МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «GENERAL MEDICAL CASES: FATIGUE»
Warm-up
· How to describe pain?
· What is fatigue?
· What can be the reasons of fatigue?
Vocabulary
surgery |
приемная врача |
lose weight |
терять вес |
rash |
сыпь |
replacement |
замена |
be off food |
отказаться от еды |
complaint |
жалоба |
unclear |
неуверенный |
itching |
зуд |
medication |
лекарство |
chemist |
аптека |
Read the text
Fatigue
History
A 63-year-old woman is brought in to the surgery by her neighbor who has been worried that she looks increasingly unwell. On direct questioning she says that she has felt increasingly tired for around 2 years. She has been off her food but is unclear whether she has lost any weight. She was diagnosed with hypothyroidism 8 years ago and has been on thyroxine replacement but has not had her blood tests checked for a few years. Her other complaints are of itching for 2–3 months, but she has not noticed any rash. She says that her mouth has been dry and, on direct questioning, thinks her eyes have also felt dry. There has been no disturbance of her bowels or urine although she thinks that her urine has been rather ‘strong’ lately. She is 14 years postmenopausal. There is a family history of thyroid disease and of diabetes. She does not smoke, and drinks two glasses of sherry every weekend. She has never drunk more than this regularly. She has taken occasional paracetamol for headaches but has been on no regular medication other than thyroxine and some vitamin tablets she buys from the chemist.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. Why is the woman brought to the surgery?
2. Who brought her there?
3. How long has she felt increasingly tired?
4. Have there been changes in her appetite or weight?
5. What is her past medical history?
6. Has she had her blood tests recently?
7. What are her other complaints?
8. Are there problems with her bowels or urine?
9. What is her family history?
10. Does he take medications?
Follow-up
· What examination and investigation should be provided?
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