OPERATIVE REPORT Patient Name: Patul Barua Patient ID.: 135799 Room No.: CCU 4 Date of Surgery: 01/08/---- Admitting Physician: Simon Williams‚ MD‚ Pulmonology Surgeon: Simon Williams‚ MD Preoperative Diagnosis: Recent onset hemoptysis‚ history of tuberculosis. Postoperative Diagnoses: No tuberculosis lesions seen. Surgical Procedures: Bronchoscopy. Specimen Removed: Blood clots. INDICATIONS: Mr. Barua requires bronchoscopy because of recent onset
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OPERATIVE REPORT PREOPERATIVE DIAGNOSIS 1. Left palmar mass. POSTOPERATIVE DIAGNOSIS 1. Left ring finger tendon sheath ganglion. PROCEDURE 1. Excision of left ring finger ganglion cyst. ANESTHESIA Local. ESTIMATED BLOOD LOSS 2cc. TOURNIQUET TIME 4 minutes. COMPLICATIONS None. INDICATIONS This is a 42 year old right hand dominant female who recently presented complaining of the presence of a left palmar mass. Patient states the mass has been present for several months
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OPERATIVE REPORT Patient Name: Brenda C. Seggerman Patient ID: 903321 DOB: Age: 35 Sex: F Date of Admission: 03/27/xxxx Date of Procedure: 03/27/xxxx Admitting Physician: Surgeon: Rosemary Bumbak‚ M.D.‚ OBGYN Assistant: Michael Gerard‚ DO Preoperative Diagnosis: Left tubal ectopic pregnancy Postoperative Diagnosis: 1) Ruptured left tubal ectopic pregnancy 2) Hemoperitoneum 3) Pelvic adhesions Operative Procedure: The patient was prepped and draped in the usual manner and placed under
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OPERATIVE REPORT Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/---- Date of Surgery: 03/27/---- Surgeon: Rosemary Bumbak‚ MD Assistant: Michael Gerard‚ DO Anesthesia: General endotracheal by Dr. Carl Erickson Avalon‚ MD Estimated Blood Loss: Approximately 1‚000mL requiring transfusion up to 2 units of type O blood Specimen Removed: Portion of the left fallopian tube containing the ectopic pregnancy. Preoperative Diagnosis: Left tubal
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OPERATIVE REPORT Patient Name: J. Randy Rolen Patient ID: 115037 Date of Surgery: 12/13/---- Admitting Physician: Leon Medina‚ MD‚ Internal Medicine Surgeon: Simon Williams‚ MD‚ Pulmonary/Thoracic Surgery Preoperative Diagnosis: Recurrent right pneumothorax. Postoperative Diagnosis: Same. Operative Procedure: Right chest tube thoracostomy‚ pleura drainage. Anesthesia: Xylocaine 1%. Specimen Removed: Pleural fluid sent for cytology. INDICATIONS: This 61-year-old white male presents
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OPERATIVE REPORT PATIENT: Greggory‚ Terry Emily SURGERY NO: B1821 UNIT NO: 2 SEX: F DATE: 04/0908 DOB/ AGE: 08/06/1956 (51) ANESTHESIA: General SURGEON: Gerald Bond‚ MD Preoperative Diagnosis: Recurrent left
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The future of medical transcription The future of medical transcription Many training for the field of medical transcription are in fear of choosing a career that may no longer hold value in the healthcare industry. Due to the Health Information Technology for Economic and Clinical Health (HITECH) Act‚ the United States health care system is making an industry-wide movement towards an electronic environment for health information management (Office of the National Coordinator for Health Information
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RESEARCH PROJECT (Medical Transcription 1‚ HIT 207 Background As a medical transcriptionist‚ you’ll work with many different medical specialties. It’s important to have a basic knowledge of medical specialties so you can better understand the medical transcription submitted. Procedure 1. Identify eight medical specialties. List the specialties and write two paragraphs about seven specialties. 2. From the eight specialties you cover‚ select one that particularly interests you. For
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A medical transcriptionist works with many different medical specialties. Each specialty is unique‚ yet each needs assistance from health care workers in other specialties to do their jobs. Eight medical specialties that will be reviewed are: radiology‚ dermatology‚ cardiology‚ obstetrics and gynecology‚ psychiatry‚ neurology‚ ophthalmology‚ and orthopedics. The eighth specialty‚ orthopedics‚ will be reviewed in the most detail. RADIOLOGY The main purpose of one field of medicine is to assist
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RESEARCH PROJECT Background As a medical transcriptionist‚ you’ll work with many different medical specialties. It’s important to have a basic knowledge of medical specialties so you can better understand the medical transcription submitted. Procedure Go to http://lessons.pennfoster.com/pdf/sp0754.pdf to read the instructions for research projects. Then follow these steps: 1. Identify eight medical specialties. List the specialties and write two paragraphs about seven specialities. 2
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