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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External Cephalic Version
External cephalic version. A 39-week intrauterine pregnancy with complete breech presentation.

Fetal Anatomical Survey
The patient is a 39-year-old gravida 3, para 2, who is now at 20 weeks and 2 days gestation. This pregnancy is a twin gestation. The patient presents for her fetal anatomical survey.

First Pap smear.
First Pap smear, complaining of irregular periods. - Menorrhagia, pelvic pain, dysmenorrhea, and irregular periods.

Full-Field Digital Mammogram (FFDM) - 1
Bilateral Screening Mammogram Full-Field Digital Mammography (FFDM) (Benign Findings)

Full-Field Digital Mammogram (FFDM) - 2
Mammogram, bilateral full-field digital mammography FFDM (patient with positive history of breast cancer).

Gardnerella Bacterial Vaginosis
Vaginal discharge with a foul odor.

Hemivulvectomy
Wide Local Excision of the Vulva. Radical anterior hemivulvectomy. Posterior skinning vulvectomy.

Hysterectomy - Discharge Summary
The patient underwent a total vaginal hysterectomy.

Hysterectomy - Discharge Summary - 1
Total vaginal hysterectomy. Menometrorrhagia, dysmenorrhea, and small uterine fibroids.

Hysterectomy - Discharge Summary - 2
Total vaginal hysterectomy. Microinvasive carcinoma of the cervix.

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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