40,41

O I Letter of referral

There are two letters below. One is a letter of referral from a generał practitioner to a consultant and the other the consultanfs reply. Fili in the missing words. Choose from the following.

discomfort    drip

instance    nasal

persistently

examination    findings

obstruction    opinion    persist

respond responds response

Consultant: Mr Holger Bauer Patient name: John Gardner DOB: 14/07/80 07/05/02

Dear Mr Bauer

I would be (1) c/rateful ifyou could see this young man

who has had a (2)_blockcd nose over the last

few months. On two occasions I have noted polyps. They

(3) _to a smali degree to beclamethasone

(4) _spray, but continue to (5)_

I would be grateful for your (6)_.

Yours sincerely

foon.arćjV'ci

Ivan Nazarova (Dr)

40 Section 5: Hospital erwironment

I irpiirlment of Otolaryngology

Ni>w patient consultation: John Gardner, DOB 14/07/80 J1/06/02    (Clinic 19/06/02)

I »> u I )r Nazarova

I liiink you for asking me to see this 21-year-old telecommunications • nitluecr.

I'h Nontation and (7)_:

I h i omplains of long-standing nasal (8)_on both

mdi", willi only partial (9)_to Beconase nasal spray.

I h nlso says that his ears pop occasionally and he gets some facial 1111) . __and post nasal (11)_.

i >n (12)_today his nose showed congested nasal

mncosłi and polypoid middle turbinate and smali middle meatal polypN.

Impicssion and plan:

In lin' First (13)_, I have started him on a course of

I Jirii«nox nasal spray which is a morę modern steroid spray than llt t oiiunc. 1 shall see him again in two months’ time to see how he | i li ___•

Suiiin sincerely

I li.i';/««r

llnl ho i Bauer

i im aillant Otolaryngologist

I h ilu u Ihat only widely recognized abbreviations are used in these sorts of li 'III u • i. In order to avoid misunderstandings, it is best to write them in fuli.

Section 5: Hospital envlronment 41