6. Solve the anatomical crossword puzzle. Across

1. The process of inspiration and exhalation.

2. The tube which passes the food and air.

3. The part of the lungs.

4. Smth which envelopes each lung.

5. Air reaches the larynx then ...

6. It is located in the pharynx.

7. You do it when you breathe.

8. The voice box.

9. It separates the thoracic cavity from the abdominal.

Down

The substance, which you inspire every moment.

The process of breathing.

The smallest vessels in our organism.

The blood absorbs the oxygen from the alveoli and gives this gas away.

Your neck, especially the front part.

Each bronchial has it.

A mucous membrane and ... warm and moisten the air and filter out foreign bodies.

The bronchial branches are called ...

The process of breathing occurs in the ...

III. Speaking

Make a dialogue between a pulmonologist and a patient. Here is vocabu­lary for you to speak about respiratory system problems.

QUESTIONS Are you short of breath? Have you noticed any wheezing when you breathe? Do you cough up any sputum/ phlegm/spit? What colour is it? Have you coughed up any clots of blood?

INSTRUCTIONS Could you please strip to your waist? I’d like to exam your chest and lungs. I would like to listen to the sounds in your chest; sorry if the stethoscope is a bit cold. Now breathe through your mouth. Take a deep breath, hold your breath for a few seconds and let out the air again.

IV. Supplement

Text1

1. Read and translate the text.

2. Write out the key sentences of the text. Be ready to speak about the

clinical manifestations of pneumonia.

PNEUMONIA

Pneumonia is an infection of one or both lungs which is usually caused by bacteria, vi­ruses, or fungi¹. Prior to the discovery of anti­biotics, one-third of all people who developed pneumonia subsequently died from the infec­tion. Currently², over 3 million people develop pneumonia each year in the United States. Over a half a million of these people are admitted to a hospital for treatment. Although most of these people recover, approximately 5 % will die from pneumonia. Pneumonia is the sixth lead­ing cause of death in the United States.

Some cases of pneumonia are contracted by breathing in small droplets³ that contain the organisms that can cause pneumonia. These droplets get into the air when a person infected with these germs coughs or sneezes. In other cases, pneumonia is caused when bacteria or viruses that are normally present in the mouth, throat, or nose inadvertently⁴ enter the lung. During sleep, it is quite common for people to aspirate secretions from the mouth, throat, or nose. Normally, the body's reflex response (coughing back up the secretions) and immune system will prevent the aspirated organisms from causing pneumonia. However, if a person is in a weakened condition from another illness, a severe pneumonia can develop. People with recent viral infections, lung disease, heart disease, and swallowing problems, as well as alcoholics, drug users, and those who have suffered a stroke or seizure are at higher risk for developing pneumo­nia than the general population.

Once organisms enter the lungs, they usually settle in the air sacs of the lung where they rapidly grow in number. This area of the lung then becomes filled with fluid and pus⁵ as the body attempts to fight off the infection.

Most people who develop pneumonia initially have symptoms of a cold which are then followed by a high fever, shaking chills, and a cough with spu­tum production. The sputum is usually discolored and sometimes bloody. Peo­ple with pneumonia may become short of breath. The only pain fibers in the lung are on the surface of the lung, in the area known as the pleura. Chest pain may develop if the outer pleural aspects of the lung are involved. This pain is usually sharp and worsens when taking a deep breath, known as pleuritic pain.

In other cases of pneumonia, there can be a slow onset of symptoms. A worsening cough, headaches, and muscle aches may be the only symptoms. In some people with pneumonia, coughing is not a major symptom because the infection is located in areas of the lung away from the larger airways.

Children and babies who develop pneumonia often do not have any specific signs of a chest infection but develop a fever, appear quite ill, and can become lethargic⁶. Elderly people may also have few symptoms with pneumonia.

Pneumonia may be suspected when the doctor examines the patient and hears coarse breathing or crackling sounds when listening to a portion of the chest with a stethoscope. There may be wheezing, or the sounds of breathing may be faint in a particular area of the chest. A chest X-ray is usually ordered to confirm the diagnosis of pneumonia. The lungs have several segments re­ferred to as lobes, usually two on the left and three on the right. When the pneumonia affects one of these lobes it is often referred to as lobar pneumonia⁷. Some pneumonias have a more patchy distribution that does not involve spe­cific lobes. In the past, when both lungs were involved in the infection, the term "double pneumonia" was used. This term is rarely used today.

Notes:

¹ fungus (pi. fungi) — грибок

² currently — нині

³ droplet — крапелька

⁴ inadvertently — випадково

^{5 pus — гній}

⁶ lethargic — млявий, апатичний

⁷ lobar pneumonia — крупозна пневмонія