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: Colonoscopy - 4

Description: Colonoscopy - Diarrhea, suspected irritable bowel
(Medical Transcription Sample Report)

PREOPERATIVE DIAGNOSIS: Diarrhea, suspected irritable bowel.

POSTOPERATIVE DIAGNOSIS: Normal colonoscopy.

PREMEDICATIONS: Versed 5 mg, Demerol 75 mg IV.

REPORTED PROCEDURE: The rectal exam revealed no external lesions. The prostate was normal in size and consistency.

The colonoscope was inserted into the cecum with ease. The cecum, ascending colon, hepatic flexure, transverse colon, splenic flexure, descending colon, sigmoid colon, and rectum were normal. The scope was retroflexed in the rectum and no abnormality was seen, so the scope was straightened, withdrawn, and the procedure terminated.

ENDOSCOPIC IMPRESSION: Normal colonoscopy - no evidence of inflammatory disease, polyp, or other neoplasm. These findings are certainly consistent with irritable bowel syndrome.

Keywords: surgery, diarrhea, ascending colon, cecum, colonoscope, colonoscopy, descending colon, hepatic flexure, inflammatory disease, irritable bowel syndrome, irritable bowel. , polyp, rectal exam, rectum, sigmoid colon, splenic flexure, transverse colon, normal colonoscopy, irritable bowel, flexure, irritable, bowel,
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