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Dermatology Referral for Eczema

Mr. Jane Browne, an 18-year-old student, has been experiencing a tender, weepy, and crusty nipple with surrounding inflammation since September 1, 2019. Hydrocortisone cream and a soap substitute were initially prescribed along with Edomin 5 ointment and changing from plaster dressings to Mepor dressings. On follow up visits, some improvement but not complete resolution was seen. Due to continued friction from sports, a complete resolution is needed. On examination, the nipple now appears warty. Differential diagnoses include seborrheic keratosis, eczema, or other causes. The patient is being referred to a dermatologist for further assessment and diagnosis.

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Walid Uchiha
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1K views3 pages

Dermatology Referral for Eczema

Mr. Jane Browne, an 18-year-old student, has been experiencing a tender, weepy, and crusty nipple with surrounding inflammation since September 1, 2019. Hydrocortisone cream and a soap substitute were initially prescribed along with Edomin 5 ointment and changing from plaster dressings to Mepor dressings. On follow up visits, some improvement but not complete resolution was seen. Due to continued friction from sports, a complete resolution is needed. On examination, the nipple now appears warty. Differential diagnoses include seborrheic keratosis, eczema, or other causes. The patient is being referred to a dermatologist for further assessment and diagnosis.

Uploaded by

Walid Uchiha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST MEDICINE


TIME : READING: 5 MINUTES
WRITING : 40 MINUTES

Read the case notes below and complete the writing task which follows.
Notes:
Patient name: Mr Jane Browne
DOB: 25/08/2001
Age : 18
History:
Student
Facial eczema as baby
Flexular eczema as child
Allergic rhinitis to pollens , cat hair
History of asthma (mother)
01/09/2019
Tender ,weepy, crusty nipple
Surrounding inflammation from plaster dressing
Treatment plan:
Hydrocortisone
Soap substitute
Ellomite e.g Edomin 5
stop using plaster , replace it with mepor dressing and keep uncovered
except during sport
On 10/9/2019
Showed improvement
Feels happy with the mepor
Advised to return in case of symptoms worsening
On 21/9/2019
Nipple never healed
Increased friction with T-shirts during sport , so cover with mepor
Feels embarrassed after sports dressings room , need complete resolution
Reported use hydrocortisone intermittently
On examination
Nipple was tender , no crustations , change in appearance and become
warty
Diagnosis: ? Seborrheic keratosis
: ? Eczema
: ? Others
Plan : refer to a dermatologist for assessment and diagnosis
Writing Task
Using the information in the case notes , write a letter of a referral to Dr
Elizabeth Macnor ,Consultant Dermatologist ,Newtown Hospital , 81
Canyon Road , Newtown.
In your answer:
• Expand the relevant notes into complete sentences.
• Do not use note form.
• Use the letter form.
The body of the letter should be approximately 180 – 200 words.

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