Sample Type: Discharge Summary

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Abscess with Cellulitis - Discharge Summary
Incision and drainage, first metatarsal head, left foot with culture and sensitivity.

BRCA-2 mutation
Discharge summary of a patient with a BRCA-2 mutation.

Bronchiolitis - Discharge Summary
Bronchiolitis, respiratory syncytial virus positive; improved and stable. Innocent heart murmur, stable.

Cardio/Pulmo Discharge Summary
A 49-year-old man with respiratory distress, history of coronary artery disease with prior myocardial infarctions, and recently admitted with pneumonia and respiratory failure.

COPD - Discharge Summary
A 67-year-old male with COPD and history of bronchospasm, who presents with a 3-day history of increased cough, respiratory secretions, wheezings, and shortness of breath.

Death Summary
Death summary of an 80-year-old patient with a history of COPD.

Discharge Summary
Patient had some cold symptoms, was treated as bronchitis with antibiotics.

Discharge Summary - 1
Acute cerebrovascular accident/left basal ganglia and deep white matter of the left parietal lobe, hypertension, urinary tract infection, and hypercholesterolemia.

Discharge Summary - 10
Patient with a history of a Nissen fundoplication performed six years ago for gastric reflux.

Discharge Summary - 11
Hyperglycemia, cholelithiasis, obstructive sleep apnea, diabetes mellitus, hypertension, and cholecystitis.

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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