OET – All Case Notes & Corrected Letters

Mrs Margo Ellis

Mr Paul Ferris
Manager
Summerseat Nursing Home
Garden Street, Berry town

Dear Mr Ferris,

Re: [Missing]

Mrs Ellis is being referred to your facility for continued care and observation. She has been treated for renal colic associated with dilation of a collecting system and obstruction of the pelviureteric junction. Today, she is being discharged.

Mrs Ellis presented with abrupt onset of severe unilateral left loin and groin pain which radiated to the lower back. She was also dehydrated and unable to take oral fluids due to vomiting, sweating and restless. Her urine test and computerized tomography revealed the aforementioned diagnosis.

As part of Mrs Ellis’s management, fluids and medications were administered to alleviate her symptoms. The stone is expected to pass spontaneously within 1-2 weeks. To facilitate that, Tamsolucin, 8 mg and paracetamol have been commenced along with an increased amount of fluid intake(2-3 L daily). These need to be continued and their adherence need to be monitored to enhance her recovery process.

Given the above, it would be greatly appreciated if you could take over the management and render adequate care for Mrs Ellis’s betterment. Kindly observe her urine output and passage of stone which requires lab analysis. A dietician’s observation is essential to reduce intake of salt, oxalate-rich foods and animal protein foods. A list of diet details is enclosed with this letter. Of note, her follow-up appointment is scheduled on the 20th of this month.

Please contact me for more information about Mrs Ellis’s condition.

Yours sincerely,
Registered Nurse.

Mr Paul Ferris
Manager
Summerseat Nursing Home
Garden Street, Berry town

Dear Mr Ferris,

Re: Mrs Margo Ellis

Mrs Ellis[patient] is being referred to your facility for continued care and observation[purpose]. She has been treated for renal colic associated with dilation of a collecting system and obstruction of the pelviureteric junction. Today, she is being discharged[patient position].

Mrs Ellis presented with abrupt onset of severe unilateral left loin and groin pain which radiated to the lower back. She was also dehydrated and unable to take oral fluids due to vomiting, sweating and restlessness. Her urine test and CT revealed the aforementioned diagnosis.

As part of Mrs Ellis’s management, fluids and medications were administered to alleviate her symptoms. The stone is expected to pass spontaneously within 1-2 weeks. To facilitate that, Tamsolucin, 8 mg and Paracetamol have been commenced along with an increased amount of fluid intake (2-3 L daily). These need to be continued and their adherence need to be monitored to enhance her recovery process.

Given the above, it would be greatly appreciated if you could take over the management and render adequate care for Mrs Ellis’ betterment. Kindly observe her urine output and passage of stone which requires lab analysis. A dietician’s observation is essential to reduce intake of salt, oxalate-rich foods and animal protein foods. A list of diet details is enclosed with this letter. Of note, her follow-up appointment is scheduled for the 20th of this month.

Please contact me for more information about Mrs Ellis’s condition.

Yours sincerely,
Registered Nurse.