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Case study_93.docx
МЕТОДОЛОГИЧЕСКАЯ РАЗРАБОТКА ПО АНГЛИЙСКОМУ ЯЗЫКУ
НА ТЕМУ «GENERAL MEDICAL CASES: TIREDNESS (93)»
Warm-up
· How to describe pain?
· What is tiredness?
· What can be the reasons of tiredness?
Vocabulary
|
general practitioner |
врач терапевт |
feel limited |
ощущать ограниченность |
|
general malaise |
общее недомогание |
tightness |
сдавленность |
|
lose weight |
терять вес |
medication |
лекарство |
|
weigh |
взвешиваться |
occasional |
периодически |
|
on exertion |
при и физической нагрузке |
nocturia |
ночная полиурия |
Read the text
Tiredness
History
A 79-year-old man is brought to his general practitioner by his daughter who says that he is getting very tired and has lost interest in life. She says that a general malaise has been present for 5–6 weeks. She thinks that he might have lost a few kilograms in weight over this time, but he does not weigh himself regularly. He says that he has felt limited on exertion by tiredness for a year or so, and on a few occasions when he tried to do more he had a feeling of tightness across his chest. There is no other medical history of note. He smokes 20 cigarettes a day and drinks a pint or two of Guinness each Saturday and Sunday. He is not on any medication, just taking occasional paracetamol. On systems review, he says that he has lost his appetite over the last month. His sleep has been disturbed by occasional nocturia, and on two or three occasions in the last few weeks he has been disturbed by sweating at night. There is no relevant family history. He is a retired shopkeeper who normally keeps reasonably fit walking his dog.
URL: https://www.moscmm.org/pdf/100_Cases_in_Clinical_Medicine.pdf
Answer the questions
1. Why is the man brought to his GP?
2. What does his daughter say?
3. How long has his general malaise been present?
4. Have there been his weight changes over this time?
5. What does he say about his health over the past year?
6. Is there another medical history of note?
7. What are his bad habits?
8. Does he take medications?
9. What are his other symptoms?
10. Is there relevant family history?
Follow-up
· What examination and investigation should be provided?
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