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

Description: Bronchoscopy brushings, washings and biopsies. Patient with a bilateral infiltrates, immunocompromised host, and pneumonia.
(Medical Transcription Sample Report)

OPERATIVE PROCEDURE: Bronchoscopy brushings, washings and biopsies.

HISTORY: This is a 41-year-old woman admitted to Medical Center with a bilateral pulmonary infiltrate, immunocompromise.

INDICATIONS FOR THE PROCEDURE: Bilateral infiltrates, immunocompromised host, and pneumonia.

Prior to procedure, the patient was intubated with 8-French ET tube orally by Anesthesia due to her profound hypoxemia and respiratory distress.

DESCRIPTION OF PROCEDURE: Under MAC and fluoroscopy, fiberoptic bronchoscope was passed through the ET tube.

ET tube was visualized approximately 2 cm above the carina. Fiberoptic bronchoscope subsequently was passed through the right lower lobe area and transbronchial biopsies under fluoroscopy were done from the right lower lobe x3 as well as the brushings were obtained and the washings. The patient tolerated the procedure well. Postprocedure, the patient is to be placed on a ventilator as well as postprocedure chest x-ray pending. Specimens are sent for immunocompromise panel including PCP stains.

POSTPROCEDURE DIAGNOSIS: Pneumonia, infiltrates.

Keywords: surgery, mac, fluoroscopy, fiberoptic bronchoscope, bronchoscopy brushings, fiberoptic, bronchoscope, bronchoscopy, biopsies, pneumonia, immunocompromised,
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