NAME : NI Komang Ayu Cahyaningsih

ID NUMBER : P07120018178
CLASS : 2.5

REFERRAL LETER

Dr. MADE JANUARBAWA

PROSPECT MEDICAL CENTER
22 PROSPECT ROAD
PROSPECT 5086

Dear Dr. MADE JANUARBAWA

Re : Cindy Lauper. DOB : 09/01/1987

I am writing to refer Ms. Cindy Lauper, a 33 years old, who was diagnosed with Chlamydia
Trachomatis. She requires further advice and management.
The patient’s medical history is unremarkable, but she has gained 10kg over the last 12 months.
Apart from that, she is a regular smoker (20 cigarettes/day) and drinks moderately on weekends.
Ms. Cindy Lauper recently ended a monogamous relationship of 10 months and now she has a
new partner of 2 months. Besides, she has been using oral contraceptive pills for last 12 months
and she does not use condoms. Her last sexual contact was 14 days ago.
Risks of smoking, benefits of quitting, partner risk and safer sexual practice were discussed, and
she was referred to Quitline and a Women’s Health nutritionist. Also, a pelvic exam and PCR
were done and a cervical screening information sheet was provided. She was prescribed
Azithromycin 1 gram and advised to avoid sexual contacts for 7 days after the treatment.
It would be greatly appreciated if you could review her and provide contraceptive options and
further tests for sexually transmitted infection and blood-borne viruses.
For any queries, please do not hesitate to contact me.

Yours sincerely,
Nurse Cahya