LETTER 3

 No 3

Dr Ian Robson

Allergist

Central Hospital

Oldtown

17 June,2018

Dear Dr Robson,

Re: Mr Tom Riddle

DOB: 19 May,1998

I am writing to refer Mr.Riddle, who has been diagnosed with asthma, requires identification of allergens and assistance to manage them. 

Mr Riddle has a history of childhood asthma which has not been present for the last 8 years. Also, he has periodic eczema outbreak.Now, he moved to a new accommodation 1 where he is exposed to two cats and dust.

• Avoid also

• Better use recently than now

• 1- could have been presented better

On 01 June, 2018, Mr Riddle presented with persistent cough, wheezing, eye itching and two weeks history of breathlessness. His chest x-ray was clear as well as pre and post bronchodilators were showed 20% positive response.consequently, he was advised on allergen management and treated with oral prednisone 50mg, inhalor[spell check] albutarol[spellc heck] twice daily and symbicort.

Mr Riddle re-presented on 14 June,2018 with insomnia and flared-up eczema. On assessment, his vital parameters were elevated and dimished [spell check]lung sounds were noted. He was administered with 3 litres of oxygen to improve his saturation from 88%to 93%. Additionally, intravenous corticosteroid and hourly albutarol[spell check] were commenced.

Considering Mr Riddle's current health condition, it would be greatly appreciated if you could perform an allergen test and to provide guodance[spell check]on environmental management.

If you have any queries, please do not hesitate to contact me.

Yours sincerely,

Nurse

• Avoid minor mistakes.

• Today’s visit and advise regarding the proper use of the inhaler and environmental triggers are very important.

• Best of luck!!!