Jane Pryor
Dr Fransiska Hutahaean
87 George Town Road NEWNHAM, TAS 7248
22/02/2008
Dr Saut Gurning
Neurologist
Launceston General Hospital
LAUNCESTON, TAS 7250
Dear Dr Gurning,
I am referring Mrs. Jane Pryor, a 44-year-old mature student, who initially presented 2 weeks ago. She had been complaining of headaches and nausea for 3 weeks. The headaches, which were centered at the front of her head just above her right eye, lasted for several hours. Her partner reported that she has been showing a slight impediment in her speech over the last twelve months. Beside this, I found no abnormalities in her physical examinations. I recommended her to take some rest, increase the amount of exercise she does and take analgesics if the headache recurred.
She had neither a significant history of headaches nor head trauma. She had a hysterectomy 12 years ago. There was no obvious current psychological or emotional stress. Her daughter died of Hodgkinson’s lymphoma at aged 13 while her mother has had a carcinoma but currently is in remission.
Today she came to see me again due to her condition worsening. The headaches have become more severe and lasted longer. They were accompanied by nausea, clamminess of the skin and dizziness. The speech impediment occurred more frequently. On examination, she was tense, worried and slightly confused but still no obvious clinical signs. She appeared to be dragging her left foot very slightly. I suspect there is a space occupying lesion in her brain.
I would appreciate your further assessment and treatment of this patient’s condition.
Yours sincerely,
Dr Fransiska Hutahaean
General Practitioner
Correction by Andrea
http://adrive.com/public/bafc3a0ee8b624f187b68ba35d04b329fe049160376059a3854b9c71e397cc1f.html
