{"text":"Page 2 of 3 \nCLINICAL INFORMATION \nHistory of presenting complaint \/ examination findings \/ investigation resulis \nPresenting complaint \nMain \npresenting Request for OGD \nComplaint: \nReason for Dear Doctor, \nReferral: \nThis 37-year-old lady was initlally referred for an upper GI endoscopy, having been admitted with epigastric \npain, significant anaemia and weight loss. An outpatient scope was planned, however, unfortunately she was \nunable to attend the offered appointment and was told another one would be sent out, She attended my \ncolleague with vomiting after food which was managed with antiemetics and PPI. A further request for an \nupper GI endoscopy was sent on the 22nd of June, \nI reviewed the patient today and unfortunately it appears that she never received the letter sent out to her \nasking her to make an appointment, She states she did receive the initial one back in April but not the one \nthat would probably have been sent in July or August. : ' \nI'would therefore grateful if you could arrange one further appointment for her to have an upper GI \nendoscopy, given that she still has ongoing symptoms. \nMany thanks. \nYours sincerely, \nDr. Vicki Winchester \nLocum GP \nReason for referval \nCare type requested: Out Patient \nExpected outcome: Not Specified \nPast medical history \nHigh and Medium Priority Pre-existing conditions \nDescription Laterality ~Medifier Extension Date Recorded \nBody mass index less than 20 - - - 29-Jul-2008 \nTermination of pregnancy - - medical 22-Apr-2006 \nH\/O: depression - - and suicidal ideation 15-Feb-2005 \nDrug addiction - - ~ CODEINE 03-Sep-2002 \nSchoo! prbbiem - - f extreme school avoidance 01-Jan-1995 \nCurrent medication (A\u20ac Repeat medication issued within the last 12 months) \nN Course . \nDrug name ?NF code Formulation Dosage Frequency m Duration \no 1 TABLET ONCE A DAY 14-Sep- ' \nMirtazapine 4$W tablets 88881020 tgblet AT NIGHT 2017 - \nOmeprazole *M9 93stro- o o05020 2 CAPSULE ONCE A DAY 26-Jan- ] \nresistant \u00a2 @psule UNTIL scopE 2017 \nRecen-edication (Any medication Issued within last 90 days not shown above) | \nNo SNt medications recorded \nfinical warnings Smoking status \nAlcohol consumption \nLifestyle risks \nExercise status: Enjoys light exercise \nNumber per day \nUnits per day \n? 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