МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «GENERAL MEDICAL CASES: ABDOMINAL PAIN»
Warm-up
· How to describe pain?
· What is abdominal pain?
· What can be the reasons of the abdominal pain?
Vocabulary
bloating |
метеоризм |
open bowels |
очищать кишечник |
irregular |
нерегулярный |
iliac fossa |
подвздошная впадина |
bowel habit |
стул |
sigmoidoscopy |
ректосигмоидоскопия |
constipation |
запор |
irregular periods |
нерегулярные менструации |
Read the text
Abdominal Pain
History
A 31-year-old woman has a 6-year history of abdominal pain and bloating. She has had an irregular bowel habit with periods of increased bowel actions up to four times a day and periods of constipation. Opening her bowels tends to relieve the pain which has been present in both iliac fossae at different times. She had similar problems around the age of 17 years which led to time off school. She thinks that her pains are made worse after eating citrus fruits and after some vegetables and wheat. She has tried to exclude these from her diet with some temporary relief but overall there has been no change in the symptoms over the 6 years. One year previously she was seen in a gastroenterology clinic and had a sigmoidoscopy which was normal. She found the procedure very uncomfortable and developed similar symptoms of abdominal pain during the procedure. She is anxious about the continuing pain but is not keen to have a further endoscopy. She has a history of occasional episodes of headache which have been diagnosed as migraine and has irregular periods with troublesome period pains but no other relevant medical history. She is a non-smoker who does not drink alcohol. Her paternal grandmother died of carcinoma of the colon aged 64 years. Her parents are alive and well. She works as a secretary.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. What is the woman complaining of?
2. How long has she had a history of abdominal pain and bloating?
3. What is her bowel?
4. What tends to relieve the pain?
5. Did she have similar problems earlier?
6. When are her pains made worse?
7. What was the result of a sigmoidoscopy one year previously?
8. What is her medical history?
9. What are her bad habits?
10. What is her family medical history?
Follow-up
· What examination and investigation should be provided?
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