Sample Type: Dermatology

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Acne - SOAP
Acne with folliculitis.

Acne Vulgaris
A simple note on Acne Vulgaris.

Acne Vulgaris - H&P
Acne from continually washing area, frequent phone use so the receiver rubs on face and oral contraceptive use - Acne Vulgaris

Atopic Eczema
1+ year, black female for initial evaluation of a lifelong history of atopic eczema.

Biopsy - Actinic Keratosis
Excisional biopsy of actinic keratosis and skin nevus, two-layer and one-layer plastic closures,

Biopsy - Skin Nevus
Excisional biopsy of skin nevus and two-layer plastic closure. Trichloroacetic acid treatment to left lateral nasal skin 2.5 cm to treat actinic keratosis.

Burn - Consult
First-degree and second-degree burns, right arm secondary to hot oil spill - Workers' Compensation industrial injury.

Cheek-Neck Facelift
Temporal cheek-neck facelift and submental suction assisted lipectomy to correct facial and neck skin ptosis and cheek, neck, and jowl lipotosis, and facial rhytides.

Dermatitis - SOAP
Hand dermatitis.

Epidermal Autograft
A 60% total body surface area flame burns, status post multiple prior excisions and staged graftings. Epidermal autograft on Integra to the back and application of allograft to areas of the lost Integra, not grafted on the back.

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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