@) Read the case notes below and complete the writing task which follows. Writing Test- Doctors Time Allowed: 40 minutes Patient: Mr Robert Martin = 2 DOB 13.1,1953 SH: Recently moved from NSW. Hobbies: golf, some irregular jogging, gardening. Smokes heavily. Mild hypercholestérofaemia. PMH: Hypertension for 1/12. > onermontt. fe Medication: Renitec sorafd) Mor / Wid \ hs Family History No IDDM or NIDDM ( mis 20.7.'05 (> Subjective: Came for BP check up. No headaches, nausea, chest pains, oedema. Objective: O/E: Good body build, seems athletic, BP 195/100, P30, reg; JVP: N, carotid no bruit, lungs clear — no creps; CVS NAD,; Abdo N; urine NAD; ankles N, Assessment: —_Hpt uncontrolled ‘Treatment: Increase Renitec to 20mg/mane Needs ECG, FBE, chol, uric acid, URE, LFT, FBS, CXR 3/8°05 Subjective: No symptoms Objective: BP 160/80, ECG NAD, CXR: N; chol 5.6, TG 1.9, HDL & LDL WNL Assessment: —_Hpt responding to treatment Treatment: Continue Renitec 20mg/mane31/8/'05 2pm Subjective: vattack’ 20 mins ago — heayj est radiating to L arm; sweating, palpitations. After 10 mins rest now still heavy but not as bad; feels palpitations mildly. Light-headedness. Still feels pressure over chest. Objective: O/E: Anxious. P reg 92’ BP 160/95; CVS NAD, Chest. NAD; abdo NAD. Assessment: ? THD ? Unstable Angina ‘Treatment: One Anginin sublingually ‘Transfer urgently to hospital ermation in the case notes, write a letter of referral to the af the Emergency Department of the Royal Melbourne (ton Road, Parkville 3052, The main part of the letter should be 180 — 220 words long. Do NOT use note form in the letter. Expand the case notes where relevant into full sentences.Writing Test- Doctors @ Time Allowed: 40 minutes Read the case notes below and complete the writing task which follows. Patient History: Mrs Lillian Wanasili 6 DOB 22.9,1570 3 Mother of 3_ Breastfeeding 2¥ year old Ovarian cystectomy Appendsctomy” 29.405 Subjective: 6:15 yesterday sudden onset of L lower abdo pain, Took Valium -> slept = a Today pain still present ~SharD& eGnstant) Worse > sitting up, walking or bending Pot No-urinary symptoms; rio Vomiting or nausea No loss of weight, bit constipation recently «Last menstrual period Nov-20045 January 2005: vaginal bleed & associated crampy yp. Abdo pains, .~ Hospital o/patients: tentative diagnosis: ne BI ahdntnebristabbrbh _iwk before Xmas, episode of lower L abdo pain Objective: O/E: Not distressed BP 140/80 HR 96, reg Very tender on light palpation of lower L quadrant do. Coot \ Assessment: ? diverticulitis ? pregnancy Treatment: Dietary advice: increase water intake Avoid strawberries/seeds B-hCG to exclude pregnancy; FBE; ESR 30/1/'05 Subjective: Pain there but ‘easier’ No bowel mot ¢ 28/1/’05: Passed hard stoolObjective: O/E: no obvious evidence of anal fissure or haemorrhoids Assessment: ? haemorthoids ? anal fissure 2 IBS ? diverticulitis Treatment: Refer for flexible sigmoidoscopy 31/1/05 Subjective: Pain worse after eating last night. Still no bowel action or flatus. Objective: Hb 9.3 a/dl. Mild left shift. Moderately distressed; abdo (left iliac fossa) tender, rigid with guarding N'bowel sounds Assessment: _2 diverticulitis ‘Treatment: Refer for abdo US WRITING TASK Using the information in the case notes, write a letter of referral to the radiology department at the Cabrini Hospital. High Street, Malvern. The main part of the letter should be 180 — 220 words long. Do NOT use note form in the letter. Expand the case notes where relevant into full sentences.t ©) Writing Test- Doctors Time Allowed: 40 minutes Read the case notes below and complete the writing task which follows. Patient: Mr Ian Miller, Male, DOB 12.06.’59 Australian, Electrical engineer Married, no children 22,2.'04 Subjective: _lack of hearing in the Lear, gradually since 2/12 ago Minor earache with minimal purulent discharge in past 2/52 PMH: No history of trauma or previous illness Objective: T and BP normal Otoscopy: LE external duct blocked by mass - ulcerated Signs of secondary infection Lose and L ant and post (2-3cm) slight tenderness RE: NAD Assessment: mass in L ear duct (Ca?) Treatment: Cloxacillin 500 mg tds Cleansing with boric acid solution 5% (tds) Refer to otolaryngologist 7 WRITING TASK Using the information in the case notes, write a letter of referral to Mr Christopher Bone, Otolaryngologist, 115 Victoria Parade, East Melbourne 3002. The main part of the letter should be 180 — 220 words long. Do NOT use note form in the letter, Expand the case notes where relevant ‘into full sentences.