Transcribed Medical Transcription Sample Reports and Examples
MT HelpLine Transcribed Medical Transcription Sample Reports and Examples
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as on 3/19/2014
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Sample Type / Medical Specialty: Discharge Summary

A clinical report prepared by a physician or other health professional at the conclusion of a hospital stay or series of treatments. It outlines the patient's chief complaint, the diagnostic findings, the therapy administered and the patient's response to it, and recommendations on discharge.



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Discharge Summary - 8
A white female with a history of fevers.

Discharge Summary - 9
A woman presented to the ER with complaints of nausea, vomiting, and epigastric discomfort, ongoing for about 4 to 5 months.

Discharge Summary - ATV Accident
Trauma/ATV accident resulting in left open humerus fracture.

Discharge Summary - Cerebral Palsy
a pleasant 62-year-old male with cerebral palsy

Discharge Summary - Cholelithiasis
Patient with complaint of symptomatic cholelithiasis.

Discharge Summary - COPD
Chest x-ray on admission, no acute finding, no interval change. CT angiography, negative for pulmonary arterial embolism. Chronic obstructive pulmonary disease exacerbation improving, on steroids and bronchodilators.

Discharge Summary - Gastric Bypass
Patient suffered from morbid obesity for many years and made multiple attempts at nonsurgical weight loss without success.

Discharge Summary - Hemodialysis
The patient is being discharged for continued hemodialysis and rehab.

Discharge Summary - Hip Surgery
A 47-year-old female with a posttraumatic AV in the right femoral head.

Discharge Summary - Lymphoma
Diffuse Large B-cell Lymphoma

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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