МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «CASE STUDY. RHEUMATOLOGY: PAIN IN THE KNEE»
Warm-up
· How to describe pain?
· What is rheumatology?
· What can be the reasons of painful knee?
Vocabulary
general practitioner |
врач терапевт |
heartburn |
изжога |
swelling |
припухлость |
indigestion |
несварение |
swollen |
опухший |
elevation |
повышение |
mild osteoarthritis |
слабый остеоартрит |
persistently elevated |
постоянно повышенный |
hip |
бедро |
consumption |
потребление |
Read the text
Painful in the Knee
History
An 80-year-old woman presents to her general practitioner (GP) with pain and swelling in her left knee. The pain began 2 days previously and she says that the knee is now hot, swollen and painful on movement. In the past she has a history of mild osteoarthritis of the hips. She has occasional heartburn and indigestion. She had a health check 6 months previously and was told that everything was fine except for some elevation of her blood pressure which was 172/102 mmHg and her creatinine level, which was around the upper limit of normal. The blood pressure was checked several times over the next 4 weeks and found to be persistently elevated and she was started on treatment with 2.5 mg bendrofluamethizide. The last blood pressure reading was 138/84 mmHg. There is no relevant family history. She has never smoked and her alcohol consumption averages four units per week. She takes occasional paracetamol for hip pain.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. Why does the woman present to her GP?
2. When did the pain begin?
3. How does she feel now?
4. What is her past medical history?
5. Does she have heartburn and indigestion?
6. What was the result of her previous health check?
7. How was her blood pressure controlled then?
8. What treatment did she start then?
9. Is there relevant family history?
10. Does she take medications?
Follow-up
· What examination and investigation should be provided?
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