Dr Cyril John Local General practitioner Hail land Medical Clinic Auckland Newzealand
Dear Dr John,
Re: Mr Alan Marco , aged 38
Thank you for seeing Mr Marco , who requires immediate assessment and management. He has been treated for external otitis media due to possible increased water activity , and hyperglycaemia due to infection or excess physical activity .
Mr Marco has complained of severe earache for five days. On assessment, his right ear has tenderness , hot while touching and external ear canal has swelling with redness. His tympanic membrane is pale green colour.
Mr Marco was treated with paracetamol , which was ineffective. Thus, his mild pain was managed with ibuprofen. He used cotton swabs while swimming and was flushed water inside the ear.
Mr Marco has history of type one diabetic melitus for which he is on insulin. His blood sugar was monitored regularly ;hence , review with his insulin therapy is benificial. Kindly provide immediate consultation and pain management for him.
Please feel free to contact me if you have any queries.
Yours sincerely,
Registered Nurse Holiday resort Bay line road Auckland Newzealand
ReplyDeleteDr Cyril John
Local General practitioner
Hail land Medical Clinic
Auckland
Newzealand
Dear Dr John,
Re: Mr Alan Marco , aged 38
Thank you for seeing Mr Marco , who requires immediate assessment and management. He has been treated for external otitis media due to possible increased water activity , and hyperglycaemia due to infection or excess physical activity .
Mr Marco has complained of severe earache for five days. On assessment, his right ear has tenderness , hot while touching and external ear canal has swelling with redness. His tympanic membrane is pale green colour.
Mr Marco was treated with paracetamol , which was ineffective. Thus, his mild pain was managed with ibuprofen. He used cotton swabs while swimming and was flushed water inside the ear.
Mr Marco has history of type one diabetic melitus for which he is on insulin. His blood sugar was monitored regularly ;hence , review with his insulin therapy is benificial. Kindly provide immediate consultation and pain management for him.
Please feel free to contact me if you have any queries.
Yours sincerely,
Registered Nurse
Holiday resort
Bay line road
Auckland
Newzealand
Good one
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