthesia
4318    white blood cells
4319    physical medicine
4321    ophthalmologist
4322    wash
4323    waveforms
4324    fraction of
4325    meatus
4326    mitral
4327    parathyroid
4328    fibromyalgia
4331    neutral
4333    reticular
4334    ganglion
4335    nebulizer
4336    uric acid
4338    irradiation
4339    decubitus position
4340    mmol
4341    pediatric gastroenterology
4345    conference
4346    nasopharyngeal
4347    equivocal
4348    hypervascular
4349    bite
4350    transferred
4351    guaiac
4352    pain relief
4353    ercp
4354    abd/pel
4355    leakage
4357    contraceptive
4358    soft tissue mass
4359    cramps
4361    knee arthroscopy
4362    norco
4363    reason for visit
4364    inhalation
4365    communicating
4367    daytime sleepiness
4368    rapidly
4369    growth hormone
4370    assistant surgeon
4371    karyotype
4372    unsure
4374    chemoradiation
4375    tied
4376    auditory canal
4377    skin graft
4378    window
4379    frontal lobe
4380    diaper
4381    erosion
4382    nevi
4384    baclofen
4386    axillary adenopathy
4388    outcome
4389    multifocal
4390    evaluations
4391    retained
4392    embolus
4393    teacher
4394    suspension
4395    cyclophosphamide
4396    electron
4397    omentum
4398    extent of
4400    klonopin
4402    orthopedic surgery
4403    furosemide
4405    lamina
4406    terminal ileum
4407    enalapril
4408    matched
4409    orthostatic
4410    both ears
4411    stents
4412    transverse colon
4413    arimidex
4414    etoposide
4415    hodgkin's disease
4416    palliative
4417    medical director
4418    marc
4419    type ii
4420    endomyocardial biopsy
4421    tracking
4422    scapula
4424    scaphoid
4425    suppression
4426    nystatin
4427    traveling
4428    body weight
4429    erythromycin
4430    triple
4431    fibers
4433    refused
4434    pap test
4435    indication for
4436    individual
4437    stage iii
4438    elbows
4439    abdominal aortic aneurysm
4440    b cell
4441    neoplastic
4442    extrahepatic
4443    dry mouth
4444    total hip arthroplasty
4445    lift
4446    nasal cavity
4447    depo
4448    collecting
4450    carbohydrate
4451    upper arm
4454    tapering
4455    context
4456    endoscope
4457    conduit
4458    native
4459    electrocardiogram
4460    mastoid air cells
4461    physical therapist
4462    adenoids
4463    hepatitis a
4464    behaviors
4465    fish oil
4466    tablet, delayed release
4467    thoracolumbar
4470    worried
4472    ataxia
4473    right common carotid artery
4475    conjunctival
4476    vague
4477    conclusions
4478    central canal
4480    knee arthroplasty
4481    compazine
4482    orbits
4483    thoracic aorta
4487    moved to
4489    counselor
4490    gentle
4491    bone pain
4492    renal cell
4494    loss of consciousness
4496    neurological examination
4497    assistant
4498    resolving
4499    no new
4500    botox
4501    push
4502    likelihood
4503    ejection murmur
4504    dyslipidemia
4505    ended
4506    arteriovenous
4507    augmentation
4508    tachypnea
4509    variant
4510    watery
4511    medium
4512    nasal obstruction
4513    random
4515    neonatal intensive care unit
4516    epidermis
4518    hyponatremia
4519    large cell
4520    spironolactone
4521    nephropathy
4523    recess
4524    dynamic
4525    common femoral artery
4528    granular
4529    bone graft
4530    bandage
4531    epidermal
4532    may represent
4534    normalized
4535    local anesthetic
4536    respiratory symptoms
4537    header
4538    abdominal discomfort
4539    very low
4540    abdominal aorta
4541    aleve
4543    glipizide
4544    rituxan
4545    dentition
4546    left forearm
4547    subcostal
4548    impairment
4549    phenergan
4550    social worker
4551    metaplasia
4552    speed
4553    sprays
4554    catheters
4555    coronary artery bypass
4556    intrauterine pregnancy
4557    radiologic
4558    purpose
4560    happened
4561    critical care medicine
4562    poorly differentiated
4563    hemithorax
4565    vasospasm
4567    chest tubes
4568    helicobacter
4569    arrest
4570    crepitus
4571    emotional
4573    consulting physician
4574    local anesthesia
4575    cell transplant
4576    elements
4577    united states
