Medical Specialty:
Surgery

Sample Name: Stab Wound Closure


Description: Stab wound, left posterolateral chest. Closure of stab wound.
(Medical Transcription Sample Report)


PREPROCEDURE DIAGNOSIS: Stab wound, left posterolateral chest.

POST PROCEDURE DIAGNOSIS: Stab wound, left posterolateral chest.

PROCEDURE PERFORMED: Closure of stab wound.

ANESTHESIA: 1% lidocaine with epinephrine by local infiltration.

NARRATIVE: The wound was irrigated copiously with 500 mL of irrigation and closed in 1 layer with staples after locally anesthetizing with 1% lidocaine with epinephrine. The patient tolerated the procedure well without apparent complications.


Keywords: surgery, posterolateral chest, stab wound, lidocaine, epinephrine, infiltration, closure,