ABSTRACT
You are reviewing patients in the medical outpatient clinic. Your next patient has been referred by her general practitioner with the following letter. Please read the letter and then review the patient.
Dear Doctor,
Re: Mrs Sandra Billington
Age: 59 years
Thank you for your advice on this lady who has been suffering with pruritis for some months. I have tried calamine lotion and antihistamines with no benefit. I am at my wit’s end and frankly do not know what else I can offer her.
Yours sincerely
