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    Amina Ahmed A PDF

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    Moloy Sarkar
    1) Amina Ahmed, an 8-year-old Somali refugee, presented with signs of meningococcal meningitis including fever, rash, and neck stiffness. 2) Her condition deteriorated over several days despite treatment. 3) On examination, she was severely febrile with a rash, stiff neck, and blood tests indicating infection. 4) The doctor refers her urgently to the hospital for further assessment and management given concerns over meningococcal meningitis.

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    Amina Ahmed A PDF

    Uploaded by

    Moloy Sarkar
    563 views4 pages
    1) Amina Ahmed, an 8-year-old Somali refugee, presented with signs of meningococcal meningitis including fever, rash, and neck stiffness. 2) Her condition deteriorated over several days despite treatment. 3) On examination, she was severely febrile with a rash, stiff neck, and blood tests indicating infection. 4) The doctor refers her urgently to the hospital for further assessment and management given concerns over meningococcal meningitis.

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    1) Amina Ahmed, an 8-year-old Somali refugee, presented with signs of meningococcal meningitis including fever, rash, and neck stiffness. 2) Her condition deteriorated over several days despite treatment. 3) On examination, she was severely febrile with a rash, stiff neck, and blood tests indicating infection. 4) The doctor refers her urgently to the hospital for further assessment and management given concerns over meningococcal meningitis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    563 views4 pages

    Amina Ahmed A PDF

    Uploaded by

    Moloy Sarkar
    1) Amina Ahmed, an 8-year-old Somali refugee, presented with signs of meningococcal meningitis including fever, rash, and neck stiffness. 2) Her condition deteriorated over several days despite treatment. 3) On examination, she was severely febrile with a rash, stiff neck, and blood tests indicating infection. 4) The doctor refers her urgently to the hospital for further assessment and management given concerns over meningococcal meningitis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Sample Doctor Writing Task

    Time allowed: 40 minutes


    Read the case notes below and complete the writing task that follows:

    Today’s Date
    14.10.10

    Patient History

    Amina Ahmed aged 8 years – new patient at your clinic Parents – Mother
    Ayama, house-wife. Father Talan, cab driver Brothers Dalma aged 4 and
    Roble aged 2 Family refugees from Somali 2005. Have Australian
    Citizenship Amina and father good understanding of English, mother has
    basic understanding of slowly spoken English. Amina had appendicectomy
    2 years ago
    No known allergies

    09/10/10

    Subjective

    Fever, runny nose, mild cough, loss of appetite


    Unable to attend school

    Objective

    Pulse 85/min
    Temperature 39.4
    No rash
    No neck stiffness
    CVS, RS & abdo – normal

    Assessment

    Viral infection

    Management

    Keep home from school


    Rest and paracetamol three times daily
    child ? Review in 3 days if no improvement

    12/10/10

    Subjective
    Amina not well
    Cough +, continuous headache, lethargic, loss of appetite
    Difficult to control temperature with Paracetamol
    Mother worried

    Objective

    Fever 39.8 C
    No rash or neck stiffness

    Management

    Prescribe Brufen 200mg as required


    FBC & UFR were ordered
    Review in two days with results of reports

    14/10/10

    Subjective

    Both parents very concerned


    Reported Amina lethargic and listless
    Vomited twice last night and headaches worse

    Objective

    FBC- WBC(18000) and left shift


    Urinary Function Report Normal
    Temperature 40.2C
    Pulse 110/min
    Macula-papular rash over legs
    Neck Stiffness+

    Assessment

    Meningococcal Meningitis Penicillin IV given (stat dose)

    Plan

    Arrange urgent admission to the Emergency Paediatric Unit,


    Brisbane General Hospital, for further investigation and treatment.

    Writing Task
    You are GP, Dr Lucy Irving, Kelvin Grove Medical Centre, 53 Goma Rd,
    Kelvin Grove, Brisbane. Write a referral letter to the Duty Registrar,
    Emergency Paediatric Unit, Brisbane General Hospital, 140 Grange Road,
    Kelvin Grove, QLD, 4222.
    In your letter:

    Expand the relevant case notes into complete sentences.


    Do not use note form.
    The body of your letter should be approximately 200 words.
    Use correct letter format.
    Sample Doctor Model Letter

    14.10.10

    The Duty Registrar


    Emergency Paediatric Unit
    Brisbane General Hospital
    140 Grange Road
    Kelvin Grove, QLD, 4222

    Dear Doctor:
    Re. Amina Ahmed (8years)

    I am writing to refer Amina who is presenting with signs and symptoms of


    meningococcal meningitis for urgent assessment and management. She is
    the first child of a family of 5, which includes her parents and two
    younger siblings. They are immigrants from Somalia, though she and her
    father understand English.

    Initially, accompanied by her parents, she presented to me on 9.10.10


    with complaints of fever, runny nose, cough and loss of appetite. She was
    febrile with a temperature of 39.4 and a pulse rate of 85 beats per
    minute, but there was no rash or neck stiffness. However, her condition
    continued to deteriorate over the next two days as the fever could not be
    controlled by antipyretics. Therefore, blood and urine tests were ordered.

    Regrettably, today Amina became lethargic and listless. She vomited


    twice last night and had been having severe headaches. On examination,
    she was severely febrile with a temperature of 40.2 and a pulse rate of
    110 beats per minute. There was macula-papular rash over the legs and
    neck stiffness was present. Blood test showed leucocytosis with a shift to
    the left.

    Based on the above, I believe she needs urgent admission and


    management. Please note, Penicillin IV has been given as a stat dose.

    Yours sincerely,

    Dr. Lucy Irving

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