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: Electrofulguration - Bladder Tumor

Description: Cystoscopy, TUR, and electrofulguration of recurrent bladder tumors.
(Medical Transcription Sample Report)

PREOPERATIVE DIAGNOSIS: Recurrent bladder tumors.

POSTOPERATIVE DIAGNOSIS: Recurrent bladder tumors.

OPERATION: Cystoscopy, TUR, and electrofulguration of recurrent bladder tumors.

ANESTHESIA: General.

INDICATIONS: A 79-year-old woman with recurrent bladder tumors of the bladder neck.

DESCRIPTION OF PROCEDURE: The patient was brought to the operating room, prepped and draped in lithotomy position under satisfactory general anesthesia. A #21-French cystourethroscope was inserted into the bladder. Examination of the bladder showed approximately a 3-cm area of erythema and recurrent papillomatosis just above and lateral to the left ureteral orifice. No other lesions were noted. Using a cold punch biopsy forceps, a random biopsy was obtained. The entire area was electrofulgurated using the Bugbee electrode. The patient tolerated the procedure well and left the operating room in satisfactory condition.

Keywords: surgery, bladder neck, bladder tumors, cystoscopy, tur, electrofulguration, bladder,
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