Transcribed Medical Transcription Sample Reports and Examples
MT HelpLine Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Obstetrics / Gynecology

The OB/GYN profession cares for women who are pregnant, during the prenatal, delivery and postnatal stages of pregnancy. Also treats diseases and provides routine physical care of the female reproductive system.

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Breast Ultrasound & Biopsy
Diagnostic mammogram, full-field digital, ultrasound of the breast and mammotome core biopsy of the left breast.

BTL & Salpingectomy
Repeat low transverse cervical cesarean section with delivery of a viable female neonate. Bilateral tubal ligation and partial salpingectomy. Lysis of adhesions.

Cesarean Section
Cesarean Section. An incision was made as noted above in the findings and carried down through the subcutaneous tissue, muscular fascia and peritoneum.

Cesarean Section & BTL
Repeat low-transverse cesarean section, bilateral tubal ligation (BTL), extensive anterior abdominal wall/uterine/bladder adhesiolysis. Term pregnancy and desires permanent sterilization.

Cholestasis Of Pregnancy
Delivered pregnancy, cholestasis of pregnancy, fetal intolerance to labor, failure to progress. Primary low transverse cesarean section.

Colpocleisis and rectocele repair.

Complete Physical - Female
An 18-year-old white female who presents for complete physical, Pap, and breast exam.

Cone Biopsy
Cervical cone biopsy, dilatation & curettage

Consult/ER Report - OB/GYN
A female with unknown gestational age who presents to the ED after a suicide attempt.

CT Abdomen & Pelvis - OB-GYN
Abdominal pain. CT examination of the abdomen and pelvis with intravenous contrast.

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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