OET Letter Example | Grade B OET Letter Sample
OET is an English language test for healthcare professionals. Here is a grade B OET letter written by one of our students. You can find the OET case notes here.
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Grade B OET Letter Example
Dr. Kenneth Smith
Newtown General Hospital
December 8th, 2018
Dear Dr. Smith,
Re: Mr. Aaron Shaw, D.O.B. June 2nd, 1976
I am writing to refer a 42-year-old man who is suffering from Fournier’s gangrene and poorly controlled diabetes with hypertension. Your urgent assessment and management of his symptoms through early surgical debridement and antibiotic administration would be highly appreciated.
Today, Mr. Shaw presented to my practice complaining of painful swelling of his scrotum and inguinal area along with a low grade fever for the past 4 days. He has not sustained any recent direct injuries or developed sexually transmitted disease. Twenty kg of body weight has been lost over the past 10 months. Upon examination, it was found that he was obese and his vital signs were elevated. Importantly, his scrotum and surrounding perineum were generalized erythematous swollen. Multiple hemorrhagic necrosis were scattered around the scrotum sparing / barring the penis. His abnormal pathology results consisted of leucocytosis and considerably elevated random blood sugar and hemoglobin A1C level. He was diagnosed with Fournier’s gangrene along with uncontrolled diabetes type 2 and hypertension. Mr. Shaw’s treatment began with fluid resuscitation followed by a combination of intravenous ciprofloxacin, clindamycin and ampicillin. The essence of debridement was explained.
Mr. Shaw was diagnosed with hypertension and diabetes type2 in 2010 and 2012, respectively. His prescribed medications are a twice daily dosage of atenolol 50mg, metformin 250mg, and 70/30 insulin 4units. He has not complied with the treatment regimen. In November 2017, he was diagnosed with dyslipidemia due to an abnormally raised lipid profile. Lipitor was added to his previous medications. A healthy lifestyle, regular follow-up and scheduled blood test were emphasized as well.
Mr. Shaw has a history of urethral stricture for which he had undergone cystoscopic dilatation in 1965. His family history was significant with parental diabetes and early paternal death from heart attack. He does not smoke or drink alcohol and has no known allergies.
Should you have any queries please do not hesitate to contact me.
This is a grade B letter and may get 400 points.