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  Letter 01   (22/08/2020) 19 August,2011 MS Physiotherapy Center 588 Hay Street Subiaco (08)93882877 Dear Sir/Madam, leave space here Re: Mr Stephen Mabel DOB:18 (space) june,1972 Mr Mabel requires a home visit from your service to improve his mobility. Your continued care and management would be highly appreciated. Good introduction!! Initially, Mr Mabel presented to health care agency with severe headache , left knee injury following a fall from stairs for which,she was treated with dressing and assisted him to do activities of daily living.On 15 August,2011 Mr Mabel visited to our center for redressing the wound.which was healing well and no signs of infection noted.He was is able to walk short distance with the  help of his wife. Health care agency is neither a hospital nor a clinic She was first attended by GP Headache was the reason for her fall Gp requested for dressing and assistance in shower Health care agency is also doing home visits His wife needs more home...

  About bronchiectasis Bronchiectasis is a long-term condition where the airways of the lungs become abnormally widened , leading to a build-up of excess mucus that can make the lungs more vulnerable to infection . The most common symptoms of bronchiectasis include: a persistent cough that usually brings up phlegm (sputum) breathlessness The severity of symptoms can vary widely. Some people have only a few symptoms that don't appear often, while others have wide-ranging daily symptoms. The symptoms tend to get worse if you develop an infection in your lungs. How the lungs are affected The lungs are full of tiny branching airways, known as bronchi . Oxygen travels through these airways, ends up in tiny sacs called alveoli , and from there is absorbed into the bloodstream. The inside walls of the bronchi are coated with sticky mucus , which protects against damage from particles moving down into the lungs. In bronchiectasis, one or more of the bronchi are abnormally widened. ...

  USEFUL  VOCABULARY LEARNING  FOR LISTENING  PART A About acute cholecystitis Acute cholecystitis is swelling (inflammation ) of the gallbladder. It is a potentially serious condition that usually needs to be treated in hospital. The main symptom of acute cholecystitis is a sudden sharp pain in the upper right side of your tummy (abdomen) that spreads towards your right shoulder. The affected part of the abdomen is usually extremely tender , and breathing deeply can make the pain worse. Unlike some others types of abdominal pain, the pain associated with acute cholecystitis is usually persistent , and doesn't go away within a few hours. Some people may additional symptoms, such as: a high temperature (fever) nausea and vomiting sweating loss of appetite yellowing of the skin and the whites of the eyes (jaundice) a bulge in the abdomen

  Letter _5 Dr Ian Robson  Allergist Central Hospital Old town 17 June ,2018 Dear Dr Robson, Re : Mr Tom Riddle, aged 20 I ( space) am referring Mr Riddle , who has asthma ,  requires your expert advise on identification of  his allergies and guidance regarding environmental management . Purpose is not clear It should be immediately apparent and clear Mr Riddle currently  lives in a new accommodation  where he has  two cats and he owns an old dusty  carpet.In addition, he sleep on the floor.His past medical history revealed that  he has had child hood asthma and it was not shown any flare- up since 8 years .He has periodic eczema and he does not have any known allergies. Most important data should write as second paragraph Is this most important here? On  01 June,2018 Mr Riddle was presented in the clinic with the complaint of breathing difficulty since (for) 2 weeks along with persistent cough, wheezing and itching on his eyes. On as...

Letter-4(15/08/2020) 17 June,2018 Dr Ian Robson Allergist Central Hospital  Oldtown Dear Dr Robson, Re:Mr Tom Riddle DOB:19 May,1998 Mr Riddle,a 20 year-old student , who has been diagnosed with asthma . , He requires further testing and identification of his allergies following his discharge today.  Overall introduction is good except Last sentence as this patient is not admitted Instead of writing the whole Introduction in one sentence,try to break it in two,this doesn't mean you were wrong. Initially,on 01 June,2018,Mr Riddle presented to clinic with two-weeks history of breathlessness,persistent coughing,sneezing as well as eye itching which leads him to absence of classess .Consequently, relevant investigations were performed and he was treated with oral prednisone 50mg for10days,albuterol inhaler ,twice daily and symbicort. Twelve days later,Mr Riddle came with sleep disturbance and eczema. On assessment,his vital parameters were abnormal ;therefore, oxygen therapy was ...

