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 Helen Blake

Age: 33 years

I would value your opinion on this rather anxious lady who has been to see me over the past 12 months with a range of ailments. Today she was complaining of a headache, which appears to be very benign in nature and clinically she appeared well but her blood pressure was measured at 192/94. I have commenced a diuretic and will be keeping an eye on her BP but would really value an expert opinion with regards further investigations.

Yours sincerely