V. Speaking. A young man was delivered to the Emergency Department with an ab­dominal pain

A young man was delivered to the Emergency Department with an ab­dominal pain. Complete the interview with the doctor's questions.

Doctor: Good morning. I'm doctor Smith...., please?

Patient: John Wilson

D .: Ok John,... tell me... your problem?

P.: It's that severe pain in my belly.

D.:...

P.: It came two days ago.

D.

P.

D.

P.: At fin

D.:...

P.: Yes, r

D.:...

P.: I feel

D.:...

P.: Yes, ii

D.:... P.: Oh! M D.:...

P.: It's a 1

D.: John, appendicitis.

P.: Oh, if

P.:At first it was mild, but then it became worse.

D.

D.

Yes, now it's in that particular place all the time.

P.: I feel so sick that can't eat anything.

D.:...

P.: Yes, it was 38.5 yesterday.

D.:...

P.: Oh! When you take your hand away it's even worse.

D.:...

P.: It's a bit better when I'm lying on my side. D.: John, it's necessary to do a blood test — it most probably is appendicitis.

P.: Oh, it's horrible!

1. Read and dramatize the following dialogues:

Patient Excuse me, nurse. Is this Dixon ward? Sister Yes, this is Dixon.

Patient Well, I'm Peter McLeod. You sent me a let­ter telling me to report here at half past two.

Sister That's right, Mr McLeod. Would you come in and sit down, please? We have to fill in an admission card.

Patient Thank you.

Sister Now, your surname is McLeod — would you mind spelling it, please?

Patient M C capital L E O D.

Sister Thank you. And your Christian names?

Patient Peter John.

Sister Where do you live?

Patient 26 Greenend, Waterbeach.

Sister What's your telephone number?

Patient Waterbeach 234 750.

Sister And when were you born?

Patient 21st December 1964.

Sister Are you married?

Patient Yes, 1 am.

Sister And what's your occupation?

Patient I'm a carpenter.

Sister What's your religion?

Patient Church of England.

Sister It says here, 'Name and address of next of kin'. Who is your nearest relation?

Patient My wife, Mary.

Sister And you live at the same address?

Patient Yes, of course.

Sister Now, who is your family doctor?

Patient Dr Beale.

Sister And his address?

Patient The Oaks, High Street, Landbeach.

Sister Do you know which doctor is in charge of your case

Patient Er... I believe it's Dr Thorpe.

SisterAll yes. Mr Thorpe — he's a surgeon, you see.

2. Make up doctor's questions and try to guess the diagnosis.

Doctor: Come and sit down here. What's brought you along today

Patient: It's pain in the chest. IX:...

P.: I suppose about two days ago.

D.:...

P.: It was a bad pain and I couldn't breathe.

D.:...

P.: Just here, across my chest.

D.:...

P.: A half an hour.

D.:...

P.: I took nitroglycerine.

D.:...

P.: It comes back when I work hard or when I am nervous.

D.:...

P.: Usually my pulse and blood pressure are normal, but recently I noticed some elevation of blood pressure.

D.: …

3. Make up doctor's questions for the answers and act out the dialogue.

Doctor: And how long have you had this temperature?

Patient: Oh. I don't know exactly. About two months on and off.

D.: …

P.: Well, sometimes I'm all right during the day, but I wake up n(night feeling shivery. D.:...

P.: I have been feeling a bit tired and weak. And I just don't seem to have any energy.

D.:...

P.: Yes, yes. I have lost some weight.

D.:...

P.: Weil, I've really been off my food this last while. I just haven't felt like eating.

D.:...

P.: Oh, yes. I have. Nearly all the time 1 bring up a lot of phlegm.

D.:...

P.: No, not always, but sometimes I notice blood in it.

D.:...

P.: I feel pain only if I take a deep breath.

D.: …

4. Can you do these tasks on your own?

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