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
intermittent |
эпизодический |
flatus |
метеоризм |
history |
анамнез |
faeces |
фекалии |
in nature |
по происхождению |
bowel motion |
испражнение |
distension |
вздутие живота |
barium enema |
бариевая клизма |
iliac fossa |
подвздошная ямка |
bowels open |
стул |
Read the text
Abdominal Pain
History
A 74-year-old woman has a 10-year history of intermittent lower abdominal pain. The pain has been colicky in nature and is associated with a feeling of distension in the left iliac fossa. It is generally relieved by passing flatus or faeces. She tends to be constipated and passes small pieces of faeces. Four years previously she passed some blood with her bowel motion and had a barium enema performed. This is shown in the picture on the left. Over the last week her pain has worsened and now she has continuous pain in the left iliac fossa and feels generally unwell. Her appetite has been poor over this same time. She has not had her bowels open over the last 2 days. In her previous medical history she had a hysterectomy for fibroids 20 years ago. There is a family history of ischaemic heart disease and diabetes mellitus. She lives alone and does her own cooking and shopping.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. What is the woman’s problem?
2. How long does she have this problem?
3. What is the pain in nature?
4. What feeling is it associated with?
5. When is the pain relieved?
6. What are other symptoms?
7. Why did she have a barium enema four years ago?
8. How does she feel now?
9. What is her previous medical history?
10. What is her family medical history?
Follow-up
· What examination and investigation should be provided?
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