QQ-3400. Mr Walter Pitman - Nursing – Nycy Mathew – Uncontrolled Hypertension

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Dr Luricrell

Sneinton Surgery

Newtown, 2143

Dear Dr Laricrell,

Re: Mr Walter Pitman, aged 69

I am referring Mr Walter Pitman, who has been suffering from uncontrolled hypertension, requires detailed cardiac evaluation and expedient management at your service.

Mr Pitman was admitted to Newtown Hospital on 01 July 2018 with the complaints of deep lacerated wound on the left lower arm while using a saw. During hospitalization, he was treated with intravenous antibiotics as well as suturing and dressing of wound also was performed. He was discharged on 03 July 2018;however, mild haematoma and severe pain were exhibited. Blood pressure was elevated with 140/90 mm Hg in sitting and 180/90 mm Hg in standing position; therefore, an appointment at Nurse-Led Outpatient Clinic was advised.

Upon the initial visit on 06 July 2018, Mr Pitman's blood pressure was 190/86 mm Hg in sitting and 196/88mmhg in supine position. On subsequent visits ,his blood pressure has been remained elevated, despite the wound healing was excellent. On today's visit, his blood pressure is still high with 190/84 mmHg in sitting and 196/ 86mmHg in supine position.

Pertaining to the above details, it would be profoundly beneficial if you could provide a thorough cardiac assessment and definite management of Mr Pitman's condition.

In case, any additional information is required, please do not hesitate to contact me.

Yours sincerely,

Registered Nurse

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