Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Consult - History and Phy.

Consultations, initial evaluations, new patient visits, history and physicals, etc.



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Consult - Hypertension
Patient with a past medical history of hypertension for 15 years.

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

Consult - Jaw Pain
Recurrent jaw pain, described as numbness and tingling along the jaw, teeth, and tongue.

Consult - Knee Pain
Patient with complaint of left knee pain. Patient is obese and will be starting Medifast Diet.

Consult - Laparoscopic Cholecystectomy
Patient with mid-epigastric abdominal pain. Sonogram revealed gallstones.

Consult - Migraine
The patient is a 36-year-old female with past medical history of migraine headaches, who was brought to the ER after she was having uncontrolled headaches. In the ER, the patient had a CT scan done, which was reported negative, and lumbar puncture with normal pressure and the cell count, and was admitted for followup.

Consult - Multiple Colon Polyps
A 50-year-old female whose 51-year-old sister has a history of multiple colon polyps, which may slightly increase her risk for colon cancer in the future.

Consult - Normal Pressure Hydrocephalus
The patient is an 84-year-old man who returns for revaluation of possible idiopathic normal pressure hydrocephalus.

Consult - Palpitations & Presyncope
The patient admitted with palpitations and presyncope.

Consult - Prostate Cancer
Consult for prostate cancer

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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