Lidia Markovich
Dr Fransiska Hutahaean
87 George Town Road NEWNHAM, TAS 7248
08-02-1990
Dr Lee
Gynaecologist
Launceston General Hospital
LAUNCESTON, TAS 7250
Re : Mrs. Lidia Markovich, Suspect dysfunctional uterine bleeding
DOB: 18 -02- 1955
Thanks for seeing Mrs. Markovich, a 35-year-old teacher. She has been complaining of heavy continuous vaginal bleeding for 10 days. The bleeding was accompanied by various pains in the lower part of her abdomen. She also has had irregular painful and heavy periods over the last six months. Otherwise, examination was normal. Blood test at this time showed anemia. I diagnosed her as having dysfunctional uterine bleeding and prescribed an analgesic, transquiliser tablets and Mycrogynon tablets.
Her menarche, which was at 14 years old, was regular. She has had 5 pregnancies which had resulted in 2 children and 3 artificial abortions. Her children are 12 years of age and 7 years of age. Her father is 75 years old and still healthy. Her mother died 10 years ago because of carcinoma of the uterus. The patient has had a stressful life.
I would appreciate your further investigation to make a more precise diagnosis and treatment.
Yours sincerely,
Dr Fransiska Hutahaean
General Practitioner.
Probable grade: B
Correction by Kay, the corrections are in the bold.
Dr Fransiska Hutahaean
87 George Town Road NEWNHAM, TAS 7248
08-02-1990
Dr Lee
Gynaecologist
Launceston General Hospital
LAUNCESTON, TAS 7250
I am referring Mrs. Lidia Markovich, a 35-year-old teacher, who has been complaining of heavy continuous vaginal bleeding and various pains in the lower part of her abdomen for 10 days. She also has had irregular painful and heavy periods over the last six months.
On examination, her blood pressure was slightly high ( 140/80 mmHg ) while the rest of her vital signs were within normal range. She was anemic but the results for all her other tests were normal. I assessed her as having dysfunctional uterine bleeding and prescribed an analgesic, transquiliser tablets and Mycrogynon tablets.
Her menarche, which was at aged 14, was regular. She has had 5 pregnancies which had resulted in 2 children and 3 artificial abortions. Her children are 12 years old and 7 years old. She had measles when she was 3 years of age and an appendectomy at aged 12. Her father is 75 years old and still healthy. Her mother died 10 years ago due to uterine carcinoma. The patient has had a stressful life.
I would appreciate your further investigation to make a more precise diagnosis and treatment.
Yours sincerely,
Dr Fransiska Hutahaean
General Practitioner.
Probable grade: B
Correction by Kay, the corrections are in the bold.
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