B-GHUD OET WRTING LIVE #3 -Sample Letter Explanation скачать в хорошем качестве

B-GHUD OET WRTING LIVE #3 -Sample Letter Explanation

TIME ALLOWED: READING TIME: 5 MINUTES WRITING TIME: 40 MINUTES Read the case notes below and complete the writing task which follows. NOTES: Patient: Sally Mc Conville(Ms),aged 38 Occupation: Administrator Marital Status: Single Patient History: - Past history: asthma, hypertension, cholecystectomy, ankle fracture, depression, non – smoker. Medications: ramipril- 2.5mg daily, paroxetine- 20 mg daily, fluticasone250- 2 puffs daily, Ventolin (salbutamol)- 2 puffs if required Allergies: nil 10/9/14 History: 2-day history of runny nose, cough productive of yellow sputum, slight fever, wheezy, but not short of breath. Asthma usually well-controlled on preventer (Fluticasone 250- 2 puffs daily) Examination : Temperature 37.5, pulse 82, BP 120/80,respiratory rate 12, obvious nasal Congestion, throat red, ears normal, no increased work of breathing, no accessory muscle use, chest scattered wheeze, no crepitations. Assessment: 1. Viral upper respiratory tract infection 2. Infective exacerbation of asthma Treatment : Ventolin 2 puffs 4-hrly, continue preventer Medical certificate for work Review as required 12/9/14 History : Increasing shortness of breath & wheeze over last 24hrs, feeling feverish at times, Website: https://bghud.com/courses/oet-exam-co... Minimal yellowy sputum, short of breath on minimal exertion Examination: Temperature 38, pulse 95, BP 120/80, respiratory rate 16, throat red, ears normal, Mildly increased work of breathing, chest-widespread wheeze, no crepitations. Assessment: Infective exacerbation of asthma – symptoms worse. Treatment: Amoxicillin 500mg 3 x daily, prednisolone 25mg daily x 3days Continue 4- hrly Ventolin & preventer. 13/9/14 10:30am History: More short of breath today despite prednisolone & antibiotics. Feeling feverish & unwell . Examinations: Short of breath at rest, respiratory rate 25, obvious accessory muscle use & increased work of breathing, pulse 112, BP 100/65, temp 37.7,chest exam- widespread wheeze, bibasal crepitations Assessment: Acute asthma, ? pneumonia. Treatment : Ventolin Nebules ( salbutamol) 5mg, review. 10:45am No improvement. Still obvious respiratory distress Refer to Emergency Department for acute management and investigation ? pneumonia WRITING TASK: Using the information given in the case notes, write a letter of referral to the Admitting Officer at the Emergency Department, Newtown Hospital. In your answer: Expand the relevant case notes into complete sentences Do not use note form A leading English language school in South India.