Transcribed Medical Transcription Sample Reports and Examples
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Sample Type / Medical Specialty: Neurology

Diagnosis and medical treatment of diseases and abnormalities affecting the nervous system.

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Cervical Spinal Stenosis
Followup cervical spinal stenosis. Her symptoms of right greater than left upper extremity pain, weakness, paresthesias had been worsening after an incident when she thought she had exacerbated her conditions while lifting several objects.

Cervical Spondylosis - Neuro Consult
Cervical spondylosis and kyphotic deformity. She had a nerve conduction study and a diagnosis of radiculopathy was made. She had an MRI of lumbosacral spine, which was within normal limits. She then developed a tingling sensation in the right middle toe.

Chest CT - Myasthenia Gravis
Chest CT - Thymoma and history of ocular myasthenia gravis.

Comprehensive Neurological Evaluation
A woman presents for neurological evaluation with regards to a diagnosis of multiple sclerosis.

Consult - Alzheimer disease
Patient with a history of mesothelioma and likely mild dementia, most likely Alzheimer type.

Consult - Cerebral Peduncle Infarction
Patient with a history of right upper pons and right cerebral peduncle infarction.

Consult - Facial Twitching
The patient had several episodes where she felt like her face was going to twitch, which she could suppress it with grimacing movements of her mouth and face.

Consult - Migraine
The patient is a 36-year-old female with past medical history of migraine headaches, who was brought to the ER after she was having uncontrolled headaches. In the ER, the patient had a CT scan done, which was reported negative, and lumbar puncture with normal pressure and the cell count, and was admitted for followup.

Consult - Normal Pressure Hydrocephalus
The patient is an 84-year-old man who returns for revaluation of possible idiopathic normal pressure hydrocephalus.

Consult - Seizures
Patient referred for evaluation of her left temporal lobe epilepsy.

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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