WRITING CORRECTION

Dr Dev Desai

Gastroenterologist

City Hospital

Easton

16.03.2019

Dear Dr Desai,
Re: Mr Adam Knowles, D.O.B: 08/03/1951

I am writing to refer Mr Knowles, a 68-year-old retired management consultant, whose features are
suggestive of pancreatic malignancy. Your urgent assessment with possible endoscopy would be
highly appreciated.

Today, Mr Knowles presented with back pain, which was associated with diarrhoea, pale stool,
abdominal pain on eating and fatigue. In addition, his pre-existing reflux symptoms showed no
improvement. On examination, jaundice, weight loss, slight abdominal swelling and tenderness were
present. His investigation reports revealed elevated levels of amylase, bilirubin, albumin, ALT and
alkaline phosphatase. Please note, patient is aware of the possible diagnosis.

Initially, on 16.02.2019, Mr Knowles reported heartburn not responding to antacids. His physical
examination including weight was unremarkable. Hence, he was prescribed omeprazole. FBC and
liver function test were ordered.

Mr Knowles has been a non-smoker for the past 10 years. However, he is a social drinker. His
medical history is significant for gallstone disease for which his gallbladder was removed in 2008,
and depression for the past 4 years for which he takes SSRI.

I believe Mr Knowles has been suffering from pancreatic malignancy. I would be grateful if you could
urgently evaluate his condition including endoscopy if needed.

Should there be any queries, please do not hesitate to contact me.

Sincerely yours,
Doctor
Explanation:

1. Grammatical error was noticed.

Word count 205

1. Purpose- Satisfactory
2. Content- All relevant info was written
3. Conciseness and clarity- Minimum Irrelevant information
Comment was written.
4. Genre and Style- letter was clinical formal and non-
Judgmental. Preciseness hampered.
5. Organization and layout- Layout was maintained
6. Language- Grammatical error was noticed. Appropriate
use of comma, Spelling, cohesion was good enough.
1. A good letter indeed
2. Keep practicing

Advice

Estimated Grade B (390)

 A Sample letter of this case note
Dr Dev Desai
Gastroenterologist
City Hospital
Easton

16/03/19

Dear Dr Desai,

Re: Mr Adam Knowles, D.O.B: 8/03/1951

I am writing to refer Mr Knowles, a 68-year-old retired management consultant, whose features are
suggestive of pancreatic malignancy, for your urgent evaluation and management including an
endoscopy.

On today's visit, Mr Knowles reported no improvement of his condition. He developed fatigue,

diarrhoea and abdominal pain after meal. He had lost 2 kg of weight since last his initial visit. On
examination, his abdomen was found tender and mildly distended along with yellow discoloration of
eyes as well as skin. His investigation reports revealed elevated level of liver enzymes and amylase.

Initially one month earlier, Mr Knowles presented with a complaint of burning sensation over chest
despite taking antacids. Hence, omeprazole was prescribed for eight weeks. In addition, liver function
test and full blood examination were ordered and a review visit was scheduled after four weeks.

Mr Knowles is social drinker and nonsmoker for the last ten years. He had undergone gall bladder
surgery for cholelithiasis eleven years ago.

I believe Mr Knowles has been suffering from pancreatic carcinoma. It would be highly appreciated if
you could assess him including endoscopy and treat his condition accordingly.

Should there be any queries, please do not hesitate to contact me.

Yours sincerely,
GP
Case Note