МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ НА ТЕМУ «CASE STUDY. RESPIRATORY: CHRONIC COUGH»

МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ

НА ТЕМУ «CASE STUDY. RESPIRATORY: CHRONIC COUGH»

Warm-up

·         How to describe pain?

·         What is chronic cough?

·         What can be the reasons of chronic cough?

Vocabulary

Read the text

Chronic Cough

History

A 19-year-old boy has a history of repeated chest infections. He had problems with a cough and sputum production in the first 2 years of life and was labelled as bronchitic. Over the next 14 years he was often ‘chesty’ and had spent 4–5 weeks a year away from school. Over the past 2 years he has developed more problems and was admitted to hospital on three occasions with cough and purulent sputum. On the first two occasions, Haemophilus influenzae was grown on culture of the sputum, and on the last occasion 2 months previously Pseudomonas aeruginosa was isolated from the sputum at the time of admission to hospital. He is still coughing up sputum. Although he has largely recovered from the infection, his mother is worried and asked for a further sputum to be sent off. The report has come back from the microbiology laboratory showing that there is a scanty growth of Pseudomonas on culture of the sputum. There is no family history of any chest disease. Routine questioning shows that his appetite is reasonable, micturition is normal and his bowels tend to be irregular.

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

Answer the questions

1.       What the patient’s history?

2.       Why was he labeled as bronchitic?

3.       How long was he ‘chesty’?

4.       Why was he admitted to hospital over the past 2 years?

5.       Did the boy have Haemophilus influenza?

6.       What was isolated form the sputum on the last occasion?

7.       Is the boy coughing up sputum?

8.       What is the latest report of the sputum?

9.       Is there a family history of any chest disease?

10.   What does routine questioning show?

Follow-up

·         What examination and investigation should be provided?

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