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: Trigger Thumb Release - 1

Description: Trigger thumb release. Right trigger thumb. The A-1 pulley was divided along its radial border, completely freeing the stenosing tenosynovitis (trigger release).
(Medical Transcription Sample Report)

PREOPERATIVE DIAGNOSIS: Right trigger thumb.

POSTOPERATIVE DIAGNOSIS: Right trigger thumb.

OPERATIONS PERFORMED: Trigger thumb release.

ANESTHESIA: Monitored anesthesia care with regional anesthesia applied by surgeon with local.

COMPLICATIONS: None.

ESTIMATED BLOOD LOSS: None.

DESCRIPTION OF PROCEDURE: With the patient under adequate anesthesia, the upper extremity was prepped and draped in a sterile manner. The arm was exsanguinated. The tourniquet was elevated to 290 mm/Hg. Attention was turned to the palmar surface of the thumb where a transverse incision was made over the A-1 pulley. Blunt dissection exposed radial and ulnar neurovascular bundles which were retracted out of the operative field. The A-1 pulley was identified. The A-1 pulley was divided along its radial border, completely freeing the stenosing tenosynovitis (trigger release). The skin was allowed to resume its normal anatomical position and was closed with interrupted sutures. Sterile dressings were then applied to all wounds. The tourniquet was deflated, and the patient was returned to the Holding Area in satisfactory condition, having tolerated the procedure well.

Keywords: surgery, trigger thumb, trigger thumb release, tenosynovitis trigger, tenosynovitis, release, thumb, tourniquet, trigger,
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