МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «GENERAL MEDICAL CASES: HEADACHE AND CONFUSION»
Warm-up
· How to describe pain?
· What is confusion?
· What can be the reasons of the confusion?
Vocabulary
infiltration |
инфильтрация |
acid-fast bacilli |
кислоустойчивые микобактерии |
confusion |
помутнение сознания |
sputum |
мокрота |
cough |
кашель |
smear |
мазок |
complain of |
жаловаться на |
lose weight |
терять вес |
productive cough |
влажный кашель |
night sweats |
ночные приливы |
Read the text
Headache and Confusion
History
A 55-year-old man is admitted to hospital with headache and confusion. He has a cough and a temperature of 38.2°C. He does not complain of any other symptoms. Two months earlier he had been admitted with a productive cough and acid-fast bacilli had been found in the sputum on direct smear. He had lost weight and complained of occasional night sweats. He had a history of a head injury 10 years previously. He smoked 15 cigarettes a day and drank 40–60 units of alcohol each week. He was found a place in a local hostel for the homeless and sent out after 1 week in hospital on antituberculous treatment with rifampicin, isoniazid, ethambutol and pyrazinamide together with pyridoxine. His chest X-ray at the time was reported as showing probable infiltration in the right upper lobe.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. What is the old man problem?
2. What are the other symptoms?
3. Why had he been admitted to hospital two months earlier?
4. What had been the result of direct smear?
5. Had his weight changed?
6. Does he complain on night sweats?
7. What is his past medical history?
8. What are his bad habits?
9. What was his treatment in hospital after a hostel for the homeless?
10. What was his chest X-ray reported then?
Follow-up
· What examination and investigation should be provided?
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