Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Surgery

The branch of medical science that treats disease or injury by operative procedures.



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Circumcision - Child
Circumcision. The child appeared to tolerate the procedure well. Care instructions were given to the parents.

Circumcision - Infant
Circumcision. Normal male phallus. The infant is without evidence of hypospadias or chordee prior to the procedure.

Circumcision - Newborn
Newborn circumcision. The penile foreskin was removed using Gomco.

Circumcision & Chordee Release
Circumcision and release of ventral chordee.

Clear Corneal Temporal Incision
Clear corneal temporal incision (no stitches). A lid speculum was placed in the fissure of the right eye.

Cleft Repair
Repair of bilateral cleft of the palate with vomer flaps.

Cleft Repair - Soft Palate
Cleft soft palate. Repair of cleft soft palate and excise accessory ear tag, right ear.

Closed ORIF - Ankle
Trimalleolar ankle fracture and dislocation right ankle. A comminuted fracture involving the lateral malleolus, as well as a medial and posterior malleolus fracture as well. Closed open reduction and internal fixation of right ankle.

Closed Reduction - 1
Right distal both-bone forearm fracture. Closed reduction under conscious sedation and application of a splint was warranted.

Closed Reduction - 2
Left distal both-bone forearm fracture. Closed reduction with splint application with use of image intensifier.

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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