4578    thyroid function tests
4579    draw
4581    anterior cervical
4583    spots
4585    tacrolimus
4586    staple
4587    exact
4588    enhanced
4589    divorced
4590    postnasal drip
4591    packed red blood cells
4592    sufficient
4594    arthralgias
4595    medial meniscus
4596    pediatric surgery
4597    narcotics
4598    spondylolisthesis
4599    granulomatous
4600    gi bleed
4603    bulb
4604    chemo
4606    at risk
4607    thoracotomy
4609    chronic cough
4610    left common carotid artery
4611    international
4615    requirement
4616    jaundiced
4617    inside
4618    scheduling
4619    right coronary artery
4620    moderate to severe
4622    normal hearing
4623    general medicine
4624    peripheral neuropathy
4625    not done
4626    etoh
4627    breast biopsy
4629    goiter
4630    giant
4631    patient's right
4632    gently
4634    bursa
4635    stoma
4637    tearing
4639    cardiopulmonary disease
4640    runny nose
4641    flair
4642    fluconazole
4643    does not know
4645    blood tests
4646    employed
4648    hemodynamic
4650    architecture
4651    pediatric cardiology
4652    tilt
4653    vasculitis
4655    immunology
4656    three times a day
4657    sensitive to
4658    femoral condyle
4659    lower leg
4660    occlusive
4662    mmol/l
4663    mutual
4664    unstable
4665    crutches
4666    technical
4667    sutured
4669    recommendations
4670    cd13
4671    meconium
4674    no cough
4675    per month
4676    motility
4677    grasp
4678    organization
4679    hypospadias
4681    application
4682    soccer
4683    tail
4684    lymph node dissection
4685    anterior chest
4686    gluteus
4688    aortic root
4690    immunotherapy
4691    stridor
4692    stabilization
4693    spasms
4695    oral mucosa
4696    unsuccessful
4697    perianal
4698    genital
4699    colectomy
4701    rose
4702    arrhythmias
4703    temporal lobe
4704    severe pain
4705    malaise
4706    extraction
4707    mchc
4709    hematochezia
4710    ct head w/o contrast
4711    airspace
4712    yeast
4714    rigidity
4715    cruciate ligament
4717    intercourse
4718    pulmonic valve
4720    as a result of
4722    hypotensive
4723    myalgias
4724    postpartum
4725    retinal detachment
4726    pulse oximetry
4727    hybrid
4728    gastric bypass
4729    central venous catheter
4732    equipment
4733    capsular
4735    guidelines
4736    reluctant
4737    stage ii
4738    failure to thrive
4739    hypodense
4740    sequence
4742    bypass graft
4743    femoral vein
4744    audiologist
4745    blood type
4746    medical student
4747    lethargic
4748    choking
4749    allogeneic
4750    cloudy
4751    no swelling
4752    advised
4753    twice a week
4754    suffering
4756    extubate
4759    suicide
4761    meningitis
4762    lambda
4763    equal to
4764    adolescent
4765    marijuana
4766    metal
4767    follicular lymphoma
4768    no suspicious
4770    chronic renal insufficiency
4771    ring finger
4772    chronic hepatitis c
4773    learning
4775    discoloration
4777    staph
4778    thyroid cancer
4779    periventricular
4780    intraperitoneal
4781    cancers
4782    sweating
4783    contraceptives
4784    systolic blood
4785    dizzy
4786    facial nerve
4789    interventional radiology
4790    incisional
4791    cyclosporin
4793    reason for consultation
4794    full field
4795    trisomy
4796    hematopoiesis
4797    faint
4798    parameters
4801    thyroid gland
4802    complains
4803    pathology report
4804    clinician
4805    amitriptyline
4806    absolute neutrophil count
4807    pelvic exam
4808    alpha-fetoprotein
4811    tracheal
4812    hydrated
4813    zometa
4814    mixture
4815    vioxx
4816    genetic counseling
4817    lateral decubitus position
4818    peptic
4819    cardiopulmonary bypass
4820    symphysis
4821    transmitted
4822    scar tissue
4823    adduction
4824    superior mesenteric
4825    arterial blood
4826    indirect
4828    bundle
4829    respiratory tract
4830    lithotomy
4831    acoustic
4832    common carotid artery
4833    manipulation
4834    impacted
4835    abdominal hysterectomy
4836    guide wire
4837    narcotic
4839    caps
4840    aortic regurgitation
4841    stress echo
4843    stenting
4846    health center
4847    automated
