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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Dental Pain
This is a 27-year-old female who presents with a couple of days history of some dental pain. She has had increasing swelling and pain to the left lower mandible area today.

Detox from Heroin
A gentleman with a long history of heroin abuse, trying to get off the heroin, last use shortly prior to arrival including cocaine. The patient does have a history of alcohol abuse, but mostly he is concerned about the heroin abuse.

Dietary Consult - 1
Elevated cholesterol and is on medication to lower it.

Dietary Consult - 2
The patient has been successful with weight loss due to assistance from others in keeping a food diary, picking lower-calorie items, her three-meal pattern, getting a balanced diet, and all her physical activity.

Dietary Consult - 3
The patient is brought in by an assistant with some of his food diary sheets.

Dietary Consult - 4
Counting calorie points, exercising pretty regularly, seems to be doing well

Dietary Consult - Diabetes - 1
Dietary consultation for diabetes during pregnancy.

Dietary Consult - Diabetes - 2
Dietary consult for a 79-year-old African-American female diagnosed with type 2 diabetes in 1983.

Dietary Consult - Gestational Diabetes
Dietary consultation for gestational diabetes.

Dietary Consult - Hyperlipidemia
Followup dietary consultation for hyperlipidemia, hypertension, and possible metabolic syndrome

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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