2020-04-12
2493
asthma nervousness
depression obesity
heart disease poisoning
HIN suicidal tendencies
irregular heartbeat
Use the information in the letter to complete this admission form.
CITY HOSPITAL
Admission form
Name of patient: __________ Age_______
Relevant family medical history:
________________________________________________________
Purpose of referral:
________________________________________________________
Presenting symptoms:
________________________________________________________
Other symptoms and conditions:
________________________________________________________
BMI: ____________________________________________________
Past treatments:
________________________________________________________
Present medication:
________________________________________________________
Decide with a partner where to send the patient -
the coronary unit, the psychiatric unit, the renal unit, weight loss and exercise classes, or home.
Speaking
Polite phrases
Replace each underlined phrase in the dialogue with an alternative polite phrase from the list.
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, I 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.
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 given text
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?)
Тема 4.7. Physical Examinations. Palpation. Auscultation. Percussion /Осмотр пациента. Пальпация. Аускультация. Перкуссия
Level A
We learn the new words / Мы учим новые слова
physical examination (exam) - физикальный осмотр
а medical care - медицинское обслуживание
а procedure - процедура
thorough – тщательный
examination environment – среда (обстановка) обследования
vital signs - основные показатели жизнедеятельности
а thermometer –термометр
to measure the patient`s pulse – измерить пульс пациента
a stethoscope – стетоскоп
to conduct auscultation of the patient`s breathing – проведение аускультации дыхания пациента.
percussion technique – техника перкуссии
to check the condition of organs – проверить состояние органов
a general inspection of physical body parts - общий контроль частей физического тела
to make observations of – провести наблюдение за
the patient`s posture - положение пациента
evaluate - оценить
We read / Мы читаем
A physical examination is one of the most basic of medical care procedures. Follow these simple steps to be sure that your exams are thorough and effective every time.
1. Make sure the patient is comfortable and that examination environment is optimal.
2. Check vital signs. With the patient sitting, take his/her temperature using an oral thermometer. Then measure the patient`s pulse. Use a stethoscope to conduct auscultation of the patient’s breathing.
3. Have the patient lie down. Use percussion techniques to check the condition of organs beneath the abdomen.
4. Conduct a general inspection of physical body parts. Check the arms, legs, back, and neck with palpation. Evaluate the patient’s posture. Make observations of the patient’s posture. Make observations of the patient`s body language. It can reveal some symptoms.
Answer the questions after reading the text / Ответь на вопросы после прочтения текста:
1. What is involved in giving a physical examination?
2. What does it mean to check a patient’s vital signs?
3. What does a general inspection of physical body parts include?
Read the instructions on giving a physical exam. Then, choose the correct answers / Прочитайте инструкции по проведению осмотра пациента и затем выберите правильный ответ:
1. What is the purpose (цель) of the instructions?
A to explain how to give a physical exam
B to demonstrate how to give a physical exam
C to compare (сравнить) percussion and auscultation techniques
D to describe the importance of physical examinations
2. Which of the following is NOT an aspect of checking vital signs?
A checking pulse
B auscultation
C taking temperature
D evaluating posture
3. What is one use for percussion techniques?
A to measure a patient`s breathing
B to determine the quality of a patient’s breathing
C to check the condition of internal organs
D to evaluate a patient`s mood
Place the words and phrases from the word bank under the correct heading / Заполните пропуски подходящими словами из данного списка:
WORD BANK: palpation pulse percussion auscultation vital signs
body language
| EXAMINATION TECHNIQUES |
| ----------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------- |
| THINGS TO CHECK IN AN EXAM |
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Level B
Vocabulary
а physical examination (exam) - физикальный осмотр
а medical care - медицинское обслуживание
а procedure - процедура
thorough – тщательный
examination environment – среда (обстановка) обследования
vital signs - основные показатели жизнедеятельности
а thermometer –термометр
to measure the patient`s pulse – измерить пульс пациента
a stethoscope – стетоскоп
to conduct auscultation of the patient`s breathing – провести аускультацию дыхания пациента.
percussion technique – техника перкуссии
to check the condition of organs – проверить состояние органов
a general inspection of physical body parts - общий контроль частей физического тела
to make observations of – провести наблюдение за
to reveal symptoms - выявить симптомы
to affect the diagnosis - влиять на диагноз
the patient`s posture - положение пациента
Reading
A physical examination is one of the most basic of medical care procedures. Follow these simple steps to be sure that your exams are thorough and effective every time.
1. Make sure the patient is comfortable and that examination environment is optimal.
2. Check vital signs. With the patient sitting, take his/her temperature using an oral thermometer. Then measure the patient’s pulse. Use a stethoscope to conduct auscultation of the patient’s breathing.
3.Have the patient lie down. Use percussion techniques to check the condition of organs beneath the abdomen.
4. Conduct a general inspection of physical body parts. Check the arms, legs, back, and neck with palpation. Evaluate the patient’s posture. Make observations of the patient’s posture. Make observations of the patient`s body language. It can reveal symptoms that affect the diagnosis.
Answer the questions
1. What is involved in giving a physical examination?
2. What does it mean to check a patient`s vital signs?
3. What does a general inspection of physical body parts include?
