جاهز ليوم امتحان OET، قبل أن تدخله.

الرسالة

Dear Ms Alvarez,

Re: Mr Daniel Okafor, DOB 14 March 1958

I am referring Mr Okafor, who was discharged today following treatment for an infected left forefoot ulcer, for community diabetes nursing review and ongoing wound care.

Mr Okafor was admitted on 28 July with a two-week history of an ulcer beneath the left first metatarsal head. Wound swabs grew Staphylococcus aureus, and he completed seven days of intravenous flucloxacillin before switching to oral therapy, which continues until 11 August. The ulcer is now clean, with granulation tissue present and no surrounding cellulitis.

His diabetes has been poorly controlled, with an HbA1c of 86 mmol/mol on admission. His insulin regimen was adjusted during this admission, and he reports difficulty with self-injection because of reduced dexterity in both hands.

Please could you review the wound twice weekly, monitor his capillary blood glucose, and assess his injection technique, arranging occupational therapy input if you consider it necessary. He has been advised not to bear weight on the left foot and has been issued with a removable cast walker.

Thank you for your assistance. Please contact me if you require any further information.

Yours sincerely,

Dr A Chen
Registrar, Diabetes and Endocrinology