Transcribed Medical Transcription Sample Reports and Examples
MT HelpLine 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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Physical Exam and Pap -2
A white female who presents for complete physical, Pap and breast exam.

Preeclampsia
Preeclampsia, status post delivery with Cesarean section with uncontrolled blood pressure. The patient is a 38-year-old female admitted following a delivery. The patient had a cesarean section. Following this, the patient was treated for her blood pressure. She was sent home and she came back again apparently with uncontrolled blood pressure.

Pre-Eclampsia & Eclampsia
A sample note on pre-eclampsia & eclampsia.

Radical Hysterectomy
Exploratory laparotomy, radical hysterectomy, bilateral ovarian transposition, pelvic and obturator lymphadenectomy.

Radical Mastectomy
Invasive carcinoma of left breast. Left modified radical mastectomy.

Radical Mastectomy - 1
Modified radical mastectomy. An elliptical incision was made to incorporate the nipple-areolar complex and the previous biopsy site. The skin incision was carried down to the subcutaneous fat but no further.

Radical Vulvectomy
Radical vulvectomy (complete), bilateral inguinal lymphadenectomy (superficial and deep).

Repeat C-section
Repeat cesarean section and bilateral tubal ligation.

Salpingectomy & Cervical Dilatation
Sterilization candidate. Cervical dilatation and laparoscopic bilateral partial salpingectomy. A 30-year-old female gravida 4, para-3-0-1-3 who desires permanent sterilization.

Salpingooophorectomy - Laparoscopic
Laparoscopic right salpingooophorectomy. Right pelvic pain and ovarian mass. Right ovarian cyst with ovarian torsion.

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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