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: Emergency Room Reports

Close monitoring/treatment of a seriously ill patient (including post surgical care) that enables immediate treatment in a controlled environment such as an intensive care unit.



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Ant Bait Exposure - ER Visit
Possible exposure to ant bait. She is not exhibiting any symptoms and parents were explained that if she develops any vomiting, she should be brought back for reevaluation.

Asthma in a 5-year-old
Mother states he has been wheezing and coughing.

Blood In Toilet
Blood in toilet. Questionable gastrointestinal bleeding at this time, stable without any obvious signs otherwise of significant bleed.

Blood in Urine - ER Visit
Patient has prostate cancer with metastatic disease to his bladder. The patient has had problems with hematuria in the past. The patient was encouraged to drink extra water and was given discharge instructions on hematuria.

Blood per Rectum
Status post colonoscopy. After discharge, experienced bloody bowel movements and returned to the emergency department for evaluation.

Bronchiolitis - 2-month-old
2-month-old female - increased work of breathing.

Chest Tube Insertion in ER
Chest tube insertion done by two physicians in ER - spontaneous pneumothorax secondary to barometric trauma.

Closed Head Injury
Status post a high-speed motor vehicle accident in which patient was ejected from the vehicle.

Colostomy Failure
Patient in ER due to colostomy failure - bowel obstruction.

Consult - ICU Management
Consultation for ICU management for a patient with possible portal vein and superior mesenteric vein thrombus leading to mesenteric ischemia.

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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