OET WRITING SAMPLE (LETTER 18)
OET FOR DOCTORS AND NURSES
1 June 2011
Dr Jeremy Barnett
Emergency Registrar
Maroubra Hospital
Lakes Rd
Maroubra
Dear Dr Burnett
Re: Mr John Elvin, age: 48 years
I am writing to refer Mr. Elvin, a 48-year-old businessman, who is presenting with acute exacerbation of asthma and likely a myocardial infarction.
Mr Elvin experienced sudden chest pain while passing by the medical centre today. The pain is crushing and is not relieved by arginine. He is having an audible wheeze, likely because his asthma is exacerbated by an upper respiratory tract infection. His ECG is showing mild ST elevation in anterior leads with ST of 120. Further examination revealed his oxygen saturation to be 86% on room air with bilateral crackles and wheezing. On auscultation of his heart, the third heart sound was audible.
Please note that Mr. Elvin is a known case of asthma, and is on Seritide and Salbutamol inhalers. He smokes a pack of cigarettes a day and drinks 10 units of alcohol a week. Recently, he has been under work-related stress. In addition, he has been experiencing on-and-off chest pain over the past month. For which testing, including ECG, Troponin, and stress test, was done. The investigations were grossly normal except for slight ischaemic changes on the stress test. Hence he was started on Lipitor, nitrates, aspirin, and Anginine as required.
In view of the above, I am transferring Mr. Elvin to your emergency department, for further management. I commenced initial treatment including 15 L of oxygen via a non-breathable mask, GTN patch, intravenous morphine 5mg, frusemide 40mg, and ipratropium bromide 500 micrograms through a nebulizer mask keeping because of tachycardia. If you have any questions, please contact me.
Yours sincerely
Doctor