Ex. 24. Do you agree, disagree or partially agree with the statements below?

Suggestions for useful phrases:

When you agree   I totally agree I quite agree I suppose so Quite so There’s no denying it That’s true No doubt

When you disagree   Of course not On the contrary I don’t really think so Nothing of the kind Nonsense Far from it It is out the question I hardly think so

When you only partially agree   To a certain extent I am not certain Yes, in a way I agree to some extent

 

1. The state hasn’t established a wide network of the medical institutions. 2. If a person falls ill he/she will call in a mechanic. 3. Many specialists, such as therapeutists, lawyers, surgeons, neurologists, teachers, gynecologists and others work at the local polyclinic. 4. Gynecologist examines the patient, listens to the patient’s heart and lungs, palpates the abdominal parts, feels the pulse, and measures blood pressure. 5. The therapeutist makes the diagnosis and prescribes proper treatment to every patient. 6. In addition to the consulting hours at the polyclinic local physician goes out to the calls to rest a little. 7. The blood analysis, urine ones and other tests don’t help to make a correct diagnosis and administer proper treatment. 8. Any local physician knows his/her patients very well because he/she treats a definite number of patients.

Ex. 25. Insert the missing words or word-combinations:

1. The state has established a _ of the medical institutions. 2. If a person _ he/she calls in a doctor. 3. Many specialists, such as _, _, _, _ and others work here. 4. At the medical examination a physician _ the patient, listens to the patient’s _, palpates the abdominal parts, _ the pulse and _ blood pressure. 5. The laboratory tests help to _ a correct diagnosis and _ proper treatment. 6. In addition to the _ at the polyclinic local physician goes out to the _. 7. He examines those patients who are seriously _. 8. At the polyclinic every patient has a personal _, which is written down by the physician. 9. Twice a year the local physician invites patients for _.

 

Ex. 26. Answer the following questions:

1. What medical institutions in Ukraine do you know? 2. What does a person do if he/she falls ill? 3. What medical specialists work at a local polyclinic? 4. What does a physician do during the medical examination? 5. In what cases does a local physician go out to the calls? 6. What patients receive sick-leaves? 7. What does a local physician write down in every patient’s card?

 

Ex. 27. What do the doctors do? Fill in the blanks with the words below:

When people have some problems like being _ or having lost appetite, they go to see the doctor in his/her _. Every doctor has a _ to help the patient. When the doctor sees _ in the surgery, first he/she listens to their problems, then he/she _ them. The doctor takes the patient's temperature, listens to his/her _, looks in his/her ears, eyes, takes his _. Then, if the _ isn't so serious, the doctor _ some medicine. Later the patient will take the _ to the _. If something is seriously wrong with the patient, the doctor sends him/her to the hospital for _.

 

1. patients; 2. treatment; 3. examines; 4. heart and lungs; 5. depressed; 6. blood pressure; 7. prescribes; 8. surgery (кабінет); 9. disease; 10. chemist's (аптека); 11. nurse; 12. prescription.

 

Ex. 28. Combine corresponding parts into sentences, paying attention to the meaning of the sentences:

1. The physician must know all the symptoms in the patient's own words and _. 2. The patient's voice, _ can give important clues to discover not only something about the disease but also about the patient. 3. The time the physician spends on thorough anamnesis _. 4. _ "good anamnesis is half-way to diagnosis".

A. helps him/her in diagnosing; B. facial expression and attitude; C. we know that; D. not to avoid minor complaint that may be of importance.

NOTES:

avoid[q'vOId] уникати minor['maInq] незначний, другорядний clue[klu] ключ

attitude['xtItju:d] постава або положення тіла anamnesis["xnxm'nI:sIs] анамнез

Ex. 29. Get ready to speak on the physical examination of the patient.

 

Ex. 30. Ask 8-10 questions to the text "Polyclinic".

 

Ex. 31. Make up a dialogue on obtained information.

 

Ex. 32. Read the following dialogue and translate it:

Alex: Hello, John. When did you fall ill?

John: I fell ill two weeks ago?

Alex: I didn’t know anything about your illness till George told me about it.

John: Yes, the onset was so sudden.

Alex: Was it acute?

John: Yes, quite. I couldn’t sleep at night, felt feverish, and could hardly stand on my legs. I had a splitting headache and a bad cough.

Alex: Were you running temperature?

John: Oh, yes. It was very high: thirty-eight point nine. I didn’t know that it was so high and wanted to go to our district polyclinic, but my mother didn’t let me out.

Alex: Did you call in a doctor?

John: Certainly. He examined my lungs, told me to breathe deeply and to cough repeatedly. He took my temperature once more. It was 38.9⁰C.

