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    Oet Writing 3

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    Dr Talha is referring Mrs Daniela Starkovic, a 45-year-old woman, to Dr McDonald for assessment and possible cholecystectomy due to ongoing issues with cholelithiasis and abdominal pain. Mrs Starkovic has a history of abdominal pain and was found to have a contracted gallbladder with multiple gallstones on ultrasound. Her most recent episode involved worse abdominal pain lasting two hours with colicky features and vomiting. Dr Talha requests Dr McDonald assess Mrs Starkovic and perform a cholecystectomy if required.

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    Oet Writing 3

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    syed
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    Dr Talha is referring Mrs Daniela Starkovic, a 45-year-old woman, to Dr McDonald for assessment and possible cholecystectomy due to ongoing issues with cholelithiasis and abdominal pain. Mrs Starkovic has a history of abdominal pain and was found to have a contracted gallbladder with multiple gallstones on ultrasound. Her most recent episode involved worse abdominal pain lasting two hours with colicky features and vomiting. Dr Talha requests Dr McDonald assess Mrs Starkovic and perform a cholecystectomy if required.

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    Dr Talha is referring Mrs Daniela Starkovic, a 45-year-old woman, to Dr McDonald for assessment and possible cholecystectomy due to ongoing issues with cholelithiasis and abdominal pain. Mrs Starkovic has a history of abdominal pain and was found to have a contracted gallbladder with multiple gallstones on ultrasound. Her most recent episode involved worse abdominal pain lasting two hours with colicky features and vomiting. Dr Talha requests Dr McDonald assess Mrs Starkovic and perform a cholecystectomy if required.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    622 views1 page

    Oet Writing 3

    Uploaded by

    syed
    Dr Talha is referring Mrs Daniela Starkovic, a 45-year-old woman, to Dr McDonald for assessment and possible cholecystectomy due to ongoing issues with cholelithiasis and abdominal pain. Mrs Starkovic has a history of abdominal pain and was found to have a contracted gallbladder with multiple gallstones on ultrasound. Her most recent episode involved worse abdominal pain lasting two hours with colicky features and vomiting. Dr Talha requests Dr McDonald assess Mrs Starkovic and perform a cholecystectomy if required.

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    23/01/2007

    Dr Andrew McDonald

    General Surgeon

    North Melbourne Private Hospital

    86 Elm Road

    North Melbourne 3051

    Dear Dr McDonald,

    Re: Mrs Daniela Starkovic, 45 years old

    I am writing to refer Mrs Starkovic who requires your professional assistance for assessment and a
    possible cholecystectomy for her ongoing issues with cholelithiasis following complaints of abdominal
    pain.

    Mrs Starkovic first presented on 20/01/07 with abdominal pain. Ten days prior, she had experienced
    epigastric pain radiating to the right side. The pain was constant, occurred an hour after the dinner and
    was associated with nausea. She doesn’t like to eat fatty foods, and had no accompanying vomiting or
    regurgitation.

    Last night, Mrs Starkovic had a recurrence of a much worse abdominal pain. That episode lasted for two
    hours, was constant and had colicky features. She even vomited once and took two aspirin tablets but to
    no avail. On examination, mild tenderness was noted in the right upper abdomen. Today though there
    was no pain however, she appeared anxious regarding the possibility of cancer. The ultrasound of
    abdomen revealed a small contracted gall bladder with multiple gallstones. Therefore, she was
    reassured regarding the non-likelihood of cancer but for further management, she is being referred to
    your hospital.

    Kindly assess her and if required, perform a cholecystectomy.

    If you have any queries, please feel free to contact me.

    Sincerely,

    Dr Talha

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