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AC.50. Deepika Gauri - Ms Patricia Styles


The Emergency Department Consultant

Newton Hospital

100 Main Street


30 August, 2019

Dear Consultant,

Re: Ms Patricia Styles, aged 62

Ms Styles, who has been found to be suffering with probable symptoms of pericarditis relapse during

home visit, requires an urgent assessment and further management.

Today, Ms Styles complained for chest pain, shortness of breath and fatigue. On examination, vitals

were remarkable, with temperature 38.1C, respiratory rate 28, heart rate 115 and blood pressure


On 23 August, Ms Styles was admitted with multiple symptoms such as fever, sharp and pleuritic chest

pain, fatigue as well as tachycardia. Consequently, complete blood test along with echocardiogram

and throat swab examination were conducted on the following day, which revealed viral influenza and

pericarditis. Therefore, intravenous therapy with ibuprofen 600mg was commenced. Discussion was

done regarding self care advice and home visit schedule after two days.

Ms Styles, a retired primary school teacher, lives independent. She has had hypertension since 2011,

diabetes mellitus since 2013, for which she is taking quinapril 49 mg and metformin 509 mg twice a

day along with gliclazide 30 mg once a day. In addition, depression and diabetic diet have been

managed by regular counselling.

In view of the aforementioned circumstances, immediate observation and ongoing monitoring from

your facility would be greatly appreciated.

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

Yours faithfully,

Registered Nurse


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