Методологическая разработка по английскому языку на тему «GENERAL MEDICAL CASES: CHRONIC CHEST PAIN»

МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ

НА ТЕМУ «GENERAL MEDICAL CASES: CHRONIC CHEST PAIN»

Warm-up

·         How to describe pain?

·         What is chest pain?

·         What can be the reasons of chronic chest pain?

Vocabulary

Read the text

Chronic Chest Pain

History

A 25-year-old woman is complaining of chest pain. This had been present for 2 years on and off. The pain settled for a period of 6 months but it has returned over the last 10 months. The pain is usually on the left side of the chest, radiating to the left axilla. She describes it as a tight or gripping pain which lasts for anything from 5 to 30 min at a time. It can come on at any time, and is often related to exercise but it has occurred at rest on some occasions, particularly in the evenings. The pain is usually associated with shortness of breath. It makes her stop whatever she is doing and she often feels faint or dizzy with the pain. Occasionally palpitations come on after the start of the pain. Detailed questioning about the palpitations indicates that they are a sensation of a strong but steady heart beat. In her previous medical history she had her appendix removed at the age of 15 years. At the age of 30 years she was investigated for an irregular bowel habit and abdominal pain but no specific diagnosis was arrived at. These symptoms still trouble her. She has seasonal rhinitis. Two years ago she visited a chemist and had her cholesterol level measured; the result was 4.1 mmol/L. In her family history her grandfather died of a myocardial infarction, a year previously, aged 77 years. Several members of her family have hay fever or asthma. She works as a medical secretary. She is married and has no children.

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

Answer the questions

1.       What is the woman complaining of?

2.       How long had this been present?

3.       Was it regular?

4.       Where is the pain located?

5.       How does she describe the pain?

6.       When does it occur?

7.       How does she feel when the pain occurs?

8.       What are her palpitations?

9.       What is her past medical history?

10.   What is her family medical history?

Follow-up

·         What examination and investigation should be provided?

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