I would like to talk with you about your study at our medical school.

 

1. How many departments are there at our medical school?

(There are two departments at our medical school These are “Nursing Affair” department and

“Curative Affair” department.)

2. What kind of qualification does the “Curative Affair” department give?

(The “Curative Affair” department gives qualification of a doctor assistant of general practice.)

3. Where can the graduates of this department work?

(The graduates of this department can work independently at the policlinics, at the stations of the emergency medical help, at the country-side hospitals and at the military hospitals)

4. What does their main task include?

(Their main task includes prescription and performance of preventive, curative and diagnostic measures)

5. General examination of the patient plays a very important part in diagnosis, doesn’t it?

 

 

I think it’s just the time to go over the material we discussed at the last lesson

What did you have to do for homework?

Приложение № 2

 

Фонетическая зарядка

 

At first I’d like you to read the words and word combinations on the topic

aloud..Mind the pronunciation.Take two words or word combinations each.

 

General examination of a patient; a certain routine; the state of consciousness; precise consciousness; consciousness disorder.

Inspection of the posture; the constitution of the patient. normothenic, asthenic and hyperthenik. constitution; to determine the character of the walk; the appearance of the patient;

Especial inquiry; the open parts of the body; the head, the face, the neck;.

the size and the shape of the skull;. sings of puffiness and hyperemia.; the presence of the patch;.

unusually throbbing arteries; enlargements of lymphatic glands;

the color of the skin and mucous membranes.; the extremities; sings of cyanosis, edema and the condition of their vessels. the general development, the size, shape, symmetry of the thorax and the character of respiration;the abdomen; the presence of ascites and enlargement of the liver and spleen; the study of the pulse, temperature and blood reassure.

 

Приложение № 3

 

.Проверка домашнего задания

 

1. And now I want to make sure you know the meaning of the words that can be used to describe the general examination of the patient. What do they mean? Match the word and the description with the meaning.

 

Constitution- general physical structure походка

And condition of a persons body.

 

Walk - manner or style of walking обследовать

 

 

Inspect- examine carefully телосложение

 

 

Gland- organ that separates from the blood

substansesthat are to be used by or expelled слизистая

from the body оболочка

 

Mucous - the moist skin that lines the nouse, mouth железа

membrane and food canal

 

 

Extremities- hands and feet грудная клетка

 

 

Artery- one of the tubes carring blood from the брюшная полость

Heart to all parts of the body

 

Thorax-- part of an animals body between the neck конечности

and the belly e.g. in a man, the chest

 

 

Abdomen- part of the body that includes the stomach артерия

and bowels

 

2. Try to answer the following questions.

 

1. How is the general examination of the patient usually carried out?

2. What action is the first in importance during the general examination

of the patient?

3.What is <the ><next >step after revealing the state of consciousness?

4 The posture of the patient may be active, passive or forced, may not it?

5. What are the 3 types of constitution of the patient?

6. On what parts of the body <should ><be >directed< attention while examening<

><the ><patient?

7. Especial inquiry should be directed towards the open parts of the body,

shouldn’t it?

8. What is determined during the inspection of the head?

9. What are the extremities to be examined for?

10. What are to be noted during the examination of the chest?

11. What kind of 3 basic measurements are ordained at the very onset

of the examination?

 

3. Find in the text and read a passage which describes the inspection of the head (extremities, the chest, the face, the abdomen, the neck)

 

 

During the general examination a certain routine is often useful.

First the state of consciousness is revealed. The patient may have precise consciousness or consciousness disorder.

Inspection of the posture of the patient is the second step in general examination of the patient.

It may be active, passive or forced one.

While examining the patient attention should be directed to the constitution of the patient. There are three types of constitution: normothenic, asthenic and hyperthenik.

The next step of general examination is to determine the character of the walk and the appearance of the patient.

Especial inquiry should be directed towards the open parts of the body: the head, the face, the neck.

Inspection of the head should be practiced so as to determine the size and the shape of the skull.

The face should be carefully examined for sings of puffiness and hyperemia. The oral cavity is to be examined for the presence of the patch.

Inspection of the neck should be practised so as to determine the presence of unusually throbbing arteries and enlargements of lymphatic glands.

While examining the patient attention should be also directed to the color of the skin and mucous membranes.

The extremities are to be examined for sings of cyanosis, edema and the condition of their vessels.

The chest is examined uith equal attention.The general development, the size, shape, symmetry of the thorax and the character of respiration are to be noted.

The abdomen is to be examined for the presence of ascites and enlargement of the liver and spleen.

The study of the pulse, temperature and blood reassure must be included in every general examination of the patient.

The common state of health of the patient is classified according to the degree of severity.