Ticket Id: 46614r

13/01/08

Dr Sue Cairns
General Practitioner
291 Rae Street
Fitzroy North Melbourne

Dear Dr Cairns,
Re: Mr John Haywood D.O.B: 23/05/85 Commented [ESL1]: ,

I am writing to update you regarding your patient Mr Haywood who has developed deep vein thrombosis
during his stay in Brisbane and he has a plan to return back to his residential area in early February. Your
future-follow is required.

On 07/01/08, Mr Haywood presented with a complaint of severe pain in his right leg after he returned Commented [ESL2]: arriving
from his overseas trip. On assessment, there was a tender swelling in his calf. His leg’s ultrasound revealed
a 4cm thrombus in soleal vein which was approximately 16 cm below the knee crease in her right calf. Commented [ESL3]: his
Accordingly, he was counselled to quit smoking and avoid travelling in the next 6 weeks. Please note, he
was commenced on Fragmin injection because he was found to be allergic to Clexane.

Today, there was partial resolution in his pain, swelling and previous allergic reaction. The ultrasound
confirmed a reduction in the size of thrombus. Therefore, he was advised to stop the Fragmin injection
today and re-administer it again before or after his flight. He was also recommended to wear an elastic
stocking throughout the flight. Please note, his current medication is half-tablet aspirin daily. Additionally,
the patient was advised to consult his GP before he considers discontinuing the medication.

In light of the above, it would be greatly appreciated if you could take over his ongoing care.

If you have any queries, please do not hesitate to contact me.

Yours sincerely,
Doctor
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Word length 236
Comments This is a very good letter with appropriate
selection of case notes and logical
paragraphing. There is good coherence
throughout. There are only minor inaccuracies
and the letter meets the expectations.
Estimated Grade B+
Advice 1. Revise grammar
2. Always proofread your letter
3. Keep up the good work!
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