Match the doctor’s and patient’s replies

Hello, Mrs. Cheevers. How can I help you? Do you keep a diet? What about alcohol? Well, I think it’s gastritis. You should change your life style. I recommend you to follow a diet, avoid alcohol and do sport. I’ll give you a direction to the hospital for an X-ray of the stomach. See you soon.

Thank you, doctor. I’ll follow your advice. Just a glass of wine if I go out. Good bye, doctor. Oh, doctor. I feel unwell. I have a slight pain and general discomfort after meals. In the morning I have nausea. Something is wrong with my digestion. No, I don’t. I often eat in cafes and prefers spicy food.

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. admit to the hospital – 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.