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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Migraine without Aura - Consult
The patient with gradual onset of a headache problem, located behind both eyes.

Multilobar Pneumonia
Loculated left effusion, multilobar pneumonia. Patient had a diagnosis of multilobar pneumonia along with arrhythmia and heart failure as well as renal insufficiency.

Multiple Meningiomas
Patient with stable expressive aphasia and decreased vision.

Multiple Neurological Symptoms
The patient is with multiple neurologic and nonneurologic symptoms including numbness, gait instability, decreased dexterity of his arms and general fatigue. His neurological examination is notable for sensory loss in a length-dependent fashion in his feet and legs with scant fasciculations in his calves.

Murmur & Bacteremia.
A female admitted with jaundice and a pancreatic mass who was noted to have a new murmur, bacteremia, and fever.

Neck & Back Pain
Initial evaulation - neck and back pain.

Neck & Lower Back Pain - Consult
Patient status post vehicular trauma. Low Back syndrome and Cervicalgia.

Neonatal Consult
This is a 3-week-old, NSVD, Caucasian baby boy transferred from ABCD Memorial Hospital for rule out sepsis and possible congenital heart disease.

Nephrology Consultation - 1
Nephrology Consultation - Patient with renal failure.

Nephrology Consultation - 2
Patient with a diagnosis of pancreatitis, developed hypotension and possible sepsis and respiratory, as well as renal failure.

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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