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Medical Specialty:
Gastroenterology
Sample Name: Colonoscopy Template - 4
Description: Common description of colonoscopy
(Medical Transcription Sample Report)
Informed consent was obtained from the patient after the risks and benefits of the procedure were explained. The risks that were explained were bleeding, infection, perforation, and allergic reaction to the medications, as well as the possibility of missing small polyps within the colon. Conscious sedation was achieved with the patient lying in the left lateral decubitus position.
A colonoscope was then passed through the rectum, all the way toward the cecum, which was identified by the presence of the appendiceal orifice and ileocecal valve. This was done without difficulty and the bowel preparation was good. The ileocecal valve was intubated and the distal 2 to 3 cm of terminal ileum was inspected and was normal. The colonoscope was then slowly withdrawn and a careful examination of the mucosa was performed.
COMPLICATIONS: None.
See More Samples on Gastroenterology
Abdominal Abscess I&D
Abdominal Exploration
Abdominal Pain - Consult
Abscess Excision
Admission History & Physical - Nausea
Adrenalectomy & Umbilical Hernia Repair
Air Under Diaphragm - Consult
Appendectomy
Appendectomy - 1
Appendectomy - Laparoscopic
Appendectomy Laparoscopic
Appendectomy Laparoscopic - 1
Barium Enema
Barium Swallow Study & Speech Evaluation
Barium Swallow Study & Speech Evaluation - 1
Barium Swallow Study Evaluation
Barium Swallow Study Evaluation - 1
BICAP Cautery
Blood In Toilet
Blood per Rectum
C. Diff Colitis Consult
Cecal Polyp Resection
Cholangiocarcinoma Consult
Cholecystectomy - Open
Cholecystectomy & Cholangiogram.
Cholecystectomy Laparoscopic
Cholecystitis - Discharge Summary
Cholecystostomy Tube Placement
Clostridium Difficile Colitis Followup
Colon Cancer Consult
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Colonoscopy With Photos
Colostomy Failure
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Consult - Laparoscopic Cholecystectomy
Consult - Multiple Colon Polyps
Consult - Rectal Bleeding
Consult - Screening Colonoscopy
Consult for Colostomy Reversal
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CT Abdomen & Pelvis - 8
CT Abdomen & Pelvis - 9
CT Abdomen & Pelvis - OB-GYN
CT Scan of Abdomen & Pelvis with Contrast
Deglutition Study - Modified Barium swallow
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Diverticulectomy & Laparotomy
Dysphagia & Hematemesis
EGD - 1
EGD - 2
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EGD with Biopsy - 1
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EGD with Dilation
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Endoscopy
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Endoscopy - 4
Endoscopy Template
Endoscopy With Biopsy
Endovascular Abdominal Aortic Aneurysm Repair
Epigastric Herniorrhaphy
ER Report - Stomach Pain
ERCP
Esophagogastrectomy, Jejunostomy, & Chest Tubes
Esophagogastroduodenoscopy
Esophagogastroduodenoscopy - 1
Esophagogastroduodenoscopy - 10
Esophagogastroduodenoscopy - 11
Esophagogastroduodenoscopy - 12
Esophagogastroduodenoscopy - 13
Esophagogastroduodenoscopy - 2
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Esophagogastroduodenoscopy with Biopsies -2
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Flex Sig
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Foul-Smelling Urine
Fundoplication & Gastrostomy Followup
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Juxtarenal Abdominal Aortic Aneurysm Repair
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Laparoscopic Cholecystectomy - 2
Laparoscopic Cholecystectomy - 3
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Laparoscopic Gastric Bypass
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Laparoscopy & Laparoscopic Appendectomy
Laparoscopy & Sigmoidoscopy
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Liver Biopsy
Lower Quadrant Pain
Melena - ICU Followup
Multiple Medical Problems - Discharge Summary
Nissen Fundoplication
Open Cholecystectomy
Pancreatic Mass - Discharge Summary
Paracentesis
Paracentesis - Ultrasound-Guided
PEG Tube
Postop Transanal Excision
Proctitis & Proctocolitis
Progress Note - Liver Cirrhosis
Rectal Bleeding - 1-year-old
Rectal Bleeding - Consult
Sigmoidoscopy - 1
Small Bowel Obstruction
SOAP - Cholecystitis
Stamm Gastrostomy Tube Placement
Status Post Liver Transplant
Surgical Closure of Gastrostomy
Thoracotomy & Esophageal Exploration
Ttriple-Lumen Central Line
Ultrasound - Abdomen
Ultrasound - Abdomen - 1
Umbilical Hernia Repair
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Upper Endoscopy
Upper Endoscopy - Foreign Body Removal
Viral Gastroenteritis
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Keywords: gastroenterology, cecum, colonoscope, bleeding, infection, perforation, allergic reaction, ileocecal valve, informed, allergic, ileocecal, valve, colonoscopy,