AD.40. Jyothi Sridhar - Holly Ann

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Doctor Kirren Halford

General Practitioner

Casterton VIC

Australia

05 May 2019,

Dear Doctor Halford,

Re: Holly Ann, aged: 6

I am referring Holly, who has been diagnosed with predictable hypoxic brain injury due to near drowning, for further management and evaluation following her discharge today.

On the 25th of April 2019, Holly was presented to our hospital with sings of cyanosis, pulseless,apnoea,fixed and dilated pupils and tympanic temperature of twenty six point seven degree celsius was recorded. Consequently, unconstrained circulation was established.

Subsequently, a gradual improvement in Holly's condition was noticed.Therefore, transferred from the intensive care unit to the general ward. Slurred speech has been eminent, for which speech therapy was initiated and requires to be continued. Parental concerns regarding permanent speech impairment and cognitive function are prominent. Eventhough, neurological examinations were unremarkable, further tests for neuropsychological, visual-sptial and Intelegence Quotient by seven days are recommended.

Upon discharge,headaches are required to be managed with the administration of tablet Paracetamol. Monitoring of cough, headaches and alteration in concentration, for which doctor need to be contacted. If Holly's condition worsens, report promptly to the emergency department.

Based on the aforementioned circumstances appropriate supervision and appraisal of Holly's condition would be profoundly favourable. If you require further information, please do not hesitate to contact me.

Yours sincerely,

Charge Nurse

Northpark Private Hospital

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