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009. Preethi Bala - Julia Smith


Dr Silhoutte

300 Main street


04 Februay 2019

Re: Ms Ruben Phillips, aged 17

Thank you for seeing Ms Ruben Phillips, who has been diagnosed with asthma and anxiety. Your urgent assessment and appropriate management are highly appreciated.

Today, Ms Phillips has been reported with complaints of difficulty in swallowing, hot flushes and sleeplessness. Apart from this, anxiety regarding final exams within 10 days has been increased. Additionally, breathlessness during day was observed. Although, she has been used Seretide inhaler 4-5 puffs daily, anxiety has not been controlled. Therefore, Tab.Prednisolone was commenced as per her request which was helped to control asthma attacks during hospitalized.

Last week, Ms Phillips represented with irritation and insomnia. She was complained regarding tab Prozac is not working. Reassurance was given for about Prozac, which would take a while to work effectively. Relaxation technique and stress management techniques were reviewed.

In view of the above-mentioned circumstances, your expert assessment in review of medication for side effects and necessary treatment in Ms Phillips condition would be profoundly beneficial. In case you required any additional information, please do not hesitate to contact me.

Yours sincerely

School Nurse

Westend High School


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