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Medical Specialty
Allergy / Immunology
Autopsy
Bariatrics
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Chiropractic
Consult - History and Phy.
Cosmetic / Plastic Surgery
Dentistry
Dermatology
Diets and Nutritions
Discharge Summary
Emergency Room Reports
Endocrinology
ENT - Otolaryngology
Gastroenterology
General Medicine
Hematology - Oncology
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IME-QME-Work Comp etc.
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SOAP / Chart / Progress Notes
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SOAP / Chart / Progress Notes - Medical Reports
Acne - SOAP
Acquired Hypothyroidism Followup
Allergic Rhinitis
Anemia & Leukemia Followup
Aplastic Anemia Followup
Asperger Disorder
Atrial Fibrillation - SOAP
Atrial Flutter - Progress Note
Bell's Palsy
Breast Cancer Followup
Breast Cancer Followup - 1
Breast Radiation Therapy Followup
Bunions and Calluses
CAD - 6-Month Followup
Carbohydrate Counting
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Cardiology Progress Note - 1
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Cervicalgia
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Chronic Kidney Disease Followup - 1
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Circumcision Followup
Clostridium Difficile Colitis Followup
COPD & Pneumonia - SOAP
Craniopharyngioma - Postop
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D&C & Hysteroscopy Followup
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Diabetes Mellitus - SOAP Note - 2
Diabetes Mellitus Followup
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Dietary Consult - 3
Dietary Consult - 4
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Dietary Consult - Gestational Diabetes
Dietary Consult - Hyperlipidemia
Dietary Consult - Weight Reduction
Down's syndrome
E. Coli UTI - Followup
Elevated PSA - Chart Note
Endometrial Cancer Followup
Erectile Dysfunction - Followup
Evaluation of Allergies
Facial Rhytids
Fifth Disease - SOAP
Followup Screw Fixation
Foot Lesions
Foot Pain - SOAP
Foreskin - Followup
Fundoplication & Gastrostomy Followup
Gastric Bypass - Preop Eval
Gen Med Progress Note
Gen Med Progress Note - 1
Gen Med Progress Note - 10
Gen Med Progress Note - 11
Gen Med Progress Note - 12
Gen Med Progress Note - 13
Gen Med Progress Note - 2
Gen Med Progress Note - 3
Gen Med Progress Note - 4
Gen Med Progress Note - 5
Gen Med Progress Note - 6
Gen Med Progress Note - 7
Gen Med Progress Note - 8
Gen Med Progress Note - 9
Gen Med SOAP
Gen Med SOAP - 1
Gen Med SOAP - 10
Gen Med SOAP - 11
Gen Med SOAP - 2
Gen Med SOAP - 3
Gen Med SOAP - 4
Gen Med SOAP - 5
Gen Med SOAP - 6
Gen Med SOAP - 7
Gen Med SOAP - 8
Gen Med SOAP - 9
Hand Discomfort - Followup
HIV Followup
HIV Followup - 1
Hypertension - Progress Note
Infected Toenails
Ischemic Cardiac Disease - Progress Note
Laminectomy & Foraminotomy Followup
Lap Band Adjustment
Leg Pain - Progress Note
Leg Pain & Bone Pain
Lobectomy - Followup
Low Back Pain from Exercise
Lung Biopsy Discussion
Lung Cancer Followup
Mantle Cell Lymphoma
Melena - ICU Followup
Mesothelioma - Chart Note
MGUS Followup
Multiple Medical Problems
Multiple Progress Notes
Nephrolithiasis - Progress Note
Neurologic Examination
Non-Hodgkin lymphoma Followup
Obesity Hypoventilation Syndrome
Ophthalmology Progress Note - 1
Ophthalmology Progress Note - 2
ORIF - Followup
