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

Hematuria – ER Visit

Presents to the ER with hematuria that began while sleeping last night. He denies any pain, nausea, vomiting or diarrhea.

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Toothache – ER Visit

Patient has had multiple problems with his teeth due to extensive dental disease and has had many of his teeth pulled, now complains of new tooth pain to both upper and lower teeth on the left side for approximately three days..

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Not Feeling Well – ER Visit

A 93-year-old female called up her next-door neighbor to say that she was not feeling well. The patient was given discharge instructions on dementia and congestive heart failure and asked to return to the emergency room should she have any new problems or symptoms of concern.

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Leaking Nephrostomy Tube

Urine leaked around the ostomy site for his right sided nephrostomy tube. The patient had bilateral nephrostomy tubes placed one month ago secondary to his prostate cancer metastasizing and causing bilateral ureteral obstructions that were severe enough to cause acute renal failure.

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Jaw Pain – ER Visit

Patient started out having toothache, now radiating into his jaw and towards his left ear. Ellis type II dental fracture.

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Itchy Rash – ER Visit

This 34-year-old gentleman awoke this morning noting some itchiness to his back and then within very a short period of time realized that he had an itchy rash all over his torso and arms.

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