Updated: Jul 29, 2021
Dr Peter Frederick General Surgeon
Blue well Hospital
20 February 2019
Dear Dr Frederick
Re: Ms Angelena Jolly, aged 55
Thank you for seeing Ms Angelena Jolly, who was diagnosed with hemorrhagic tonsillitis and rheumatoid arthritis, requires your expert management and appropriate treatment following her discharge today.
On 16 February Ms Angeleng was admitted to hospital with the complaints of Severe sore throat associated with heaache, fever, caugh, mild dyspries, and loss of appetite leads to constipation, along with severe joints pain and body malaise. On examination her, temperature 101.6 degree ferenhit, pulse rate 102 beats per minute and blood pressurie 153/98mm Hg were recorded with enlarged tonsils, red eyes and coated tonque were noticed. In addition, she was reported bloody taste while swallowing saliva. Blood test which was done shows significant increase in anti streptolysin titre, white blood count and erythrocy to redementation rate. Subsequently amoxillion 1-2grams, fluid replacement therapy paracetamol 1gm intravenously thrice a day were commenced. Betadine gargle which was provided for sore throat releived pain, however dysphagia remains, and recovery process was unsatisfactory.
MS Jolly has had diabetes mellitus, since 1999 and hypothy didision, which she was managed with self administration of insulin and levothyroxin 50mg daily son's with the treatment for hyperlipidemia respectively.
MS Jolly a computer engineer lives with her husband and 2 children. watching Cinema and social parties are her hobbies, she also has habits of smoking and consumption of alcohol and junk foods.
Based on the aforementioned circumstances, tonsillectomy would be profoundly meritorious. If you require additional information, please contact me any do not hesitate to contact me.
Royal Perth Hospital