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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Hysterectomy - Laparoscopic Supracervical
Laparoscopic supracervical hysterectomy. Menorrhagia and dysmenorrhea.

Hysterectomy & Salpingoophorectomy
Total abdominal hysterectomy, right salpingoophorectomy, and extensive adhesiolysis and enterolysis.

Hysterectomy (TAH - BSO)
Exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy, right and left pelvic lymphadenectomy, common iliac lymphadenectomy, and endometrial cancer staging procedure.

Hysterectomy, BSO, & Appendectomy.
Pelvic tumor, cystocele, rectocele, and uterine fibroid. Total abdominal hysterectomy, bilateral salpingooophorectomy, repair of bladder laceration, appendectomy, Marshall-Marchetti-Krantz cystourethropexy, and posterior colpoperineoplasty. She had a recent D&C and laparoscopy, and enlarged mass was noted and could not be determined if it was from the ovary or the uterus.

Hysteroscopy & Endometrial Ablation
Hysteroscopy, Essure, tubal occlusion, and ThermaChoice endometrial ablation.

Hysteroscopy & Laproscopy with Salpingooophorectomy
Dilation and curettage (D&C), hysteroscopy, and laparoscopy with right salpingooophorectomy and aspiration of cyst fluid. Thickened endometrium and tamoxifen therapy, adnexal cyst, endometrial polyp, and right ovarian cyst.

Induction of Vaginal Delivery
Induction of vaginal delivery of viable male, Apgars 8 and 9. Term pregnancy and oossible rupture of membranes, prolonged.

Intrauterine Clots Removal
Exam under anesthesia. Removal of intrauterine clots. Postpartum hemorrhage

Intrauterine Pregnancy - Discharge Summary
Intrauterine pregnancy at term with previous cesarean. Desired sterilization. Status post repeat low transverse cesarean and bilateral tubal ligation.

Laparoscopic Ablation of Eendometrial Implants
Dilatation and curettage (D&C) and Laparoscopic ablation of endometrial implants. Pelvic pain, hypermenorrhea, and mild pelvic endometriosis.

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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