Patient Information
Name: Mrs. Elena Rodriguez
Age: 58 years old
MRN: MR-2024-1156
Ward: Medical Ward 3B
Background
Mrs. Rodriguez is a 58-year-old Filipino woman who was admitted to the medical ward with poorly controlled Type 2 diabetes mellitus. She has been experiencing frequent episodes of hyperglycemia despite being on oral hypoglycemic agents. Her HbA1c level is 10.2% (normal <7%). She also has mild diabetic retinopathy and early signs of diabetic nephropathy.
Current Status
Patient is stable but requires specialist endocrinologist consultation for insulin therapy initiation and comprehensive diabetes management plan. Blood glucose levels have been ranging from 180-250 mg/dL over the past 3 days. Patient is motivated to learn about diabetes self-management.
Your Task
Write a referral letter to Dr. Maria Santos, Endocrinologist, at the Diabetes Center. Include relevant medical history, current medications, recent test results, and specific reasons for referral.
- 💡Use formal medical language - you know this vocabulary!
- 💡Include all patient details and relevant history
- 💡Be clear about why you're referring the patient
- 💡Keep it professional but concise (180-200 words)
1. Professional greeting
2. Patient identification
3. Reason for referral
4. Relevant medical history
5. Current status & findings
6. Specific request
7. Professional closing