Rheumatic Endocarditis

RHEUMATIC ENDOCARDITIS

I. Learn the new words and word-combinations:

Palpitation – сильное сердцебиение, трепетание Onset – начало, приступ Precede - предшествовать Moderate - умеренный Readings – показания(прибора)

Slight – слабый, тонкий; незначительный; легкий Confirm - подтверждать Murmur – шум (в сердце) Duration - продолжительность Insist – настаивать (с предлогом on) Strict - строгий

II. Translate the following word-combinations into your language:

To insist on bed regimen; to have complains of palpitation; to confirm a diagnosis; the disease was preceded by high temperature; murmur at the apex of the heart; the onset of influenza; readings of ECG; moderate leucocytosis; to be slightly decreased; to keep to a strict diet; duration of disease.

Pronoun в Objective Case

Подлежащее + сказуемое + + Infinitive

Noun в Common Case

III. Read the following sentences paying attention to Complex Object:

The nurse saw him enter the emergency room – Медсестра видела, как он входит в отделение неотложной хирургии.

The nurse saw him to have entered the emergency room – Медсестра видела, как он входил в отделение неотложной хирургии.

It is known that all patients are operated on by the leading cardiac surgeon of the hospital - Известно, что все пациенты оперируются ведущим кардиохирургом больницы.

It is known that all patients have been operated on by the leading cardiac surgeon of the hospital - Известно, что все пациенты были прооперированы ведущим кардиохирургом больницы.

IV. Read and translate the text:

Rheumatic Endocarditis

The patient complained of a general malaise, early fatigue on exertion, cardiac discomfort and palpitation.

The physician found him to have been having an increase of body temperature to a subfebrile level for a prolonged period of time. The patient stated that the onset of the disease had been preceded by tonsillitis. The patient’s pulse rate had become irregular and accelerated on physical exertion.

The blood analyses revealed to moderate leucocytosis and an elevated ESR. The electrocardiogram showed the changes in the most important readings. On percussion the doctor determined the heart to be slightly enlarged. These findings of the physical examination were confirmed by the X-ray examination.

While listening to the patient’s heart the doctor found a soft systolic murmur to be heard at the heart apex. These symptoms were accompanied by diastole murmur heard at the apex and base of the heart. The doctor estimated the murmur to be varying in their intensity and duration. It was evidence of an inflammatory process in the valves. The doctor determined the organic changes in the mitral, aortic, and tricuspid valves to be clearly marked.

The physician considered the patient to be ill with rheumatic endocarditis and insisted on his following a strict bed regimen at the in-patient department.

V. Answer the questions:

1. What is rheumatic endocarditis?

2. What organs are affected in rheumatic endocarditis?

3. Is it a contagious disease or viral?

4. What is the cause of the disease?

5. How can a person get ill with rheumatic endocarditis?

6. What should physical examination include?

7. What other examinations are necessary to make a diagnosis?

8. What should be prescribed?

9. Should the patient be treated at home or in the in-patient department?

10. Are symptoms of rheumatic endocarditis clearly defined?

VI. Find synonyms to the following words:

Infectious – Illness – Sore throat – Day and night clinic – The beginning of disease -

Increase - Heart readings – Healthy nourishment – Length, continuance – Results -

VII. Translate following words and word-combinations:

При физическом напряжении, ясно выраженный, на верхушке сердца, меняться по плотности и продолжительности, настаивая на соблюдении строго постельного режима, ускоренное сердцебиение, стационар, сопровождаться высокой температурой, в тяжелой форме, абсцесс легкого.

VIII. Put questions to underlined words:

1. The patient’s pulse rate accelerated on physical examination.

2. The blood analyses revealed an elevated ESR.

3. The ECG showed the changes in the readings.

4. The physician considered the patient to be ill with rheumatic endocarditis.

5. The doctor found a soft systolic murmur to be heard at the heart apex.

IX. Choose the correct answer:

1. What disease may the onset of rheumatic endocarditis be preceded by? A) It may be preceded by tonsillitis B) It may be preceded by lung abscess 2. What examination can the enlargement of the heart be determined by? A) It can be determined by percussion and X-ray B) It can be determined by ECG 3. What must the diet of a patient with rheumatic endocarditis contain? A) It must contain mush salt B) It must contain vitamins

X. Translate into Russian paying attention to Complex Object:

1. We expect the professor to explain it to us.

2. Everybody knows her to be a good student.

3. The teacher wants the students to remember the rule.

4. He let them finish the work at home.

5. Who made you do it?

6. Nobody can order you to do something illegal.

7. We all know him to be ill.

8. Does the teacher consider him to be a good student?

9. Did they expect her to be there?

10. Nobody saw him leave the room.

XI. Explain the following terms in English:

ECG, malaise, subfebrile temperature, inflammatory process, early fatigue

** XII. Use Complex Object:

1. I have never seen

как ты работаешь как он оперирует как она делает уколы

2. I have never heard

как он говорит по-английски как они обсуждают актуальные проблемы кардиохирургии как ты поешь

3. I didn’t notice

как врач вошел в операционную как он простудился как вы взяли мою тетрадь по химии

4. We watched

как врач осматривал детей как они дарили учителям цветы как ты снимала кардиограмму

5. Who made you

так много работать? помогать этому врачу? делать внутривенное вливание?

6. Don’t let

ему брать анализы у пациентов им бросить мед институт

Дата добавления: 2015-11-16