Read the case notes and complete the writing task which follows.

Patient history

• Female
• Janet Howell
• 2/15 Lake Street
• Port Macquarie
• DOB 01/03/1930

Reason for presenting

• Toothache

Dental History

• Regular attender
• Advancing periodontal disease despite treatment
• x-rays
• fillings

Medical History

• Increased blood pressure
• Diagnosed breast cancer 20/04/2006, radiation therapy then currently chemotherapy with biphosponate
• Allergery: Pencillin

Family & Social History

• widow - lives alone

Initial Examination

31/01/2001

• missing                                 1.8 1.7 2.7 2.8 3.8 3.7 4.8
  
• fillings mod amalgam    1.6 1.5 1.4 2.4 3.5 3.6 3.5 3.4 4.4 4.5 4.6
  
• MO Amalgam                      2.6
  
• Gold inaly                             1.1 2.1
• Moderate plaque & calculus
• Active periodontal disease
• Exam OPG x-ray perio charting

Treatment Record

05/02/2001

•  1 quadrant scaling LA

10/02/08

• 2 quadrant scaling LA

15/02/2001

• 3 quadrant scaling LA

20/02/2001

• 4 quadrant scaling LA

Treatment Record Continued

10/08/2001

• Failed to attend

05/02/2002

• Exam, scale & clean, periochating. Periodontal referral offered/recommended. Patient refused

10/03/2003

• Extraction 1.6 1.5

15/03/2003

• Extraction  4.4 4.5

01/04/2004

• Extraction 1.4

18/03/2006

• Exam abscess 3.3. Prescribed Erythomycin 250mg
• Refer to oral surgeon for treatment of abscess.

Writing Task

Using the information in the case notes, write a letter of referral to oral surgeon, Michael Jones, 28 George Street, City, 4000. include all relevant case notes and requesting confirmation of diagnosis and treatment.

In your answer:

• Expand the relevant case notes into complete sentences.
• do not use note form
• The body of the letter should not be more than 200 words.
• Use correct letter format