OET WRITING SAMPLE (LETTER 13)
Dr. Ben Hinds
Psychiatry Registrar
Maroubra Hospital
Lakes Rd
Maroubra
7/3/11
Dear Dr Hinds
Re: Yuxiang Meng , Age:21 years
Thank you for seeing this patient, an overseas student chef from China, who has
presented with features suggestive of an acute manic episode. Your management of
his current condition would be greatly appreciated.
Mr Meng lives under the care of his uncle and speaks very basic English. On
2/3/11., while being treated for URTI, he was observed to be elevated in
mood, tangential and delusional. A referral was made to the local community
mental health for the urgent assessment of his condition and diazepam 10mg four times a day was prescribed to be given under supervision.
On his next visit, his symptoms were improved and his CT scan and blood tests
were normal. A provisional diagnosis of non-organic mania was made and he has commenced on quetiapine 50mg twice daily. Also, the dose of diazepam was reduced to
10mg twice daily or three times a day.
Today, the patient is accompanied by his uncle who is reporting some abnormal
behavior including discarding his medications. On examination, he is elevated in
mood, pressured in speech, and loose in associations. He is refusing any
medication.
I would appreciate it if you could assess and manage his condition. Once he is
stabilized, he can be referred to a Chinese-speaking psychiatrist.
If you have any queries, kindly contact me.
Yours sincerely
Doctor
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