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Mr. Riddle, a 20-year-old student, is being referred due to symptoms consistent with bronchial asthma. He has a medical history of childhood asthma and periodic eczema, with no asthmatic attacks in the last 8 years, but a family history of bronchial asthma and IgA nephropathy. The letter details Mr. Riddle's recent presentation on June 1, 2018, with a two-week history of breathlessness, cough, wheezing, and itchy eyes. Initial investigations showed a positive response to bronchodilator, a clear chest X-ray, and treatment with oral prednisone, albuterol inhaler, and Symbicort. However, his condition deteriorated two weeks later, with complaints of sleep disturbance despite frequent albuterol use, a respiratory rate of 32/minute, and oxygen saturation of 88%. Arterial blood gas analysis revealed a low PaO2 level of 62 mmHg, and examination showed bilateral diminished air entry with expiratory wheezing. Oxygen, albuterol, and hydrocortisone were administered, leading to improvement. On June 17, 2018, the referring doctor discussed environmental triggers and proper inhaler technique with Mr. Riddle. The letter requests Dr. Robson to arrange for allergic testing and provide advice on environmental management for Mr. Riddle's condition. The referring doctor's contact details and practice information, including a website for OET writing correction, are provided.",{"@graph":69,"@context":105},[70,84],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/mr-tom-riddle-b-referral-letter/24585/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/mr-tom-riddle-b-referral-letter/24585.png","ImageObject",300,407,{"name":92,"@type":93},"Patrick","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-19","2026-05-07",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction","https://schema.org",{"og:url":107,"og:type":108,"og:title":65,"og:site_name":95,"og:description":67},"https://docshare.wps.com/document/mr-tom-riddle-b-referral-letter/24585","article",{"robots":110,"canonical":107},"index,follow",{"doc_id":112,"site_id":62},24585,1778189255,{"code":4,"msg":5,"data":115},{"doc_id":112,"user_id":116,"nickname":92,"user_avatar":117,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":66,"file_id":118,"file_url":119,"file_type":120,"file_size":121,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":122,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":66,"faqs":66,"seo_title":123,"seo_description":67,"update_tm":113,"read_time":81},549758146520,"https://ap-avatar.wpscdn.com/avatar/80002397d8c0411e94?_k=1775819394049821470","cbCaifLaqRA5lNrY","https://ap.wps.com/l/cbCaifLaqRA5lNrY","pdf",327439,"English","Mr Tom Riddle B+ Referral Letter | PDF"]