IBD of Newton
IBD of Newton
Dr Jack Thomas
Department of Gastroenterology
City Hospital
Main Road
Stillwater
21/02/2015
Dear Dr Thomas,
Re: Mr Patrick Newton, D.O.B: 6/07/1989
Today, Mr Newton presented with the complaints of chronic mild diarrhoea, low grade intermittent
right lower quadrant pain, lethargy, loss of appetite and weight loss of 3 kg for the last 4 months.
However, his symptoms were not alleviated despite dietary modification and use of analgesic.
Additionally, he reported increased anxiety and embarrassment owing to the symptoms.
Examination findings were unremarkable except for generalized tenderness of the abdomen. His
investigation reports revealed increased white cell count, decreased red cell and hemoglobin count.
Furthermore, his fecal occult blood test was positive and both ESR as well as CRP were mildly
elevated. Hence, he was advised on smoking cessation and counselled on IBD.
Mr Newton smokes 10-15 cigarettes per day. His family history is significant for Crohn’s disease
related to his uncle. His medical history is significant for intermittent right and left wrist joint pain for
6 months, due to which he takes Ibuprofen.
I believe Mr Newton has been suffering from inflammatory bowel disease, either Crohn’s disease or
ulcerative colitis. I would be grateful if you could kindly evaluate and treat his condition accordingly.
Yours sincerely,
Doctor
Explanation:
1. Purpose- Satisfactory
2. Content- Relevant info was written
3. Conciseness and clarity- Minimum irrelevant information
Comment was written.
4. Genre and Style- letter was clinical formal and.
Non-Judgmental. Preciseness hampered.
5. Organization and layout- Layout was not maintained
6. Language- Grammatical error was noticed, appropriate
use of comma, Spelling, cohesion was good enough.
1. Follow the sample letter and explanation
part
2. Keep practicing
Advice