МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «CASE STUDY. ABDOMEN: WEIGHT LOSS»
Warm-up
· How to describe pain?
· What is abdominal pain?
· What can be the reasons of weight loss?
Vocabulary
wight loss |
потеря веса |
vomiting |
рвота |
retired |
на пенсии |
altered bowel habit |
изменение ритма дефекации |
nurse |
медсестра |
constipation |
запор |
general practitioner |
врач терапевт |
faeces |
каловые массы |
on exertion |
при физической нагрузке |
abdominal pain |
боль в животе |
nausea |
тошнота |
medication |
лекарство |
Read the text
Weight Loss
History
A 66-year-old woman, a retired nurse, consults her general practitioner (GP) with a 4-month history of tiredness, slight breathlessness on exertion and loss of weight from 71 to 65 kg. Her appetite is unchanged and normal, she has no nausea or vomiting, but over the last 2 months she has had an altered bowel habit with constipation alternating with her usual and normal pattern. She has not seen any blood in her faeces and has had no abdominal pain. There is no relevant past or family history, and she is on no medication. She has smoked 20 cigarettes daily for 48 years and drinks 20–28 units of alcohol a week.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. Who is the patient?
2. Why does she consult her GP?
3. How has her weight changed within last 4 months?
4. Does she have any changes in her appetite?
5. How long has she had an altered bowel habit?
6. Does she have abdominal pain?
7. Is there relevant past?
8. Is there family history?
9. Does she take medication?
10. What are her bad habits?
Follow-up
· What examination and investigation should be provided?
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