Ameera Khan
Age: 67 year old female
Doctor
Patient’s Data
Patient’s name: Ameera Khan
Age: 67-year-old female
Past medical history
- Myocardial infarction 5 years ago
- Hypertension
- Hypothyroidism
Medications/ drug history
- Aspirin 75mg OD
- Ramipril 5 mg OD
- Bisoprolol 2.5mg OD
- Omeprazole 20mg OD
- levothyroxine 50mcg OD
Recent consultation
- Nil
Seen by Mandy Lukeman (Health care assistant) 2 days ago
Presenting complaint: Patient came in for annual routine bloods to monitor thyroid function and overall health
Examination findings: BP 125/70 BMI 28.7
Patient tolerated procedure.
Plan: Patient was advised that she would be contacted once her results were available, to be informed whether any issues were identified.
Blood Test Summary:
TSH, U+Es, LFTs, HbA1c were all within normal limits and marked as “No Further Action Required” by Dr Native Barnes.
The patient was sent a text message requesting that she book an appointment to discuss her full blood count results and was also advised to continue taking her levothyroxine as prescribed.
Full Blood Count Results
| Test | Result | Reference Range |
|---|---|---|
| HB (Hemoglobin) | 109 g/L | 120 – 150 g/L |
| MCV (Mean Cell Volume) | 72 fL | 80 – 100 fL |
| MCHC (Mean Cell Hemoglobin Concentration) | 22 pg | 27 – 32 pg |
| WBC (White Blood Cell Count) | 4.9 x 109/L | 4.0 – 11.0 x 109/L |
Note: Patient is attending the video consultation today to discuss the results of her FBC.