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 Kenneth McDonald

Age: 56 years

This man has been complaining of shortness of breath for the last three months. It seems to be getting worse. He also suffers with hypertension, but this seems to be well controlled at present. A chest X-ray I requested appears to be unremarkable, but I am awaiting a formal report. Please advise if he needs further investigation or treatment. Many thanks for your assistance.

Yours sincerely