4848    h. pylori
4849    ct of the abdomen
4850    juvenile
4851    proven
4852    oximetry
4853    glucosamine
4854    anorexia
4855    lymph node biopsy
4856    confused
4857    loosening
4858    malignant melanoma
4859    flexure
4860    impaction
4862    expanded
4863    acceptable
4864    folds
4865    occult
4866    diuretic
4867    mrsa
4868    spontaneous vaginal delivery
4870    voriconazole
4871    glandular
4872    spacer
4873    no known allergies
4874    tonsillectomy and adenoidectomy
4875    in between
4876    atherosclerotic
4877    lung zone
4879    juice
4880    suck
4881    spotting
4882    alex
4883    pseudomonas
4884    levofloxacin
4886    polypectomy
4887    deletion
4888    bridge
4889    aching
4890    cd56
4891    her disease
4893    pneumonitis
4894    coagulation
4895    punctate
4896    surgical scar
4897    puberty
4898    haldol
4899    venogram
4900    ureters
4901    each day
4902    glyburide
4903    glucophage
4905    perineal
4906    acids
4908    nsaids
4909    pediatric rheumatology
4910    lavage
4911    subacute
4912    hydrochlorothiazide 25 mg
4913    ranitidine
4914    chinese
4915    plantar flexion
4916    infraclavicular
4917    referral for
4918    flushed
4919    family history: father
4920    purulence
4922    influenza
4923    limited evaluation
4926    vacuum
4928    dentist
4929    statin
4930    bupivacaine
4931    managing
4932    hallux
4934    reticulocyte
4935    alive and well
4936    small bowel obstruction
4937    ecog performance status
4939    tibial plateau
4941    thinning
4942    classic
4943    folate
4944    xanax
4945    right forearm
4946    nervous
4947    sternocleidomastoid
4948    electrolyte
4949    acidosis
4950    represents
4951    tegretol
4952    circumcised
4953    dryness
4954    cerebral palsy
4955    places
4956    meniscectomy
4957    ascending colon
4958    ptosis
4959    compression fracture
4961    naps
4963    tremors
4965    diskectomy
4966    discharge disposition
4967    orbit
4968    hair loss
4969    promote
4970    potassium chloride
4972    abscesses
4974    foot pain
4975    affecting
4976    psychological
4977    cataracts
4978    no vomiting
4979    discharge diagnosis(es)
4980    activities of daily living
4981    ear pain
4982    mcg/kg
4985    balanced
4986    parts
4987    sinus tachycardia
4990    syringe
4991    neck dissection
4992    contraception
4995    every morning
4996    adipose
4998    supplemental
4999    constitutional symptoms
5000    abundant
5001    serum creatinine
5002    low attenuation
5003    irritable bowel syndrome
5004    diuretics
5005    ophthalmic
5006    small finger
5007    hamstring
5008    rubella
5009    date of consultation
5010    progenitor
5011    ferrous
5012    total knee arthroplasty
5013    tendinitis
5014    dimensions
5015    phenomenon
5016    ct of the pelvis
5017    encounter
5018    elavil
5019    increase in size
5020    periorbital
5021    bacteria
5022    pleomorphic
5023    instructions
5024    suicidal ideation
5025    freq
5027    imuran
5028    morbid obesity
5029    separation
5030    muscle strength
5031    bulging
5033    conscious
5035    calorie
5036    sucking
5038    visual field
5039    globulin
5040    red cells
5041    in remission
5042    reporting
5043    vitamin e
5044    functions
5045    leukocyte
5047    bacitracin
5048    prolene suture
5049    acute renal failure
5050    zithromax
5051    ventricular function
5052    spinal canal
5053    amylase
5055    buccal mucosa
5056    ounce
5057    sentinel lymph node
5058    iabp
5059    pancytopenia
5060    nasal septum
5062    pulmonary embolus
5063    interatrial septum
5064    systolic ejection murmur
5065    safety
5066    neuralgia
5067    pets
5068    straight leg raise
5069    special care
5070    documentation
5071    evacuation
5072    taxotere
5073    copies
5074    attending physician addendum
5075    intramedullary
5076    hypokinesis
5077    internal jugular vein
5078    xylocaine
5079    telemetry
5080    world health
5082    sigmoidoscopy
5083    illicit drug use
5084    modified radical
5085    ellipse
5086    swan-ganz catheter
5089    doxycycline
5090    mucinous
5091    oropharyngeal
5092    medications on admission
5093    packs
5094    allergy.
