Put the sentences into the logical order and make up the dialogue. Role-play it.
- Hello, Mister Smith. What’s wrong with you at the moment?
- All right. I’ll examine you. Let me measure your blood pressure. It’s all right. Now I’ll listen to your lungs and heart. I hear dry and moist rales in the lungs. I think you have acute bronchitis, Mr. Smith.
- Yes, it is 38C.
- Yes, I have a painful dry cough.
- Oh yes, follow my administrations and you’ll feel better soon.
- Really?
- Have you got a temperature?
- Well, I have pain in the throat and behind the breastbone and I had a bad headache last night.
- Is that all doctor?
- That’s not very much. Are you coughing much?
- Thank you, doctor.
- I am sure. I’ll prescribe you two tablets of tetracycline and a cough mixture three times a day. You should drink much and have a warm complication to the chest.
- Good bye. I wish you a speedy recovery.
TOPIC 32. CHRONIC GASTRITIS
Teacher: Read the text about chronic gastritis. Fill in the gaps using the information from the text.
1. The doctor makes a diagnosis of chronic gastritis if … and … are clear.
2. The cause of the catarrhal condition is … .
3. Chronic gastritis occurs as … , … or … .
4. The most important causes of chronic gastritis are …, …, … .
5. The clinical manifestations of the disease are … and … .
6. The symptoms of chronic gastritis are …, …, … .
7. In severe cases there may be … and … in the morning.
8. The course of the disease is … .
9. The symptoms are … .
10. The symptoms may become worse if … .
Chronic Gastritis
The term chronic gastritis must be limited to those cases in which evidences of inflammation or catarrhal changes in the stomach are clear.
Chronis gastritis occurs as a separate or primary disease or it may be associated with other diseases, chronic liver and kidney disease. In these diseases chronic impairment of the mucous membrane of the stomach is an important factor in causing the catarrhal condition.
The most important causes of chronic gastritis proved to be alcohol, inadequate food and a bad diet regimen.
The characteristic clinical manifestations of gastritis are increased secretion of mucus and a diminished secretion of acid and pepsin. In severe forms of gastritis secretion is observed to be completely reduced and even absent due to the lesion of the mucus membrane.
The most frequent symptoms of chronic gastritis are loss of appetite, slight pain and general epigastric discomfort after meals. In severe cases nausea and vomiting of mucus, particularly in the morning, are often observed. Frequently the stomach becomes moderately enlarged.
The course of the disease is chronic. The symptoms are continuous. They may become worse from time to time if a sick person does not follow the diet regimen strictly.
Translate into Russian.
1. a diagnosis of chronic gastritis
2. inflammation
3. catarrhal changes in the stomach
4. impairment of the mucous membrane of the stomach
5. chronic gastritis occurs
6. the most important causes of chronic gastritis
7. clinical manifestations of the disease
8. a bad diet regimen
9. increased secretion of mucus
10. a diminished secretion of acid and pepsin
11. in severe cases
12. nausea
13. vomiting of mucus
14. the course of the disease
15. continuous symptoms
16. loss of appetite
17. slight pain
18. general epigastric discomfort
19. follow a diet regimen
20. a sick person
Answer the questions
1. What is the cause of gastritis?
2. What is the cause of the catarrhal condition?
3. What symptoms does the patient have?
4. What is the course of gastritis?
5. What must the patient do?
Match the doctor’s and patient’s replies.
| 1. Hello, Mrs. Cheevers. How can I help you? 2. Do you keep a diet? 3. What about alcohol? 4. Well, I think it’s gastritis. You should change your life style. I recommend you to follow a diet, avoid alcohol and do sport. 5. I’ll give you a direction to the hospital for an X-ray of the stomach. 6. See you soon. |
|
Speak about chronic gastritis
TOPIC 33. RHEUMATIC ENDOCARDITIS
Find the words in the following chain of letters
complainofgeneralfatigueincreaserevealpercussiondetermineinflammationvalvefollowadministernourishingexaminationillstrict
Study the new words
1. malaise – недомогание
2. exertion – нагрузка
3. palpitation – сильное сердцебиение
4. enlarged – увеличенный
5. murmur – шум (в сердце)
6. evidence – признак, доказательство
7. inner layer – внутренняя оболочка
8. admittothehospital– поместить в больницу (госпитализировать)
9. contain – содержать
10. discharge from the hospital – выписывать из больницы
Read and translate the text
The patient complained of a general malaise, early fatigue on exertion, cardiac discomfort and palpitation.
He had an increase of body temperature to a subfebrile level for a prolonged period of time. The patient had been ill with tonsillitis before.
The blood analysis revealed moderate leucocytosis and an increased ESR. On percussion the doctor determined that the heart was slightly enlarged. Listening to the patient’s heart the doctor found murmurs in the heart. It was an evidence of an inflammatory process in the valves.
The doctor diagnosed rheumatic endocarditis, an inflammation of the inner layer of the heart, the endocardium. The patient was admitted to the hospital where he followed a strict bed regimen. The doctor administered antibiotic therapy. The patient had nourishing diet, containing many vitamins and limited in salt. It took the patient about 45 days to get well. He was discharged from the hospital and had to (должен был) come to his doctor for regular examinations.
Answer the questions
1. What did the patient complain of?
2. What temperature did he have?
3. What did the blood analysis reveal?
4. What did the doctor determine on percussion?
5. What did the doctor find listening to the patient’s heart?
6. What did the doctor diagnose?
7. What kind of disease is endocarditis?
8. Where was the patient admitted?
9. What treatment did the doctor administer?
10. What diet did the patient have?
11. How long did it take the patient to get well?
12. What did the patient have to do after he was discharged from the hospital?
Fill in the gaps
| Disease | Cause | Symptoms | Course | Treatment |
| Endocarditis | The cause of the disease is inflammation of the inner layer of the heart | The patient has fatigue cardiac discomfort subfebrile temperature murmurs in the heart | There is a moderate leucocytosis The heart becomes slightly enlarged. | The doctor must admit the patient to the hospital |
TOPIC 34. THE IMMUNITY