Transcribed Medical Transcription Sample Reports and Examples
MT HelpLine Transcribed Medical Transcription Sample Reports and Examples
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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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Hip Surgery - Discharge Summar
Decreased ability to perform daily living activity secondary to recent right hip surgery.

Hypothermia - Discharge Summary
Hypothermia. Rule out sepsis, was negative as blood cultures, sputum cultures, and urine cultures were negative. Organic brain syndrome. Seizure disorder. Adrenal insufficiency. Hypothyroidism. Anemia of chronic disease.

Hysterectomy - Discharge Summary
The patient underwent a total vaginal hysterectomy.

Hysterectomy - Discharge Summary - 1
Total vaginal hysterectomy. Menometrorrhagia, dysmenorrhea, and small uterine fibroids.

Hysterectomy - Discharge Summary - 2
Total vaginal hysterectomy. Microinvasive carcinoma of the cervix.

Intrauterine Pregnancy - Discharge Summary
Intrauterine pregnancy at term with previous cesarean. Desired sterilization. Status post repeat low transverse cesarean and bilateral tubal ligation.

Kawasaki Disease - Discharge Summary
This is a 14-month-old baby boy Caucasian who came in with presumptive diagnosis of Kawasaki with fever for more than 5 days and conjunctivitis, mild arthritis with edema, rash, resolving and with elevated neutrophils and thrombocytosis, elevated CRP and ESR.

Knee Arthroplasty - Discharge Summary
Painful right knee status post total knee arthroplasty many years ago. Status post poly exchange, right knee, total knee arthroplasty.

Knee Osteoarthrosis - Discharge Summary
A 66-year-old female with knee osteoarthrosis who failed conservative management.

Knee Surgery - Discharge Summary
Decreased ability to perform daily living activities secondary to right knee surgery.

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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