МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «GENERAL MEDICAL CASES: LOIN PAIN AND HEMATURIA»
Warm-up
· How to describe pain?
· What is hematuria?
· What can be the reasons of hematuria?
Vocabulary
emergency department |
отделение неотложной помощи |
occur |
случаться |
loin pain |
боль в пояснице |
spontaneously |
самостоятельно |
hematuria |
наличие крови в моче |
pass stones |
идут камни |
continuous pain |
постоянная боль |
pregnancy |
беременность |
subarachnoid hemorrhage |
субарахноидальное кровоизлияние |
dull |
ноющая боль |
Read the text
Loin Pain and Hematuria
History
A 46-year-old woman presents to the emergency department with a 2-day history of right-sided loin pain and macroscopic hematuria. The pain is continuous and dull in character. Over the past 10 years she has had previous episodes of loin pain which have occurred on both sides and resolved spontaneously over a few days. She has never passed any stones. She was noted to be mildly hypertensive during her three pregnancies. She has no other significant medical history. Her father died of a subarachnoid hemorrhage, aged 48 years. Her father’s brother has had a kidney transplant. She has no siblings. Her three children, aged 17, 14 and 10 years, are well. She works as a teacher and neither smokes nor drinks alcohol.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. Why does the woman present to the emergency department?
2. What is the pain in character?
3. How long has she had the pain?
4. Was the pain always the same?
5. How has the pain had resolved?
6. Has she ever passed stones?
7. What is her previous medical history?
8. What is her family medical history?
9. What is her family?
10. What are her bad habits?
Follow-up
· What examination and investigation should be provided?
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