5095    radiologists
5096    enema
5097    invasive ductal carcinoma
5098    inguinal lymphadenopathy
5099    limbs
5101    contusion
5102    calculi
5103    epigastric pain
5105    comparisons
5106    job number
5107    fundoplication
5108    deep palpation
5110    posterior fossa
5111    discharge diagnosis
5112    flank pain
5114    multiple sclerosis
5115    found in
5116    surface antigen
5117    as necessary
5118    not had
5119    rupture of membranes
5120    scanner
5121    high dose
5122    sneezing
5125    base of tongue
5126    immunohistochemistry
5127    low-dose
5128    social work
5129    hyperthyroidism
5130    seminal
5131    necrotizing
5132    dehiscence
5133    neck mass
5134    cystitis
5136    /hour
5137    exacerbated by
5138    testicles
5139    her-2
5140    essential
5141    software
5142    family practice
5143    mri brain
5144    no abdominal pain
5145    preschool
5146    reassuring
5147    left subclavian artery
5148    recommend
5151    discharge instructions
5152    laxity
5153    inflated
5154    awareness
5155    instruments
5158    posture
5159    inadequate
5160    sentinel node
5162    mechanism
5163    immature
5164    massive
5166    basketball
5167    ear canals
5168    pediasure
5169    bruises
5170    stick
5171    solu-medrol
5172    actinic
5173    pitting edema
5174    csru
5175    both legs
5176    stapler
5178    circulating
5179    monocyte
5181    not present
5182    crohn's disease
5183    great toe
5184    hyperpigmentation
5185    db hl
5186    pulmonary function tests
5187    spectral
5188    red blood cell
5189    banding
5190    inspiratory
5191    flexeril
5192    carvedilol
5193    taste
5196    alpha fetoprotein
5198    iv fluids
5200    pediatric neurology
5201    ectopic
5203    gynecologist
5204    verify
5206    history of depression
5207    tears
5208    valcyte
5209    curved
5211    short of breath
5212    very large
5213    respiratory status
5214    pressure support
5215    c-reactive protein
5216    osteophytes
5217    soreness
5218    surgical margin
5219    unresponsive
5220    supervision
5221    hard palate
5222    pallor
5223    past surgical history
5224    techniques
5225    endarterectomy
5226    pediatric oncology
5227    world health organization
5228    start date
5229    piriformis
5230    enlarged lymph nodes
5231    page
5232    operating room table
5233    melanocytic nevus
5234    hospice
5235    bronchodilator
5236    no growth
5237    with no evidence of
5238    document
5240    treated by
5241    discrepancy
5242    axillary lymph node
5243    esterase
5244    transferrin
5245    without iv contrast
5246    emotional support
5247    brachioradialis
5248    duoderm
5249    small vessel
5250    width
5252    both kidneys
5253    hyperplastic
5254    rituximab
5255    both lungs
5256    kg/hr
5257    altered mental status
5258    compound
5259    radiographs
5260    greater trochanter
5261    orientation
5262    cd38
5263    consent form
5264    primary care provider
5265    chemoembolization
5266    vegetables
5267    heels
5268    rice
5269    anterior fontanelle
5270    empiric
5271    immunofluorescence
5272    looks well
5273    ultrasound guidance
5274    paratracheal
5275    descending colon
5276    venous system
5278    protection
5279    nephrostomy
5280    down syndrome
5281    adjustment
5282    facet joint
5283    micropuncture
5285    lipase
5287    aortic valve replacement
5288    ductus arteriosus
5289    wt gain
5290    normochromic
5291    hematopoietic
5292    salivary
5293    resonance
5295    hybridization
5296    diaphoresis
5297    foreskin
5298    pronation
5299    explanation
5300    hearing aid
5301    signs and symptoms
5302    clonazepam
5303    double vision
5304    frozen section diagnosis
5305    provera
5306    circulation
5307    hydrocele
5308    aneurysmal
5309    degenerative change
5310    blood transfusion
5311    liver transplantation
5312    ferrous sulfate
5313    classes
5315    achilles tendon
5316    neuroendocrine
5317    mediolateral oblique
5318    discontinuation
5320    vesicles
5321    urinary retention
5323    tumor cells
5324    erectile
5325    specific gravity
5326    prolactin
5327    subsegmental
5328    feelings
5330    both breasts
5331    normocytic
5333    peak systolic
5334    chromosome analysis
5336    aberrant
5338    capsules
5339    subchondral
5340    smoking history
5341    quality of life
