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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Gen Med H&P - 2
Weakness, malaise dyspnea on exertion, 15-pound weight loss - Bilateral pneumonia, hepatitis, renal insufficiency,

GI Consultation - 1
GI Consultation due to rectal bleeding, positive celiac sprue panel

GI Consultation - 2
GI Consultation for chronic abdominal pain, nausea, vomiting, abnormal liver function tests.

GI Consultation - 3
GI Consultation for Chrohn's disease.

GI Consultation - 4
Nausea and abdominal pain after eating - Gall bladder disease - Laparoscopic cholecystectomy scheduled.

Glioblastoma Multiforme - Consult
Asked to see the patient in regards to a brain tumor. She was initially diagnosed with a glioblastoma multiforme. She presented with several lesions in her brain and a biopsy confirmed the diagnosis.

Glioma - 1
Dysarthria. Probable brainstem glioma.

Glioma - 2
Headache. Right frontal lobe glioma.

Glioma - Consult
Progressive low-grade glioma, now more than 20 years since initially diagnosed. She is status post craniotomy for debulking and has done well with the surgery.

Granulomatous Inflammation
Headache and diplopia.

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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