ORIF Facial Fractures - Followup
Osteoarthritis - Progress Note
Overactive Bladder
PAF - 6-Month Followup
Pain Management Progress Note
Physical Therapy - Outpatient Rehab
Plantar Fasciitis
Podiatry - Progress Note
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Polycythemia Rubra Vera
Polycythemia Vera Followup
Possible Spider Bite
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Progress Note - Liver Cirrhosis
Progress Note - Supraglottitis
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Pulmonary Medicine Clinic Followup
Q-Fever Endocarditis
Recheck of ADHD Meds
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Rheumatology Progress Note
Rotator Cuff Tear
Sexual Dysfunction - Chart Note
Shortness Of Breath - Progress Note
Sleep Apnea
Sleep Study Followup
SOAP - Cholecystitis
SOAP - Lung Mass
SOAP - Numbness & Tingling
SOAP - Shortness of Breath
SOAP - Substance Abuse
SOAP - Temporal Mass
Tethered Cord Evaluation
Three-Week Postpartum Checkup
Thrombocytopenia - SOAP Note
Thrombocytosis Followup
Total Abdominal Hysterectomy - Followup
URI - SOAP
Urinary Frequency & Urgency - Followup
Urinary Retention - Followup
Uterine Papillary Serous Carcinoma
Wasp Sting - SOAP
Weight Loss on Phentermine
Wound Check - Status Post APR
Medical Specialty:
SOAP / Chart / Progress Notes
Sample Name: Ophthalmology Progress Note - 1
Description: Ophthalmology followup visit note.
(Medical Transcription Sample Report)
Visual acuities at this date were measured at 20/25 in the right eye and 20/20 in the left eye with correction. Pupils were equal, round, and reactive to light with no afferent pupillary defects. Extraocular muscle movements were smooth and full. Intraocular pressures were measured at 18 mmHg in the right eye and 20 mmHg in the left eye, by applanation. A dilated fundus examination was performed using a 20-diopter lens with the binocular indirect ophthalmoscope. The examination revealed retinal pigmentary epithelial changes in both eyes with no holes, tears, or detachments apparent around 360 degrees of either retina.
She is stable at this time and does not require any intervention at today's visit. I have asked her to return in six months' for a followup dilated examination, but would be happy to see her sooner should you or she notice any changes in her vision.
See More Samples on SOAP / Chart / Progress Notes
Acne - SOAP
Acquired Hypothyroidism Followup
Allergic Rhinitis
Anemia & Leukemia Followup
Aplastic Anemia Followup
Asperger Disorder
Atrial Fibrillation - SOAP
Atrial Flutter - Progress Note
Bell's Palsy
Breast Cancer Followup
Breast Cancer Followup - 1
Breast Radiation Therapy Followup
Bunions and Calluses
CAD - 6-Month Followup
Carbohydrate Counting
Cardiology Progress Note
Cardiology Progress Note - 1
Care Conference With Family
Cataract - Second Opinion
Cataract Extraction Followup
Cervical Spinal Stenosis
Cervicalgia
Chest Pain & Respiratory Insufficiency
Chiropractic Progress Note
Chronic Kidney Disease Followup
Chronic Kidney Disease Followup - 1
Chronic Medical Conditions - Followup
Circumcision Followup
Clostridium Difficile Colitis Followup
COPD & Pneumonia - SOAP
Craniopharyngioma - Postop
CyberKnife Treatment - Followup
D&C & Hysteroscopy Followup
Dermatitis - SOAP
Deviated Septum Repair - Followup
Diabetes Mellitus - SOAP Note - 1
Diabetes Mellitus - SOAP Note - 2
Diabetes Mellitus Followup
Diabetic Foot Care
Dietary Consult - 1
Dietary Consult - 2
Dietary Consult - 3
