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Topic 30. Acute appendicitis




Teacher: Review the following words. Translate them into Russian.

Acute / a cause of a disease / pain / abdomen / tongue / dry / perform an operation

1.Read the text and find the English equivalents of the given words.

1.

2.

3.

4.

5.

6.

7.

8.

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10.

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15.

Acute Appendicitis

Acute appendicitis occurs in all age groups. The cause of the disease is the inflammation of the appendix. Acute appendicitis begins suddenly with sharp pain which is at first felt in epigastrium but then becomes generalized in the abdomen. The pain is accompanied by nausea, retention of stools and gases.

With the development of the disease temperature rises and Erythrocyte Sedimentation Rate becomes increased. The pulse is quick. The tongue is coated and dry.

The attack of acute appendicitis lasts for 3-4 days. Then the temperature returns to normal, abdominal pains decrease and only a moderate tenderness is felt in the right lower part of the abdomen on palpation.

A doctor treats acute appendicitis surgically. He performs an operation under local anaesthesia and removes the appendix to prevent its rupture which may result in peritonitis.

2.Fill in the gaps using the information from the text Acute Appendicitis.

1. The cause of appendicitis is of the appendix.

2. The patient has pain in the , of stools, temperature, nausea and tongue.

3. Thetemperature.

4. The is felt in the epigastrium and generalized in the .

5. increases.

6. Thedoctorsthedisease.

7. Thedoctortheappendix.

3.Answer the questions

1. What is the cause of acute appendicitis?

2. What symptoms does the patient have?

3. What is the course of the disease?

4. What does the doctor do to treat the disease?

4. Speak about acute appendicitis

TOPIC 31. ACUTE BRONCHITIS

1. Teacher: Before speaking about acute bronchitis lets review the words which you are to know. It will be a competition! If you translate most of the words for a short time youll win! Ready, steady, go!

1. call in a doctor

2. go to the polyclinic

3. experienced therapeutist

4. come to the call

5. patients complaints

6. condition

7. painful dry cough

8. throat

9. breastbone

10. examine the patient

11. listen to the lungs

12. measure blood pressure

13. dry rales

14. breathe

15. make a diagnosis

16. admit to the hospital

17. a sick-leave

18. follow a bed regimen

19. administer tablets

20. home treatment

2. Read the text and fill in the table below

A Case of Bronchitis

Patient Smirnov called in a physician from the local polyclinic. He couldnt go to the polyclinic himself because his temperature was about 38C. In a few hours doctor Belova, an experienced therapeutist, came to the call.

Doctor Belova wanted to know the patients complaints. She asked him about his condition. He said that a short, painful dry cough associated with rapid respiration had developed two days before. In addition the patient complained of the pain in the throat and behind the breastbone.

The physician examined the patient, she listened to the lungs and heart and then measured his blood pressure. Neither the blood pressure nor the heart sounds were abnormal. But both dry and moist rales were heard in the lungs. The respiratory rate was increased and the patient breathed with difficulty. The physician also determined that the patient felt discomfort in the chest. On the basis of all the findings the physician made the diagnosis of acute bronchitis in a mild form.

It was not necessary to admit the patient to the hospital, he could follow home treatment. The patient had to be on a sick-leave until his temperature became normal. He was told to follow a bed regimen and a light diet. He was also recommended to drink either warm milk or have warm application to his chest. These procedures had to control the cough and impaired breathing.

The doctor administered the patient two tablets of tetracycline to be taken orally and a cough mixture to be taken three times a day.

The symptoms of the disease The examination procedures The doctors instructions

3.Put the sentences into the logical order and make up the dialogue. Role-play it.

  • Hello, Mister Smith. Whats wrong with you at the moment?
  • All right. Ill examine you. Let me measure your blood pressure. Its all right. Now Ill listen to your lungs and heart. I hear dry and moist rales in the lungs. I think you have acute bronchitis, Mr. Smith.
  • Yes, it is 38C.
  • Yes, I have a painful dry cough.
  • Oh yes, follow my administrations and youll feel better soon.
  • Really?
  • Have you got a temperature?
  • Well, I have pain in the throat and behind the breastbone and I had a bad headache last night.
  • Is that all doctor?
  • Thats not very much. Are you coughing much?
  • Thank you, doctor.
  • I am sure. Ill prescribe you two tablets of tetracycline and a cough mixture three times a day. You should drink much and have a warm complication to the chest.
  • Good bye. I wish you a speedy recovery.




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