Transcribed Medical Transcription Sample Reports and Examples

Sample Type / Medical Specialty: Rheumatology

The division of medicine that is concerned with rheumatic diseases that primarily affect the joints of the body.



Consult - Weankness & Polymyositis
Consultation - an 87-year-old white female with weakness and a history of polymyositis.

Discoid Lupus
A 12-year-old with discoid lupus on the control with optimal regimen.

Hand Discomfort - Followup
Followup of left hand discomfort and systemic lupus erythematosus. Carpal tunnel involving the left wrist with sensory change, but no evidence of motor change.

Oligoarticular Arthritis - 1
A 17-year-old male with oligoarticular arthritis of his right knee.

Oligoarticular Arthritis - 2
A lady with symptoms consistent with possible oligoarticular arthritis of her knees.

Pediatric Rheumatology Consult
A 7-year-old white male started to complain of pain in his fingers, elbows, and neck. This patient may have had reactive arthritis.

Rheumatoid Arthritis
A sample note on Rheumatoid Arthritis

Rheumatoid Arthritis - Consult
A 71-year-old female who I am seeing for the first time. She has a history of rheumatoid arthritis for the last 6 years. She is not on DMARD, but as she recently had a surgery followed by a probable infection.

Rheumatoid Arthritis - H&P
Patient presents for treatment of suspected rheumatoid arthritis.

Rheumatology Progress Note
Epicondylitis. history of lupus. Injected with 40-mg of Kenalog mixed with 1 cc of lidocaine.

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.
Transcribed Medical Transcription Sample Reports and Examples

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