МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «GENERAL MEDICAL CASES: ABDOMINAL PAIN (77)»
Warm-up
· How to describe pain?
· What is abdominal pain?
· What can be the reasons of abdominal pain?
Vocabulary
complain |
жаловаться |
lose weight |
терять вес |
waves |
волны |
urinary problem |
проблемы с мочеиспусканием |
vomit |
рвать |
bowel problem |
проблемы со стулом |
severe |
тяжелый |
replacement |
замена |
fever |
лихорадка |
on exercise |
при физической нагрузке |
Read the text
Abdominal Pain
History
A 70-year-old woman has been complaining of upper abdominal pain which has increased over the last 3 days. It has been a general ache in the upper abdomen and there have been some more severe waves of pain. She has vomited three times in the last 24h. On two or three occasions in the past 5 years she has had a more severe pain in the right upper abdomen. This has sometimes been associated with feeling as if she had a fever and she was treated with antibiotics on one occasion. Her appetite is generally good but she has been off her food over the last week. She has not lost any weight. There have been no urinary or bowel problems but she does say that her urine may have been darker than usual for a few days and she thinks the problem may be an urinary infection. In her previous medical history she has had hypothyroidism and is on replacement thyroxine. She has annual blood tests to check on the dose; the last test was 3 months ago. She has had some episodes of chest pain on exercise once or twice a week for 6 months and has been given atenolol 50 mg daily and a glyceryl trinitrate spray to use sublingually as needed.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. What has the woman been complaining of?
2. When has the pain increased?
3. What has the pain been in nature?
4. What were other symptoms?
5. Did she have the same problems in the past?
6. What was the pain associated with?
7. Are there changes in her appetite or weight?
8. Are there urinary or bowel changes?
9. What is her past medical history?
10. Does she take medications?
Follow-up
· What examination and investigation should be provided?
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