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    Bendon Cross 8

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    Samia Farooq
    Brendan Cross, an 8-year-old boy, is being referred by his GP to a pediatrician for further investigation and treatment of suspected rheumatic fever. He first presented with symptoms of acute bacterial tonsillitis and was prescribed antibiotics, but his symptoms worsened with fever, joint pain, and difficulty eating. On examination he had an enlarged tonsil and swollen knee joint, and a heart murmur was detected. Blood tests and an ECG showed signs consistent with rheumatic fever, so the GP believes he needs admission to the pediatric center for further assessment and stabilization.

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    Bendon Cross 8

    Uploaded by

    Samia Farooq
    24 views2 pages
    Brendan Cross, an 8-year-old boy, is being referred by his GP to a pediatrician for further investigation and treatment of suspected rheumatic fever. He first presented with symptoms of acute bacterial tonsillitis and was prescribed antibiotics, but his symptoms worsened with fever, joint pain, and difficulty eating. On examination he had an enlarged tonsil and swollen knee joint, and a heart murmur was detected. Blood tests and an ECG showed signs consistent with rheumatic fever, so the GP believes he needs admission to the pediatric center for further assessment and stabilization.

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    Bendon Cross 8 (1)

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    Brendan Cross, an 8-year-old boy, is being referred by his GP to a pediatrician for further investigation and treatment of suspected rheumatic fever. He first presented with symptoms of acute bacterial tonsillitis and was prescribed antibiotics, but his symptoms worsened with fever, joint pain, and difficulty eating. On examination he had an enlarged tonsil and swollen knee joint, and a heart murmur was detected. Blood tests and an ECG showed signs consistent with rheumatic fever, so the GP believes he needs admission to the pediatric center for further assessment and stabilization.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    24 views2 pages

    Bendon Cross 8

    Uploaded by

    Samia Farooq
    Brendan Cross, an 8-year-old boy, is being referred by his GP to a pediatrician for further investigation and treatment of suspected rheumatic fever. He first presented with symptoms of acute bacterial tonsillitis and was prescribed antibiotics, but his symptoms worsened with fever, joint pain, and difficulty eating. On examination he had an enlarged tonsil and swollen knee joint, and a heart murmur was detected. Blood tests and an ECG showed signs consistent with rheumatic fever, so the GP believes he needs admission to the pediatric center for further assessment and stabilization.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Paediatric Consultant

    Mater Paediatric Centre


    Vulture Street
    Brisbane,
    4101

    21/01/2012

    Dear Dr Alison Grey,


    Re: Brendan Cross, Aged 8

    As arranged with your receptionist, I am referring this minor /lad /my patient who has
    demonstrated features consistent with rheumatic fever today, for an urgent
    investigation and treatment. His developmental and past medical history was
    unremarkable except for an allergy to peanuts.

    He presented with symptoms suggestive of acute bacterial tonsillitis at my clinic when


    fever and sore throat had occurred on 14/01/12, associated with lethargy and crying
    spells. High temperature (39.8), enlarged tonsils with exudate and cervical
    lymphadenopathy were found. Therefore, oral penicillin and paracetamol were
    prescribed.

    Regrettably, he returned two days ago on 19/01/12 with worsening symptoms. The
    fever persisted with right knee joint pain. He appeared restless and was finding it
    difficult to eat and sleep. Examination revealed hypertrophied tonsils and a swollen right
    knee joint without signs of effusion. There was a mid-systolic murmur on heart
    auscultation. Brufen was prescribed but was not effective.
    Today, blood test results reported elevated erythrocyte sedimentation rate and anti-
    streptolysin O titre. An abnormal electrocardiogram indicated a prolonged P-R interval.

    I believe Brendan needs admission at your Paediatric facility for further investigation
    and stabilisation. I would appreciate your urgent attention to his condition.

    Yours sincerely,
    Dr Joseph Watkins
    General Practitioner
    Greenslopes Medical Clinic

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