5342    dominican
5343    loculated
5344    5-fu
5345    circumferential
5347    decreased appetite
5348    hypopharynx
5349    analgesia
5350    antihypertensive
5352    episodic
5353    amplitude
5354    ml/kg
5355    fluid balance
5356    alk phos
5357    distension
5358    hygiene
5359    peritoneal dialysis
5365    vacation
5366    ideal
5367    yellow sputum
5368    satisfaction
5369    neurologic symptoms
5370    environment
5371    neoadjuvant
5372    amniotic
5374    oncologic
5375    tunneled
5376    genotype
5377    aspirin 325 mg
5378    reducing
5379    cutaneous lymphoma
5381    neupogen
5382    african
5383    midline incision
5384    hydralazine
5385    dyazide
5386    discharge condition
5388    benicar
5389    punch biopsy
5390    carotid arteries
5391    loose stools
5392    vaccination
5393    arising from
5394    cleft palate
5396    polyuria
5397    pelviectasis
5398    pigment
5399    softly
5400    fetus
5401    surgery date
5402    decalcification
5403    surgical margins
5404    cat scan
5405    collateral ligament
5406    palp
5409    bladder neck
5410    titrate
5411    peptic ulcer
5412    pronator drift
5414    mole
5415    thinking
5416    resuscitation
5417    electrophysiology
5418    mobilization
5419    gravida 2
5420    homogeneous
5421    apgar
5422    renal vein
5423    umbilical hernia
5424    plays
5425    apneas
5426    stent placement
5429    blood flow
5431    persistence
5432    senna
5433    via foley
5434    graft-versus-host disease
5435    recreation
5436    without difficulty
5438    maps
5439    kyphosis
5440    pravachol
5441    tubal ligation
5442    retina
5443    heart attack
5444    auto
5445    left sided
5446    demand
5447    pyelonephritis
5448    ulna
5449    imitrex
5451    insert
5452    mammary
5453    fat saturation
5454    mesenteric artery
5456    lithotomy position
5457    kidney stones
5458    stereotactic radiosurgery
5459    lower abdomen
5460    pertinent
5462    b-cells
5463    cleansed
5464    propranolol
5465    chronic lung disease
5466    pectoralis
5467    urinary frequency
5468    collecting system
5469    positive control
5470    stump
5472    newly diagnosed
5473    advice
5474    zoster
5475    adenomatous
5476    characteristic
5477    cortisone
5478    difficulty breathing
5479    bulky
5480    thyroid disease
5481    prone position
5482    inverted
5483    stigmata
5485    distal femur
5486    generator
5487    external auditory canals
5488    respiratory distress syndrome
5489    immunosuppressive
5490    renal mass
5491    colorectal
5492    rods
5493    total abdominal hysterectomy
5494    work of breathing
5496    nebs
5498    stands
5499    hematemesis
5501    infants
5502    placental
5503    motions
5504    prednisone 5 mg
5506    l/sec
5507    biopsy specimen
5509    toto
5510    maternal grandfather
5511    irritability
5512    sprain
5513    emergency department course
5514    oral contraceptive
5516    sacroiliac joint
5517    anterior chamber
5518    mediastinal mass
5519    toxic
5520    urinary symptoms
5521    not appear
5523    skin rash
5525    flush
5527    pediatric hematology/oncology
5528    bright red blood per rectum
5529    not specified
5530    palpable mass
5531    upper chest
5533    gold
5535    hepatic veins
5536    stature
5537    transthoracic
5538    structural
5539    liver edge
5540    bathing
5541    diaphragmatic
5542    ventral hernia
5543    with type
5544    urologist
5545    confirmed by
5546    rectovaginal
5547    resolution of
5548    portable ap chest
5549    non-small cell
5550    inversion
5551    hypotonia
5552    renal cell carcinoma
5554    tubular adenoma
5555    recur
5556    incision site
5557    anastomotic
5558    dependence
5559    shaking
5561    nutritionist
5562    stat
5563    degenerative disc disease
5564    inflammatory bowel disease
5565    vitamin b12
5566    paracentesis
5567    new york
5568    completed by
5569    /minute
5570    perioperative
5571    medical therapy
5572    congenital heart disease
5573    intrinsic
5574    abortion
5575    carpal tunnel syndrome
5576    conjunctiva
5577    ceftazidime
5578    relaxation
5579    middle finger
5581    opiate
5582    tortuous
5585    circumcision
5586    otorrhea
5588    stem cell transplant
5589    directions
5591    excretion
5592    holter monitor
5593    chronic obstructive pulmonary disease
5594    pads
5595    ards
5597    d.p.m.
