Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Pain Management
Sample Name: Knee Injection - 1

Description: Osteoarthritis of the right knee. Right knee joint steroid injection.
(Medical Transcription Sample Report)

PROCEDURE: Right knee joint steroid injection.

PREOPERATIVE DIAGNOSIS: Osteoarthritis of the right knee.

POSTOPERATIVE DIAGNOSIS: Osteoarthritis of the right knee.

PROCEDURE: The patient was apprised of the risks and the benefits of the procedure and consented. The patient's right knee was sterilely prepped with Betadine. A 4 mg of dexamethasone was drawn up into a 5 mL syringe with a 3 mL of 1% lidocaine. The patient was injected with a 1.5-inch 25-gauze needle at the medial aspect of his right flexed knee. There were no complications. The patient tolerated the procedure well. There was minimal bleeding. The patient was instructed to ice his knee upon leaving clinic and refrain from overuse over the next 3 days. The patient was instructed to go to the emergency room with any usual pain, swelling, or redness occurred in the injected area. The patient was given a followup appointment to evaluate response to the injection to his increased range of motion and reduction of pain.

Keywords: pain management, injection, knee joint, steroid injection, osteoarthritis, knee,
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