2015-04-01
3536
Every physician should obtain a case history. It includes passport data, family history, past history, present complaints, physical examinations, prescriptions and instructions. The family history reflects the state of health of relatives, inherited diseases: tuberculosis, psychical diseases, diseases of blood. The past history reflects the past state of the patient, his past diseases: mums, measles, scarlet fever, pneumonia, chicken-pox, jaundice, heart or kidney trouble, patient’s habit for smoking.
Then the physician asks the patient about his present complaints. Diagnosis in medicine is the art and science of observing and interpreting a disease. In making a diagnosis it is necessary to consider the symptoms. The symptoms are subjective and objective. The physician also questions the patient about the changes from the ordinary state of health. The physician looks at the general appearance of a patient: the colour of the face and lips, the state of the pupils. When the physician has got all the data about the patient he makes the diagnosis.
Fill in the columns and speak about every type of history
| Case history | Family history | Past history |
| … | … | … |
Answer the questions
1. What is it necessary in making a diagnosis?
2. What is the diagnosis in medicine?
3. What symptoms do you know?
4. What does the doctor do to collect the anamnesis?
Put the sentences into the logical order
q The physician looks at the general appearance of the individual.
q Then the physician makes a diagnosis.
q The physician considers the symptoms.
q The physician looks through the patient’s case history.
q He asks about his present complaints.
Speak English
1. Вы – мед. сестра. Скажите, что вы заполняете историю болезни пациента. Вы записываете данные о нем, его жалобы и назначения врача. В семейный анамнез вы записываете состояние здоровья родственников, наследственные болезни.
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2. Вы – врач. Скажите, что вы лечите пациентов с инфекционными заболеваниями. Вы наблюдаете за состоянием здоровья пациентов и собираете данные о них. Вы делаете ежедневный обход палат и спрашиваете о жалобах на данный момент.
3. Вы – врач. Скажите, что вы собираете данные о пациенте. Вы смотрите на его внешний вид, цвет лица, состояние зрачков. Вы обдумываете субъективные и объективные симптомы. Вы ставите диагноз после осмотра.
Match the questions and the answers. Role-play the dialogue.
