Medicine · Discharge letter · Task 6

Renal function review after dehydration

You are a medical ward doctor at Southbank Hospital. Today is 24 September 2026. Using the case notes, write a discharge letter to Dr Imran Hale, General Practitioner, Southbank Practice, 2 Mill Road, Fairford. Confirm the agreed early blood test and medicine-review responsibility. Write approximately 180-200 words in the body of your letter.

Patient: Eva Collins, born 19 January 1947

Case notes

• N01Patient: Eva Collins; admitted 21 September after poor intake during gastrointestinal illness; dehydration with acute deterioration in renal function documented.
• N02Course: improved with ward treatment; tolerating oral fluids and food; renal function improving but not at documented baseline on discharge; serial results attached.
• N03Discharge today: clinically stable; repeat renal profile required 48 hours after discharge under agreed plan; GP practice has accepted blood-test arrangement.
• N04Medicines: revised list attached; two regular medicines temporarily withheld as identified on list; do not restart automatically; GP to review after repeat results.
• N05Follow-up: GP review of symptoms and blood results after test; hospital contact provided for clarification of discharge plan.
• N06Practical: lives alone; daughter staying until 28 September; patient agrees daughter may help with appointment reminders.
• N07Communication: patient can repeat fluid and contact instructions in supplied plan; anxious about permanent kidney damage; explained further review needed.
• N08Other: retired shop manager; enjoys crosswords; neighbour fed cat during admission.