Medicine|Int|1. Presenting complaints

Check up

1. Match each photograph with what the person is saying.

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2. How important are accurate patient records? Give reasons.

3. In your country, are patient records kept on computer or on paper? Which of these two systems do you think is better? Why?

Listening 1

Personal details

1. Look at the chart containing personal details of Mr Karlson. Then listen and correct any details 1-8 that may be wrong. Tick items that are correct.

Use 🔗Page Marker to complete this task

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Listening 1

D = doctor, P = patient

D I’d like to check some information about your personal details, if I may.

P OK.

D Can you tell me what your family name is?

P It’s Karlson.

D Karlson. And your first name?

P It’s Dave.

D Any other names?

P My middle name’s Ian.

D OK. That’s male. And can you tell me what your address is?

P It’s 3 Park View Mansions, Castlefield, Manchester, M6 7DE.

D When were you admitted?

P Yesterday, the 9th, at 2 p.m.

D OK. 9th of November 2008 at 2 p.m., Duncan Ward. And do you know your hospital number?

P Yes. It’s here. It’s 19733045.

D OK, er… 33045.

D And what’s your date of birth?

P 7-9-53.

D Your telephone number?

P 01664057001.

D OK. Are you married or single?

P I’m single.

D Right. Single. What do you do for a living?

P I’m a postman.

D And lastly, who’s your GP?

P Dr Jones.

D OK, Mr Karlson. Thank you.

 


2. Listen again and check your answers.

3. Decide what questions the doctor asks for each piece of information on the form.

Language spot

Asking short and gentle questions

Ask gentle questions to put the patient at ease. Use Can you tell me what / who + noun + verb?

What’s your surname / family name?

Can you tell me what your surname / family name is?

Remove words to make questions shorter.

What’s your first name? Your first name?

Have you any other names? / (And) Any other names?

There are two types of questions, yes / no questions and wh- questions.

yes /no questions

We use yes / no questions when we only need a simple yes or no answer.

Do you feel any pain in your abdomen?

Do / Does + subject + infinitive

Other verbs, such as be, have got, and modal verbs don’t use the auxiliary do.

Is the pain worse now?

Present Simple of be + subject

Have you got your medication with you?

Present Simple of have + subject + got

Can you feel your legs?

Can + subject + infinitive

We can also begin a yes / no question with Is it…? or Is there…?.

Is it difficult to raise your leg?

Is there anyone we can contact for you?

wh- questions

We use questions beginning with a question word when we want someone to give us more information. Often, these come after a yes / no question.

Question words include what, which, who, when, where, why, and how. The word how can be used in expressions such as how long, how much, and how many, and is used with a number of adjectives and adverbs.

How far canyou extend your arm?

How well can you see?

The question words what, which, how much, and how many can be followed by a noun.

Which doctor did you speak to?

How much pain are you in?

The word order after the question word is the same as for yes / no questions.

Where does it hurt?

We also use What… like? when we ask someone to describe something.

Note that we always use the verb be, and that like doesn’t change.

What is the pain like? not What does the pain like? or What is the pain likes?

Note that we can use Can you tell me…? or Can you describe…? to ask for more information. We would not expect ayes or no response.

After these expressions, we use the affirmative word order.

Can you tell me where it hurts?

not Can you tell me where does it hurt?

With both yes / no questions and wh- questions we use the Present Simple or Present Continuous to talk about the present situation. However, we use the Present Perfect or Present Perfect Continuous to talk about a situation that began in the past and which continues up to the present. It’s important to remember that we don’t use the Present Simple or Present Continuous to express this.

yes / no question Have you had these dizzy spells before?

Have you been having difficulties with your breathing?

wh- question How long have you had these dizzy spells?

How long have you been having difficulties with your breathing?

not Do you have these dizzy spells before?

not How long are you having difficulties with your breathing?

1. Make gentle questions or short questions for the questions you made in Listening 1, 3.

2. When taking the history of the presenting complaint (HPC), you often ask about pain. Use these words to complete the questions.

makes it worse / better?

on?

spread anywhere else?

had the pain?

the pain for me?

constant?

did it start?

you up at night?

the pain is like?

get the pain?

had the pain before?


