This research analyses the language of medical case notes (MCNs) produced by
medical personnel in Nigeria. The study examines the explicatural strategies that
help in the appropriate interpretation of the discourse. Twenty case notes were
purposively sampled from two privately owned hospitals in Ibadan, Oyo State,
Nigeria. The data were subjected to a pragmatic analysis using Wilson and
Sperber‟s Theoretical Concept of Explicature. The findings show the deployment
of three explicatural strategies of enrichment in the discourse: gap filling,
reference assignment and bridging by the medical personnel in the recovery of
the propositional contents of case notes with linguistic peculiarities. The study
reveals professional competence and concludes that the pragmatic implication of
enrichment in the interpretation of such medical discourses enhances the
appropriate diagnosis of diseases and treatment of patients which are the core
tasks of the medical personnel.