write a referral letter to an internist

I am writing to refer Mrs. Anna Thompson, a 32-year-old patient with mild anaemia and gestational diabetes, who has presented with severe fatigue, shortness of breath, and occasional palpitations. She requires
further
management and assessment to rule out other significant causes of her
symptoms
, particularly potential cardiac issues. Mrs. Thompson’s
symptoms
began approximately one month ago
,
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when she was 24 weeks pregnant. During her first pregnancy, she developed gestational diabetes, which was managed with dietary modifications. In
this
pregnancy, she requires insulin aspart injections for glucose control.
Additionally
, she is taking iron supplements for mild anaemia. On physical examination, only mild tachycardia was noted. Blood test results revealed anaemia with a haemoglobin level of 10 g/dL. Her glucose levels, both fasting and postprandial, were within acceptable ranges, and her liver and kidney function tests were normal. Despite these findings, the severity of her
symptoms
, particularly the pronounced fatigue, is not consistent with the examination and blood test results.
This
discrepancy suggests the need for
further
investigation. I would appreciate it if you could assess Mrs. Thompson for a more comprehensive evaluation, including possible echocardiography, to determine any underlying cardiac issues or other causes for her
symptoms
. Thank you for your attention to
this
referral. Yours faithfully,
Submitted by ali.homayoni93 on

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greeting and closing
The closing could include a brief sentence of anticipation, such as 'I look forward to your evaluation.'
single idea per paragraph
Maintain single idea paragraphs for even better readability.
logical structure
The letter has a clear and logical structure.
complete response
Your response is complete and thoroughly addresses the patient's condition and necessary next steps.
suitable writing tone
A suitable, formal writing tone is maintained throughout the letter.

The Closing

The style of the letter determine how you have to close it.

Check out the suggested closing sentences for each type of letter in the General IELTS Test. The closing sentence should be the last sentence of your letter.

Formal style (To someone you have not met, whose name you don’t know)

  • Yours faithfully,

Semi-formal (To someone you may or may not have met, whose last name you know)

  • Yours sincerely,

Informal (To someone you know well, whose first name you know and use)

  • Best regards,
  • Warm wishes,

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