Методологическая разработка по английскому языку на тему «GENERAL MEDICAL CASES: POSTOPERATIVE DETERIORATION»

МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ

НА ТЕМУ «GENERAL MEDICAL CASES: POSTOPERATIVE DETERIORATION»

Warm-up

·         How to describe pain?

·         What is deterioration?

·         What can be the reasons of the postoperative deterioration?

Vocabulary

Read the text

Postoperative Deterioration

 History

The medical team is asked to review a postoperative surgical patient. A 62-year-old lady had been admitted 10 days previously to have a right hemicolectomy performed for a caecal carcinoma. This was discovered on colonoscopy which was performed to investigate an iron-deficiency anaemia and change in bowel habit. She is otherwise fit with no significant medical history. She is a retired teacher. She neither smokes nor drinks alcohol and is on no medication. Her preoperative serum creatinine was 76&mol/L. The initial surgery was uneventful, and she was given cefuroxime and metronidazole as routine antibiotic prophylaxis. However the patient developed a prolonged ileus associated with abdominal pain. On postoperative day 5, the patient started to spike fevers up to 38.5°C and was commenced on intravenous gentamicin 80 mg 8 hourly in addition to the other antibiotics. Over the next 5 days the patient remained persistently febrile, with negative blood cultures. In the last 24 h, she has also become relatively hypotensive with her systolic blood pressure being about 95 mmHg despite intravenous colloids. Her urine output is now 15 mL/h.

URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf  

Answer the questions

1.       When was the woman admitted to the hospital?

2.       What was the reason of the admission?

3.       How was it discovered?

4.       Why was the colonoscopy performed?

5.       What is her past medical history?

6.       What are her bad habits?

7.       What was the initial surgery?

8.       What happened after the surgery?

9.       How does she feel in the last 24 hours?

10.   What is her urine output?

Follow-up

·         What examination and investigation should be provided?

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