Referral Letter Details
Referral ID: f38c26b3-6d43-4358-8ae4-22373337188d
Created: 2025-07-07T13:31:54.810447
Status: completed
Referral Letter
Dear Colleague, I am writing to refer a young lady who has presented with a frontal headache persisting for the last two to three months. The headache is exacerbated by coughing and sneezing, and it is particularly worse when she leans forward. The patient is generally fit and well, but she has a history of renal hypertension. For this condition, she is currently taking the following medications: • Amlodipine 5 milligram daily • Mesoprolol 2.5 milligram daily • Rimepryl 10 milligram daily It is important to note that she has an allergy to PENICILLIN. On physical examination, her vital signs were as follows: temperature 36.2°C, oxygen saturation 98%, blood pressure 124/77 mmHg, and pulse rate 72 bpm. Examination of her sinuses revealed slight tenderness, particularly in the frontal region, while the remainder of the ENT examination was unremarkable. I would greatly appreciate your assistance in further evaluating this patient. Yours sincerely,
Audio Transcript
Dear David, many thanks for agreeing to see this young lady who presented with frontal headache for the last two to three months. It is worse on coughing and sneezing. Also noticeably, it is worse when she leans forward. This young lady is generally fit and well. However, she has a history of renal hypertension for which she takes amlodipine 5 milligram daily, mesoprolol 2.5 milligram daily, and rimepryl 10 milligram daily. She is allergic to penicillin. On physical examination, her temperature was 36.2, and her oxygen saturation was 98% with a blood pressure of 124 over 77 and a pulse rate of 72. Her sinuses are slightly tender, especially the frontal ones. Otherwise, the rest of the ENT examination was unremarkable. I would be grateful for your assistance.