Margaret English
Age: 62 years old female
Doctor
Patient’s Data
Patient’s name: Margaret English
Age: 62 years old female
Past medical history
- Depression
- Hypertension
- Right Breast cancer (Stage II, hormone receptor-positive, HER2-negative) -diagnosed 3 years ago
- Right sided mastectomy and adjuvant chemotherapy, currently on hormone therapy
- Last seen in Breast clinic 1 year ago and all reported normal
Drug and Allergy history
- Sertraline 50mg OD
- Ramipril 5mg OD
- Letrozole 2.5 mg daily
- Alendronic acid 70mg every Tuesday
- No known drug allergy
Recent consultation
Seen by Dr Sarah Wilson (Clinical practitioner access role) 1 week ago
Presenting Complaint: Reports being tired all the time and also noticed weight loss. No Recent viral infection
Examination: BP 100/76, Pulse 75bpm.
Plan: Bloods, review with results
Seen by Chloe Armitage (Other health care professional access role) yesterday. Took bloods from patient, no complications.
Results of Bloods done yesterday
| Test | Result | Reference Range | Previous Result (10 weeks ago) |
|---|---|---|---|
| Na⁺ (Sodium) | 139 mmol/L | 135 – 145 mmol/L | 131 mmol/L |
| K⁺ (Potassium) | 3.7 mmol/L | 3.5 – 5.3 mmol/L | N/A |
| Ca²⁺ (Adjusted) | 2.9 mmol/L | 2.2 – 2.6 mmol/L | N/A |
| Phosphate | 0.78 mmol/L | 0.74 – 1.4 mmol/L | N/A |
| Urea | 2.7 mmol/L | 2.5 – 7.8 mmol/L | N/A |
| Creatinine | 61 μmol/L | 59 – 104 μmol/L | N/A |
| eGFR | >90 | >90 (normal) | N/A |
Additional Blood Tests: Thyroid Function Test, HbA1c, C-Reactive Protein (CRP), and Liver Function Tests (LFTs) – all reported within normal limits.
Note: Patient here to discuss blood test results.