МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ НА ТЕМУ «CASE STUDY. CARDIOLOGY: CHEST PAIN»

МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ

НА ТЕМУ «CASE STUDY. CARDIOLOGY: CHEST PAIN»

Warm-up

·         How to describe pain?

·         What is chest pain?

·         What can be the reasons of chest pain?

Vocabulary

Read the text

Chest Pain

History

A 34-year-old male accountant comes to the emergency department with acute chest pain. There is a previous history of occasional stabbing chest pain for 2 years. The current pain had come on 4 h earlier at 8 pm and has been persistent since then. It is central in position, with some radiation to both sides of the chest. It is not associated with shortness of breath or palpitations. The pain is relieved by sitting up and leaning forward. Two paracetamol tablets taken earlier at 9 pm did not make any difference to the pain. The previous chest pain had been occasional, lasting a second or two at a time and with no particular precipitating factors. It has usually been on the left side of the chest although the position had varied. Two weeks previously he had an upper respiratory tract infection which lasted 4 days. This consisted of a sore throat, blocked nose, sneezing and a cough. His wife and two children were ill at the same time with similar symptoms but have been well since then. He has a history of migraine. In the family history his father had a myocardial infarction at the age of 51 years and was found to have a marginally high cholesterol level. His mother and two sisters, aged 36 and 38 years, are well. After his father’s infarct he had his lipids measured; the cholesterol was 5.1mmol/L (desirable range !5.5mmol/L). He is a non-smoker who drinks 15 units of alcohol per week.

URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf  

Answer the questions

1.       Why does the patient come to the emergency department?

2.       Is there a previous history of chest pain?

3.       How does he feel now?

4.       What is the pain position?

5.       Is the pain associated with shortness of breath or palpitations?

6.       How is the pain relieved?

7.       What was the previous pain?

8.       Has he had any diseases recently?

9.       What does he have in history?

10.   What is his family history?

Follow-up

·         What examination and investigation should be provided?

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