Transcribed Medical Transcription Sample Reports and Examples
MT HelpLine Transcribed Medical Transcription Sample Reports and Examples
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as on 3/19/2014

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Sample Type / Medical Specialty: Gastroenterology

Specialty that treats diseases and pathology of the gastrointestinal tract, such as the esophagus, stomach and intestinal tract as well as diseases of the liver, gallbladder and pancreas.

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

Constipation - 1
Patient complains of constipation. Has not had BM for two days.

Consult - Laparoscopic Cholecystectomy
Patient with mid-epigastric abdominal pain. Sonogram revealed gallstones.

Consult - Multiple Colon Polyps
A 50-year-old female whose 51-year-old sister has a history of multiple colon polyps, which may slightly increase her risk for colon cancer in the future.

Consult - Rectal Bleeding
Patient with family history of colon cancer and has rectal bleeding on a weekly basis and also heartburn once every 1 or 2 weeks.

Consult - Screening Colonoscopy
Patient comes for discussion of a screening colonoscopy.

Consult for Colostomy Reversal
Patient presents for a colostomy reversal as well as repair of an incisional hernia.

CT Abdomen & Pelvis
CT Abdomen & Pelvis W&WO Contrast

CT Abdomen & Pelvis - 1
CT Abdomen and Pelvis with contrast

CT Abdomen & Pelvis - 10
Evaluate for retroperitoneal hematoma, the patient has been following, is currently on Coumadin. CT abdomen without contrast and CT pelvis without contrast.

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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