Medical Documentation Proofreading Example 4
Proofreading 1 The patient is a 68 year old caucasian male with history of gross hematuria. The patient presented to the Emergency room near her hometown on 24/12/2007 for evaluation of these gross hematuria. A CT scan were performed, which demonstrates no hydronephrosis and upper tract process, however there was significant thickening of the left and posterior bladder wall. A urology referrel was initiated and the patient was send to be evaluated by Dr Samson. He eventually underwent a bladder biopsi on 01/18/08, which demonstrated high grade transitional cell carcinoma with out any muscularis propria in the speciman. Additionally the patients underwent a workup for a right adrenal lesion, which were noted on the initial CT scan. This work up involved serum cortisol analysis as well as potassium and aldosterone and ACTH level mesurement. All of these workup was found to be grossly negative. Secondery to the absence of muscle in the specimen the patient was taken aback to the operating...