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Transcribed Medical Transcription Sample Reports and Examples
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Posts tagged "edema"

Weight Gain and Edema

This is a 55-year-old female with weight gain and edema, as well as history of hypothyroidism. She also has a history of fibromyalgia, inflammatory bowel disease, Crohn disease, COPD, and disc disease as well as thyroid disorder.

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Insect Sting

Local reaction secondary to insect sting. Patient was stung by a bee on his right hand, left hand, and right knee at approximately noon today.

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Tracheostomy Change

Tracheostomy change. A #6 Shiley with proximal extension was changed to a #6 Shiley with proximal extension. Ventilator-dependent respiratory failure and laryngeal edema.

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Normal Female Exam Template – 1

An example/template for a routine normal female physical exam.

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Atrial Fibrillation – Consult

A 74-year-old woman for Cardiology consultation regarding atrial fibrillation and anticoagulation after a fall. The patient denies any chest pain nor clear shortness of breath.

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Normal Male Exam Template – 3

An example/template for a routine normal male physical exam.

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