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Phonetic drills. Practise reading the words.

stomach [stΛmək], digestion [di’d3est∫ən], gastritis [gæs’traitis], ulcer disease [‘Λlsə ‘di’zi:z], proctitis [pr k’taitis], Helicobacter pylori [,hɛlɨkə’bæktər pɪlɔraɪ], consumption [kən’sΛmp∫n], steroid [‘ster id], severe [si‘viə], traumatic [tr :’mætik], bacteria [bæk’tiəriə], autoimmune [, :t im’ju:n], appetite [‘æpitait], nausea [‘n :siə], abdomen [‘æbdəmen], abdominal [æb’d minl], pancreas [‘pæŋkriəs; ‘pæŋkriæs; ‘pænkriəs], bile [bail], reflux [‘ri:flΛks], antacids [,æn’tæsid], antibiotic [,æntibai’ tik]

2. Make a report on gastritis according to the plan below:

Definition: an inflammation of the lining of the stomach.

Causes: excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs such as aspirin or ibuprofen, major surgery, traumatic injury, burns, severe infections, weight loss surgery resulting in infection with bacteria, primarily Helicobacter pylori, certain diseases, such as chronic bile reflux, stress and certain autoimmune disorders.

Symptoms, signs, clinical manifestations, clinical features: upper central abdominal pain, dull pain, vague pain, burning pain, sharp pain; other signs and symptoms: nausea, clear, green or yellow, blood-streaked, or completely bloody vomiting, bloating, feeling full after only a few bites of food, loss of appetite, unexplained weight loss, etc.

Evaluation:

History: a personal medical history or a previous history, a history of the present illness, a history of presenting complaint, a childhood illness history, a past medical history, a family history, a pregnancy history, a medication or drug history, an occupational history, a social history, a surgical history, an environmental history, a diet history, etc.

Physical evaluation: observation, percussion, palpation, and auscultation.

Instrumental examination: blood tests: blood cell count, tests for presence of H. pylori, pregnancy, liver, kidney, gallbladder, or pancreas functions; urinalysis, stool sample to look for blood in the stool; X-rays, ECGs, endoscopy to check for stomach lining inflammation and mucous erosion, stomach biopsy to test for gastritis and other conditions.

Treatment: over-the-counter antacids in liquid or tablet for mild gastritis; antibiotics, proton pump inhibitors, cytoprotective agents, bismuth subsalicylate, etc.

3. Self-improvement work. Conversational topic: Gastritis. Read and translate the following text, fill in the blanks with the right verb form.

Gastritis (to be) ____ inflammation of the gastric mucosa.

The following (to be) ____ known causesof gastritis:

Bacterial infection (most often by Helicobacter pylori and other Helicobacter bacteria)

Fungal infection (most often in people with AIDS)

Parasitic infection (most often from poorly cooked seafood)



Viral infection

Bile reflux

NSAIDs

Cigarette smoke

Autoimmune disorders

Excessive alcohol consumption

Certain allergens

Certain types of radiation

The following symptomscan (to be) ____ a result of gastritis or can (to relate) _______________to the underlying cause:

Upper abdominal pain or discomfort

Gastric hemorrhage

Appetite loss

Belching

Nausea

Vomiting

Fever

Fatigue

Diagnosis.A doctor may (to order) _________ a gastroscopy or, less frequently, a barium meal to investigate suspected gastritis and related conditions such as peptic ulcer disease and gastric cancer. The appearances at endoscopy, with or without histological examination of biopsy specimens, can (to use) ___________ to determine the cause of the gastritis. However, a relevant patient history (to be) _____ also very important, particularly with regard to smoking, alcohol intake and medication use. In most cases, a biopsy from the gastric antrum (to take) ______________ to detect the presence of Helicobacter pylori. Alternatively, a non-invasive method to detect Helicobacter such as a urea breath test or stool antigen test may (to consider) ____________________, particularly in younger patients and those without more worrying symptoms such as weight loss or bleeding.

Treatment usually (to consist) _____________ of removing the irritant or the infection. In the case of Helicobacter infection, a doctor may (to prescribe) ______________ antibiotics.


Date: 2015-12-24; view: 578


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