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Sample Response

Emma Johnson is an 11-year-old girl with a history of asthma who presented with an acute exacerbation triggered by a viral infection. She initially responded well to treatment with inhaled Becotide and Ventolin but her condition has now worsened with a persistent cough and peak expiratory flow rate declining to 140 L/min. Due to the severity of her current episode, the referring doctor feels admission is warranted for further observation and treatment.

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874 views4 pages

Sample Response

Emma Johnson is an 11-year-old girl with a history of asthma who presented with an acute exacerbation triggered by a viral infection. She initially responded well to treatment with inhaled Becotide and Ventolin but her condition has now worsened with a persistent cough and peak expiratory flow rate declining to 140 L/min. Due to the severity of her current episode, the referring doctor feels admission is warranted for further observation and treatment.

Uploaded by

MMW M
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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SAMPLE RESPONSE: LETTER OF REFERRAL

10 April2010

Dr B Townsend
Emergency Department
Newtown Children’s Hospital

Dear Dr Townsend

Re: Emma Johnson


Thank you for assessing this 11-year-old girl with an acute exacerbation of asthma triggered by a
viral upper respiratory infection. Apart from a family history of asthma in her mother and 1 5-
year-old sister, she has been otherwise well and has no other significant past medical history.
She initially presented in November with, a mild episode of asthma related to a similar viral
infection. At that time, her PEFR was 250 L/min (expected value 350 L/min). She developed a
persistent nocturnal cough which responded partially to a trial of inhaled Ventolin but improved
significantly with the introduction of inhaled Becotide 2002 puffs t.d.s. After a four-week trial of
Becotide her PEFR was 340 L/min. She ،s currently maintained on this dose of Becotide with
additional Ventolin as required.
Today she presented with a 45-hour history of upper respiratory symptoms and worsening
shortness of breath; on examination she has widespread wheeze and her PEFR is now 140 L/min.
She has had one Ventolin nebulizer here at the surgery, with little relief, and I feel that the
severity of this episode warrants admission for further observation and treatment.

Yours sincerely

Doctor

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