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QQ-3113 Ms Fenna Lisa - Nursing – Punitha Franklin – Adenocarcinoma

Good Evening sir,

Punitha Franklinal

Dr Stevenson

Royal Darwin Hospital

Rockland Drive Two

PO Box 41326

Casuarinas Nt 0811

22 January 2010

Dear Dr Stevenson,

Re : Mrs Fenna Lisa

D.O.B :06 January 1964

Mrs Fenna Lisa has been diagnosed with grade 2 adenocarcinoma of the breast radiating to the lumbar spine , requires immediate assessment and palliative care from your facility.

Mrs Lisa was admitted with the complaints of pain on the thigh,knee and leg along with sensory loss in aspect of the thigh and absence of knee jerk. Initially she had lump in her upper part of the right breast, for which, she underwent mammogram and fine needle aspiration biopsy, along with that an ultrasound scan and a computerized tomography, blood test,bone scan were done for confirming her diagnosis.Hence,she was referred to the general surgeon for surgical removal of tumour and radiotherapy, chemotherapy.

On following days,Mrs Lisa made a good progress. Subsequently, she has anxious and weak ,on assessment, cancer cells spread to other part of the body.She has had severe back pain, exacerbation by movement, radiating pain to down back, weight loss due to poor appetite.

In view of the above,it could be beneficial to visit Mrs Lisa and provide prioritized care according to her present condition.

Please do not hesitate to contact me for further information regarding Mrs Lisa.

Yours sincerely,

Registered Nurse


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