AE.15. Ajeesh Karosh - Mrs Maria John

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Dr Patric Dsouza

Senior Endocrinologist

Blue Well Hospital

Australia, 468 St Kilda Rd

Melbourne

14 December 2014

Dear Doctor,

Re: Mrs Maria John, aged 60 Years

I am referring Mrs John, who has had declined TSH and elevated blood sugar level, requires your expert evaluation and further management.

On 11 December 2014, Mrs John was admitted to the hospital with dizziness, abdominal pain and associated ailments. After assessment, she was performed with series of blood and radiological investigations, which revealed notch up blood sugar and elevated T3, T4 levels. Therefore, she was commenced on injection insulin and tablet thyroxine 25 mg two times daily respectively. In addition, calcium supplements, tablet pantoprazole 40 mg, and pain medications have been prescribed.

Mrs John is married and lives with her husband. She has a history of stroke and has had hypertension as well as hyperthyroidism for the past 6 months. Also, she has been experiencing a seizure disorder as well.

Pertaining to the above-mentioned information, kindly take over the case of Mrs John and provide further monitoring and treatment. Compliance with medical management, a physiotherapy follow-up for regular exercise and dietary modification including salt restricted, calcium rich foods and limitation of diary products would be profoundly beneficial. She is scheduled for endocrinologist review after 2 weeks.

If you require any additional information, please do not hesitate to contact me at any time.

Yours sincerely,

Ms Shelly Kate

Charge Nurse

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