МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «GENERAL MEDICAL CASES: ROUTINE FOLLOW-UP»
Warm-up
· How to describe pain?
· What is coronary artery bypass grafting?
· What can be the reasons of coronary artery bypass grafting?
Vocabulary
surgery |
операция |
complain |
жаловаться |
acute |
острый |
angina |
стенокардия |
treat |
лечить |
severe |
тяжелый |
discharge |
выписать |
coronary artery bypass grafting |
аортокоронарное шунтирование |
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Routine Follow-Up
History
Four months ago a 47-year-old publican was admitted to hospital with acute chest pain. A subendocardial inferior myocardial infarction was diagnosed and he was treated with thrombolytics and aspirin. After discharge he complained of angina, and coronary angiography was performed. This showed severe triple-vessel disease not suitable for stenting, and coronary artery bypass grafting was performed. He is attending a cardiac rehabilitation clinic and he has had no further angina since his surgery. He has a strong family history of ischaemic heart disease, with his father and two paternal uncles having died of myocardial infarctions in their 50 s; his 50-year-old brother has angina. He is married with two children. He smokes 25 cigarettes per day and drinks at least 40 units of alcohol per week. He is taking atenolol and aspirin.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. When did the man have acute chest pain?
2. What was diagnosed?
3. What was the treatment?
4. What did he complain after discharge?
5. What was the reason of this?
6. Has he had angina since surgery?
7. What is his family history of note?
8. What are his bad habits?
9. Does he take medications?
10. Is he getting rehabilitation?
Follow-up
· What examination and investigation should be provided?
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