Physical examination of the chest

 

The patient must assume a perfectly natural and unconstrained position. It is preferable, whenever possible, to have the patient in the erect posture, the arms hanging naturally at the sides.

If the standing posture is not possible, the next choice is the sitting posture. The patient is to sit erect, the arms hanging loosely at the sides, head somewhat elevated, but muscular rigidity should be carefully avoided. When the lateral surface of the chest is inspected, the patient's hands should be clasped behind his head, allowing free exposure. In a very sick patient the recumbent posture is the only possible one, the patient lying entirely relaxed. When lateral and posterior views are required of such a patient he should be gently turned from one side to the other, the facial expression being meanwhile noted for any sings of pain or distress. The effect upon respiration should also be observed during this procedure.

The chest is examined anteriorly, laterally and posteriorly with equal care and attention. The color of the skin, general development, musculature, and the size, shape and symmetry of the thorax are to be noted. First the chest is studied as a whole, then the regions of the one side are compared with the corresponding regions on the opposite side. The whole chest should be exposed to a strong steady light, preferably daylight, so as to avoid confusing shadows. The surface of the chest under examination should always be turned towards the examiner.

During the examination respiration should be uninterrupted, the respirator rate and rhythm and the degree of the chest expansion being kept under observation. The movements of one side of the chest should be compared anteriorly, laterally and posteriorly with those of the corresponding part of the other side.

 

 

Приложение № 5

Тренировка в употреблении лексики.

 

Применение нового учебного материала

 

 

EXERCISES

I Answer the questions.

 

What kind of position. must assume the patient?

It is preferable, whenever possible, to have the patient in the erect posture,isn’t it?

What is the next choice?

How is the chest inspected in the sitting posture?.

What kind of posture is the only possible In a very sick patient?

6. How is the chest examined?

7. What is to be noted under examination of the chest?

8. What is the first in a physical examination of the chest?

 

 

Find in the Text the English for the following phrases and use them in retelling and discussing the text.

 

принимать идеально естественную и непринуждённую позу

принимать пациента в вертикальном положении,положение сидя, голова несколько приподнята,снять мышечное напряжение, боковая поверхность спины, быть сжатыми за головой (о руках), оставляя поверхность открытой,

положение лёжа, боковой и задний виды, быть мягко перевёрнутым с одной стороны на другую, выражение лица,

между тем наблюдая за проявлением боли или недомогания,

действие при дыхании, быть осмотренным спереди, сбоку, сзади,

следует обратить внимание на цвет кожи, общее развитие, мускулатуру, размер, форму и симметрию грудной клетки;

быть изученным в целом, следует сравнить, поверхность грудной клетки при осмотре, частота дыхания, ритм и уровень увеличения объёма грудной клетки, держать под наблюдением

 

Translate.

 

assume a perfectly natural and unconstrained position, to have the patient in the erect posture, the sitting posture, head somewhat elevated, muscular rigidity should be carefully avoided, the lateral surface of the chest, to be clasped behind his head, allowing free exposure., the recumbent posture, lateral and posterior views,

to be gently turned from one side to the other,the facial expression,

being meanwhile noted for any sings of pain or distress. The effect upon respiration, to be examined anteriorly, laterally and posteriorly The color of the skin, general development, musculature, and the size, shape and symmetry of the thorax are to be noted. to be studied as a whole, to be compared-, The surface of the chest under examination,

the respiration rate and rhythm and the degree of the chest expansion to be kept under observation

 

 

Приложение № 6

Заключение и задание на дом

 

1)Подведение итогов:

2)Задание на дом: Используя изученный материал, составьте рассказ

8)Литература: Козырева Л. Г, Шадская Т. В. «Английский язык для медицинских колледжей и училищ»,Аванесьянц Э. М., Кахацкая Н. В, Мифтахова Т. В. «Английский язык для старших курсов», Тылкина С. А., Темчина Н. А. «Пособие по английскому языку для медицинских училищ»

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