Medical Documentation Proofreading Example 13

Proofreading

Ms. Brenda is a 69-year-old lady who presented for the hospital with chest pain or respiratory  insufficiency. She had chronic lung disease wit bronchospastic angina. We discovered new T-wave  abnormalities in her EKG. She has undergone a four-vessel bypass surgeries in 2001. We did a  coronary Angiogram. This demonstrated patent vein grafts and patent intern mammary vessel, and  there was no obvious knew disease. She may continue in the future to has angina and she will have  nitroglycerin available for that if needed. Her blood pressure has been elevated. So, instead of  metoprolol, we have started her on Coreg 6.25 mg bid. This should be increased upto 25 mg b.i.d. as  the prefferred anti hypertensive in this ladies case. She is on a ACE inhibitor. I would see her in a  month to six weeks. He is to follow up with Dr. Timothy prior to that.


medical proofreading practice

Answer

Ms. Brenda is a 69-year-old lady who presented to the hospital with chest pain and respiratory  insufficiency. She has chronic lung disease with bronchospastic angina. We discovered new T-wave  abnormalities in her EKG. She underwent a four-vessel bypass surgery in 2001. We did a  coronary angiogram. This demonstrated patent vein grafts and patent internal mammary vessel, and  there was no obvious new disease. She may continue in the future to have angina, and she will have  nitroglycerin available for that if needed. Her blood pressure has been elevated, so instead of  metoprolol, we have started her on Coreg 6.25 mg b.i.d. This should be increased up to 25 mg b.i.d. as  the preferred antihypertensive in this lady’s case. She is on an ACE inhibitor. I will see her in a  month to six weeks. She is to follow up with Dr. Timothy prior to that.

Comments

Post a Comment

Popular posts from this blog

Medical Documentation Proofreading Example 1

Image
Proofreading passage   This is a 52 year old inmate with a 5.5 cm diametre non functioning mass in his right adrenal. The procedure was explained including risks of infection, bleeding, possibility of transfusion and the possiblity of further treetments being required. An alternative to fully laproscopic is open surgery and watching the lesion. Answers This is a 52-year-old inmate with a 5.5-cm diameter non-functioning mass in his right adrenal. The procedure was explained including risks of infection, bleeding, the possibility of transfusi on, and the possibility of further treatments being required. An alternative to fully laparoscopic is open surgery or watching the lesion. Laparoscope: a fibre-optic instrument inserted through the abdominal wall to view the organs in the abdomen or permit small-scale surgery.
Read more

Medical Documentation Proofreading Example 2

Image
Proofreading The patient is a 69 year old female with history of hysterectomy, who complained of urgency, frequency and stress urinary incontinence. The patient had urodynamics did and a cystoscopy, which reveeled intrinsic sphincter deficiency. Options such as watchful waiting and kegel exercises were discussed. The risks and benefits of all the procedures was discussed. The patient understood, and wanted to proceed with BioArc. Risk of failure of the procedure, recurence of incontinence due to urgency, mesh erosion, exposure, etc, were discussed. The patient understood the risk of infection and wants to proceed with the procedure. The patient was told that due to the intrinsic sphincter deficiency we will try to make the sling a little bit tighter to allow better urethrel closure. Answer The patient is a 69-year-old female with a history of hysterectomy, who complained of urgency, frequenc y, a nd stress urinary incontinence. The patient had urodynamics done and a cystoscopy, whic
Read more

Medical Documentation Proofreading Example 3

Image
Proofreading This is a 73 year old gentleman who were recently noted to has some erythmatous, somewhat raised bladder lesions in the bladder mucosa in Cystoscopy. She was treated for a large transitional cell carcinoma of the bladder with TURBT in 2002, and subsequently underwent chemotherapy because of pulmonery nodules. He has some low grade non-invasive small tumour recurrences on one or two occasion over the past 18 month. Recent cystoscopy raise suspicion of another recurrences. Answer This is a 73-year-old gentleman who was recently noted to have some erythematous , somewhat raised bladder lesions in the bladder mucosa in cystoscopy . He was treated for a large transitional cell carcinoma of the bladder with TURBT in 200 2 a n d, s ubsequent ly, u nderwent chemotherapy because of pulmonary nodules. He has had some low-grade non-invasive small tumor recurrences on one or two occasions over the past 18 months . Recent cystoscopy raises suspicion of another recurrence . Bl
Read more