Transcribed Medical Transcription Sample Reports and Examples
MT HelpLine Transcribed Medical Transcription Sample Reports and Examples
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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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Gastrointestinal Bleed - ER Visit
Gastrointestinal Bleed. An 81-year-old presented to the emergency room after having multiple black tarry stools and a weak spell. She woke yesterday morning had a very dark and smelly bowel movement.

Head Injury
Head injury, anxiety, and hypertensive emergency.

Headache - Emergency Visit
Muscle tension cephalgia. Right trapezius and rhomboid muscle spasm.

Headache - Urgent Care Visit
Migraine headache - The patient was seen in the urgent care.

Hematuria - ER Visit
Presents to the ER with hematuria that began while sleeping last night. He denies any pain, nausea, vomiting or diarrhea.

Hepatic Encephalopathy
A male with known alcohol cirrhosis who presented to the emergency room after an accidental fall in the bathroom.

High PT-INR - ER Visit
Very high PT-INR. she came in with pneumonia and CHF. She was noticed to be in atrial fibrillation, which is a chronic problem for her.

Hip Fracture - ER Consult
Left hip fracture. The patient is a 53-year-old female with probable pathological fracture of the left proximal femur.

Hydrocarbon Aspiration - ER Visit
The patient ingested tiki oil (kerosene, liquid paraffin, citronella oil) approximately two days prior to admission. He subsequently developed progressive symptoms of dyspnea, pleuritic chest pain, hemoptysis with nausea and vomiting.

Hyperbilirubinemia - 4-day-old
4-day-old with hyperbilirubinemia and heart murmur.

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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