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Operative Report:
Office
Facility
Lake Worth Surgery Center
Other Facilities
Case cancelled
• • •
New Short Text Field
Op report number
Dictated
CATEGORIES
INJECTIONS General
Ablations
Lumbar injection
Cervical injection
Sacroiliac injection
PRP injection
Knee injections
Shoulder injections
SI joint injection
Bilateral SI Joint injection
Bilateral SI Joint injection EXPAREL
Right SI Joint injection
Right SI Joint injection with EXPAREL
Left SI Joint injection
Left SI Joint injection with EXPAREL
Conclusion
Knee injections
Knee joint injection
Knee geniculate nerve injection (choose side)
Right knee Intra-articular injection: pick meds
• • •
Left knee Intra-articular injection: pick meds
• • •
General Injections
See solutions injected at end of procedure (bottom of form)
for all injections below.
Hip joint injection
Hip rotator cuff and trochanteric bursa injection
Shoulder subacromial injection
Shoulder subacromial and trochanteric bursa hip cuff injection
Right sub acrom and right troch bursa inj
Left sub acrom and left troch bursa inj
Right sub acrom and left troch bursa inj
Left sub acrom and right troch bursa inj
Shoulder and SI injection
RIGHT shoulder subacromial and RIGHT SI injection
LEFT shoulder subacromial and LEFT SI injection
RIGHT shoulder subacromial and LEFT SI injection
LEFT shoulder subacromial and RIGHT SI injection
RIGHT shoulder subacromial and BILATERAL SI injection
LEFT shoulder subacromial and BILATERAL SI injection
Caudal Lumbar ESI
Diagnosis
Generic injection using contrast and fluoro: enter site
Generic injection without contrast: enter site
Generic injection (will appear after main procedure) be sure to fill out medication injected
For trigger point injections (input location of injection)
For other Injection procedures (enter site, joint etc.)
Comments
Fluoroscopy was used with contrast
Conclusion
Shoulder Intra Articular Injection
Shoulder Intra Articular Injection
Right shoulder Intra-articular injection: pick meds
• • •
Left shoulder Intra-articular injection: pick meds
• • •
Conclusion
Conclusion
Hip Rotator Cuff and Trochanteric Bursa Injection
Hip rotator cuff and trochanteric bursa injection
Conclusion
Cervical Facet injection
Cervical Rhizotomy
Cervical Facet Injection
• • •
Cervical Facet Rhizotomy
• • •
Conclusion
Conclusion
Lumbar Facet injection
Lumbar Rhizotomy
Lumbar Facet Injection
• • •
Lumbar Facet Rhizotomy
• • •
Conclusion
Remarks
Misc injections
Caudal ESI
PRP injection
Diagnosis
• • •
Procedure
• • •
Medication injected and conclusion
Medication injected:
• • •
Comments
Conclusion
Medication injected and conclusion SI
Medication injected:
• • •
Comments
Conclusion

RDS Operative Report Injections 002 Medical Form

Orthopedic Surgeon

Corrected smart fields missing 2024-04-17

There are 0 copies in use.
Published: April 17, 2024, 10:05 p.m.
Doctor: Dr. History Physical
Rating: 0   /

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