PRODUCTION OF QUALITY SENTENCES
1. Thank you for seeing this 43-year-old patient with right lobar pneumonia for assessment.
2. Mrs Hong has a past history of rheumatic carditis, with resultant mitral regurgitation and atrial fibrillation.
3. Her usual medications are digoxin 0.125 mg every morning and warfarin 4 mg every night.
4. She has no known allergies.
5. Her last prothrombin ratio taken on 09 February 2010 was 2.4.
6. Today, she presents with a six-day history of productive cough with associated fever and lethargy.
7. This was treated initially with oral amoxycillin (ineffective) and then chest physiotherapy.
8. However, today, she has deteriorated with tachypnoea and right pleuritic chest pain.
9. The right lower lobe is dull to percussion.
10. Crackles are present in both the lungs, worst at the right base.
11. Her temperature is 38oC, blood pressure 110/75, pulse 110 (irregular) and her usual pansystolic murmur is louder than normal.
12. Sputum for micro and culture specimen revealed gram-positive streptococcus pneumoniae.
13. The X-ray showed opacity in the right lower lobe.
14. I believe her rapid deterioration warrants inpatient treatment.
15. I would appreciate your assessment and advice regarding Mrs Hong.
16. I will be in touch to follow her progress.
17. Thank you for seeing Mrs Priya Sharma, who was diagnosed with type two diabetes mellitus.
18. I would be grateful if you would assist with her blood sugar control.
19. Mrs Sharma is 60 years old.
20. She has a strong family history of diabetes.
21. She was diagnosed with non-insulin-dependent diabetes mellitus in 1994.
She has had diabetes mellitus since 1994. [since starting point of time commencement]
She has had diabetes mellitus for the last three decades. [for the last period of time duration]
22. She is physically very active, but she does not participate in any physical activities or exercises.
23. She has been successfully monitoring her blood pressure and sugar levels at home since 1994.
24. She first attended my surgery on 29 December 2013.
25. She was concerned that her blood sugar levels were no longer well controlled.
26. On initial presentation, her blood pressure was 155/100.
27. She said that her blood sugars were running between 6 and 18.
28. Her medication at that time was metformin 500 mg twice every night and glipizide 5 mg every morning.
29. Mrs Sharma is allergic to penicillin.
Allergy to penicillin has been notified.
30. A pathology report on 05 January 2014 showed HbA1c levels of 10% and glomerular filtration rate [GFR] greater than 60 ml/min.
31. Her cholesterol was high (6.2).
32. On 29 December 2013, I instituted Atacand 4 mg 1tablet every morning.
33. Since then, her home-monitored blood pressure has been withing the acceptable range.
34. On 12 January 2014, I also prescribed Lipitor 20 mg daily, and her lipids have improved, with cholesterol falling from 6.2 to 3.2.
35. Mrs Sharma reports that her fasting blood sugar levels are in the 16+ range, whereas the other blood sugars are 7-8.
36. I am concerned about her fasting blood sugars, which remain high.
37. I would appreciate your advice.
I would be thankful to you if you could provide expert guidance and appropriate management.
She requires education to manage her blood sugar levels.
Relevant education should be provided to manage her blood sugar levels.
38. An appointment for the review of Mrs Lincoln’s health condition after two weeks has been scheduled.
39. Based on the aforementioned circumstances, ongoing care and implementing the follow-up action plan would undeniably be of utmost priority.
40. In case, any additional information is deemed extremely prominent, kindly do not hesitate to contact me.
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