МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «CASE STUDY. LIVER: ANOREXIA AND FEVER»
Warm-up
· How to describe pain?
· What is anorexia?
· What can be the reasons of anorexia?
Vocabulary
malaise |
чувство общего недомогания |
swelling |
опухоль |
anorexia |
анорексия |
joint |
сустав |
vomit |
рвота |
glandular fever |
мононуклеоз |
feverish |
лихорадящий |
serologically |
серологически |
aching pain |
ноющая боль |
constituent |
компоненты |
wrist |
запястье |
HIV test |
тест на ВИЧ |
Read the text
Anorexia and Fever
History
A 22-year-old man presented with malaise and anorexia for 1 week. He vomited on one occasion, with no blood. He has felt feverish but has not taken his temperature. For 2 weeks he has had aching pains in the knees, elbows and wrists without any obvious swelling of the joints. He has not noticed any change in his urine or bowels. Five years ago he had glandular fever confirmed serologically. He smokes 25 cigarettes per day and drinks 20–40 units of alcohol per week. He has taken marijuana and ecstasy occasionally over the past 2 years and various tablets and mixtures at clubs without being sure of the constituents. He denies any intravenous drug use. He has had irregular homosexual contacts but says that he has always used protection. He claims to have had an HIV test which was negative 6 months earlier. He has not travelled outside Western Europe in the last 2 years. He is unemployed and lives in a flat with three other people. There is no relevant family history.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. What did the patient present for 1 week?
2. Did he vomit?
3. Has he had temperature?
4. What pains has he had aching for 2 weeks?
5. Has he have changes in his urine or bowels?
6. What is his pat his past history?
7. What are his bad habits?
8. Did he pass HIV test?
9. Does he travel a lot?
10. Is there relevant family history?
Follow-up
· What examination and investigation should be provided?
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