The Family GP

Doctor Laricrell

Sneinton Surgery Newtown 2143

14 July 2018

Dear Dr Laricrell,

Re: Mr Walter Pittman, aged 69

I am referring one of your patients Mr Walter Pitman, who has been assessed with hypertension, requires a full Cardiac assessment and management for ongoing hypertension.

On 1 July 2018, Mr Pitman was admitted at Newtown hospital due to deep lacerations on the lower left arm, for which wound suturing and dressings were provided. Also prophylactic IV antibiotics were commenced for infection prevention. On the following day, IV antibiotics were changed into the oral antibiotics, and discharged on 3 July 2018; however, has visited the nurse led outpatient clinic on five occasions for the follow up treatment.

During the outpatient clinic visits, Mr Pitman’s wound dressings has been performed and wound got healed well without any infection. But, blood pressure has been constantly high on each of visits and is a cause of concern.

On 4 July 2018, Mr Pitman’s blood Pressure was 186/89 when was sitting and 190/86 when supine.

On 6 july 2018, 190/86 mmhg (sitting) and 196/88 mmg(supine) were recorded. On 8 july 2018, the readings were 182/80 mmhg (siting) and 194/86 mmhg (supine). On 11 July 2018, his blood pressure was elevated. Today blood pressure of 190/ 84 (sitting) and 196/86(supine) has been recorded.

Based on the above information, it would be greatly appreciated if you could do a full assessment of cardiac activities and management for ongoing hypertension.

Should you require further information, please feel free to contact us.

Yours sincerely,

Registered Nurse

The Nurse Led Outpatient Clinic

Newtown hospital