5598    rectocele
5599    past history of
5600    indices
5601    mucoid
5602    consultation report
5603    sinemet
5604    conventional
5605    literature
5606    lowest
5607    tissue expander
5608    zestril
5609    estradiol
5611    no obvious
5612    lingula
5613    mg/ml
5614    institute
5615    involved by
5616    retroperitoneum
5619    xopenex
5620    % of total
5622    false
5623    saturated
5624    right sided
5625    adipose tissue
5626    transvaginal
5628    motor skills
5629    arm pain
5630    prevention
5631    array
5632    safran
5633    pins
5634    ditropan
5635    repositioned
5636    forced
5637    hearing aids
5638    latex
5641    grunting
5642    antibiotic therapy
5643    paternal grandmother
5644    oral contraceptives
5645    joint swelling
5646    of each
5648    atrial flutter
5649    patterns
5650    parkinson's disease
5652    chromatin
5653    air movement
5654    day hospital
5655    hormone replacement therapy
5656    monos
5657    bladder function
5659    basophils
5662    exercise tolerance
5663    erosive
5664    diuril
5665    median sternotomy
5667    skin cancer
5668    supported
5669    omnipaque
5670    zinc
5671    xeroform
5673    adrenal gland
5674    happen
5675    blurry vision
5676    long term
5677    passage
5679    source of
5680    shoe
5681    myometrium
5683    atenolol 25 mg
5684    complete blood count
5686    para 1
5687    flatus
5688    caudal
5689    stress echocardiogram
5691    mattress
5692    erythropoietin
5694    accidents
5695    contained
5696    nephritis
5697    anemic
5698    viagra
5699    jejunum
5700    magnetic
5701    sao2
5702    difficulty sleeping
5703    ulnar nerve
5704    squamous cells
5705    dilator
5706    restraints
5707    exudates
5708    create
5709    renal arteries
5711    unenhanced
5712    aerm
5713    anterolisthesis
5714    blood clot
5715    tetralogy of fallot
5716    loading
5717    cataract surgery
5718    leukocytosis
5719    family physicians
5720    cystocele
5721    molecular
5722    seizure activity
5723    hco3
5724    pleural fluid
5725    cystectomy
5726    septoplasty
5727    intraabdominal
5728    approximate
5729    bilateral salpingo-oophorectomy
5730    umbilical cord
5731    supination
5732    sequential
5733    urine protein
5734    myelodysplastic syndrome
5735    reduced services
5737    anomaly
5738    confluent
5739    pleural thickening
5740    leukocytes
5741    spinal needle
5743    conductive hearing loss
5744    captopril
5745    dobutamine
5746    station
5747    not performed
5749    adjustments
5750    boyfriend
5751    hawaii
5752    grade i
5753    histiocytes
5754    easy bruising
5755    gastroenterologist
5756    restrictive
5757    match
5758    diverticulum
5760    subdural hematoma
5761    critical care time
5763    family history: mother
5764    neurologically
5765    cannot be excluded
5766    bipolar disorder
5768    melanocytes
5769    recreation therapy
5770    sleeping well
5771    full time
5772    dry skin
5773    indeterminate
5774    ventriculomegaly
5775    for the past
5776    hepatoma
5777    mercaptopurine
5779    coagulopathy
5780    anti-inflammatories
5781    hemolytic
5782    connective tissue
5783    caregiver
5784    synovectomy
5785    external auditory canal
5787    inferior turbinate
5788    anterior cruciate ligament
5790    mind
5791    gravida 1
5792    enbrel
5794    beneath
5795    invasive procedure
5797    polys
5799    financial
5800    surgical site
5801    card
5802    silver
5803    solitary
5804    regional center
5805    abdominal distention
5806    urologic
5807    lateral meniscus
5808    bypass surgery
5809    hemiparesis
5810    gemzar
5811    toxin
5812    chest tightness
5814    hyperglycemia
5815    rectal bleeding
5816    lactate
5817    pupil
5819    peripheral vascular disease
5820    g/cm2
5822    fat pad
5823    bronchiolitis
5824    papilloma
5825    in toto
5826    verified
5827    ethibond
5828    cortisol
5829    epicardial
5830    aggravated
5831    type 1 diabetes
5833    junctional
5834    actigall
5835    ventricular hypertrophy
5836    sequelae
5838    arthrodesis
5840    d.d.s.
