Radiography Case notes - 07

 Occupational English Test

WRITING SUB-TEST: RADIOGRAPHY

Time Allowed: Reading time: 5 Minutes

                         Writing time: 40 minute

Read the case notes and complete the writing task which follows.

NOTES

Assume today's date is 20 July 2018

You are a radiographer working in the Outpatient Radiography Department in Apollo Hospital. A complaint has arrived from Mr  James Harold, a patient at your department regarding his waiting time. According to Mr Harold, he was pushed back twice in a single day, and then cancelled. The Head of Radiography,  Dr Rita Maria Newton asks for your explanation.

You consult the following documents:

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Document 1: Radiology Report from 01 July 2018

Name: Mr James Harold. DOB : 02 Nov1986

Address: 180 Riverside, St Martin Cross, NY 24

Patient History:  Left ankle

 swelling and pain for three weeks.

Presented to Emergency Department.

Neurology exam: NAD, Peripheral pulse: Normal

Reason for procedure: ? thrombosis

Procedure:

1. Ultrasound - L duplex doppler left ankle 

2. X-ray: L ankle

Findings: 

1. Occlusive DVT on entire vein, and the distal 3 cm of the axillary vein extending into the proximal area of the tibia and fibula veins.

2. Bony protuberance was observed lower distal one-third of tibia.

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Document: 2 Radiology Report from 19 July 2018

Name: Mr James Harold.   DOB: 02Nov 1986

Address: 180 Riverside, St Martin Cross, NY 24

Provided pt History:

?Bony abnormality found in first X-ray

Procedure:

Repeat X-ray required -  L ankle

Findings: X-ray cancelled. Patient ? conjunctivitis

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Document 3: Information from Log 19 July 2018

1.00 pm : CXR Ms Ruth 56 yrs, Persistent cough 2 months, No hospital admission.

Arrived early for 2.00 pm examination. Complained of uncontrolled coughing , offered to call doctor - pt refused. Emergency - given priority over next pt Mr Paul Abrams. Mr Abram re-scheduled.

1.00 pm: X-ray of Mr Abrams 79 y.o.  R Humerus  re-scheduled to follow CXR. Pt offered to wait as he was not in a hurry. and see Ms Ruth was quite sick.  

1.30 pm:  X-ray of Mr Harold, 31 y.o,  L ankle Re-scheduled to follow R humerus. On arrival explained running late due to re-schedule. Pt unhappy about having another X-ray, fell sick and tired. All pts given option to return later - Mr Harold declined.

1.30 pm: Emergency CXR Ms Ruth 56 yrs.

All patients re-scheduled

2.00 pm: Mr Harold requested to see Radiogr

apher re long wait. - explained the reason for wait. Mr Harold asked to be seen before next scheduled pt (Mr Abrams) - request denied. Explained: Ms Ruth is elderly, waiting more than 1 hr.

2.30 pm: X-ray of Mr Abrams R Humerus

Very slow, needed a great deal of assistance getting ready, & dressing. One view repeated due to pt movement.

3.00 pm: X-ray Mr Harold, 31 y.o.

Mr Harold complained about the long wait. Very annoyed & said Ms Ruth should have been seen after him. Re-explained. Pt not satisfied. Verbal check if any illness - Pt has conjunctivitis. Discussed the risk ++. X-ray cancelled. Pt unhappy. Referred to doctor.

3.30 pm: X-ray Mrs Dora 32y.o, bilateral Hand/wrist; ? carpal tunnel syndrome.

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Writing Task

Using the information in the case notes, write a letter to Dr. Newton, Head of Radiography, giving an explanation of the events that led to Mr Holland's delay, re-scheduling,  and cancellation. Address the letter to  Dr  Rita Maria Newton, Head of Radiography, Apollo Hospital , NY . 

In your letter:

* Expand the relevant notes into complete sentences

* Do not use note forms.

* Use letter format

The body of the letter should be approximately between 180 to 200 words.

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Using the information 

X-ray of