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Roberts, Admitting Officer at Newtown Hospital, dated October 2, 2014. The letter concerns Mrs. May Hong, a 43-year-old patient born in 1971, who is being referred for urgent admission due to suspected right lower lobar pneumonia. Mrs. Hong has a history of smoking, mitral regurgitation, and atrial fibrillation resulting from rheumatic carditis since childhood. She initially presented on February 7, 2014, with a three-day history of productive cough and fever. A provisional diagnosis of acute bronchitis was made, and she was prescribed amoxicillin and advised to quit smoking. Two days later, her fever increased, and signs of early right basal pneumonia were detected, including mild crackles at the right lung base. During today's review, Mrs. Hong's condition worsened, and she developed pleuritic right-sided chest pain and dyspnea. Examination revealed right lower lobe dullness, persistent crackles, a louder heart murmur, and a high heart rate of 110 beats per minute. Laboratory results indicated leukocytosis and amoxicillin resistance, and a chest X-ray confirmed right lower lobe opacity. The referring doctor requests Dr. Roberts' further assessment and management of Mrs. Hong's condition. The letter concludes by inviting Dr. Roberts to contact the referring doctor for any further questions.",{"@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/mrs-may-hong-referral-letter/24499/",{"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/mrs-may-hong-referral-letter/24499.png","ImageObject",300,407,{"name":92,"@type":93},"Himbo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-18","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/mrs-may-hong-referral-letter/24499","article",{"robots":110,"canonical":107},"index,follow",{"doc_id":112,"site_id":62},24499,1778188966,{"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},687197100911,"https://ap-avatar.wpscdn.com/avatar/a000239b6f1da00475?x-image-process=image/resize,m_fixed,w_180,h_180&k=1785132997149421697","cbCaijIpsdzVjfth","https://ap.wps.com/l/cbCaijIpsdzVjfth","pdf",143216,"English","Mrs May Hong Referral Letter | PDF"]