NB: This is ONLY for Dr Ashgan’s Courses - Kindly DO NOT share it

TIME ALLOWED: READING TIME: 5 MINUTES Task 14

WRITING TIME: 40 MINUTES

Read the case notes below and complete the writing task which follows.
notes:

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Today’s Date 14.10.12

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Patient History

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Amina Ahmed aged 8 years – new patient at your clinic Parents – Mother Ayama, house-wife.
Father Talan, cab driver Brothers Dalma aged 4 and Roble aged 2 Family refugees from Somali
2005. Have Australian Citizenship Amina and father good understanding of English, mother has

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basic understanding of slowly spoken English. Amina had appendicectomy 2 years ago.
No known allergies

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09/10/12
Subjective
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Fever, runny nose, mild cough, loss of appetite
Unable to attend school
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Objective
Pulse 85/min
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Temperature 39.4
No rash
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No neck stiffness
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CVS, RS & abdo – normal

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Assessment
Viral infection
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Management
Keep home from school
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Rest and paracetamol three times daily

Review in 3 days if no improvement
12/10/12
Subjective
Amina not well
Cough +, continuous headache, lethargic, loss of appetite
Difficult to control temperature with Paracetamol
Mother worried

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Objective
Fever 39.8 C
No rash or neck stiffness

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Management

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Prescribe Brufen 200mg as required
FBC & UFR were ordered
Review in two days with results of reports

14/10/12
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Subjective
Both parents very concerned
Reported Amina lethargic and listless
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Vomited twice last night and headaches worse

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Objective
FBC- WBC(18000) and left shift
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Urinary Function Report Normal

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Temperature 40.2C
Pulse 110/min
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Macula-papular rash over legs

Neck Stiffness+
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Assessment
Meningococcal meningitis. Penicillin IV given (stat dose)
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Plan
Arrange urgent admission to the Emergency Paediatric Unit, Brisbane General Hospital, for
further investigation and treatment.
Writing Task:
You are GP, Dr. Lucy Irving, Kelvin Grove Medical Centre, 53 Goma Rd, Kelvin Grove, Brisbane.
Write a referral letter to the Duty Registrar, Emergency Paediatric Unit, Brisbane General Hospital,
140 Grange Road, Kelvin Grove, QLD, 4222.

In your answer:

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● Expand the relevant case notes into complete sentences

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● Do not use note form
● Use correct letter format

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The body of your letter should be approximately 200 words. Use correct letter format.

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 OET Victory with Dr Ashgan
NB: This is ONLY for Dr Ashgan’s Courses - Kindly DO NOT share it
Model answer - Amina Ahmad

I am writing to urgently refer Amina, an 8-year-old girl, who has

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been provisionally diagnosed with meningococcal meningitis.

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Kindly arrange for immediate admission for further investigations
and management.

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On today’s consultation, a progressive headache and malaise were

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documented. Additionally, vomiting was reported. The priorly
requested lab investigations revealed a white blood cell count of

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.... with normal urinary function report. A body temperature of....
and maculopapular rashes over both her legs in addition to severe
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neck stiffness were elicited upon the general evaluation.
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Over the last few visits, Amina was presented with a cumulative
cough coincided with fever, which did not respond to an
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antipyretic. At that time, no rash or neck rigidity were recorded.

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Brufen, 200 mg was prescribed.

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I would like to highlight that Amina’s family is Somalian. They

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understand English in a slow accent.

ET
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NB: This is ONLY for Dr Ashgan’s Courses - Kindly DO NOT share it

Articles in this letter

A headache
A white blood cell count

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A urinary function report

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A body temperature

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A body weight

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A rash
A cough
An antipyritic
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No Article before
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Admission
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ct
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ET
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