5841    para 2
5842    photophobia
5843    universal
5844    cd16
5845    humeral head
5846    maxilla
5847    evolving
5848    left lateral decubitus
5849    seroquel
5850    malalignment
5851    exposed to
5852    shifted
5853    debulking
5854    reticulocyte count
5855    thyroiditis
5856    opiates
5857    tricuspid regurgitation
5858    obstructive pulmonary disease
5859    food allergies
5860    intra-abdominal
5861    reaching
5862    message
5863    bowel habits
5864    wound infection
5865    actos
5866    very high
5867    cd15
5868    rheumatoid factor
5869    middle cerebral artery
5870    grade ii
5872    portal hypertension
5873    leg length
5874    inspiration
5875    cocaine
5877    tearful
5878    gravida 0
5879    dry cough
5880    darvocet
5882    radiofrequency ablation
5883    kcal
5885    making
5886    biliary dilatation
5887    common iliac artery
5888    nasal discharge
5889    lymphocytic leukemia
5892    left ventricular hypertrophy
5893    menorrhagia
5894    rigid
5895    prenatal care
5897    titer
5898    ostomy
5899    chronic low back pain
5900    magnification
5901    frame
5902    epogen
5903    endocarditis
5904    fibroadenoma
5906    transitional cell
5907    subclavian artery
5909    mushroom
5910    urgent care
5911    eustachian tube
5912    cerebrospinal fluid
5913    collected
5914    alcohol abuse
5915    urticaria
5916    trileptal
5917    trigger point
5918    thyroglobulin
5920    crystal
5921    pseudoaneurysm
5922    gastroenteritis
5923    hysteroscopy
5924    rib fractures
5925    radical mastectomy
5926    perirectal
5927    coarctation
5928    awakening
5929    seroma
5930    large bowel
5931    psych
5933    intraventricular hemorrhage
5934    through to
5936    powder
5937    responsible
5938    nerve conduction
5940    american cancer society
5941    too much
5942    swab
5943    optic nerve
5944    deposits
5945    redundant
5946    lymphedema
5949    conscious sedation
5950    nephrolithiasis
5953    dystrophy
5954    sublingual
5955    hodgkin's lymphoma
5956    procedure in detail
5957    transposition
5958    graduate
5959    11th
5960    adjuvant chemotherapy
5961    lovastatin
5962    hepatic encephalopathy
5963    peptic ulcer disease
5964    as directed
5965    turns
5966    ileus
5967    academic
5968    zetia
5969    amniotic fluid
5971    ankle pain
5972    bladder cancer
5973    quantitative
5974    lisinopril 10 mg
5975    iron deficiency
5976    cornea
5977    alternating with
5978    planned procedure
5979    hemorrhages
5980    pleura
5981    autism
5982    austin
5983    diverticula
5984    antiviral
5985    subtotal
5986    herceptin
5987    familial
5988    purpura
5989    decreased breath sounds
5990    acute onset
5993    followup instructions
5994    recognition
5995    mitral valve prolapse
5996    timing
5998    proximal phalanx
5999    aneurysms
6001    gasping
6002    anatomical
6003    calm
6004    nifedipine
6005    prothrombin
6006    finish
6007    imodium
6008    vulva
6009    submucosal
6010    for the last
6012    caused by
6014    repositioning
6015    direct bilirubin
6016    expectations
6017    lenses
6018    poly
6022    toprol xl
6023    patent ductus arteriosus
6024    g-csf
6025    tympanometry
6026    colon polyp
6027    g tube
6028    eye movements
6029    laparoscopic cholecystectomy
6030    moderately differentiated
6031    histology
6032    sheets
6033    lymphoid cells
6034    sciatica
6035    afrin
6037    fluid intake
6038    productive cough
6039    normal appearance
6040    pathway
6041    internal hemorrhoids
6043    moxifloxacin
6044    intraparenchymal
6045    transabdominal
6046    eruption
6047    subclavian vein
6051    pediatric otolaryngology
