МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «GENERAL MEDICAL CASES: A LUMP ON THE SKIN»
Warm-up
· How to describe pain?
· What is a lump of the skin?
· What can be the reasons of a lump of the skin?
Vocabulary
lesion |
очаг |
renal failure |
почечная недостаточность |
forearm |
предплечье |
immunosuppression |
подавление иммунитета |
margin |
край |
convert |
перевести |
ulcerated |
язвенный |
slightly |
слегка |
cadaveric renal transplant |
пересадка трупной почки |
painless |
безболезненный |
Read the text
A Lump of the Skin
History
A 66-year-old farmer is referred to a dermatologist for a lesion on his forearm. It is raised, 1.5 cm in diameter, with an irregular margin and a slightly ulcerated center. It is painless and has appeared over the last 6–8 months. Fifteen years earlier the patient had had a cadaveric renal transplant for renal failure due to chronic glomerulonephritis caused by immunoglobulin A (IgA) nephropathy. This has functioned well, and he has required continuous immunosuppression. Originally this was with prednisolone and azathioprine, but later it was converted to ciclosporin. His only other medication is propranalol for hypertension which he has taken for 20 years. There is no other relevant past or family history. He has never smoked, and drinks 3–6 units of alcohol per week.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. What is the man complaining of?
2. How does he describe the lesion?
3. When has it appeared?
4. Is it painful?
5. What is his past medical history?
6. Why did he have renal failure?
7. What was the treatment after a cadaveric renal transplant?
8. What is his other disease?
9. What are his bad habits?
10. Is there relevant past or family history?
Follow-up
· What examination and investigation should be provided?
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