Alex: Did he diagnose your case?

John: Yes, he did. He told that I had pneumonia.

Ex. 33. Answer the following questions:

1. Did John have a cold or pneumonia? 2. What symptoms did John have? 3. Did he go to the polyclinic to consult a physician? 4. Why did he call a doctor in? 5. What did the doctor do in order to diagnose his case?

 

Ex. 34. Reproduce the similar dialogue (see ex. 32).

OVERVIEW

The state has established a wide network of the medical institutions. One of them is the polyclinic. Many specialists, such as therapeutists, surgeons, neurologists, gynecologists and others work here. At the medical examination a physician examines the patient, listens to the patient’s heart and lungs, palpates the abdominal parts, feels the pulse, and measures blood pressure. The doctor makes the diagnosis and prescribes proper treatment to every patient. The laboratory analyses help to make a correct diagnosis and administer proper treatment. In addition to the consulting hours at the polyclinic local physician goes out to the calls to examine those patients who are seriously ill. Any local physician knows his patients very well because he/she treats a definite number of patients.

 

LESSON 10

MEDICAL EXAMINATION

VOCABULARY

scarlet fever ['ska:lIt 'fIvq] скарлатина measles ['mI:zlz] кір quinsy ['kwInzI] ангіна influenza ["Influ'enzq] грип pneumonia [nju'mounjq] пневмонія bronchitis [brON'kaItIs] бронхіт weakness ['wI:knIs] слабкість sore throat ['sO: 'Trqut] хворе горло swallow ['swOlou] ковтати feel a pain ['fI:l q 'peIn] відчувати біль complaint [kqm'pleInt] скарга complain of [kqm'pleIn] скаржитись на trouble [trAbl] турбувати cough [kOf] кашель headache ['hedeIk] головний біль nasal discharge ['nqIz(q)l dIs'CQ:G] виділення з носа, нежить cause[kO:z] причина; підстава; спричиняти, викликати

tongue [tAN] язик phlegm[flem] мокротиння,мокрота tonsil['tOnsl] мигдальовидна залоза breathe [brI:D] дихати take temperature ['temperqCq] вимірювати температуру strip to the waist ['weIst] роздягнутися до пояса swollen ['swqulqn] запалений; підпухлий murmur ['mq:mq] шуми в серці be coated ['kqutId] бути обкладеним dilate [daI'leIt] розширювати notice['nqutIs] відзначати, помічати medicine['medsIn] ліки rales[rAlz] хрипи border['bO:dq] межа coach[kquC] кушетка liver['lIvq] печінка

 

RULES OF READING

wa	[O]	was want
wa + r	[O:]	warm
wo + r	[q:]	work word
igh	[aI]	high light

 

Ex. 1. Read the following words:

Water, wash; warm, ward, warning; word-combination, world, crossword; fight, right, might, tight.

 

WORD-BUILDING

Ex. 2. Familiarize yourself with the following material:

Suffixes of Noun:

-algia (pain)

-ia, -iasis (condition, process)

-ian (specialist)

 

Ex. 3. Read and translate the following words:

A. Neuralgia; arthralgia; otalgia.

B. Pneumonia; hernia; anaesthesia; leukemia; diphtheria; malaria; hyperglycemia; anemia; candidiasis.

C. Physician; pediatrician; obstetrician; technician.

GRAMMAR:

SIMPLE TENSES

(Active Voice, Interrogative Form)

Ex. 4. Put the questions to the following sentences:

1. I complain of a headache. 2. He had a high temperature. 3. My throat troubles me. 4. They feel pain on swallowing. 4. Her heart troubles her. 5. John fell ill three days ago. 6. The patient noticed weakness and headache. 7. The patient feels a pain in his abdomen. 8. The physician will examine your lungs.

Ex. 5. Read the following grammar material:

IMPERATIVE MOOD

Stand up!	Встаньте!
Don’t be late!	Не запізнюйтесь!
Do write to me.	Будь ласка, пишіть мені!
Let us read this text once more.	Давайте прочитаемо цей текст ще раз.
Let them do it now.	Хай вони зроблять це зараз!

Ex. 6. Read and translate the following sentences:

1. Listen to me attentively. 2. Order this drug in the pharmacy. 3. Take this medicine a teaspoonful twice a day before meals. 4. Take these tablets one every three hours. 5. Apply mustard plasters every day before going to bed. 6. Take warm tea with the raspberry jam. 7. Gargle your throat several times a day. 8. Make the analyses of blood and urine. 9. Start external cardiac massage immediately! 10. Take patient’s temperature at 12 o’clock today and give him this drug. 11. Give me the case reports which are on the professor’s table.