МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «CASE STUDY. LIVER: NAUSEA AND WEIGHT LOSS»
Warm-up
· How to describe pain?
· What is nausea?
· What can be the reasons of nausea?
Vocabulary
general practitioner |
врач терапевт |
swelling |
отек |
reduced appetite |
пониженный аппетит |
ankle |
лодыжка |
weight loss |
потеря веса |
abdominal pain |
боль в животе |
intermittent nausea |
периодическая тошнота |
relevant |
похожий |
accompany |
сопровождаться |
adopt |
усыновлять |
vomiting |
рвота |
medication |
лекарства |
Read the text
Nausea and Weight Loss
History
A man of 45 consults his general practitioner (GP) with a 6-month history of reduced appetite and weight loss, from 78 to 71 kg. During the last 3 months he has had intermittent nausea, especially in the mornings, and in the last 3 months the morning nausea has been accompanied by vomiting on several occasions. For 1 month he has noted swelling of his ankles. Despite his weight loss he has recently noticed his trousers getting tighter. He has had no abdominal pain. He has no relevant past history and knows no family history as he was adopted. He takes no medication. From the age of 18 he has smoked 5–6 cigarettes daily and drunk 15–20 units of alcohol per week. He has been a chef all his working life, without exception in fashionable restaurants. He now lives alone as his wife left him 1 year ago.
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 his weight changed within last 4 months?
4. How long has he had intermittent nausea?
5. Does he vomit?
6. How long has he had swelling of his ankles?
7. Did he notice his trousers getting tighter?
8. Does he have abdominal pain?
9. Is there a relevant past history or family history?
10. What bad habits does he have?
Follow-up
· What examination and investigation should be provided?
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