Dr.

Azhar
Case: Mr Knowles
Criteria Score Notes
• Immediately apparent?
Yes
• Highlighted?
Purpose 2/3 The urgency of the letter is not highlighted
• Sufficiently expanded?
Yes
• Missing:
1- Initially, → WHEN???.
2- Albumin 6 g/dL
Content 3/7 3- Alkaline phosphatase 120 u/L
4- No improvement in reflux symptoms
• Inaccurate:
None .

• Irrelevant data:
Conciseness Is married with two adult children
& Clarity
5/7 • Summarization:
✓

• Informal / Technical language / medical jargons:

Needs → requires
Is married with two adult children → married
and has two ……
• Impolite:
Genre & None
Style
5/7 • Academic:
In view of the above → Based on/Given these
findings / Based on my provisional diagnosis
of pancreatic cancer.
• Judgment / Feelings
None
• Paragraphing / order:
This is an urgent referral L., so you need to
Organisation
& Layout
4/7 write the social and past medical hx later as
they are not immediately relevant to the
current urgent situation.

Best of Luck
Dr. Amr Darwish
 Dr. Azhar
Case: Mr Knowles
• Highlighting:
✓
• Layout: ✓

I have marked your mistakes

Notes:
1. Take care of the use of tenses. e.g.
a) He developed jaundice → 2 options: He has
developed jaundice / he has jaundice
b) Today, Mr Knowles’ condition has worsened →
means the worsening occurred only today. i.e.
Yesterday, he was good (which w don’t know). So,
the correct options are:
Language 1/7 (i) Today, Mr Knowles’ condition
shows/showed worsening/deterioration
(ii) Recently/Lately/ Since the last visit/Over
the past four weeks, Mr Knowles’
condition has worsened

2. On today, → incorrect.
Correct options: Today, / On today’s visit, / On today’s
review
Total score
20/38 =260 /500 (C)

Best of Luck
Dr. Amr Darwish