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Audition, reading, speaking



Complete the conversation based on the case history in text B.

Use the words, given below. Dramatize the dialogue.

 

Dialogue №1.

“Cardiac diseases”

Doctor: What seems to be the problem?

Patient: I’ve been getting (1) ……………………….. .

Doctor: How long have you had them?

Patient: For about six months. But I’ve had heart problems for years, with tiredness and (2) ……………… of (3) ……………………………… . In the end I couldn’t walk more than a hundred metres without having to stop. I had to sleep on three (4) …………………….. . I had a (5) ……………………………………. replacement three years ago, and that improved things for a while.

 

Words for compiling the dialogue

 

1 palpitations 2 shortness 3 breath 4 pillows 5 mitral valve

 

Writing, reading

Make word combinations using a word from each box. Two words can be used twice. Look at texts B and C to help you. Read and translate the word combinations.

 

at rest atrial fibrillation cardiac output cardiac failure heart failure on effort pitting oedema premature beats
output failure oedema fibrillation beats effort rest
at atrial cardiac heart on pitting preamture
Answer

Reading, speaking

Find in the right column the correct definition of cardiac diseases, given in the left column. Look at texts A, B and C to help you.

 

1. dyspnoea A. breathlessness when lying flat

2. arrhythmia B. swelling

3. orthopnoea C. breathlessness/shortness of breath

4. oedema D. palpitations

 

Audition, reading

Complete the case report. Look at texts A, B, and C to help you.

Use the words, given below. Read and translate the text.

Case 12
A 60- year woman attended her GP’s surgery compaining of breathlessness on (1) …………… . This had been increasing over the previous eight month until it was producting problems at around 500 metres walking on the level. There was no history of chest pain. She had had several (2) ……….. of fast (3) …………………. Which lasted 20-30 minutes and were associated with some (4) …………. Of breath. She had noticed some (5) ……………. Of her ankles by the end of the day. This disappeared overnight.

 

Words for compiling the case report № 12

1 exertion/exercise/effort 2 episodes/attacks 3 palpitations 4 shortness 5 swelling

 

Speaking

5. Express your opinion on the problem. “How would a doctor manage the treatment of the woman in case 12?”

 

II. Dramatizing a dialogue and compiling situations to lexical theme /20min.

Audition, reading, speaking

 

1. Read and translate the following dialogue. Dramatize it.

Dialogue

“Tachycardia”

Doctor – Nurse, help the patient to take off her things, please. I’ll do a physical examination… Sit down here and stretch your hand out… Good. I’m going to check your blood pressure. Let me put this blood pressure machine cuff around your arm… Relax, please. Good. It’s a bit elevated. Now take a deep breath, and hold it… Breath in and out through your mouth ... How long have you had this wheezing type of respiration?

Patient – I’ve had it since I had flu last year.

Doctor – Do you feel to be short – winded?

Patient – Only when I go upstairs or walk with a rapid step.

Doctor – Chest pain?

Patient – Yes, it’s coming on sometimes, not regular

Doctor – Can you describe the pain?

Patient – Well, it’s a dull and aching pain

Doctor – Does it go anywhere? To your arms or shoulders?

Patient – It goes to the left arm.

Doctor – Does it come on exertion?

Patient – Yes, when I work hard.

Doctor – Any palpitation of your heart?

Patient – Yes, sometimes, doctor

Doctor – Are you liable to emotion?

Patient - I get exited easily.

Doctor – Is palpitation related to the chest pain?

Patient - No, it isn’t … What’s your opinion, Doctor? What do you think?

Doctor – You see, I can’t say anything before you are worked up and the tests studied. I must show you to our neurologist, Mrs. Collins… Starting tomorrow some lab tests will be done, X-rays and electrocardiogram.

 

Speaking







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