Ticket Id: 131554

Dr Ben Hinds
Psychiatry Registrar
Maroubra Hospital
Lakes Road
Maroubra

1/6/2022

Dear Dr. Hinds,

Re: Mr. Yuxiang Meng

Thank you for seeing Mr. Meng, a 21 year old overseas student chef from China who presented with symptoms suggestive of Commented [OET1]: 21-year-old
acute mania.

Mr. Meng initially presented on 2/03/11 with complaint of upper respiratory symptoms for five days. On examination, he
had mild pharyngitis and rhinorrhea. His mood was elevated and he was experiencing delusional thoughts. A provisional
diagnosis of mania and mild viral illness was made. He was referred to local community mental health and Diazepam 10 mg Commented [OET2]: diazepam
four times a day was prescribed.

Mental health team corroborated the provisional diagnosis and made the assumption that Mr. Meng was in no immediate Commented [OET3]: The mental
danger to self or others. Furthermore, he was keen to avoid hospitalization due to social stigma and wanted to continue
treatment with his general physician due to language issues. His labs showed hypokalemia and mildly decreased protein
levels. He was commenced on quetiapine 50 mg twice a day, potassium tablets, R/V in 3/7 and dosage of Diazepam 10 mg Commented [OET4]: diazepam
was decreased to either twice or thrice a day.

Today, Mr. Meng presented with elevated mood, pressured speech, delusional manifestation and flight of ideas. His uncle
told that he had stayed up all night and ran naked down his street. He was offered quetiapine 100 mg and diazepam 20 mg Commented [OET5]: reported
but he refused. Local mental health team was updated and he was accompanied with his uncle.
Commented [OET6]: The local

Kindly assess Mr. Meng and please feel free to contact me if you have any queries. Commented [OET7]: by

Yours sincerely,

Doctor

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Word Length 244
Comments The letter shows some mistakes in grammar, particularly regarding
articles. The letter also exceeds the recommended letter length and
more of an effort could be made to summarize information.
Nevertheless, the relevant case notes are covered and the
information is presented in a logical manner. Overall, the letter
meets expectations.

Estimated Grade A/B

Advice 1. Revise grammar (articles)
2. Try to finish the letter in 200 words by writing information in
brief wherever possible. Watch this video on word length:
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3. Always proofread the letter after finishing it.
4. Keep up the good work!
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