Dr Arnold Zeimer

10 Hotham Street,
St Kilda, 3002

Dear Dr Zeimer,

Re: Mrs Anne Jenkins, DOB: 20/4/1929

Mrs Anne Jenkins is a 90-year-old patient of yours who was brought into our
emergency department today by ambulance after a fall at home. We could find
no specific injuries but have some concerns about her general level of self-care
we would like you to follow up on.

In our assessment, we noted some mild memory loss, long standing atrial
fibrillation and some leukocytes in her ward urine test. We did note some older
bruising and grazes of her elbows consistent with previous falls.

X-rays of her pelvis and hips were normal and she is able to ambulate without
pain. CT brain, CXR, pelvis and hip X-rays and basic bloods were essentially
normal.

A neighbour reported that she has suffered a number of recent falls requiring
assistance and a general decline in self-care. We were unable to contact her
children today, although I did leave a message on her daughter’s message bank.

Could you please follow up and act on her TFT, digoxin levels, and MSU result?
The results will be available in two days’ time. In addition, would you kindly
consider her for a geriatric review? She may require some home help or even
placement into care.

Please let me know if you have any questions or concerns.

Yours sincerely,
Doctor