Ticket Id: 70891r
Dr Jeremy Barnett
Emergency Registrar
Maroubia Hospital
Lakes Road
Maroubia
19 April 2020
Dear Dr. Barnett,
Re: Mr. Jhon Elvin Commented [OET1]: John
I am referring 48 years old Mr. Elvin, whose features are suggestive of a myocardial infarction and an
asthma exacerbation, for emergency medical care.
Today, Mr. Elvin presented with a sudden onset crushing chest pain along with worsening asthma. His
examination revealed a gallop rhythm, wheeze, bilateral crackles and an oxygen saturation of 85% at room
air. His ECG showed mild ST elevation in anterior leads and a ST of 120. Therefore, intravenous morphine
5mg, frusemide 40mg, GTN patch, ipratropium 500ug nebulization was given to him and oxygen inhalation Commented [OET2]: was
started at 15 liters while transfer to emergency department was arranged.
Mr. Elvin first visited the practice on 05/05/11 with the concern of occasional mild central chest pain on
exertion. A review of his investigations, one week later, indicated mild hypercholesterolemia and slight
ischemic changes on exercise testing. Hence, he was commenced on Lipitor, Imdur, aspirin and Anginine.
Mr. Elvin was also having recurrent mild asthma exacerbations and forgetfulness regarding his asthma
medication owing to his excessive alcohol consumption. Thus, he was counselled regarding medication
compliance and alcohol dependence pharmacotherapy was offered to him.
Please note that Mr. Elvin smokes 1 pack of cigarettes daily and drinks 10 standard drinks five days per
week. He has been taking salbutamol and Seretide for his asthma.
Should there be any queries, please contact me.
Yours’ sincerely,
Doctor
Report
Word Length 221
Comments The letter shows a strong command of grammar,
but some visible mistakes in punctuation.
Nevertheless, the relevant case notes are covered
and the information is presented in a logical
manner. Overall, the letter meets expectations.
Estimated Grade A
Advice 1. Always proofread the letter after finishing it.
2. Keep up the good work!
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