6052    seventh
6055    fatty liver
6056    resources
6057    dermatologic
6058    identical
6059    write
6060    total body
6061    perivascular
6062    cylindrical
6064    brainstem
6065    malnutrition
6066    not used
6067    verapamil
6068    pneumovax
6070    confirmation
6071    dulcolax
6072    in-law
6073    cystic duct
6074    packing
6076    cytogenetic
6077    rectal examination
6078    weighing
6079    12th
6080    cholangitis
6081    brain tumor
6082    iliopsoas
6083    metzenbaum scissors
6085    deep vein
6086    hemostatic
6087    consumption
6088    revisions
6089    prostatic hypertrophy
6090    lives alone
6091    deficiency anemia
6093    tobramycin
6095    reactive airway disease
6096    adopted
6097    trimester
6098    both knees
6099    coiled
6100    wrist pain
6102    epidural steroid injection
6103    communicating artery
6104    dopa
6105    under general anesthesia
6106    enter
6107    neuropathic pain
6108    paternal grandfather
6109    chronic kidney disease
6110    basic metabolic panel
6111    periosteum
6112    drains
6113    contribute
6114    pulmonary vasculature
6115    history and physical
6116    pulmonary arteries
6117    upper respiratory tract
6118    articulation
6119    cd117
6120    knee joint
6121    not identified
6122    face tent
6123    too small to characterize
6124    atenolol 50 mg
6125    teaspoon
6126    ct of the chest
6127    urea
6128    complete remission
6129    staples
6130    cerebellum
6131    roux-en-y
6132    decompensation
6133    territory
6134    mcg/kg/min
6135    gtts
6136    hepatitis b surface antigen
6137    pet/ct scan
6138    polydipsia
6139    subcarinal
6140    basement
6141    cone
6142    hearing test
6143    social support
6144    strabismus
6145    symmetry
6146    perineum
6147    decrease in size
6148    oozing
6149    sodium bicarbonate
6150    ms contin
6151    office visit
6152    articular cartilage
6153    washout
6154    booster
6155    conditioning
6158    radiating to
6159    difficulty walking
6160    combivent
6161    conjunctivitis
6162    precordium
6163    illicit drugs
6164    tracer
6165    lung parenchyma
6167    full thickness
6168    dysarthria
6170    texture
6171    coordinate
6172    labia
6173    contractures
6174    thoracic inlet
6175    lumbosacral spine
6176    pregnancies
6177    pred
6178    difficulty swallowing
6179    dysmetria
6180    patency
6181    relevant
6182    lortab
6183    dexon
6184    branch of
6185    right inguinal hernia
6186    capillary refill time
6188    blood vessels
6189    in general
6190    areola
6191    chronic hepatitis b
6192    heart murmur
6193    metastatic carcinoma
6194    groin pain
6195    re-excision
6197    torsion
6198    atherosclerosis
6199    attended
6200    trough
6201    short-term
6202    enzyme
6203    aphasia
6204    sudafed
6205    efficacy
6206    distributions
6207    error
6208    varicose
6210    temporal artery
6211    pancreatic cancer
6212    per second
6213    callus
6214    usage
6215    hypoplasia
6216    e. coli
6217    cd30
6218    proton pump
6219    endocrinologist
6220    mononuclear
6221    ear infection
6222    helicobacter pylori
6223    trendelenburg
6224    venous line
6225    reverse
6226    fibrinogen
6227    vitals
6228    antibody screen
6229    beverages
6231    carries
6232    dysmenorrhea
6233    ventricular septal defect
6234    niacin
6235    electrical
6236    diffuse large b-cell lymphoma
6237    her-2/neu
6238    perinephric
6239    grafts
6241    ribavirin
6242    engaged
6243    pacs
6245    hyper
6246    non-specific
6247    biceps tendon
6248    ganglia
6249    twins
6250    ace inhibitor
6251    polychromasia
6252    impression and plan
6253    walnut