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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End Stage Renal Disease - Consult
Management of end-stage renal disease (ESRD), the patient on chronic hemodialysis, being admitted for chest pain.

ENT Consult
Persistent dysphagia. Deviated nasal septum. Inferior turbinate hypertrophy. Chronic rhinitis. Conductive hearing loss. Tympanosclerosis.

ENT Consult - 1
Chronic eustachian tube dysfunction, chronic otitis media with effusion, recurrent acute otitis media, adenoid hypertrophy.

Epidural Fluid Collection
Fall/loss of consciousness.

Epidural Hematoma
Fall with questionable associated loss of consciousness. Left parietal epidural hematoma.

ER Report - Rib Cage Pain
This is a 25-year-old male with nonspecific right-sided chest/abdominal pain from an unknown etiology.

Erythema Nodosum - Consult
The patient presents for a followup for history of erythema nodosum.

Essential Tremor & Torticollis
This 62-year-old white female has essential tremor and mild torticollis. Tremor not bothersome for most activities of daily living, but she does have a great difficulty writing, which is totally illegible.

Exudative Tonsillitis
Severe tonsillitis, palatal cellulitis, and inability to swallow.

Eye Examination - H&P
Complete eye examination - Normal eye and vision exam.

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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