Методологическая разработка по английскому языку на тему «GENERAL MEDICAL CASES: ABDOMINAL PAIN (69)»

МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ

НА ТЕМУ «GENERAL MEDICAL CASES: ABDOMINAL PAIN (69)»

Warm-up

·         How to describe pain?

·         What is abdominal pain?

·         What can be the reasons of abdominal pain?

Vocabulary

Read the text

Abdominal Pain

History

A 58-year-old woman consults her general practitioner (GP) with a 2-month history of intermittent dull central epigastric pain. It has no clear relationship to eating and no radiation. Her appetite is normal, she has no nausea or vomiting and she has not lost weight. Her bowel habit is normal and unchanged. There is no relevant past or family history. She has never smoked, and drinks alcohol very rarely. She has worked all her life as an infant school teacher. Physical examination at this time was completely normal, with a blood pressure of 128/72mmHg. Investigations showed normal full blood count, urea, creatinine and electrolytes, and liver function tests. An H2 antagonist was prescribed and follow-up advised if her symptoms did not resolve. There was slight relief at first, but after 1 month the pain became more frequent and severe, and the patient noticed that it was relieved by sitting forward. It had also begun to radiate through to the back. Despite the progressive symptoms she and her husband went on a 2-week holiday to Scandinavia which had been booked long before. During the second week her husband remarked that her eyes had become slightly yellow, and a few days later she noticed that her urine had become dark and her stools pale. On return from holiday she was referred to a gastroenterologistk.

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

Answer the questions

1.       Why does the woman consult her GP?

2.       What is it related to?

3.       Are there other symptoms?

4.       Is there relevant past medical history?

5.       What are her bad habits?

6.       What was the result of physical examination this time?

7.       Was there a relief after treatment?

8.       Hos had the pain changed?

9.       Has she been abroad recently?

10.   What did her husband remark during the trip?

Follow-up

·         What examination and investigation should be provided?

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