3. Match these words to a question in 2.


4. Listen to five people stating where they are having a problem. Which part of the body are they referring to?


5. Think of non-technical terms for body parts a-k.

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Pronunciation

Medical terms: word stress

1. Write words from a-k above that match each of these stress patterns.

Stress patterns


2. Listen and check your answers

1. sternum, talus, carpus
2. clavicle, abdomen, tibia
3. patella, intestines
4. umbilicus, calcaneus, oesophagus


2. Decide how you would differentiate between the pain in b-e in 1. Give reasons for your answer.

3. For each description, write M (mild), S (severe), or V (very severe). Then say which condition a-j in 1 each patient below is possibly describing.


4. You ask a patient to describe pain on a scale of 1 to 10. What other ways can you ask a patient to assess the severity of pain?

It’s my job

1. Before you read the text about Dr Henderson, a cardiologist, discuss what do you think being a cardiologist involves.

2. All of the statements below are true. Find information in the text to support each statement.

1. Dr Henderson’s team is very skilled.

2. The work of her team depends on the support of other people.

3. Details about the closest relative are taken from patients.

4. Patients have two numbers (other than their phone number) on their hospital records.

5. The data collected need to be accurate.

6. Checks are carried out to make sure patients are who they say they are.

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My name is Dr Henderson. I’m a cardiologist at a London hospital.The highly trained team of which I am part deals with the diagnosis, investigation, and treatment of patients with all forms of heart disease, including cardiac transplantation and some sorts of vascular disease.

None of our work would be possible without the support of other people in the hospital team — the triage nurses, the receptionists, and so on. Their work is vital to the smooth running of the department. When patients arrive for the first time, personal information is taken:name,address, telephone numbers, next of kin for contact in case of emergency, and other information such as their GP’s name and address, their NHS number, and their unique hospital number.

We deal with a large catchment area and also deal with referrals from outside the area, tourists, visitors to ARE, private patients, and so on, so the potential for confusion is great unless the data that are taken are accurate and the systems secure.

At various stages of patients’ contact with the hospital, information is checked to make sure itis correct and that the patients can confirm theiridentity. For example, on arrival at a clinic patients might be asked their GP’s name or part of their telephone number, for example the last three numbers.

Then during the consultation a nurse ora doctor might also ask their date of birth.All this is for the benefit of the patient to ensure the hospital team does not make mistakes and people do not use patients’ details fraudulently.

We can then turn to dealing with the patients’ treatment in safety.


Listening 2

Presenting complaints

1. What do you think each patient in pactures a-h might be complaining of?

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2. Listen. Match each picture in 1 with a conversation.

Transcript_Listening2



3. Listen again. What three questions are used by the dictor to ask about the presenting complaint (PC)?

Transcript_Listening2



4. Take turns describing a patient you have treated with a problem related to the parts of the body a-k and then answer questions from your teacher.

What…

— …investigations did you carry out?

— …was the treatment?

— …was the prognosis?


Vocabulary

Describing pain

1. Which descriptions 1-10 do you associate with the conditions a-j? In some cases, there may be more than one answer.

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1. piercing / boring a. sciatica
2. extremely severe / intense b. ureteric colic
3. aching c. acute pancreatitis
4. scalding / burning d. appendicitis
5. like a tight band around my head e. degenerative arthriris
6. dull / persistent / vague f. cluster headache
7. excruciating / thunderclap g. cystitis
8. shooting h. tension headache
9. spasmodic i. sub-arachnoid haemorrhage
10. crushing / gripping j. angina pectoris

 

A presenting complaint_1

A presenting complaint_2

A presenting complaint_3

A presenting complaint_4

A presenting complaint_5

A presenting complaint_6

A presenting complaint_7

Audio:

Listening 3_Sub

A culture project _Step

A case report_1

Урок Homework Курс
  • Personal details
  • Present complaints
  • A presenting complaint
  • Culture project
  • A case report