OET4U

  Dr  Pilar Dalfo  Endocrinologist  City Hospital  Easthampton  20 March, 2019.  Dear Dr Dalfo,  Re: Ms Maryam Hassan , 29 years.  I am writing to refer Ms Hassan  whose clinical features and laboratory finding are  suggestive of  hyperthyroidism. Your further investigations and management would be highly acknowledged.   Ms Hassan presented at our clinic on 27 February,2019 with complaints of a difficulty  in sleep  and stress at work place . In addition, a slight weight loss associated with headaches and eye dryness were reported. At that time , she was advised to reduce caffeine consumption and follow a proper sleep hygiene . Finish the para here.  A week later, in spite of compliance with her medical advice, she did not  show  improvement in her sleep pattern . Upon discussion, a sense of heart palpitation was documented .  ( Include palpation in assessment) On assessment, a blood pre...

  Dr  John McLennan Psychiatrist Royal Mental Health clinic   177 Park Avenue  Newtown  29 November , 2014 . Dear Dr McLennan,  Re: Ms Dolores Hoffmann                                      DOB : 22 June,1986.  I am writing to refer Ms Hoffmann  whose has been diagnosed with reactive depression and anxiety . Your expert management   would be highly acknowledged.  Ms Hoffmann  has attended our clinic multiple times due to different medical issues, which have been managed accordingly. In September 2004 she visited the clinic with symptoms of URTI along with anxiety regarding the Epstein Bar Virus. She has been advised to take a rest and reassured her regarding the anxiety. Ms Hoffmann presented at our clinic  on 22 November, 2014 with the complaints of  difficulty in  sleeping  associated with  a loss of enthus...