Me1 refers to the second paragraph of a letter. M is medical and E is Emotional / psychological. In 90% of your letters, only Medical information are found. Emotional information such as anxiety, stress and suicidal ideation are rarely included. The Me1 paragraph is always in past tense. Look at the samples and attempt writing some of the practice questions on this page. You can send your answers to +917510923061

Me1 Sample 1

• Patient: John Miller
• Visit: Today
• Complaint: Fever, cough, shortness of breath for 4 days
• Tests: Chest X-ray (bilateral infiltrates), CBC (leukocytosis), COVID-19 negative
• Diagnosis: Community-acquired pneumonia
• Treatment: Ceftriaxone, Azithromycin, Paracetamol, Oxygen.

Sample Me1

Mr Miller visited today with complaints of fever, cough and shortness of breath for the last 4 days. His chest X-ray revealed bilateral infiltrates, CBC showed leukocytosis; however, his COVID-19 tests showed negative. He was diagnosed with community-acquired pneumonia and his treatment was commenced on Ceftriaxone, Azithromycin, Paracetamol along with Oxygen administration.

Me1 Sample 2

Patient: Mark Reeves; 60 years

• Visit (02/03/25):

• Complaint: Foot ulcer.
• Tests: HbA1c 8.5%, wound swab pending.
• Diagnosis: Diabetic foot ulcer.
• Treatment: Ampicillin, 500 mg, wound care.

Mr Reeves visited on 02nd March, 2025, complaining of a foot ulcer. His HbA1c was 8.5% and he was diagnosed further with diabetic foot ulcer. His treatment commenced on Ampicillin, 500 mg along with wound care.

For Practice

Me1 2 Practice 1

• Today’s Visit (02/03/25):
• Patient: Mr Peter Parker, 33 years
• Complaint: Chest pain, dizziness.
• Tests: ECG (normal), BP 160/95, Troponin negative.
• Diagnosis: Hypertension exacerbation.
• Treatment: Increased Amlodipine to 10mg, lifestyle advice.

Me1 2 Practice 2

• Patient: Susan Carter; 72 years
• Visited: 15/01/24 (This morning)
• Complaint: Shortness of breath, fatigue.
• Tests: ECG, BNP 320 pg/mL.
• Diagnosis: Congestive heart failure.
• Treatment: Furosemide 40 mg, low-sodium diet.

Me1 sample 3

• Patient: James Wilkins; 55 years
• Visited: 22/04/24 (Last week)
• Complaint: Persistent cough, weight loss.
• Tests: Chest X-ray, sputum culture.
• Diagnosis: Pulmonary tuberculosis.
• Treatment: Rifampin, isoniazid, pyrazinamide, ethambutol.

Me1 sample 4

• Patient: Laura Bennett; 47 years
• Visit (08/06/24):
• Complaint: Severe right flank pain.
• Tests: Urinalysis, CT scan.
• Diagnosis: Kidney stone.
• Treatment: IV fluids, tamsulosin, pain management.

Me1 sample 5

• Patient: Robert Hayes; 68 years
• Visit (29/07/24):
• Complaint: Dizziness, palpitations.
• Tests: Holter monitor, electrolytes normal.
• Diagnosis: Atrial fibrillation.
• Treatment: Metoprolol 50 mg, anticoagulation therapy.

Me1 sample 6

• Patient: Angela Torres; 39 years
• Visit (12/09/24):
• Complaint: Joint pain, swelling.
• Tests: Rheumatoid factor, CRP elevated.
• Diagnosis: Rheumatoid arthritis.
• Treatment: Methotrexate, folic acid supplement.

Me1 sample 7

• Patient: Daniel Foster; 63 years
• Visit (05/10/24):
• Complaint: Abdominal pain, nausea.
• Tests: Abdominal ultrasound, liver enzymes high.
• Diagnosis: Cholecystitis.
• Treatment: IV antibiotics, scheduled for cholecystectomy.

Me1 sample 8

• Patient: Emily Harris; 30 years
• Visit (17/11/24):
• Complaint: Rash, itching.
• Tests: Skin biopsy, allergy panel.
• Diagnosis: Contact dermatitis.
• Treatment: Topical corticosteroids, antihistamines.

Me1 sample 9

• Patient: Thomas Reed; 52 years
• Visit (23/12/24):
• Complaint: Chest pain, nausea.
• Tests: Troponin 0.08 ng/mL, ECG normal.
• Diagnosis: Gastroesophageal reflux disease (GERD).
• Treatment: Pantoprazole 40 mg, dietary modifications.

Me1 sample 10

• Patient: Karen Douglas; 45 years
• Visit (04/02/25):
• Complaint: Severe headache, visual disturbance.
• Tests: MRI brain, lumbar puncture pending.
• Diagnosis: Possible meningitis.
• Treatment: Empiric IV antibiotics, pain management.

Me1 sample 11

• Patient: William Brooks; 58 years
• Visit (19/02/25):
• Complaint: Swelling, warmth in left knee.
• Tests: Joint aspiration, WBC count elevated.
• Diagnosis: Septic arthritis.
• Treatment: IV ceftriaxone, joint drainage.