Методологическая разработка по английскому языку на тему «GENERAL MEDICAL CASES: RECURRENT CHEST INFECTIONS»

МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ

НА ТЕМУ «GENERAL MEDICAL CASES: RECURRENT CHEST INFECTIONS»

Warm-up

·         How to describe pain?

·         What is a chest infection?

·         What can be the reasons of the chest infections?

Vocabulary

Read the text

Recurrent Chest Infections

 History

A 45-year-old woman is admitted to hospital with pneumonia. She has had three episodes of cough, fever and purulent sputum over the last 6 months. One of these was associated with right-sided pleuritic chest pain. These have been treated at home by her general practitioner (GP). In addition she has a 5-year history of difficulty with swallowing. Initially this was mild but it has become progressively worse. She says that food seems to stick in the low retrosternal area. This applies to all types of solid food. She has lost 5 kg in weight over the last 2 months. Sometimes the difficulty with swallowing seems to improve during a meal. Recently she has had trouble with regurgitation and vomiting of recognizable food. Three years ago her GP arranged for an outpatient upper gastrointestinal endoscopy which was normal. She was reassured, but the problem has increased in severity. There is no other relevant medical history or family history. She lived in the north-west coast of the United States for 4 years up until 10 years ago. She works as a shop assistant. She has never smoked and drinks less than 5 units of alcohol each week. There has been no disturbance of micturition. She has always tended to be constipated and this has been a little worse recently.

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

Answer the questions

1.       What is the woman complaining of?

2.       What had her problem been over the last 6 months?

3.       What was this associated with?

4.       What is her problem over 5 years?

5.       What does she say about this?

6.       Has her weight changed recently?

7.       Does she have problems with swallowing constantly?

8.       What was the result of endoscopy 3 years ago?

9.       Is there other relevant medical history or family history?

10.   Does she have problems with bowel movements or micturition?

Follow-up

·         What examination and investigation should be provided?

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