Transcribed Medical Transcription Sample Reports and Examples
MT HelpLine Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Obstetrics / Gynecology

The OB/GYN profession cares for women who are pregnant, during the prenatal, delivery and postnatal stages of pregnancy. Also treats diseases and provides routine physical care of the female reproductive system.

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Abdominosacrocolpopexy, enterocele repair, cystoscopy, and lysis of adhesions.

Bilateral Mammogram
Bilateral Mammogram, (abnormal) additional views requested

Bilateral Tubal Occlusion - Laparoscopic
Desires permanent sterilization. Laparoscopic bilateral tubal occlusion with Hulka clips.

Biophysical Profile
BPP of Gravida 1, para 0 at 33 weeks 5 days by early dating. The patient is developing gestational diabetes.

Biophysical Profile - 1
Ultrasound BPP - Advanced maternal age and hypertension.

Breast Calcifications - Preop Consult
Suspicious calcifications upper outer quadrant, left breast. Left breast excisional biopsy with preoperative guidewire localization and intraoperative specimen radiography.

Breast Mass Excision
Excision of right breast mass. Right breast mass with atypical proliferative cells on fine-needle aspiration.

Breast Mass Excision - 1
Left breast mass and hypertrophic scar of the left breast. Excision of left breast mass and revision of scar. The patient is status post left breast biopsy, which showed a fibrocystic disease with now a palpable mass just superior to the previous biopsy site.

Breast Mass Excision - 2
Excision of left breast mass. The mass was identified adjacent to the left nipple. It was freely mobile and it did not seem to hold the skin.

Breast Radiation Therapy Followup
Breast radiation therapy followup note. Left breast adenocarcinoma stage T3 N1b M0, stage IIIA.

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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