The Duty Registrar
Emergency Pediatric unit
Brisbane general hospital
100 grange road
14 October 2010
Re: Amina Erica, aged 8
Referring Amina Erica,who has been diagnosed with meningococcal meningitis requires urgent admission at your facility for further assessment and management as you feel appreciate.
Today's visit,Amina erica presented with the complaints of lethargic and restlessness along with vomitings and headache. Since last night,on examination noted with neck stiffness and macula popular rash over legs. In addition, white blood cells were noted as 18000. Therefore,stat dose of injection penicillin was administered intravenously.
Initially,Amina Erica was admitted with the complaints of fever,runny nose and mild cough,loss of appetite and vital parameters were observed. On assessment,viral infection was noticed. For which,rest and paracetamol three times a day advised. Consequently, symptoms continued to deteriorate was noted after two days. Therefore brufen 200mg and FBC and UFR were ordered.
Amina's parents were refugees from Somalia since 2005. At present they have Australian citizenship. Amina and her father are good in English but mother has little understanding.
In view of the above mentioned circumstances,it would be grateful if you could provide further evaluation and immediate management for Amina's condition.
If you require any further information,do not hesitate to contact me.
Kelvin Grove Medical Centre.