Dr. Lucy Peter
Senior Gynaecologist and Obstertricion
St. Luke City Hospital
16 August 2019
Re: Mrs. Clare Jones, aged 25
I am referring Mrs. Jones, who is experiencing non specific lower abdominal pain, following a six- week pregnancy for immediate , management and surgical intervention.
On 15 August 2019, Mrs. Jones presented woth the complaint of lower abdomen pain, whicb was worsen at the evening time in right iliac fossa. On assessment tenderness was noticed in the mild illiac fossa, along with right fornix. She was back to home to be followed by the next morning for investigation and reassessment.
On 16 August 2019, Mrs. Jones came with ever constant pain along with slight vaginal bleeding. Investigatingresult showed pregnancy test positive. Ultrason graph revealed not only heavy mass of clost , sized 38mm but also the ruptured left fallopian tube.
Mrs. Jones, staying for from her house, though is deaf and dumb, is socially active. Access alcohol consumption and chain smoking were ruptured.
Based ln the above mentioned circumstances urgent assessment and appropriate treatment would be extremely beneficial for Mrs. Jones. If you require any additional information. Please do not hesitate to contact me.