 

 

 

 

  No 3 Dr Ian Robson Allergist Central Hospital Oldtown 17 June,2018 Dear Dr Robson, Re: Mr Tom Riddle DOB: 19 May,1998 I am writing to refer Mr.Riddle, who has been diagnosed with asthma, requires identification of allergens and assistance to manage them.  Mr Riddle has a history of childhood asthma which has not been present for the last 8 years. Also, he has periodic eczema outbreak. Now, he moved to a new accommodation 1 where he is exposed to two cats and dust. Avoid also Better use recently than now 1- could have been presented better On 01 June, 2018, Mr Riddle presented with persistent cough, wheezing, eye itching and two weeks history of breathlessness. His chest x-ray was clear as well as pre and post bronchodilators were showed 20% positive response. c onsequently, he was advised on allergen management and treated with oral prednisone 50mg, inhalor [ spell check ] albutarol [s pellc heck ] twice daily and symbicort. Mr Riddle re-presented on 14 June,2018 with in...

  No 2 -15/08/2020 Dr Iran[ spell check ] Robson  Allergist  Central Hospital  Oldtown  17 June , 2018 Dear Dr Robson,  Re: Mr Tom Riddle  DOB: 19 May , 1998 Mr Tom Riddle , who was has been diagnosed with asthma, requires further testing and identification of his allergies.  While writing was diagnosed you mean that his asthmatic problem is not an issue at present. Initially, Mr Riddle presented with breathlessness, persistent coughing, wheezing and eyes itching . On the subsequent day, his examination revealed pre and post brochodilator [spell check] FEV1 as 3.61 and 4.35 respectively; for which, oral prednisone, albuterol inhaler and symbicort were prescribed. After 12 days, he revisited with flared up asthma and eczema; therefore, he was administered with 3 - litre oxygen, albuterol and corticosteroid injection. Today, he was educated regarding the environmental triggers and proper inhaler technique.  Itchy eyes. Albuterol injectio...

Dr Ian Robson Allergist Central Hospital Old town 17 June, 2018 Dear Dr Robson,  Re : Mr Tom Riddle, aged 20 I am writing to refer Mr Riddle who has been diagnosed with asthma.He requires investigations and identification of his allergies. Mr Riddle has a family history and childhood asthma;which has not been exacerbated for eight years.He also has periodic eczema. Try to avoid also Initially, Mr Riddle presented to the clinic with a two weeks history of breathlessness. Additionally, he had persistent cough and itching in his eyes.He reported, he sleeps on a dusty old carpet on the floor and has two cats in his home.His pre and post bronchodilater (spelling) test was positive to 20% which confirmed his diagnosis .Therefore, he has been prescribed oral prednisolone and inhaler.In - addition, he was advised for allergen management. Name and dose of the medications are  important On 14 June, 2018 Mr Riddle re visited [ one word ] with worsening of his symptoms; for that he use...

  Letter 43 3 /08/2020 19 March,2008 The Director, Aged Care Assessment Team Brisbane South Region 78 Masterson St. Acacia Ridge Brisbane 4110 Dear Sir/Madam, Re:Mr Henry O'Keefe              DOB:2[ space ]February , 1925 Mr Henry O'Keefe is recovering from malignant melanoma on left shoulder. He and his wife require a an urgent home visit for asess[ spell check] their needs and arrangement of appropriate further assistance and management from your service. Write latest information in introduction Here surgery is important On 14 March,2008, Mr O'Keefe underwent removal of the large lesion from Mater Public Hospital. He was discharged after three days. His suture removal will be is scheduled on 24 March,2008.He requires assistance to do activities of daily living.Therefore, he took care from our facility following his discharge. During the home visit, Mr O'Keefe's wound healing process is adequate. Although, he has arthritic pain in hands and...