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: Discharge Summary

A clinical report prepared by a physician or other health professional at the conclusion of a hospital stay or series of treatments. It outlines the patient's chief complaint, the diagnostic findings, the therapy administered and the patient's response to it, and recommendations on discharge.

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Death Summary - 1
Death summary of patient with advanced non-small cell lung carcinoma with left malignant pleural effusion status post chest tube insertion status post chemical pleurodesis.

Death Summary - 2
Cardiac arrest, severe congestive heart failure, acute on chronic respiratory failure, osteoporosis, and depression.

Discharge Summary
Patient had some cold symptoms, was treated as bronchitis with antibiotics.

Discharge Summary - 1
Acute cerebrovascular accident/left basal ganglia and deep white matter of the left parietal lobe, hypertension, urinary tract infection, and hypercholesterolemia.

Discharge Summary - 10
Patient with a history of a Nissen fundoplication performed six years ago for gastric reflux.

Discharge Summary - 11
Hyperglycemia, cholelithiasis, obstructive sleep apnea, diabetes mellitus, hypertension, and cholecystitis.

Discharge Summary - 12
A 94-year-old female from the nursing home with several days of lethargy and anorexia. She was found to have evidence of UTI and also has renal insufficiency and digitalis toxicity.

Discharge Summary - 13
Bradycardia, dizziness, diabetes, hypertension, abdominal pain, and sick sinus syndrome.

Discharge Summary - 14
The patient is a 60-year-old female patient who off and on for the past 10 to 12 months has had almost daily diarrhea, nausea, inability to eat.

Discharge Summary - 15
Gastroenteritis and autism. She developed constipation one week prior to admission and mother gave her MiraLax and her constipation improved.

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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