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Bronchoscopy Clinical Record

This document contains a clinical record for a bronchoscopy procedure performed on a patient. It includes the patient's identifying information, the physician performing the procedure, the date, and the indications for the procedure. The findings from examining different areas of the lungs and airways during the procedure are documented. Any specimens collected, complications encountered, the conclusions drawn, and recommendations are also summarized. The record is signed by the attending physician.

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hamm hammmoud
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951 views2 pages

Bronchoscopy Clinical Record

This document contains a clinical record for a bronchoscopy procedure performed on a patient. It includes the patient's identifying information, the physician performing the procedure, the date, and the indications for the procedure. The findings from examining different areas of the lungs and airways during the procedure are documented. Any specimens collected, complications encountered, the conclusions drawn, and recommendations are also summarized. The record is signed by the attending physician.

Uploaded by

hamm hammmoud
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Patient Name: ___________ ____________ ______________

First Middle Last

Date Of Birth: _____ _____ ______  Male  Female


D M Y

Medical File No: ________________ Admission No: ______________


Clinical record of Bronchoscopy
Service: _______________ Bed No: ________ Class: ____________

Physician: _________________code:______ Date: ______________________


Indication:

Consent: consent was obtained prior to doing procedure.It’s indications,complications and alternatives
were discussed with the patient and or patients family member.

Pre-medication : _________________________________ Anesthesia _______________________________

Operative Findings:

NOSE :
Pharynx:
Larynx:
Vocal cords:
Trachea :
Carina:
Left lung :
Left main bronchus:
Left upper bronchus :
Lingula : superior:
Inferior :
Left upper lobe : Anterior:
ApicoPosterior:
Left lower bronchus:
Left lower lobe Superior:
Anterormedial:
Lateral :
Posterior :
Right main bronchus:
Right Upper lobe bronchus :
Apical
Anterior
Posterior
Bronchus intermedius:
Right middle lobe : lateral
Medial :
Right Lower lobe bronchus:
Superior
Medial basal:
Anterior
Lateral
Posterior

Page 1 of 2 PF M Rev. QF
Specimen Collected:

Complications:

CONCLUSION:

Recommendation:

Physician ______________________________
Name & Signature

Page 2 of 2 PF N11 Rev.21.08.21 QF

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