Sample Type: Emergency Room Reports

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Acute Inferior Myocardial Infarction
Patient presents with a chief complaint of chest pain admitted to Coronary Care Unit due to acute inferior myocardial infarction.

Altered Mental Status - ER Visit
A 6-year-old was laying down on one side, and he was crying and moaning, sent from the Emergency Room with the diagnosis of intracranial bleeding.

Ankle pain
Acute foot or ankle sprain, possible small fracture.

Asthma in a 5-year-old
Mother states he has been wheezing and coughing.

Blood per Rectum
Status post colonoscopy. After discharge, experienced bloody bowel movements and returned to the emergency department for evaluation.

Bronchiolitis - 2-month-old
2-month-old female - increased work of breathing.

Chest Tube Insertion in ER
Chest tube insertion done by two physicians in ER - spontaneous pneumothorax secondary to barometric trauma.

Closed Head Injury
Status post a high-speed motor vehicle accident in which patient was ejected from the vehicle.

Colostomy Failure
Patient in ER due to colostomy failure - bowel obstruction.

Consult - ICU Management
Consultation for ICU management for a patient with possible portal vein and superior mesenteric vein thrombus leading to mesenteric ischemia.

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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