Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Obstetrics / Gynecology

The OB/GYN profession cares for women who are pregnant, during the prenatal, delivery and postnatal stages of pregnancy. Also treats diseases and provides routine physical care of the female reproductive system.



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MRI Breast - 1
Bilateral breast MRI with & without IV contrast.

Needle Localized Excision - Breast Neoplasm
Nonpalpable neoplasm, right breast. Needle localized wide excision of nonpalpable neoplasm, right breast.

OB/GYN - H&P
Initial obstetrical examination - Normal first pregnancy. Inadequate naternal nutrition.

OB/GYN Consultation - 1
Female referred for evaluation of an abnormal colposcopy, low-grade Pap with suspicious high-grade features.

OB/GYN Consultation - 2
Consultation because of irregular periods and ovarian cyst.

OB/GYN Consultation - 3
Consultation for an ASCUS Pap smear.

OB/GYN Consultation - 4
Pelvic Pain and vaginal discharge

Pathology - Ovarian Cyst
Specimen labeled "right ovarian cyst" is received fresh for frozen section.

Pelvic Laparotomy
Pelvic laparotomy, lysis of pelvic adhesions, and left salpingooophorectomy with insertion of Pain-Buster Pain Management System.

Physical Exam and Pap - 1
A white female presents for exam and Pap.

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NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples