МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «GENERAL MEDICAL CASES: COUGH AND BREATHLESSNESS»
Warm-up
· How to describe pain?
· What is cough?
· What can be the reasons of cough?
Vocabulary
cough |
кашель |
put on weight |
набрать вес |
breathlessness |
затрудненное дыхание |
swell |
опухоль |
widower |
вдовец |
exercise tolerance |
выносливость к физической нагрузке |
sputum |
мокрота |
frustrated |
расстроенный |
short of breath |
одышка |
budgerigar |
волнистый попугайчик |
Read the text
Cough and Breathlessness
History
A 69-year-old widower smoked 20 cigarettes a day for over 40 years but then gave up 9 months ago when his first grandchild was born. He has had a cough with daily sputum production for the last 20 years and has become short of breath over the last 3 years. He coughs up a little white or yellow sputum every morning. He has put on weight recently and now weighs 100kg. His ankles have become swollen recently and his exercise tolerance has decreased. He can no longer carry his shopping back from the supermarket 180m (200 yards) away. He worked as a warehouseman until he was 65 and has become frustrated by his inability to do what he used to do. He is not able to look after his grandchild because he feels too short of breath. There is no other relevant medical or family history. He lives alone and has a cat and a budgerigar at home. His general practitioner (GP) gave him a salbutamol metered-dose inhaler which produced no improvement in his symptoms.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. When did the man give up smoking?
2. How long did he smoked before?
3. What symptoms has he had for the last 20 years?
4. What happened over the last 3 months?
5. What does he cough up?
6. What have his weight changes been?
7. What are other symptoms?
8. Is there other relevant medical or family history?
9. Does he take medications?
10. Why is he not able to look after his grandchild?
Follow-up
· What examination and investigation should be provided?
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