2020-04-12
1402
Level A
We learn the new words / Мы учим новые слова
present (general) state of the patient - настоящее (общее) состояние больного 2. satisfactory (grave) condition of the patient - удовлетворительное (тяжелое) состояние больного
severity / moderate grave condition - состояние средней тяжести
active (passive) patient’s position - активное (пассивное) положение больного
forced patient’s attitude / position - вынужденное положение больного
asthenic (normostenic, hyperstenic) constitution - астеническая (нормостеническая, гиперстеническая) конституция
scoliosis – сколиоз
reduced (moderate, good) degree of nourishment - пониженная (умеренная, хорошая) степень упитанности
to gain weight - прибавлять в весе
to reduce / lose one’s weight - потерять в весе
heavy (slight) weight loss - большая (малая) потеря в весе
normally (poorly, excessively) developed subcutaneous fat / fatty tissue - нормально (слабо, чрезмерно) выраженная подкожная жировая клетчатка obesity - ожирение
skin irritation - раздражение кожи
skin desquamation / scaling / peeling of the skin - шелушение кожи
We speak / Мы говорим
Polite phrases
Replace each underlined phrase in the dialogue with an alternative polite phrase from the list / Замените подчеркнутую фразу в диалоге фразой из предложенного списка:
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Would you mind if l asked you to____
It’s important to know about____
Can you tell me how you are___
Could you tell me if you take__
I’m sorry, l can’t remember____
I need to know if you have__
Can you let me have__
I’d like to check__
May l ask why__?
I have to ask__
Nurse I’ve forgotten your name.
Mrs. Stein It’s Mrs. Stein.
Nurse Of course, Mrs. Stein. Give me your letter
of referral.
Mrs. Stein Here it is.
Nurse Thanks. So, Mrs. Stein, you've come in for
removal of varicose veins?
Mrs. Stein Yes. The operation is this afternoon.
Nurse Confirm' one or two things. First, are you
on any medications?
Mrs. Stein Yes, I take Venlafaxine.
Nurse What for?
Mrs. Stein I take it for depression.
Nurse OK. Now, tell me about your lifestyle.
Report any alcohol or drug problems you have.
Mrs. Stein None, I don't drink and I don't take drugs.
Nurse Also, tell me if you have had any contact
with HIV in the past six months.
Mrs. Stein I haven't had any contact with HIV, no.
Nurse Fine, and who’s paying for treatment?
Mrs.Stein I'm covered by medical insurance.
Nurse Great, and lastly, you must take off your make-up and your rings.
Make up a dialogue between patient Orlov and doctor Smirnova after reading the text / Составьте диалог между пациентом Орловым и доктором Смирновой после прочтения текста
A Case
Patient Orlov called in a physician from the polyclinic. He couldn`t go to the polyclinic himself because his temperature was about 38C. Soon doctor Smirnova, an experienced therapeutist, came to the call.
Doctor Smirnova wanted to know the patient’s complaint. The patient said that a short, painful, dry cough associated with rapid respiration had developed two days before. The patient complained the pain in the throat and behind the breastbone. Doctor Smirnova listened to the heart and lungs and then measured the patient`s blood pressure. The blood pressure and the heart sounds were normal. But dry and moist rales were heard in the lungs. The respiratory rate was considerably increased. The amount of the discharge from the bronchial mucous membrane was large.
On the basis of the findings the doctor made the diagnosis of (acute bronchitis, a cold?)
Level B
Vocabulary
present (general) state of the patient - настоящее (общее) состояние больного 2. satisfactory (grave) condition of the patient - удовлетворительное (тяжелое) состояние больного
severity / moderate grave condition - состояние средней тяжести
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active (passive) patient’s position - активное (пассивное) положение больного
forced patient’s attitude / position - вынужденное положение больного
asthenic (normostenic, hyperstenic) constitution - астеническая (нормостеническая, гиперстеническая) конституция
scoliosis – сколиоз
reduced (moderate, good) degree of nourishment - пониженная (умеренная, хорошая) степень упитанности
to gain weight - прибавлять в весе
to reduce / lose one’s weight - потерять в весе
heavy (slight) weight loss - большая (малая) потеря в весе
normally (poorly, excessively) developed subcutaneous fat / fatty tissue - нормально (слабо, чрезмерно) выраженная подкожная жировая клетчатка obesity - ожирение
skin irritation - раздражение кожи
skin desquamation / scaling / peeling of the skin - шелушение кожи
pigmented patch - пигментное пятно
decubitus ulcer - пролежень
to hurt, to have pain, to be painful - болеть (о горле, ноге и т.п.)
to induce / cause pain, to bring pain on - вызывать боль
to suffer from pain- страдать от боли
to start, to occur, to come on (of pain) - начинаться (о боли)
Tenderness, painfulness - болезненность
Reading
Letter of referral
Re patient Michael Marcuccilli, 21 years of age
To: Dr. J.K. Nayar
I`m referring to you for assessment. He is suffering from attacks of palpitations and breathlessness.
The patient is a student. He has suffered from anxiety since he was 13. He came to me 6 months ago. He expressed fears about having heart disease, because his brothers and his father have heart conditions.
When things are going badly, he eats too much. Consequently he is overweight with a BMI of 32, which partly explains his breathlessness. Urine analyses indicate the onset of type 2 diabetes. He said that he had gained weight as a result of the shock of losing his part-time job. It brought on severe palpitations, hyperventilation, and panic attacks.
In the past the patient has been treated with the antidepressant Lofepramine, even though there are no clear symptoms of depression. It is possible that weight gain and tiredness are side effects of the antidepressants.
Other physical symptoms include joint pains, chest pains, muscle pains and dizziness.
He is receiving Diazepam 2mg t.d.s for anxiety. Because he has a history of asthma, I have not tried beta blockers.
Yours sincerely
Dr.R.T.O`Brien
