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Put the sentences into the logical order and make up the dialogue. Role-play it.
TOPIC 32. CHRONIC GASTRITIS
Teacher: Read the text about chronic gastritis. Fill in the gaps using the information from the text.
Chronic Gastritis
The term chronic gastritis must be limited to those cases in which evidences of inflammation or catarrhal changes in the stomach are clear. Chronis gastritis occurs as a separate or primary disease or it may be associated with other diseases, chronic liver and kidney disease. In these diseases chronic impairment of the mucous membrane of the stomach is an important factor in causing the catarrhal condition. The most important causes of chronic gastritis proved to be alcohol, inadequate food and a bad diet regimen. The characteristic clinical manifestations of gastritis are increased secretion of mucus and a diminished secretion of acid and pepsin. In severe forms of gastritis secretion is observed to be completely reduced and even absent due to the lesion of the mucus membrane. The most frequent symptoms of chronic gastritis are loss of appetite, slight pain and general epigastric discomfort after meals. In severe cases nausea and vomiting of mucus, particularly in the morning, are often observed. Frequently the stomach becomes moderately enlarged. The course of the disease is chronic. The symptoms are continuous. They may become worse from time to time if a sick person does not follow the diet regimen strictly.
Translate into Russian.
Answer the questions
Match the doctor’s and patient’s replies.
Speak about chronic gastritis
TOPIC 33. RHEUMATIC ENDOCARDITIS Find the words in the following chain of letters
complainofgeneralfatigueincreaserevealpercussiondetermineinflammationvalvefollowadministernourishingexaminationillstrict
Study the new words 1. malaise – недомогание 2. exertion – нагрузка 3. palpitation – сильное сердцебиение 4. enlarged – увеличенный 5. murmur – шум (в сердце) 6. evidence – признак, доказательство 7. inner layer – внутренняя оболочка 8. admit to the hospital – поместить в больницу (госпитализировать) 9. contain – содержать 10. discharge from the hospital – выписывать из больницы Read and translate the text The patient complained of a general malaise, early fatigue on exertion, cardiac discomfort and palpitation. He had an increase of body temperature to a subfebrile level for a prolonged period of time. The patient had been ill with tonsillitis before. The blood analysis revealed moderate leucocytosis and an increased ESR. On percussion the doctor determined that the heart was slightly enlarged. Listening to the patient’s heart the doctor found murmurs in the heart. It was an evidence of an inflammatory process in the valves. The doctor diagnosed rheumatic endocarditis, an inflammation of the inner layer of the heart, the endocardium. The patient was admitted to the hospital where he followed a strict bed regimen. The doctor administered antibiotic therapy. The patient had nourishing diet, containing many vitamins and limited in salt. It took the patient about 45 days to get well. He was discharged from the hospital and had to (должен был) come to his doctor for regular examinations.
Answer the questions 1. What did the patient complain of? 2. What temperature did he have? 3. What did the blood analysis reveal? 4. What did the doctor determine on percussion? 5. What did the doctor find listening to the patient’s heart? 6. What did the doctor diagnose? 7. What kind of disease is endocarditis? 8. Where was the patient admitted? 9. What treatment did the doctor administer? 10. What diet did the patient have? 11. How long did it take the patient to get well? 12. What did the patient have to do after he was discharged from the hospital? Fill in the gaps
TOPIC 34. THE IMMUNITY |
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