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Podiatry

Read the following information.

Free OET Writing Sample Test with Answer Subtest Podiatry #4

Case Notes – Diabetic Foot Ulcer Management

  • Patient: Mr. James Walker, 62 yrs, Accountant

  • History: Type 2 Diabetes (15 yrs, poorly controlled), Hypertension, Overweight

  • Presenting Issue: Right foot plantar ulcer (developed 4 weeks ago after an unnoticed blister)

  • Symptoms:

    • Ulcer 1.5 cm, mild exudate, surrounding erythema

    • Reports pain while walking

    • Reduced sensation in both feet (peripheral neuropathy)

  • Current Management:

    • Wound cleaning, debridement, sterile dressings (3x/week)

    • Off-loading shoe prescribed

    • Patient education on daily foot inspection and hygiene

    • Referral to a dietitian for diabetes management

  • Progress:

    • Slight improvement in wound healing

    • Pain reduced, but erythema persists

    • Compliance with footwear and dressing changes reported

  • Plan:

    • Refer to the Vascular Surgeon for further assessment (risk of poor circulation and delayed healing)

    • Continue podiatry follow-up for wound care

Writing Task:

In your answer:
- Expand the relevant notes into complete sentences
- Do not use note form
- Use letter format
The body of the letter should be approximately 180–200 words.

Riverside Health Centre
Dr. Henry Adams
Vascular Surgeon
City Hospital

Dear Dr. Adams,

I am referring Mr. James Walker, a 62-year-old accountant, for further assessment of his right foot ulcer in the context of long-standing diabetes.

Mr. Walker has had Type 2 Diabetes for 15 years, which is poorly controlled, along with hypertension and obesity. Four weeks ago, he developed a plantar ulcer following an unnoticed blister. On examination, the ulcer measures 1.5 cm with mild exudate and surrounding erythema. He also has peripheral neuropathy with reduced sensation in both feet.

Management so far has included wound debridement, sterile dressings three times weekly, and provision of an off-loading shoe. He has been educated on foot hygiene and the importance of daily self-inspection. A referral to a dietitian has also been made for better glycemic control.

While there has been some improvement in healing and pain reduction, erythema remains, raising concern for impaired circulation and delayed recovery. Therefore, I believe a vascular review is warranted.

Thank you for your attention. Please do not hesitate to contact me for further information.

Yours sincerely,
[Your Name]
Podiatrist

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