Letter Regarding Emma Johnson

May 8, 2026

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This letter, dated 10/04/2010, is a referral from a doctor to Dr. B. Townsend in the Emergency Department of Newtown Children's Hospital, concerning Emma Johnson, an 11-year-old patient presenting with symptoms consistent with severe asthma, triggered by a viral upper respiratory infection. The referring doctor requests urgent assessment. Emma has a family history of asthma, with both her mother and older sister affected. Initially, she presented with a nocturnal cough, mild fever, and runny nose, with a Peak Expiratory Flow Rate (PEFR) of 250 L/min, for which she was prescribed Paracetamol and fluids. Three weeks later, her persistent nocturnal cough returned, and her PEFR dropped to 230 L/min. She was then started on a trial of inhaled salbutamol. Subsequent visits showed improvement, with her PEFR increasing to 340 L/min, leading to the commencement of inhaled corticosteroids. Today, Emma reported a worsening shortness of breath over 48 hours, accompanied by widespread wheezes, fever, loss of appetite, and a red throat, indicating obvious breathing difficulty due to accessory muscle use. Her PEFR has critically fallen to 140 L/min. The letter emphasizes the urgent need for Dr. Townsend's management and assessment. Further inquiries can be directed to the sender.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

May 8, 2026

Upload by Levi