Patient’s Data​

Patient’s name: Emily Johnson

Age: 21-year-old female 

Past medical history

• Right elbow fracture – 8 months ago (treated conservatively)
• Left humeral fracture – 6 months ago (treated conservatively)
• BMI recorded 2 months ago: 16.5 (underweight)

Drug and Allergy History

• Nil

Recent Notes/ Consultation

Letter from Orthopaedics

Dear GP,

Emily Johnson, a 21-year-old gymnast and athlete, was admitted following a fall that resulted in a right wrist fracture. She underwent open reduction and internal fixation (ORIF) of the right wrist.

Emily is now 6 weeks post-ORIF and has made a good recovery. The surgical wound is well-healed, and radiographic imaging shows satisfactory alignment and healing of the fracture. She has regained near-full range of motion in her right wrist and is pain-free.

She has completed her postoperative physiotherapy regimen and no longer requires specialist follow-up in the orthopaedic clinic.

Given her history of multiple fractures in the last year, I recommend a review with her GP to discuss the possibility of an underlying condition contributing to these recurrent fractures. I have now discharged her back to your able hands

Regards, 

Mr Philip Onwudiwe, FRCS(Ortho), MCh (Sheffield)

Consultant Trauma and Orthopaedic surgeon  

Patient has booked a telephone consultation to discuss the letter from orthopaedics and her recent history of multiple fractures.