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Podiatry

Read the following information.

Free OET Writing Sample Test with Answer Subtest Podiatry #9

Case Notes: Diabetic Foot Ulcer

Case Notes:

  • Patient: Mr. Thomas Clark, 59 yrs

  • Diagnosis: Type 2 Diabetes (10 yrs)

  • Presenting issue: Non-healing ulcer on plantar surface of left foot (2 cm, superficial, no pus)

  • Duration: Present for 3 weeks, worsening despite dressings

  • Sensation: Reduced due to peripheral neuropathy

  • Vascular: Dorsalis pedis pulse faint, skin pale and cool

  • Current care: Daily saline dressings, compliance reported

  • Lifestyle: Smoker, overweight, limited exercise

  • Concern: Risk of infection, delayed healing

  • Request: Write to GP requesting vascular assessment and possible referral to diabetes specialist foot clinic.

To: Dr. Hughes

Dear Dr. Hughes,

I am writing concerning Mr. Thomas Clark, a 59-year-old patient with Type 2 Diabetes, who presented with a non-healing ulcer on the plantar surface of his left foot.

The ulcer has been present for three weeks and measures approximately 2 cm. It appears superficial, with no signs of pus or cellulitis, but has shown little progress despite regular saline dressings. Mr. Clark reports good compliance with his care routine.

Examination revealed reduced sensation consistent with peripheral neuropathy and diminished dorsalis pedis pulse, with the skin appearing pale and cool. These findings raise concern for impaired vascular supply and poor healing capacity. His lifestyle factors, including smoking and limited activity, may also contribute.

Given the risk of delayed healing and potential infection, I strongly recommend vascular assessment and consideration for referral to a specialist diabetic foot clinic. Early intervention can help prevent complications, such as infection or possible amputation.

Thank you for your attention to this matter.

Yours sincerely,
[Podiatrist’s Name]

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