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Transcribed Medical Transcription Sample Reports and Examples
Great Collection of Medical Transcription Samples
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Psychiatry / Psychology

Falls – Discharge Summary

Falls at home. Anxiety and depression. The patient had been increasingly anxious and freely admitted that she was depressed at home.

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Agitation – ER Visit

Acute episode of agitation. She was complaining that she felt she might have been poisoned at her care facility.

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Attempted Suicide – Consult

The patient is a 21-year-old Caucasian male, who attempted suicide by trying to jump from a moving car, which was being driven by his mother.

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Bipolar Affective Disorder – Consult

The patient has a manic disorder, is presently psychotic with flight of ideas, tangential speech, rapid pressured speech and behavior, impulsive behavior. Bipolar affective disorder, manic state. Rule out depression.

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Mental Status Changes – Consult

Mental status changes after a fall. She sustained a concussion with postconcussive symptoms and syndrome that has resolved.

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Psychiatric Consult – 2

She was admitted following an overdose of citalopram and warfarin. The patient has had increasing depression and has been under stress as a result of dissolution of her second marriage.

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