Grade B OET Letter | Arthur Benson OET Case Notes
OET is an English language test for healthcare professionals. Here is a sample OET letter.
Read the case notes below and complete the writing task which follows.
Today’s date: 12/09/17
Patient history
Arthur Benson
DOB: 15/04/92
Computer programmer
Regularly works 55-60 hr / week
Married with twin boys aged 6 months
Non-smoker and social drinker
Father died at 69 due to stroke
Mother is a diabetic on metaformin
P.M.H
Asthma since childhood – on steroid inhaler
Allergic to penicillin
25/08/17
Subjective
C/O headache (2/12) mild sensation of pins and needles, no nausea or vomiting
Had a car accident 3 months ago. Hospitalized and discharged after 24 hrs with no complications.
CT scan normal
Objective
O/E overweight BMI 32
Gait normal, has lumbar lordosis
Mild weakness in L/hand
Vision – good
Plan
Review 2/52
Panadol 2 tab 4/24 and rest 2/52
Advise to reduce weight and increase exercise
06/09/17
Subjective
Feeling better, no new complaints, no worsening of pins and needles sensation
Has been walking 30 minutes 3 times a week
Advised to start work and come back if any concern
Objective
Weight loss 3kg
12/09/17
Subjective
C/O worsening headaches for 3 days, dizziness, nausea, blurred vision
Pain not responded to Panadol but noticed mild response to Panadeine Forte
Objective:
No weight change
Gait normal
Could not read 2 line of eye chart
Edematuous optic disk on fundus examination
BP – 160/70
PR: 98bpm
Mild weakness and loss of sensation in medical aspects of L/hand
Reflexes: Elbow normal, wrist – no reflexes
Diagnosis – subdural haematoma
You are a General practitioner at a suburban clinic. Arthur Benson and his family are regular patients. Using the information in the case notes, write a letter of referral to a neurosurgeon for MRI scan. Address the letter: Dr J Howe, Neurosurgeon, Spirit Hospital
Here is an OET letter based on this case notes. Need help with OET writing? Get your OET letters corrected by me.
OET Letter Sample | Arthur Benson
Dr. J Howe
Neurosurgeon
Spirit Hospital
Wooloongabba
September 12th, 2017
Dear Dr. Howe,
Re: Mr. Arthur Benson, D.O.B. April 15th, 1992
I am writing to refer a 25-year-old man who has signs and symptoms indicative of subdural hematoma probably from an involvement in a car crash. Your urgent assessment and management of his condition by arranging a brain MRI would be highly appreciated.
Today, Mr. Benson presented to my clinic with a 3-day history of worsening headache accompanied by dizziness, nausea and blurred vision for which he found Panadol unhelpful.
Upon examination, he was found to be hypertensive with BP at 160/70. Other significant findings were mild weakness with numbness in the left hand and an absence of the reflex responses from both wrist tapping. Strikingly, he could not read the eye chart completely and his optic disc was found to be swollen on ophthalmoscopy.
Mr. Benson visited here about 3 weeks earlier complaining of a headache that he had been suffering for two months and tingling sensation without nausea or vomiting. Three months ago, he had had a 24-hour admission because of a car accident involvement. The remarkable findings were obesity, lumbar lordosis and mild weakness in his left hand. His brain CT scan was unremarkable. He was prescribed Panadol 2 tablets 4 times daily and was advised to take 2 weeks’ medical leave. Additionally, he was told to reduce weight and do more exercise. He reportedly had no new complaints and showed some partial improvement of the symptoms during the follow-up visit. He was advised to resume work.
Mr. Benson, an over-worked computer programmer, is married with 2 children. He has asthma and is on steroid inhaler. His family history is remarkable with stroke and diabetes. He does not smoke but drinks alcohol occasionally. Please note that he is allergic to penicillin.
Please do not hesitate to contact me if you need more information.
Yours sincerely,
Doctor