TASK 51 LISA’S CARPEL TUNNEL SYNDROME

Patient    : Lisa Black      

Aged   23        Occupation : Art Student

Address   : 6 Sutton Avenue, Seacombe Gardens, SA 5047

You are the Student Service Charge Nurse at Flinders University Medical Centre. The above patient has been seen a few times by Dr. Alex Chin, a GP at FUMC. You have been asked by Dr. Chin to write a referral letter in his name to Dr. Peter Brixton, a private neurologist to carry out a nerve conduction test. Dr Brixton practices at 24 Grenfell St, Kent Town, SA.

File Notes:     

Previous Visitations:             8/2/12, 14/4/12, 21/6/12, 10/12/12

HISTORY

First visit complained of weakness in R wrist and pain in palm area, Weakness when gripping a pen paint brush. Unable to open screw top bottles. Pt. appeared overweight and admitted being easily tired. Suggested giving hand a rest from painting activities. Prescribed Panadol tablets for one week

On second visit pt claimed that the hand had not improved and at night time gettin 8 pins and needles and tingling feeling after sleeping, was suggested she avoid sleeping on the right side.

Arranged X-ray of wrist as pt said she might have sprained it when falling down accidentally a few months ago. Prescribed bupofoem for one week.

On third visit X-ray was unremarkable but symptoms persisted. Pt advised that there might be possibility of carpel tunnel syndrome and to arrange neurologist for nerve conduction test on R hand. Suggested wait a few months to see if situation still the same before doing the test.

On last visit pt had not improved therefore agreed to refer her to a neurologist (for nerve conduction last. Suggested she spend more time walking outdoors and having exercise and avoid excessive use of a hand. Recommended vitamin supplements such as Glucosamine.

Write the referral letter on behalf of Dr. Chin who is away for the day. He will sign it tomorrow.

Submit your OET letters for correction: (for a minimal fee)
https://goltc.in/oet-writing-correction/