XIV. 1. Read Text b. 2. What treatment would you administer a patient with rheumatic endocarditis? 3. Why must such a patient be followed up?

Text B. The Treatment of Rheumatic Endocarditis

The patient with the diagnosis of rheumatic endocarditis was treated at the in-patient department. He was administered antibiotic therapy to eliminate the primary focus of infection. He was also administered Adonis preparations to control cardiovascular insufficiency. The preparations of Adonis were adminis­tered in the dosage of a tablespoonful three times a day. The patient took aspirin in the dosage of 1 gr four times a day.

The physician recommended the patient's diet to be nourishing and con­taining many vitamins. But his diet had to be limited in salt. The patient was allowed only a limited amount of fluid.

The patient had been following the administered treatment for 45 days. By that time his condition had become much better.

Having been discharged from the hospital he had to come to the out-patient department for regular follow-up examinations. In spring and autumn he had to undergo aspirin and bicillin treatment to prevent the recurrence of the disease.

XV. Choose the sentences corresponding to Texts A and B:

1. a) The patient was administered vitamin therapy for his better nourish­ing, b) The patient was administered antibiotic therapy to eliminate the primary focus of infection. 2. a) The patient complained of a general malaise, early fa­tigue on exertion, cardiac discomfort and palpitation, b) The patient complained of cold perspiration at night, loss of appetite and weight.

XVI. 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 examination; b) It can be deter­mined by electrocardiogram.) 3. What must the diet of a patient with rheumatic endocarditis contain? (a) It must contain much salt; b) It must contain many vitamins.)

LESSON 38

HOME ASSIGNMENTS

I. По данным словам переведите однокоренные:

sufficient недостаточный, недостаточность, достаточно; locate распо­ложенный, местный, расположение; involve пораженный (вовлеченный), поражение (вовлечение); prepare препарат, подготовленный; limit огра­ниченный, ограничение

II. Разделите следующие сложные слова на их составные части и переведите каждую часть:

toothache, cardiovascular, tablespoonful, earache, stomachache, breastbone, gallbladder, overdosage, headache

HI. Переведите следующие предложения, обращая внимание на выделенные слова и словосочетания:

1. Строгий постельный режим последовал за диагнозом сердечной недостаточности. 2. За приступом боли в груди последовала общая сла­бость. 3. После рецидива ревматического эндокардита больной вновь по­ступил в больницу. 4. Чтобы проследить отдаленные результаты у боль-

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187ного, врач вызывал его в поликлинику несколько раз. 5. У некоторых боль­ных, состоящих на учете, были выявлены неблагоприятные изменения в печени. 6. Все больные с подозрением на рак должны проходить после­дующие обследования регулярно.