Valma Murphy's Argumentative Essay

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Thank you for sending Valma Murphy back to see me some three years since I was last involved in her care, when she underwent a left total hip joint replacement.

As you are aware, Valma is generally in good health but does have an extensive orthopaedic history and did develop a pulmonary embolus a few months following the right total hip joint replacement. She was treated with warfarin for around five years.

Of late, Valma reports no cardiorespiratory issues, no current gastro-intestinal or genito-urinary symptoms. There are features suggestive of sleep apnoea.

Her only regular medication is Atacand.

On examination today, oxygen saturation was 97% and blood pressure was 130/75. Chest auscultation was clear and two heart sounds

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