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{ | ||
"case_no": 12345, | ||
"type": "adult_cardiac_logs", | ||
"patient_id": "P123456789", | ||
"age": 68, | ||
"surgeon": "Dr. Emily Thompson", | ||
"or_date": "2025-01-15T09:30:00+00:00", | ||
"reason_for_referral": "Severe angina, left main coronary artery disease", | ||
"hpi": "Patient presents with chronic angina, worsening over the past 3 months. Non-responsive to medical management.", | ||
"phmx": "Chronic obstructive pulmonary disease (COPD), hypertension, hyperlipidemia, previous myocardial infarction (2 years ago)", | ||
"gender": "Female", | ||
"social_etoh": "Retired, lives with spouse, occasional alcohol use, non-smoker", | ||
"social_smoking": "Never smoked", | ||
"social_drugs": "No history of illicit drug use", | ||
"social_allergies": "No known drug allergies", | ||
"medicine": "Aspirin 81mg, Metoprolol 25mg, Simvastatin 40mg, Isosorbide dinitrate 10mg", | ||
"exam_weight": 72.0, | ||
"exam_height": 160, | ||
"exam_bmi": 28.1, | ||
"exam_veins": "Veins are normal, no visible varicosities or thrombosis", | ||
"exam_allen_test": "Negative for both radial and ulnar patency", | ||
"exam_pulses_1": "Normal, 2+", | ||
"exam_pulses_2": "Normal, 2+", | ||
"exam_pulses_3": "Diminished, 1+", | ||
"exam_pulses_4": "Normal, 2+", | ||
"invx_echo": "Moderate left ventricular dysfunction, ejection fraction 40%, mild aortic stenosis", | ||
"invx_hb": 12.5, | ||
"invx_w": 5.4, | ||
"invx_plt": 220, | ||
"invx_cr_1": 1.1, | ||
"invx_cr_2": 1.0, | ||
"invx_cr_3": 1.2, | ||
"invx_cr_4": 1.1, | ||
"invx_cr_5": 1.0, | ||
"invx_cr_6": 1.0, | ||
"cath_image": "https://example.com/cath_image_left_main_stenosis.jpg", | ||
"cath_text": "Significant stenosis in the left main coronary artery (70%).", | ||
"cxr": "No acute lung pathology, cardiomegaly present.", | ||
"ct_image": "https://example.com/ct_image_coronary_calcification.jpg", | ||
"ct_text": "CT coronary angiography shows severe calcification in the proximal left anterior descending artery.", | ||
"surgical_plan": "Plan for coronary artery bypass grafting (CABG) involving left internal mammary artery (LIMA) to LAD and saphenous vein graft to RCA.", | ||
"first_operator_flag": "Yes", | ||
"or_flag": "Completed", | ||
"issue_flag": "Follow-up scheduled for 1 week", | ||
"fu_flag": "Follow-up readiness confirmed, no complications post-op", | ||
"op_notes_cpb": "CPB initiated with aortic cannulation and venous drainage via right atrium. Heparinization achieved with 300 units/kg.", | ||
"op_notes_xc": "Ascending aorta cross-clamped at 20 minutes into the procedure.", | ||
"op_notes_ca": "CABG performed, 2 grafts placed with good flow noted to both LAD and RCA.", | ||
"my_role": "Senior resident assisting in bypass graft placement and surgical closure", | ||
"post_op_course": "Stable in the ICU, extubated 6 hours post-op, no arrhythmias or complications.", | ||
"learning_points": "Close monitoring of hemodynamics during CPB; careful handling of the left internal mammary artery for grafting." | ||
} |
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