Dr Ian Robson
Allergist
Central Hospital
Old town
17 June, 2018
Dear Dr Robson,
Re : Mr Tom Riddle, aged 20
I am writing to refer Mr Riddle who has been diagnosed with asthma.He requires investigations and identification of his allergies.
Mr Riddle has a family history and childhood asthma;which has not been exacerbated for eight years.He also has periodic eczema.
Try to avoid also
Initially, Mr Riddle presented to the clinic with a two weeks history of breathlessness. Additionally, he had persistent cough and itching in his eyes.He reported, he sleeps on a dusty old carpet on the floor and has two cats in his home.His pre and post bronchodilater (spelling) test was positive to 20% which confirmed his diagnosis.Therefore, he has been prescribed oral prednisolone and inhaler.In-addition, he was advised for allergen management.
Name and dose of the medications are important
On 14 June, 2018 Mr Riddle re visited[one word] with worsening of his symptoms; for that he used albuterol inhaler frequently.0n examination, his vital signs were elevated, arterial blood gas level was below than normal and oxygen saturation was 88%.Therefor,[spell check] he was managed with intravenous steroids, hourly inhaler and supplementary oxygen.0n today's visit, he is discussed regarding environmental triggers and proper use of inhalers. Currently, he has positive responses with his medications.
On today’s visit, environmental triggers causing asthma are discussed with him along with the proper use of inhalers.
In view of the above, kindly perform allergen test for Mr Riddle and provide guidance on environmental management.
Please contact me for further queries.
Yours sincerely,
Charge Nurse
Good !!!
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Best Of Luck!!!!
