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AE.45. Manikanta Thota - Mr Walter Pitman


Dr Laricell Sneiton Surgery Newtown


14 July 2018

Dear Doctor Laricell

Re: Mr Walter Pitman, aged 69

I am referring Mr Walter Pitman, back into your care for further management and cardiac assessment in regard to elevation of blood pressure.

On 01 July2018, Mr Walter Pitman was initially admitted with deep laceration on lower left arm.On admission, wound was cleaned, sutured and dressed . Commenced on intravenous antibiotic course till 2 July 2018, which were was changed to oral antibiotics. During third day of hospitalization, regular visits to outpatient clinic for changing dressing was recommended.

On subsequent visit, Mr Pitman presented with complaint of excruciating pain along with mild hematoma. Further assessment revealed raised blood pressure190/86 mm hg in supine position and 186/89 mmhgin sitting position. However, wound has recuperated well, whereas blood pressure readings are still at peak from the past 7 days. Currently, blood pressure is 190/84mmhg while sitting and 196/86mmhg in lying position.

On the basis of aforementioned circumstances, it would be greatly appreciated if you provide complete assessment in order to find the exact cause for mushrooming up of the blood pressure. Adequate treatment on the basis of assessment would be highly beneficial for improving Mr Pitman’s condition.

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

Yours sincerely,

Registered nurse

Nurse-led Outpatient Clinic


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