So initially, the essay had many grammatical mistakes. Many sentences did not make sense. After the revision , some still do not make sense. I also instructed that the essay should reflect on clincial practice. It did not, I also asked to talk about differential diagnosis. this was not done. UK nice guidelines were not used. UK based evidence and tests were not spoken about.... After all this the revision I asked for, i received way past my deadline. This revision also had error and did not follow my full instructions.