Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Pediatrics - Neonatal
Sample Name: Circumcision - Infant

Description: Circumcision. Normal male phallus. The infant is without evidence of hypospadias or chordee prior to the procedure.
(Medical Transcription Sample Report)

PROCEDURE: Circumcision.

PRE-PROCEDURE DIAGNOSIS: Normal male phallus.

POST-PROCEDURE DIAGNOSIS: Normal male phallus.

ANESTHESIA: 1% lidocaine without epinephrine.

INDICATIONS: The risks and benefits of the procedure were discussed with the parents. The risks are infection, hemorrhage, and meatal stenosis. The benefits are ease of care and cleanliness and fewer urinary tract infections. The parents understand this and have signed a permit.

FINDINGS: The infant is without evidence of hypospadias or chordee prior to the procedure.

TECHNIQUE: The infant was given a dorsal penile block with 1% lidocaine without epinephrine using a tuberculin syringe and 0.5 cc of lidocaine was delivered subcutaneously at 10:30 and at 1:30 o'clock at the dorsal base of the penis.

The infant was prepped then with Betadine and draped with a sterile towel in the usual manner. Clamps were placed at 10 o'clock and 2 o'clock and the adhesions between the glans and mucosa were instrumentally lysed. Dorsal hemostasis was established and a dorsal slit was made. The foreskin was fully retracted and remaining adhesions between the glans and mucosa were manually lysed. The infant was fitted with a XX-cm Plastibell. The foreskin was retracted around the Plastibell and circumferential hemostasis was established. The excess foreskin was removed with scissors and the infant tolerated the procedure well with a minimum amount of blood loss. Instructions for continuing care are to watch for any evidence of hemorrhage or urination and the parents are instructed in the care of the circumcised penis.

Keywords: pediatrics - neonatal, dorsal slit, hypospadias, chordee, epinephrine, hemorrhage, penis, adhesions, circumcision, phallus, lidocaine, foreskin, infant,
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