ABSTRACT

You are reviewing patients in the medical outpatient clinic. Your next patient has been referred by his general practitioner with the following letter. Please read the letter and then review the patient.

Dear Doctor,

Re: Mr Phillip Pattison

Age: 73 years

Thank you for seeing this fellow who has been complaining of heartburn for some months. He has had some problems with swallowing. Please advise whether he requires an endoscopy. Thank you.

Yours sincerely