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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Discharge Summary - 16
Upper respiratory illness with apnea, possible pertussis. a one plus-month-old female with respiratory symptoms for approximately a week prior to admission. This involved cough, post-tussive emesis, and questionable fever.

Discharge Summary - 17
The patient underwent a scalp skin biopsy with pathology specimen obtained. At the time of discharge, the patient had improved.

Discharge Summary - 18
The patient is a 53-year-old woman with history of hypertension, diabetes, and depression. Serotonin syndrome secondary to high doses of Prozac and atypical chest pain with myocardial infarction ruled out.

Discharge Summary - 19
The patient is a 93-year-old Caucasian female with a past medical history of chronic right hip pain, osteoporosis, hypertension, depression, and chronic atrial fibrillation admitted for evaluation and management of severe nausea and vomiting and urinary tract infection.

Discharge Summary - 2
Patient with complaints of shortness of breath and was found to have acute COPD exacerbation.

Discharge Summary - 3
Patient with increased shortness of breath of one day duration.

Discharge Summary - 4
Patient admitted after an extensive workup for peritoneal carcinomatosis from appendiceal primary.

Discharge Summary - 5
A female with the past medical history of Ewing sarcoma, iron deficiency anemia, hypertension, and obesity.

Discharge Summary - 6
A white male veteran with multiple comorbidities, who has a history of bladder cancer diagnosed approximately two years ago by the VA Hospital.

Discharge Summary - 7
Patient with fever of unknown origin.

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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