Breast Cancer Followup - 1 Stage IIA right breast cancer. The pathology showed an infiltrating ductal carcinoma Nottingham grade II. The tumor was ER positive, PR positive and HER-2/neu negative.
Bunions and Calluses A 60-year-old female presents today for care of painful calluses and benign lesions.
CAD - 6-Month Followup He is a 67-year-old man who suffers from chronic anxiety and coronary artery disease and DJD. He has been having some chest pains, but overall he does not sound too concerning. He does note some more shortness of breath than usual. He has had no palpitations or lightheadedness. No problems with edema.
Carbohydrate Counting Dietary consultation for carbohydrate counting for type I diabetes.
Cardiology Progress Note Problem of essential hypertension. Symptoms that suggested intracranial pathology.
Cardiology Progress Note - 1 Congestive heart failure due to rapid atrial fibrillation and systolic dysfunction.
Care Conference With Family Care conference with family at the bedside and decision to change posture of care from aggressive full code status to terminal wean with comfort care measures in a patient with code last night with CPR and advanced cardiac life support.
Cataract - Second Opinion The patient seeks evaluation for a second opinion concerning cataract extraction.
Cataract Extraction Followup Patient follows up for cataract extraction with lens implant 2 weeks ago. Recovering well from her cataract operation in the right eye with residual corneal swelling, which should resolve in the next 2 to 3 weeks.
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.
