Make up a dialogue between patient Orlov and doctor Smirnova after reading the text / СоставьтедиалогмеждупациентомОрловымидокторомСмирновойпослепрочтениятекста

A Case

    Patient Orlov called in a physician from the polyclinic. He couldn`t go to the polyclinic himself because his temperature was about 38C. Soon doctor Smirnova, an experienced therapeutist, came to the call.

     Doctor Smirnova wanted to know the patient’s complaint. The patient said that a short, painful, dry cough associated with rapid respiration had developed two days before. The patient complained the pain in the throat and behind the breastbone. Doctor Smirnova listened to the heart and lungs and then measured the patient`s blood pressure. The blood pressure and the heart sounds were normal. But dry and moist rales were heard in the lungs. The respiratory rate was considerably increased. The amount of the discharge from the bronchial mucous membrane was large.

    On the basis of the findings the doctor made the diagnosis of (acute bronchitis, a cold?)

Level B

Vocabulary

present (general) state of the patient - настоящее (общее) состояниебольного 2. satisfactory (grave) condition of the patient - удовлетворительное (тяжелое) состояние больного

severity / moderate grave condition - состояниесреднейтяжести

active (passive) patient’sposition - активное (пассивное) положение больного

forcedpatient’sattitude / position - вынужденное положение больного

asthenic (normostenic, hyperstenic) constitution - астеническая (нормостеническая, гиперстеническая) конституция

scoliosis – сколиоз                           

reduced (moderate, good) degreeofnourishment - пониженная (умеренная, хорошая) степень упитанности

to gain weight - прибавлятьввесе

to reduce / lose one’s weight - потерятьввесе

heavy (slight) weightloss - большая (малая) потеря в весе

normally (poorly, excessively) developedsubcutaneousfat / fattytissue - нормально (слабо, чрезмерно) выраженная подкожная жировая клетчатка obesity - ожирение

skin irritation - раздражениекожи 

skin desquamation / scaling / peeling of the skin - шелушениекожи

pigmented patch - пигментноепятно

decubitus ulcer - пролежень

to hurt, to have pain, to be painful - болеть (огорле, ногеит.п.)

to induce / cause pain, to bring pain on - вызыватьболь

to suffer from pain- страдатьотболи

to start, to occur, to come on (of pain) - начинаться (оболи)

Tenderness, painfulness - болезненность

Reading

Letter of referral

Re patient Michael Marcuccilli, 21 years of age

To: Dr. J.K. Nayar

I`m referring to you for assessment. He is suffering from attacks of palpitations and breathlessness.

The patient is a student. He has suffered from anxiety since he was 13. He came to me 6 months ago. He expressed fears about having heart disease, because his brothers and his father have heart conditions.

When things are going badly, he eats too much. Consequently he is overweight with a BMI of 32, which partly explains his breathlessness. Urine analyses indicate the onset of type 2 diabetes. He said that he had gained weight as a result of the shock of losing his part-time job. It brought on severe palpitations, hyperventilation, and panic attacks.

In the past the patient has been treated with the antidepressant Lofepramine, even though there are no clear symptoms of depression. It is possible that weight gain and tiredness are side effects of the antidepressants.

Other physical symptoms include joint pains, chest pains, muscle pains and dizziness.

He is receiving Diazepam 2mg t.d.s for anxiety. Because he has a history of asthma, I have not tried beta blockers.

 

Yours sincerely

Dr.R.T.O`Brien

Which of these problems does the patient definitely suffer from?

asthma           nervousness

depression      obesity

heart disease    poisoning

HIN                 suicidal tendencies

irregular heartbeat

 

Use the information in the letter to complete this admission form.

CITY HOSPITAL

Admission form

Name of patient: __________ Age_______

 Relevant family medical history:

________________________________________________________

Purpose of referral:

________________________________________________________

Presenting symptoms:

________________________________________________________

Other symptoms and conditions:

________________________________________________________

BMI: ____________________________________________________

Past treatments:

________________________________________________________

Present medication:

________________________________________________________

 

Decide with a partner where to send the patient -

the coronary unit, the psychiatric unit, the renal unit, weight loss and exercise classes, or home.

Speaking

Polite phrases

Replace each underlined phrase in the dialogue with an alternative polite phrase from the list.

Would you mind if l asked you to____

It’s important to know about____

Can you tell me how you are___

Could you tell me if you take__

I’m sorry, I can’t remember___

I need to know if you have__

Can you let me have__

I’d like to check__

May l ask why__?

I have to ask__

 

Nurse I’ve forgotten your name.

Mrs. Stein It’s Mrs. Stein.

Nurse Of course, Mrs. Stein. Give me your letter

of referral.

Mrs. Stein Here it is.

Nurse Thanks. So, Mrs. Stein, you've come in for

removal of varicose veins?

Mrs. Stein Yes. The operation is this afternoon.

Nurse Confirm’ one or two things. First, are you
on any medications?

Mrs. Stein Yes, I take Venlafaxine.

Nurse What for`?

Mrs. Stein I take it for depression.

Nurse OK. Now, tell me about your lifestyle.

Report' any alcohol or drug problems you have.

Mrs. Stein None, I don't drink and I don't take drugs.
Nurse Also, tell me if you have' had any contact
with HIV in the past six months.

Mrs. Stein I haven't had any contact with HIV.

Nurse Fine, and who’s paying for treatment?
Mrs.Stein I'm covered by medical insurance.

Nurse Great, and lastly, you must take off your make-up and your rings.