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QQ-3231 Ms Monica Ross - Nursing – Cinju Varghese – Constricted Pupils


Dr Gordwin Rodrigue


Southampton Medical Centre

478 Willow Street

Queensland 898

Dear Dr Rodrigue,

Re: Ms Monica Ross ,age 26

Iam referring Ms ross, who was treated for over consumption

of 20 paracetamol tablets,requires furher assessment and

ongoing care from your service. she will be discharged if

all her reports are normal.

Ms Ross presented to hospital on 03 May 2019 owing to slurred

speech,headache, sweating and confusion.On admision,she

responds to verbal commands,weak pulse,pupils were constricted

and low blood pressure were noted.On examination,she was drowsy,

pale;however, saturation was maintainig well.During hospitilization,

various investigations were performed and antidote N acteylcystine

was commenced.Currently, she attained good recovery and able

to tolerate liquid and soft diet.

Ms Ross is single and works as an accoutant.she lives with her

mother and her father died 8 years ago. She consumes alcohol 7 to

8 units during weekend at parties.

In view of the above, it would be greatly appreciated if you

could evaluate Ms Ross's condition, as she is not showing any

interest towards her life and hobbies.Please note, she has a

review with toxicologist.

Please contact me for further queries.

Yours sincerely,

Registered Nurse


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