Transcribed Medical Transcription Sample Reports and Examples
MT HelpLine Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Psychiatry / Psychology

Emphasize emotional health by helping to correct behavioral disorders, treating depression and managing persons with major thought disorders.



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Adjustment Disorder & Encopresis
The patient was referred due to concerns regarding behavioral acting out as well as encopresis.

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

Asperger Disorder
School reports continuing difficulties with repetitive questioning, obsession with cleanness on a daily basis, concerned about his inability to relate this well in the classroom. Asperger disorder. Obsessive compulsive disorder.

Attempted Suicide - Consult
The patient is a 21-year-old Caucasian male, who attempted suicide by trying to jump from a moving car, which was being driven by his mother.

Bipolar Affective Disorder - Consult
The patient has a manic disorder, is presently psychotic with flight of ideas, tangential speech, rapid pressured speech and behavior, impulsive behavior. Bipolar affective disorder, manic state. Rule out depression.

Conversion Disorder
The patient was referred after he was hospitalized for what eventually was diagnosed as a conversion disorder.

Falls - Discharge Summary
Falls at home. Anxiety and depression. The patient had been increasingly anxious and freely admitted that she was depressed at home.

Huntington's Disease - Consult
This is a 69-year-old white woman with Huntington disease, who presents with the third suicide attempt in the past two months.

Major Depressive Disorder - IME Consult
Patient presented with significant muscle tremor, constant headaches, excessive nervousness, poor concentration, and poor ability to focus.

Mental Status Changes - Consult
Mental status changes after a fall. She sustained a concussion with postconcussive symptoms and syndrome that has resolved.

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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