DISCHARGE SUMMARY____________________________________ Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/---Date of Discharge: 03/30/---Admitting Diagnosis: Ectopic pregnancy. Surgical Procedures 1. Exploratory laparotomy. 2. Partial salpingectomy. 3. Evacuation of hemoperitoneum. 4. Lysis of adhesions. Complications: Blood loss requiring transfusion x2. HISTORY: This 35-year-old white female‚ gravida 3‚ para 1-0-2-1‚ had her last menstrual period in early January. Prior
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DISCHARGE SUMMARY Patient Name: ENGELHART‚ Benjamin Patient ID: 112592 DOB: 10/5/1967 Age: 46 Sex: Male Date of Admission: 11/14/2012 Date of Discharge: 11/17/2012 Admitting Physician: Bernard Kester‚ MD‚ General Surgery Procedures Performed: Laparoscopic appendectomy‚ with placemat of right lower quadrant drain 11/14/2012 Complications: None Discharge Diagnosis: Acute suppurative appendicitis‚ perforated. DIAGNOSTIC LAB/IMAGING: Lab results
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DISCHARGE SUMMARY Patient Name: Adela Torres Patient ID: 132463 DOB: Age: 57 Sex: Female Date of Admission: 6/22/---- Date of Discharge: 6/25/---- Admitting Physician: Liam Medina‚ MD Consultations: Sachi Kto‚ MD‚ Dermatology Procedures Performed: Intravenis Hydration Complications: None Discharge Diagnosis: 1. Methotrexate related dermatitis. 2. Rheumatoid arthritis class 3 stage 4 3. Osteoporosis
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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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Summary of the Transcription Process Anyone who has studied with me privately or in a master class situation‚ whether advanced or not are aware of my feelings about transcribing solos. My DVD on the subject‚ The Improviser’s Guide To Transcription (Caris Music Services)‚ provides a step by step analysis of the how and why of this process. In my opinion‚ it is the most efficient and productive technique for learning to improvise in the jazz tradition‚ or in any tradition for that matter. It is
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upper and lower extremities‚ although occasionally on her left‚ that is becoming more frequent although still is intermittent. ALLERGIES No known drug allergies. MEDICATIONS She is on multivitamin daily and Premarin 0.625 mg daily. PAST MEDICAL HISTORY She had the back problems as above. Has migraine headaches since about 10. Has had about 4 in the last 2 years‚ not very frequent. She has a history of asthma. No other chronic problems. PAST SURGICAL HISTORY She had tonsillectomy‚ hysterectomy
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112592 DOB: 10/5 Age: 46 Sex: Male Date of admission: 11/14/---- Emergency room physician: Alex McClure M.D. Admitting diagnosis: Acute appendicitis. History of present illness: This 46 year old gentlemen with past medical history significant only for the generative disease of bi-lateral hips‚ secondary arthritis presents to the emergency room after having had three days of abdominal pain. It initially started three days ago and was generalized big abdominal complaint
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HISTORY AND PHYSICAL EXAMINATION or EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Putul Barua Patient ID: 135799 DOB: 1970 Age: 42 Sex: Male Room No.: CCU 4 Date of Admission/Date of Arrival: 01/07/2012 Admitting/Attending Physician: Simon Williams‚ MD Admitting Diagnosis: 1. Rule out myocardial infarction. 2. History of TB 3. Hemoptysis. 4. Status post embolectomy. Chief Complaint: Tightness in the chest‚ shortness of breath‚ fast heart rate. HISTORY OF
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to worsening redness as well as infection of the nail bed. Orthopedics consult was requested on 09/30/---- for possible paronychia. The patient at that time was having no fevers or chills and he was tolerating his antibiotic regiment well. PAST MEDICAL SURGICAL HISTORY: None other than circumcision shortly after birth. BIRTH HISTORY: Normal full-term vaginal delivery. FAMILY HISTORY: Non-contributory. SOCIAL HISTORY: Patient lives with his mother and a sibling‚ Father deceased. PHYSICAL
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TRANSCRIPTION Submitted To: Ma’am Shumaila Nadeem Submitted By: Zinnia Shah Date of Submission: Sep’25th-2014 KINNAIRD COLLEGE for WOMEN CONTENTS Introduction to transcription in eukaryotic cells -RNA-polymerases -promoters -outline of steps involved in transcription -transcription factors -basal-transcription-apparatus
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