Dr Donal Marshall
14 January 2021
Dear Dr Marshall,
Re: Mr Harrison Mason, aged 69
Mr Manson who has been diagnosed with right sided heart failure is being referred to commence a pulmonary rehabilitation programme.
Today, Mr Manson presented to the hospital with complaints cough with sputum production and shortness of breath, he was experiencing this symptoms for the last 20years. In addition, he had swollen ankle which reduced exercise tolerance. On examination, jugular venous pressure was recorded as elevated a poor chest expansion was noted along with inspiratory crackles. He is over weight at 100 kilograms.
Mr Manson lives alone. He has had hypertension for years.
Regarding the above mentioned circumatances, commencing on a pulmonary rehabilitation programme would be increase the exercise tolerance around 20 percent which would help to improve quality of life.
For further queries please do not hesitate to contact me.