Методологическая разработка по английскому языку на тему «GENERAL MEDICAL CASES: ANKLE SWELLING»

МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ

НА ТЕМУ «GENERAL MEDICAL CASES: ANKLE SWELLING»

Warm-up

·         How to describe pain?

·         What is swelling?

·         What can be the reasons of ankle swelling?

Vocabulary

Read the text

Ankle Swelling

History

A 72-year-old man goes to his general practitioner (GP) complaining of painless swelling of both legs which he first noted approximately 2 months ago. The swelling started at the ankles but now his legs, thighs and genitals are swollen. His face is puffy in the mornings on getting up. His weight is up by about 10 kg over the previous 3 months. He has noticed that his urine appears to be frothy in the toilet. He has noted gradual increasing shortness of breath, but denies any chest pain. He has also developed spontaneous bruising over the past 6 months. He is a retired heavy goods vehicle driver. He had hypertension diagnosed 13 years ago, and a myocardial infarction 4 years previously. He lives with his wife and has no children. He continues to smoke 30 cigarettes a day, and drinks about 30 units of alcohol a week. His medication consists of atenolol 50 mg once a day.

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

Answer the questions

1.       Why does the man go to his GP?

2.       When did he first notice the swelling?

3.       How did the swelling start?

4.       How does he feel in the morning?

5.       How did his weight change over the previous 3 months?

6.       What has he notices about his urine?

7.       What has he noted about his breathing?

8.       Does he have spontaneous bruising?

9.       What is his past medical history?

10.   Does he take medications?

Follow-up

·         What examination and investigation should be provided?

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