Lori Smith

 Page: 2  Surgical Case Record  
 patient name: BP00046620 Lori Smith  
 D.O.B: 26/93/03  
 Account No: BP45522651776  
 Age:  68  
 Physician: Dr Nicholas Gonzalez MD  
 Date of Evaluation:03/21/11
 Sex:  F  
 Specialty:  ORS-Orthopaedic Surgery  Room-Bed/T.Loc:  
 O.R.:  POR04-OPERATING ROOM #4  
 date of operation, operation date, oper date:  01/14/06  
 Pleasant Valley Hospital  
 Primary Procedure: LEFT KNEE MANIPULATION  
 Case Close/  Run Date: 12/18/03  
 Transmitted: 12/23/22 1222 P.SUR.DP Peterson, Deloras  
 Run Time:  1944  
 PRE-OP ASSESSMENTS 
 Occurred 12/22/22 1144 Landry, Courtney Recorded 12/22/22 1144 Landry, Courtney  
 Physiological problem/alteration in:  Musculoskeletal  Infection  - - MUSCULOSKELETAL ALTERATION -  -  Musculoskeletal alteration problem expected to: Improve/Resolve  
 IV site dressing: Transparent  IV site dressing clean, dry and intact: Yes  IV site absent of redness, heat or edema: Yes  <End> 
 DOCUMENTATION  IV summary: Venous Left Antecubital 20 g Inserted 12/22/22 0830  IV type: 
 CONTINUED ON PAGE 3 ***  patient name: Lori Smith  MRN:BP00043554 Encounter:BP0001107108 Page 2 of 29  73797-42  Pleasant Valley Hospital -00077
