Ms Maritam Hsssan letter correction

 Dr  Pilar Dalfo 

Endocrinologist 

City Hospital 

Easthampton 

20 March, 2019. 

Dear Dr Dalfo, 

Re: Ms Maryam Hassan , 29 years. 

I am writing to refer Ms Hassan  whose clinical features and laboratory finding are  suggestive of  hyperthyroidism. Your further investigations and management would be highly acknowledged. 

 Ms Hassan presented at our clinic on 27 February,2019 with complaints of a difficulty  in sleep  and stress at work place . In addition, a slight weight loss associated with headaches and eye dryness were reported. At that time , she was advised to reduce caffeine consumption and follow a proper sleep hygiene .Finish the para here.

 A week later, in spite of compliance with her medical advice, she did not  show  improvement in her sleep pattern . Upon discussion, a sense of heart palpitation was documented.  (Include palpation in assessment)On assessment, a blood pressure reading of 132/89 ,  plus rate of 92 and an ECG reading of 88 were detected  were detected. Therefore, a full blood test , TFT  as well as 24 

ECG recording   were recommended. 

On today visit’s, Ms Hassan  showed no changes in her medical status. Beside that, TSH of 0.3 was  record, the other blood studies  were normal . It is worth to  mention that Ms Hassan has a concern reading  her further fertility as she wants to start a family in the next few years. 

In terms of Ms Hassan’s medical background , she has a family history of type 2 diabetes mellitus related to  her grandmother. 

Should you need any further information, please do not hesitate to contact me.

 Your sincerely, 

General practitioner.