Grade B OET Letter Sample | Mrs. Carol Potter OET Letter
Notes
You are a doctor at Stillwater Private Practice. You are examining a 70 year old woman who believes she has worsening arthritis.
Patient details
Name: Mrs. Carol Potter
DOB: 30.12.1947
Address: 21 Gumtree Road, Stillwater
Medical history:
2008: Osteoarthritis (OA) – mostly of hands and knees
2015: Hypertension (HT) – well controlled
2016: Skin cancer removed
2016: Insomnia – 2 years, intermittent, Urinary tract infections (UTIs) – intermittent
Medications
Ramipril 5mg daily
Panadol Osteo (extended release paracetamol 2 tablets
Temazepam 10 mg nocte p.r.n
Family history:
Mother – breast cancer
Social background: Administrative assistant (retired)
Presenting complaint: pain in L knee with walking for last 12 months. Now quite severe – not relieved by regular Panadol Osteo. Pain can even occur at rest after a long walk.
Treatment record
23.02.18
Subjective: No joint swelling / redness
No recent injury to knee
R knee – some pain on walking, not nearly as bad as L knee
On examination:
Evidence of ROM of L knee due to pain
No swelling
Tender to pressure along joint
Treatment:
Referral for X ray of L knee, blood tests
Review appointment to discuss results tomorrow
Prescribe pain relief – naproxen 250 mg b d
24.02.18
Test results
X-ray: Evidence of severe OA in L knee – osteophytes and loss of joint space
Patella appears normal
No evidence of fractures
Blood: FBE, UEC (normal)
Assessment: Likely worsening OA
Treatment: Arrange physiotherapy
Analgesia
Referral for surgical consultation – ? knee joint replacement
Using the information given in the case notes, write a letter of referral to Dr Waters, a surgeon at Stillwater Private Hospital, for a surgical consultation. Address the letter to Dr Leigh Waters, Surgeon, Stillwater Private Hospital, 54 Main Street, Stillwater.
In your letter
Expand the relevant notes into complete sentences.
Do not use note form
Use letter format
The body of the letter should be approximately 180-200 words
Grade B OET letter sample
Here is a grade B OET letter based on these notes. Need help with OET writing? Get your OET letter samples corrected by me.
Dr. Leigh Waters
Surgeon
Stillwater Private Hospital
54 Main Street,
Stillwater
February 24th, 2016
Dear Dr. Waters,
Re: Mrs. Carol Potter, D.O.B. December 30th, 1947
I am writing to refer a 69-year-old woman who is suffering from worsening arthritis of her left knee. Your assessment and management of her condition through a discussion on benefits of knee joint replacement would be highly appreciated.
Yesterday, Mrs. Potter came into my practice with a year long history of worsening pain in the left knee associated with walking despite taking Panadol Osteo. Pain was present in the other knee as well but with a lesser degree of severity.
Neither recent history of trauma nor symptoms of infective arthritis existed. Upon examination, palpable tenderness along the joint line and a limitation of the left knee movement were noticeable. There was no joint effusion. She was prescribed naproxen 250mg twice daily, and an x-ray of the left knee along with relevant blood tests were requested.
Today, Mrs. Potter returned to discuss the results of her investigation. While FBC and UEC results were normal, the X-ray showed a strong evidence of severe osteoarthritis. Her initial diagnosis was worsening osteoarthritis of the left knee. She was prescribed an increased dosage of analgesia and was referred to a physiotherapist. A surgical consultation was also recommended.
Mrs. Potter is a retired administrative assistant. She has been in well controlled hypertensive state for over a year. Osteoarthritis of hands and knees has affected her daily activities since 2006. Her current medications are ramipril 5mg daily, Panadol Osteo 2 tablets three times daily and temazepam 10mg for insomnia. Her family history is unremarkable.
If you need more information please do not hesitate to contact me.
Yours sincerely,
Doctor
