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| TIME ALLOWED: | READING TIME: 5 MINUTES |
| WRITING TIME: 40 MINUTES | |
| Read the case notes below and complete the writing task which follows. | |
Miss Tia Gnina, is a patient on the pediatric ward you work
| Age: | 8 years | ||||
| Residence: | Ouyen | ||||
| Admission date: | 10.08.2018 | ||||
| Discharge date: | 11.08.2018 | ||||
| Admission Assessment: | Abdominal cramping pain while playing in school | ||||
| fatigue, looked tired, Temp: 38.30 C | |||||
| pulse:143bpm, BP: 90/48mmhg, RR:22bpm | |||||
| ?sickle cell disease | |||||
| pediatric hematologist advised admission | |||||
| Social background: | Single child lives with parents in Ouyen | ||||
| Medical background: | Sickle cell anemia- 2002 | ||||
| preterm birth | |||||
| nil medications | |||||
| no known allergies | |||||
Management and progress during the hospital stay:
| 10.08.2018 | 22G Peripheral iv access | ||||
| IV Fluids | |||||
| Prophylactic antibiotics | |||||
| PCT, Morphine | |||||
| Xray, Blood culture,CBC, urea,BUN, Urine culture done. | |||||
| 11.08.2018 | Good progress | ||||
| X Ray- Normal | |||||
| CBC-Normal | |||||
| Urea-WNL | |||||
| Ready for discharge. | |||||
| Discharge Plan: | 8 glasses of water/day at least | ||||
| Nutritious diet | |||||
| avoid strenuous activity | |||||
| avoid high altitude | |||||
| follow up – GP | |||||
| Note: | Parents are so scared about relapse of sickle cell crisis in future. | ||||
| So patient’s GP is given reference for detailed evaluation and follow up. | |||||
Using the information given in the case note, write a letter to Tia’s GP, Mr Chris Tsaz, 26/ Duncan street, Birchip, Mosman, Vic.3483 for further medical evaluation and follow up.