Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Obstetrics / Gynecology
Sample Name: Ultrasound OB - 6

Description: Ultrasound - a 22-year-old pregnant female.
(Medical Transcription Sample Report)

This is a 22-year-old pregnant female.

GENERAL EVALUATION:
Fetal Cardiac Activity: Normal at 140 BPM

Fetal Position: Variable

Placenta: Posterior without evidence of placenta previa.

Uterus: Normal

Cervix: Closed.

Adnexa: Not seen

Amniotic Fluid: Within normal limits.

BIOMETRY:
BPD: 3.5cm consistent with 16 weeks, 6 days gestation

HC: 12.0cm consistent with 16 weeks, 4 days

AC: 11.2cm consistent with 17 weeks, 0 days

FL: 2.2cm consistent with 16 weeks, 4 days

CI (BPD/OFD): (70-86) 86

FL/HC: (19.2-20.8) 17.1

HC/AC: (1.05-1.21) 1.5

GESTATIONAL AGE BY CURRENT ULTRASOUND: 16 weeks 5 days (+/-) 1 week 1 day variability.

EDD BY CURRENT ULTRASOUND: 10-31-07

FETAL ANATOMY: No gross abnormality but limited by the early age of the fetus.

IMPRESSION:
Single viable intrauterine pregnancy with an estimated gestational age of 16 weeks, 5 days (+/-) 1 week, 1 day variability.

No visualized fetal abnormalities. However, fetal anatomy is limited by the early age of the fetus and followup is recommended at 22-24 weeks.

EDD by ultrasound measurements: 10-31-2007.

Keywords: obstetrics / gynecology, pregnant female, fetal anatomy, pregnant, placenta, gestational, ultrasound, fetal,
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