@ Read the case notes below and complete the writing task which follows Writing Test - Doctors Time allowed: 40 minutes Patient History: Mrs Pauline Dobson is a patient in your general practice 20.3.05 Subjective: Mrs Dobson is 72 years old Lives in nursing home, because husband died 2 years ago Has difficulty dressing herself and washing efficiently Almost toial absence of short term memory Disorientated in regards to time and place Rapid mood swings ranges from overactive to drowsy Accompanied by daughter Mary Objective: BP 140/90, P 0 Assessment: Severe Dementia, Plan: Mary given diet and fiuidplan Encouraged to be sociable and join in group activites Constant supervision required Patient encourdged to dress/wash herself__ 21.3.05 Subjective:: Patient appears drowsy and bewildered Broken/infected aféas on rankle, neck Dry mouth Fails 1o feed herself when drowsy Objective: Examination done BP 140/90, P 80 Plan: Daily saline bath recommended Areas to be covered with dry Telfa dressings One glass fluid with meals Oral hygiene required Encouraged to feed herself23.4.05 Subjective: Patient alternating between drowsy and overactive Dry mouth -poor fluid intake: EE Chest infection Unable to feed herself Objective: TPR reading taken Plan; Dementialoss prescribed 3 x daily 200mI of fiuid 10 be given every hour TPR reading 2x daily Mouth care-4 x hourly Nurse per shift should be allocated to her to chat You decide to refer this patient to The Royal Melbourne Hosptial. Writing Task Using the Information in the case notes, write a letter of referral to Dr Clooney at the Royal Melbourne Hospital, Flemington Rd, Parkville, 3052 In your answer Expand the relevant case notes into complete sentences Do not use note form The body of the letter should be approximately 200 words Use correct letter format 4 Title ofwork E veryeles Eog\7 Re Nuss) Author/Artist §GFCe, Tony) Publisher/Publication Bol |{e7@ Trrclat/ Date 20/F | oS Copied under license by’: Melbounte Language CentreWiiting Test - Doctors © Time allowed: 40 minutes Read the case notes below and complete the writing task which follows Patient History: Mr Larry Bukowski is a patient in your general practice 20.3.04 Subjective: Mr Bukowski is 68 years old ives with wife Ruth in own home Dropped cup of tea at home, developed right facial droop Completely ceased speaking at time, could only grunt, say “hello” : No other symptoms at time of incident Had ‘mini stroke’ a year ago-loss of vision in one eye [15 minutes} ‘Smokes pack cigarettes daily-refused to take medication in past Objective: 8P 170/100, P88 Assessment: Mild Stroke Plan: Patient advised to stop smoking Constant supervision required Advised not to drink beer 273.04 Subjective:: Patient’s Condition hasn't worsened Still smoking -however reduction to 10 daily Not drinking al this time No other symptoms at time Objective: Physical Examination done BP 170/100, P 88 Plan: To be seen by speech pathologist/physiotherapist Patient to be encouraged to speak02.4.04 Subjective: Stopped smoking /drinking beer Not able to speak /only grunt/gesture with hands Patient frustrated with condition/angry with wife Speech pathologist /physiotherapist report lack of motivation Refusing fo fake medication Objective: BP /P as before Plan: To be transferred to general medical floor To be given aspirin [2 x daly] To be given gatlic tablets 3 x daily to prevent clots 7 You decide to refer this patient to The Royal Melbourne Hosptial. Writing Task Using the information in the case notes, write a letter of referral to Dr Clooney af the Royal Melbourne Hospital, Flemington Rd, Parkville, 3052 In your answer Expand the relevant case notes into complete sentences Do not use note form The body of the letter should be approximately 200 words Use correct letter format Title of work Author/Artist. bite! || www. bene. psu. edu/ [ume { Ecenoaltre. Publisher/Publication Date = 27/406 Copied under license by : Melbourne Language Centre Lose +e 1G