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

МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ

НА ТЕМУ «GENERAL MEDICAL CASES: RECURRENT FALLS»

Warm-up

·         How to describe pain?

·         What is fall?

·         What can be the reasons of recurrent falls?

Vocabulary

Read the text

Recurrent Falls

 History

An 85-year-old man is admitted to hospital because of a fall in which he has sustained a mild facial laceration. In the history it becomes evident that he has had around eight falls over the last 3 months. He says that the falls have occurred in the morning on most occasions but have occasionally occurred in the afternoon. He does not think that he has lost consciousness although he does remember a sensation of dizziness with the falls. He says that the falls have not been associated with any chest pain or palpitations. He does not remember tripping or any other mechanical trigger to the falls. He seems to return to normal within a few minutes of the fall. On two or three occasions he has hurt his knees on falling, and on one other occasion he hit his head. He lives alone and there have been no witnesses of any of the falls. He smokes five cigarettes a day and does not drink. He has an occasional cough with some white sputum but he cannot remember whether he was coughing at the time of any of the falls. He was diagnosed as having hypertension at a routine well man clinic 4 years ago, and has been on treatment with a diuretic, bendrofluazide and doxazosin, for this. The blood pressure has been checked in the surgery on three or four occasions and he was told that it has been well controlled. He was found to have a high fasting blood sugar 6 months before and had been advised a diabetic diet. There is no relevant family history. He worked as a messenger until he retired at the age of 70 years.

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

Answer the questions

1.       Why is the man admitted to the hospital?

2.       How many falls has he had over the last 3 months?

3.       When have these occurred?

4.       What has he felt during the episodes?

5.       What have his falls been associated with?

6.       Why has he fallen?

7.       Are there any witnesses of his falls?

8.       What other symptoms does he have?

9.       Does he take medications?

10.   Is there relevant family history?

Follow-up

·         What examination and investigation should be provided?

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