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    Dr. Dalfo is referring 29-year old Miss Maryam Hassan for specialist assessment of possible hyperthyroidism. Miss Hassan initially presented with sleep issues, dry eyes, and headaches. Her symptoms and a low TSH of 0.3 on bloodwork suggest hyperthyroidism. Dr. Dalfo requests that Dr. Dalfo review Miss Hassan, perform any needed tests, and provide advice on treatment and implications for her desire to start a family in the future.

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    Dr. Dalfo is referring 29-year old Miss Maryam Hassan for specialist assessment of possible hyperthyroidism. Miss Hassan initially presented with sleep issues, dry eyes, and headaches. Her symptoms and a low TSH of 0.3 on bloodwork suggest hyperthyroidism. Dr. Dalfo requests that Dr. Dalfo review Miss Hassan, perform any needed tests, and provide advice on treatment and implications for her desire to start a family in the future.

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    Dr. Dalfo is referring 29-year old Miss Maryam Hassan for specialist assessment of possible hyperthyroidism. Miss Hassan initially presented with sleep issues, dry eyes, and headaches. Her symptoms and a low TSH of 0.3 on bloodwork suggest hyperthyroidism. Dr. Dalfo requests that Dr. Dalfo review Miss Hassan, perform any needed tests, and provide advice on treatment and implications for her desire to start a family in the future.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    598 views1 page

    Sample Answer

    Uploaded by

    MMW M
    Dr. Dalfo is referring 29-year old Miss Maryam Hassan for specialist assessment of possible hyperthyroidism. Miss Hassan initially presented with sleep issues, dry eyes, and headaches. Her symptoms and a low TSH of 0.3 on bloodwork suggest hyperthyroidism. Dr. Dalfo requests that Dr. Dalfo review Miss Hassan, perform any needed tests, and provide advice on treatment and implications for her desire to start a family in the future.

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    Sample Answer

    Dr Pilar Dalfo
    City Hospital
    Newtown

    20.03.19

    Dear Dr Dalfo,
    Re: Miss Maryam Hassan DOB: 27.05.89

    I am writing to refer this 29 year old patient, with symptoms and preliminary investigations
    suggestive of hyperthyroidism, for specialist assessment.

    Miss Hassan initially presented on 27th February 2019 with poor sleep, dry eyes and occasional
    benign headaches. Recent weight loss was noted at this appointment (2kg in 2 months) although
    this coincided with a recent increase in exercise. Her BMI, physical examination and vital signs were
    all normal. She was advised on sleep hygiene measures and simple eye drops.

    Miss Hassan re-attended on 13th March with worsening symptoms and new onset palpitations. Her
    heart rate was 92 and her ECG was normal. Blood investigations confirmed a TSH of 0.3 (other
    investigations normal). The results of a 24 hour ECG are pending.

    I discussed the potential diagnosis of hyperthyroidism with Miss Hassan today. Of note, she advised
    she would like to start a family in the future. Miss Hassan is generally well, takes only over the
    counter vitamin D and is allergic to latex. Her only family history is that of diabetes in her maternal
    grandmother.

    It would be appreciated if you could review Miss Hassan, arrange further investigations as necessary
    and give advice regarding both further management and implications for fertility. Should you have
    any further questions please do not hesitate to contact me.

    Yours Sincerely
    Doctor

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