Medical Specialty:
Surgery

Sample Name: Colonoscopy Template - 5


Description: Common description of colonoscopy
(Medical Transcription Sample Report)


The patient was identified. Risks, benefits, and alternatives of the procedure were discussed with the patient. The patient understood, was consented, brought in the procedure room, and connected to the appropriate monitoring devices. Versed and fentanyl were given in divided doses. After appropriate sedation was achieved, a digital rectal examination was done and was normal. A well-lubricated colonoscope was then inserted and advanced under direct visualization to the level of the cecum. A picture was taken at the level of the cecum and the colonoscope was then slowly withdrawn. After the procedure was done, the colonoscope was removed, and the patient was returned to the recovery room in stable condition. There were no complications.


Keywords: surgery, cecum, colonoscope, digital rectal examination, colonoscopy,