Corrections

An urgent referral letter

• I am writing to refer Ms Styles, to request an urgent assessment and further management for her recently diagnosed pericarditis.

• Regarding Ms Styles social and medical history, she lives alone.

• She has had hypertension and diabetes mellitus since 2012 and 2009 respectively.

• She has been exhibiting symptoms of depression over the last 3 years.

• Ms Styles was admitted to the green valley hospital on 07/04/2018 with the complaints of shortness of breath and tiredness.

• During hospitalization her lab results were erythrocyte sedimentation rate 24, creatinine-2.0 and decreased platelets.

• Type B influenza was noticed in her throat swab and her echocardiogram report revealed type B influenza plus pericarditis.

• She was treated with antibiotics.

• She was discharged on 09/04/2018 and advised further follow up home visits.

• On 14/04/2019, when I visited Ms Styles at her home she explained she was on self-care after her discharge.

• During examination, she complained chest pain, tiredness and fatigue.

• Her vitals were heart rate-122, respiratory rate-22, blood pressure was -180/90 and she has mild temperature.

• However, her chest pain was declined while sitting.

• Her clinical signs and symptoms are suggestive of pericarditis.