Transcribed Medical Transcription Sample Reports and Examples
MT HelpLine Transcribed Medical Transcription Sample Reports and Examples
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as on 19-03-2014
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Sample Type / Medical Specialty: Emergency Room Reports

Close monitoring/treatment of a seriously ill patient (including post surgical care) that enables immediate treatment in a controlled environment such as an intensive care unit.



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Abdominal Pain - Consult
The patient presented to the emergency room last evening with approximately 7- to 8-day history of abdominal pain which has been persistent.

Abrasions & Lacerations - ER Visit
A 12-year-old fell off his bicycle, not wearing a helmet, a few hours ago. There was loss of consciousness. The patient complains of neck pain.

Accidental Celesta Ingestion - ER Visit
Patient is a three years old male who about 45 minutes prior admission to the emergency room ingested about two to three tablets of Celesta 40 mg per tablets.

Acute Inferior Myocardial Infarction
Patient presents with a chief complaint of chest pain admitted to Coronary Care Unit due to acute inferior myocardial infarction.

Agitation - ER Visit
Acute episode of agitation. She was complaining that she felt she might have been poisoned at her care facility.

Air Under Diaphragm - Consult
Possible free air under the diaphragm. On a chest x-ray for what appeared to be shortness of breath she was found to have what was thought to be free air under the right diaphragm. No intra-abdominal pathology.

Airway Compromise & Foreign Body - ER Visit
The patient is a 17-year-old female, who presents to the emergency room with foreign body and airway compromise and was taken to the operating room. She was intubated and fishbone.

Altered Mental Status - ER Visit
A 6-year-old was laying down on one side, and he was crying and moaning, sent from the Emergency Room with the diagnosis of intracranial bleeding.

Angina - Consult
Patient had a recurrent left arm pain after her stent, three days ago, and this persisted after two sublingual nitroglycerin.

Ankle pain
Acute foot or ankle sprain, possible small fracture.

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NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples