МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «CASE STUDY. ENDOCRINOLOGY: PERSONALITY CHANGE»
Warm-up
· How to describe endocrinology?
· What is personality change?
· What can be the reasons of personality change?
Vocabulary
concern |
беспокойство |
persuade |
убеждать |
general practitioner |
врач терапевт |
flank |
бок |
collapse |
упасть в обморок |
evidence |
доказательство |
groin |
пах |
fasting blood glucose |
уровень глюкозы в крови натощак |
loin |
поясница |
wait and see policy |
выжидательная практика |
Read the text
Personality Change
History
A 64-year-old investments manager is causing increasing concern to his wife owing to increasing forgetfulness and irritability. His mother died 3 years previously from Alzheimer’s disease, and his wife is concerned that he is dementing. She had also noticed that he has been drinking more fluid and getting up 2–3 times in the night to pass urine. She persuaded him to see their general practitioner (GP) who found no symptoms of prostatism, and no other relevant past or family history. There was no objective evidence of dementia, and physical examination was normal, including rectal examination. Investigations showed normal urine, fasting blood glucose, urea, creatinine and electrolytes. A wait and see policy was advised with as much reduction in stress as possible and adequate sleep.
Over the next 2 months his colleagues begin to question his performance, then one day at work he collapses with severe and sudden-onset left loin pain, radiating down the left flank to his groin and left testicle. The pain is colicky and accompanied by nausea and vomiting. He is taken to the emergency department.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. What is the old-man’s concern?
2. What is his wife concern?
3. What did his wife notice?
4. What did their GP conclude?
5. Is there other relevant past or family story?
6. What was physical examination result?
7. What did investigations show?
8. What was advised?
9. What happened over the last 2 months?
10. Why is he taken to the emergency department?
Follow-up
· What examination and investigation should be provided?
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