Samples Main Menu

Go To Page: | 1 | 2 | 3 | 4 | 5 |

Edited Sample Report

Thank you for sending this patient for review with respect to his diabetes. He has been diabetic since 1989 and does have some peripheral dermopathy.

He had noticed blurring of his vision in his left eye several weeks ago for both distance and near but this has subsequently settled.

His glucometers run between lowest of 6 and highest of 11.

Meds: Accupril, Glyburide, Metformin.

He also complained of a single episode, lasting for five minutes, of horizontal diplopia at approximately a three foot distance which was the only such episode and has not recurred.

Exam showed acuity of 20/20 in the right eye and 20/25 in the left with normal pupils and eye movements. Cross-cover testing showed no eye movement abnormalities. Slit lamp exam shows increasing cataract peripherally in the right eye and centrally on the left. The pressures are 22 bilaterally with no significant evidence of optic disk cupping. There was no diabetic retinopathy of note.

Impressions: 1) Borderline intraocular pressures.
                     2) Modest cataract not yet visually significant.
                     3) No significant diabetic retinopathy.

I believe some of his blurring is the developing cataract and this should be watched. He still qualifies for a driver's licence and I believe examination in one year is soon enough.

Thank you for sending this ***-year-old woman for ocular review. She is noticing some changes in her acuity.

Meds: Imitrex, beta blocker, Naprosyn.

Exam shows best acuity of 20/20 in the right eye and 20/20 in the left with a significant change to the left refraction. She does require a reading adjustment to see small print at near. It also appears that the contact lens is tight and requires refitting.

Impressions:  1)  Myopia.
                     2) Increasing myopia left eye.
                     3) Early presbyopia.

A new prescription was issued. There is nothing else that requires investigation or treatment at this time, but the degree of high myopia suggests she should be examined regularly.

Practice Your Transcription - Real Physician Dictation on Tapes or CD-ROMs

Practice Transcription With The Best Dictation Tapes / CDs Available: Any Three of Nine Specialties: 105.00 US$: DETAILS All Nine Specialties in 16-Tape Set Standard Size: Only 269.00 US$ DETAILS All Nine Specialties in 16-Tape Set Micro Size: Only 269.00 US$ DETAILS All Nine Specialties on CD-ROM: Only 269.00 US$  DETAILS Special Classroom Package: 439.00 US$ DETAILS Three Specialty Combinations on CD-ROM: 115.00 US$ DETAILS ALL dictation is authentic, real-world physician dictation Each single tape has about 60 minutes of content Transcript "key" (transcribed dictation) is included for each and every dictation Practice Your Transcription: Real Physician Dictation: Main Page / 3 CD-ROM Set / One 16-Tape Set Standard or Micro / Classroom Package / Combination CD-ROM Sets / Three 2-Tape Sets / Cardiology / ESL Internal Medicine / Family Medicine / FAQs / Gastroenterology / General Surgery / Neurology / Otolaryngology / Radiology / Single Tapes Menu / Urology / WAVpedal & CD-ROM Internet Bundle

Copying Sample Reports, Lists & Outlines

About Canadian MT’s Reports, Lists & Outlines