Методологическая разработка по английскому языку на тему «GENERAL MEDICAL CASES: ABDOMINAL DISCOMFORT»

МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ

НА ТЕМУ «GENERAL MEDICAL CASES: ABDOMINAL DISCOMFORT»

Warm-up

·         How to describe pain?

·         What is abdominal discomfort?

·         What can be the reasons of the abdominal discomfort?

Vocabulary

Read the text

Abdominal Discomfort

 History

A 64-year-old woman is referred to outpatients with a 6-month history of mild abdominal discomfort. This has been intermittent and involved the right iliac fossa mainly. There has been no particular relation to eating or to bowel movements. Over this time her appetite has gone down a little and she thinks that she has lost around 5 kg in weight. The intensity of the pain has become slightly worse over this time and it is now present on most days. Over the last 6 weeks she has developed some new symptoms. She has developed a different sort of cramping abdominal pain located mainly in the right iliac fossa. This pain has been associated with a feeling of the need to pass her motions and often with some diarrhea. During these episodes her husband has commented that she looked red in the face but she has associated this with the abdominal discomfort and the embarrassment from the urgent need to have her bowels open. There is no other relevant previous medical history. She has smoked 15 cigarettes daily for the last 45 years and she drinks around 7 units of alcohol each week. She has noticed a little breathlessness on occasions over the last few months and has heard herself wheeze on several occasions. She has never had any problems with asthma and there is no family history of asthma or other atopic conditions. She worked as a school secretary for 30 years and has never been involved in a job involving any industrial exposure. She has no pets. She has lived all her life in London and her only trip outside the UK was a day trip to France.

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

Answer the questions

1.       How long has the woman had abdominal discomfort?

2.       Where is it located?

3.       Has there been relation to eating or to bowel movements?

4.       Has her weight changed over this time?

5.       How has the intensity of the pain changed?

6.       Does she have other symptoms?

7.       How has her husband commented cramping abdominal pain episodes?

8.       Is there a relevant previous medical history?

9.       What are her bad habits?

10.   What has she noticed over the last few months?

Follow-up

·         What examination and investigation should be provided?

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