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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Nausea - ER Visit
Nausea and feeling faint. She complains of some nausea. She feels weak. The patient is advised to put salt on her food for the next week.

Nausea & Vomiting - ER Visit
She is a 28-year-old G1 at approximately 8 plus weeks presented after intractable nausea and vomiting with blood-tinged vomit starting approximately worse over the past couple of days. This is patient's fourth trip to the emergency room and second trip for admission.

Not Feeling Well - ER Visit
A 93-year-old female called up her next-door neighbor to say that she was not feeling well. The patient was given discharge instructions on dementia and congestive heart failure and asked to return to the emergency room should she have any new problems or symptoms of concern.

Pain from Hernia - ER Consult
This is a 53-year-old man, who presented to emergency room with multiple complaints including pain from his hernia, some question of blood in his stool, nausea, and vomiting, and also left lower extremity pain.

Penile Injury
Penile injury and continuous bleeding from a penile laceration.

Penile Mass - Emergency Visit
Patient presents to the Emergency Department with complaint of a bleeding bump on his penis.

Proctitis & Proctocolitis
Patient presents to the emergency department (ED) with rectal bleeding and pain on defecation.

Shone complex
Complete heart block with pacemaker malfunction and a history of Shone complex.

Sickle Cell Anemia - ER Visit
A 19-year-old known male with sickle cell anemia comes to the emergency room on his own with 3-day history of back pain.

Syncope - ER Visit
Patient with a history of coronary artery disease, status post coronary artery bypass grafting presented to the emergency room following a syncopal episode.

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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