Dietary Consult - 4
Dietary Consult - Diabetes - 1
Dietary Consult - Diabetes - 2
Dietary Consult - Gestational Diabetes
Dietary Consult - Hyperlipidemia
Dietary Consult - Weight Reduction
Down's syndrome
E. Coli UTI - Followup
Elevated PSA - Chart Note
Endometrial Cancer Followup
Erectile Dysfunction - Followup
Evaluation of Allergies
Facial Rhytids
Fifth Disease - SOAP
Followup Screw Fixation
Foot Lesions
Foot Pain - SOAP
Foreskin - Followup
Fundoplication & Gastrostomy Followup
Gastric Bypass - Preop Eval
Gen Med Progress Note
Gen Med Progress Note - 1
Gen Med Progress Note - 10
Gen Med Progress Note - 11
Gen Med Progress Note - 12
Gen Med Progress Note - 13
Gen Med Progress Note - 2
Gen Med Progress Note - 3
Gen Med Progress Note - 4
Gen Med Progress Note - 5
Gen Med Progress Note - 6
Gen Med Progress Note - 7
Gen Med Progress Note - 8
Gen Med Progress Note - 9
Gen Med SOAP
Gen Med SOAP - 1
Gen Med SOAP - 10
Gen Med SOAP - 11
Gen Med SOAP - 2
Gen Med SOAP - 3
Gen Med SOAP - 4
Gen Med SOAP - 5
Gen Med SOAP - 6
Gen Med SOAP - 7
Gen Med SOAP - 8
Gen Med SOAP - 9
Hand Discomfort - Followup
HIV Followup
HIV Followup - 1
Hypertension - Progress Note
Infected Toenails
Ischemic Cardiac Disease - Progress Note
Laminectomy & Foraminotomy Followup
Lap Band Adjustment
Leg Pain - Progress Note
Leg Pain & Bone Pain
Lobectomy - Followup
Low Back Pain from Exercise
Lung Biopsy Discussion
Lung Cancer Followup
Mantle Cell Lymphoma
Melena - ICU Followup
Mesothelioma - Chart Note
MGUS Followup
Multiple Medical Problems
Multiple Progress Notes
Nephrolithiasis - Progress Note
Neurologic Examination
Non-Hodgkin lymphoma Followup
Obesity Hypoventilation Syndrome
Ophthalmology Progress Note - 1
Ophthalmology Progress Note - 2
ORIF - Followup
ORIF Facial Fractures - Followup
Osteoarthritis - Progress Note
Overactive Bladder
PAF - 6-Month Followup
Pain Management Progress Note
Physical Therapy - Outpatient Rehab
Plantar Fasciitis
Podiatry - Progress Note
Poison Ivy - SOAP
Polycythemia Rubra Vera
Polycythemia Vera Followup
Possible Spider Bite
Postop Parathyroid Exploration & Parathyroidectomy
Posttransplant Lymphoproliferative Disorder
Progress Note - Iron Deficiency Anemia
Progress Note - Liver Cirrhosis
Progress Note - Supraglottitis
Prostate Adenocarcinoma - 1
Prostate Adenocarcinoma - 2
Prostate Adenocarcinoma - 3
Prostate Adenocarcinoma - 4
Prostate Fossa Irradiation - Followup
Prostatitis - Recheck
Pulmonary - Followup Note
Pulmonary Medicine Clinic Followup
Q-Fever Endocarditis
Recheck of ADHD Meds
Refractory Hypertension - Followup
Rheumatology Progress Note
Rotator Cuff Tear
Sexual Dysfunction - Chart Note
Shortness Of Breath - Progress Note
Sleep Apnea
Sleep Study Followup
SOAP - Cholecystitis
SOAP - Lung Mass
SOAP - Numbness & Tingling
SOAP - Shortness of Breath
SOAP - Substance Abuse
SOAP - Temporal Mass
Tethered Cord Evaluation
Three-Week Postpartum Checkup
Thrombocytopenia - SOAP Note
Thrombocytosis Followup
Total Abdominal Hysterectomy - Followup
URI - SOAP
Urinary Frequency & Urgency - Followup
Urinary Retention - Followup
Uterine Papillary Serous Carcinoma
Wasp Sting - SOAP
Weight Loss on Phentermine
Wound Check - Status Post APR
Keywords: soap / chart / progress notes, visual acuities, extraocular muscle, intraocular pressure, pupils, afferent, applanation, binocular, dilated fundus, left eye, lens, movements, ophthalmoscope, pigmentary, retina, retinal, right eye, ophthalmology, acuities,