641-North Welch Street
14 July 2019
Re:Mr Timothy Patterson, aged 69
Iam referring back to Mr Timothy Patterson, who has recuperated well from accidental cut of his left arm. Mr Patterson requires assessment and management regarding his uncontrolled hypertension.
On 1 July 2019, wound has been cleaned, sutured and dressed well along with IV administration of Antibiotics. On the next day, IV antibiotics changed to oral antibiotics and started regular dressing. In addition, Bp was 180/90 mm Hg on supine position. Therefore, Mr Patterson was discharged on 3 July 2019 and adviced to visit outpatient clinic.
Next day Mr Patterson visited outpatient clinic with complains of severe pain on scale of 8/10 along with mild hematoma and BP was 190/86 mm Hg on supine position. However, BP was still elevated on his next visit also.
Today, wound healing without infection has been noticed but still BP elevated upto 196/86 mm Hg. Mr Patterson's continues elevation of BP suggestive of orthostatic hypertension. So, it would be appreciated if you could do full cardiac assessment and management of Mr Patterson's condition,
If you have further queries please do not hesitate to contact me.