The Emergency Department Consultant
100 Main Street
30 August, 2019
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.