Методологическая разработка по английскому языку на тему «GENERAL MEDICAL CASES: ABDOMINAL PAIN (72)»

МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ

НА ТЕМУ «GENERAL MEDICAL CASES: ABDOMINAL PAIN (72)»

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 38-year-old woman presents to the emergency department with a 2-h history of severe abdominal pain. The pain is in the right loin and radiates to the right flank and groin and the right side of the vulva. It is colicky and has made her vomit several times. Since the age of 18 years she has had recurrent urinary tract infections, mainly with dysuria and frequency, but she has had at least four episodes of acute pyelonephritis affecting right and left kidneys separately and together. She has not had gross haematuria nor passed stones per urethra. There is no other past history. Her mother had frequent urinary tract infections and died at the age of 61 of a stroke. Over the years the patient has taken irregular intermittent prophylactic antibiotics, but for only approximately a total of 20 per cent of the time. She works in a travelling fairground and has no general practitioner (GP). Access to any previous medical records is not possible as she cannot remember the details of where she was seen or treated. She has had some imaging of the urinary tract but is unsure of the details of the investigations and their results.

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

Answer the questions

1.       What is the woman complaining of?

2.       Where is the pain located?

3.       What is the pain in nature?

4.       What is her past relevant medical history?

5.       How many episodes of acute pyelonephritis has she had recurrent?

6.       Has she had gross hematuria or passed stones per urethra?

7.       What is her family history?

8.       Does she take medications?

9.       Why is access to any previous medical records not possible?

10.   Is there any other past history?

Follow-up

·         What examination and investigation should be provided?

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