МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «GENERAL MEDICAL CASES: TIREDNESS»
Warm-up
· How to describe pain?
· What is tiredness?
· What can be the reasons of tiredness?
Vocabulary
general practitioner |
врач терапевт |
break-up |
прекращать отношения |
complain |
жаловаться |
current |
текущий |
solicitor |
адвокат |
major illnesses |
тяжелые заболевания |
fall asleep |
засыпать |
mellitus |
сахарный |
stay awake |
бодрствовать |
constipated |
страдающий запором |
Read the text
Tiredness
History
A 55-year-old man presents to his general practitioner (GP), complaining of lack of energy. He has become increasingly tired over the past 18 months. He works as a solicitor and describes episodes where he has fallen asleep in his office. He is unable to stay awake after 9.30 pm, and sleeps through until 7.30 am. He finds it difficult to concentrate at work, and has stopped playing his weekly game of tennis. He had an episode of depression 10 years ago related to the break-up of his first marriage. He has no current personal problems. He has had no other major illnesses. His brother developed type 1 diabetes mellitus at the age of 13. On direct questioning, he has noticed that he has become more constipated but denies any abdominal pain or rectal bleeding. He has put on 8 kg in weight over the past year.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. Why does the man present to his GP?
2. How long has he been increasingly tired?
3. What episodes does he describe?
4. What are his sleep changes?
5. How does he feel?
6. What is his past medical history?
7. Does he have current personal problems?
8. Does he have other major illnesses?
9. What is his family medical history?
10. What are other symptoms he describes?
Follow-up
· What examination and investigation should be provided?
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