Sample Type: SOAP - Chart Notes

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Acne - SOAP
Acne with folliculitis.

Allergic Rhinitis
A 23-year-old white female presents with complaint of allergies.

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.

Bell's Palsy
A 75-year-old female comes in with concerns of having a stroke.

Bunions and Calluses
A 60-year-old female presents today for care of painful calluses and benign lesions.

Carbohydrate Counting
Dietary consultation for carbohydrate counting for type I diabetes.

Cardiology Progress Note
Problem of essential hypertension. Symptoms that suggested intracranial pathology.

Cardiology Progress Note - 1
Congestive heart failure due to rapid atrial fibrillation and systolic dysfunction.

Cataract - Second Opinion
The patient seeks evaluation for a second opinion concerning cataract extraction.

Cervicalgia
Postoperative followup note - Cervicalgia, cervical radiculopathy, and difficulty swallowing status post cervical fusion C3 through C7 with lifting of the plate.

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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