МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «GENERAL MEDICAL CASES: HEADACHES (64)»
Warm-up
· How to describe pain?
· What is a headache?
· What can be the reasons of headaches?
Vocabulary
failing vision |
потеря зрения |
relief |
облегчение |
reduced |
снижение |
blurred |
расплывчатый |
swelling |
опухоль |
oliguria |
олигурия |
throbbing |
пульсирующий |
treat |
лечить |
tension headache |
головная боль напряжения |
delivery |
роды |
Read the text
Diarrhea
History
A 32-year-old woman is admitted to hospital with a 3-day history of failing vision, a reduced urinary output and ankle swelling. Four months earlier she had developed headaches which were generalized, throbbing and not relieved by simple analgesics. She does not smoke or drink alcohol; she is married with three children aged 8, 6 and 2 years. Her husband works for a travel firm which requires him to be absent frequently from home. Two months before admission she consulted her general practitioner (GP) for the headaches; tension headaches were diagnosed and codeine phosphate prescribed. This gave no relief, and 3 weeks later she saw her GP again, and the analgesia was changed to a codeinecontaining compound analgesic. Her symptoms continued unchanged until 3 days before admission when the headaches became worse, her vision became blurred and during the 24 h before admission she noted oliguria and ankle swelling. She presented at the emergency department. The only other relevant medical history is the development of hypertension during the last trimester of her third pregnancy which was treated with rest and an antihypertensive. Delivery was spontaneous at term, and the antihypertensive drug was discontinued postpartum. The patient had not attended any postnatal clinics and her blood pressure had not been measured at the consultations for her headache.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. What is the woman complaining of?
2. How happened four months earlier?
3. What are her bad habits?
4. What is her family?
5. Has he consulted a doctor for her headaches?
6. What treatment was prescribed?
7. Did her symptoms change?
8. What is he past medical history?
9. Does she take medications?
10. Has she controlled her blood pressure after third delivery?
Follow-up
· What examination and investigation should be provided?
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