Writing task.
Case notes:
Name of the patient: Louis Charles
Age: 22 years
Admission: August 2, 2014
Discharge: August 20, 2014
Social Background:
University athlete
Orphan
Single
John Laden-best friend
Lives at the athlete’s university quarters.
Diagnosis: Hepatis B
Complaints:
Fatigue, nausea, poor appetite, belly pain, a mild fever, or yellow skin or eyes (jaundice)
Ultrasound scan of the liver:
Blood test, hepatitis B is first diagnosed using a blood test that looks for a certain antigen (fragments of H8V) and antibodies (produced by immune system in response to HBV). The test is called a Hepatitis B blood panel, and it checks for the following.
HBsAg (the hepatitis B surface antigen)
AntiHBs (antibodies to the HBV surface antigen)
AntiHBc (antibodies to the HBV core antigen)
Treatment:
BARACLUDE 0.5 mg once daily for 3 months, taken on empty stomach (at least 2 hours after a meal and 2 hours before the next meal).
Vitamin E 300mg twice daily for 3 months.
Complications:
Severe stomach pains. High fever-paracetamol and Ibuprofen 500mg 3x a day as needed.
Medical history
Hepatis A (7 years old)
Measles and chicken pox
Gastritis (2010 hospitalized)
Family History
Hypertension
Heart attack
Pneumonia
Progress:
To more fatigue and nausea
Improved appetite, fever and yellow skin or eyes (jaundice) has lessened
Belly pain once in a while
Discharge plan
Lifestyle:
Carbs: Fruits and veggies, skip the sweets and alcohol.
Protein: lean meats, palfrey, fish, bears, eggs, nuts, seeds, milk, yogurt and cheese.
Exercise 3 times a week at least 30 minutes.
Medication and follow-up check.
Description and vitamins to continue for 3 months. See a Hematologist for further evaluation.
Writing task:
Using the information in the case notes, as a charge nurse of Holy Angels Medical Centre, write a referral letter to Dr James Harry, Hepatologist of the Spring Dawn Hospital, 1102 Riverbank Road, New South Wales, Australia for further evaluation of Mr. Louis Charles.
In your answer:
Expand the relevant case notes into complete sentences.
Do not use note form.
The body of the letter should be approximately 200 words.
Use correct letter format.
Submit your OET letters for correction: (for a minimal fee)
https://goltc.in/oet-writing-correction/
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