{"text":"Page 3 of 5 \nCLINICAL INFORMATION \nHistory of presenting complaint \nPresenting complaint \nDescription: COPD \nComment: Dear Colleagues, \nI would be grateful for your assessment of this lady who complains of shortness of breath on exertion and was \nnoted to have emphysema on a \u20acT scan. I would be gratefui for pulmonary function tests to be done. \nThank you for your help in this matter. \nYours sincerely, \nDr. A M McGregor \nReason for referral \nCare type requested: Out Patient \nExpected outcome: Not Specified \nPast medical history \nPre-existing conditions (High & medium priority - all) \nDescription Comment Modifier Date of onset Date recorded \nEmphiysema - o New event 17-Feb-2022 17-Feb-2022 \nGastritis unspecified - Mild. New event 27-Apr-2021 27-Apr-2021 \nIron deficiency anaemias \/ admitted. l New event 21-Nov-2019 21i-Nov-2019 \nBody mass index less than 20 - \u2018 - 29-Jul-2008 29-Jul-2008 \nTermination of pregnancy medical . - 22-Apr-2006 22-Apr-2006 \nH\/O: depression -and suicidal ideation - 15-Feb-2005 15-Feb-2005 \nDrug addiction CODEINE - 03-Sep-2002 03-Sep-2002 \nSchool problem extreme school avoidance - 01-Jan-1995 01-Jan-1995 \nPast procedures (High and medium priority - all) \n| Description Date performed Date recorded \nDrug add detox ther methadone 17-Nov-2005 17-Nov-2005 \nRef to comm drug dependen team 30-Cct-2002 30-Oct-2002 \nCurrent medication (Active Repeat medication issued within the fast 12 months) \n. . . Date Date last \nDrug naine Quantity Formulation Qosage Erequency started \u2014\u2014\u2014 \nok . : i 28-Jan- 23-May- - \nFolic acid 5mg tablets 56 table\u00a7 1 TABLET ONCE A DAY . 202 2022 \n: . 1 TABLET ONCE A DAY AT _ 14-Sep- 14-Jun-~ \nMirtazapine 45mg tablets 56 tablet NIGHT _ 2017 2022 \nEsomeprazole 40mg 56 capsule 1 BD AS PER , N 04-May- 23-May- \ngastro-resistant capsules P GASTROENTEROLOGIST 2021 12022 \nRecent medication (Any medication Issued within last 90 days not shown above) \n. . . ' Date Date last \nDrug name Quantity Eormulatlon Dosage Frequency started issued \nSalbutamol 100micrograms\/dose 200 dose 'lrg)r(sz)ZUTQU;i:raELJSP . - 16-Jun- 16-Jun- \nbreath actuated inhaler CFC free 2022 2022 \n{more] \n' - 16-Jun- 16-Jun- \nTrimethoprim 200mg tablets 6 tablet 1 TWICE A DAY - 2022 2022 \n- 1 TABLET THREE 16-Jun- 16-Jun- \nCyclizine 50mg tablets 30 tablet TIMES DALLY - 2022 2022 \ns 1 CAPSULE FOUR 11-May- 11-May- \nFlucloxacillin 500mg capsules 28 capsule TIMES A DAY - | 3022 2022 \n1 TABLET ONCE A ) \u2018 28-Jan- 29-Mar- \nfile:\/\/\/N:\/PCTI\/Docman7\/Data_S1\/Document\/DMEDOC01\/00003900\/01576964. 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