Dear Ms. (blank),
I reviewed the set of records which you forwarded to me along with your letter.
Following the medical record review, I find that her right shoulder pain and neck pain began as a result of her work. It is my impression that there were no other causes of her pain since the record fails to indicate causes other than the one connected with her job. There is no prior history of similar symptoms. The loading and unloading of the food containers and bags weighing up to 70 pounds in an individual who is only 5 feet tall and weights 108 pounds is obviously an excessive effort and predisposes her to injury.
As long as the medical record fails to indicate any other prior injuries or any other accidents, one has to assume that all of her symptoms began as a result of a cervical disk herniation, and that she has neurologic changes, and that an EMG and MRI are indicated to complete her diagnostic studies.
Sincerely yours,
Name.
FOOTNOTE
Line 13. Re was not dictated but was added to demonstrate proper letter format.
Line 32. Alternative: Disc.
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