Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples

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Sample Type / Medical Specialty: General Medicine
Sample Name: Female ROS

Description: Sample female review of systems.
(Medical Transcription Sample Report)

Constitutional: Patient denies fevers, chills, sweats and weight changes.
Eyes: Patient denies any visual symptoms.
Ears, Nose, and Throat: No difficulties with hearing. No symptoms of rhinitis or sore throat.
Cardiovascular: Patient denies chest pains, palpitations, orthopnea and paroxysmal nocturnal dyspnea.
Respiratory: No dyspnea on exertion, no wheezing or cough.
GI: No nausea, vomiting, diarrhea, constipation, abdominal pain, hematochezia or melena.
GU: No dysuria, frequency or incontinence. No difficulties with vaginal discharge.
Musculoskeletal: No myalgias or arthralgias.
Breasts: Patient performs self-breast examinations and has noticed no abnormalities or nipple discharge.
Neurologic: No chronic headaches, no seizures. Patient denies numbness, tingling or weakness.
Psychiatric: Patient denies problems with mood disturbance. No problems with anxiety.
Endocrine: No excessive urination or excessive thirst.
Dermatologic: Patient denies any rashes or skin changes.

Keywords: general medicine, constitutional, breasts, cardiovascular, dermatologic, endocrine, female review of systems, musculoskeletal, neurologic, psychiatric, review of systems, respiratory, abdominal pain, chest pains, constipation, diarrhea, hematochezia, melena, nausea, nipple discharge, numbness, orthopnea, palpitations, paroxysmal nocturnal dyspnea, rashes, tingling, vomiting, weakness, wheezing, nose, systems,
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