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VI.* Выберите симптомы, наиболее характерные для указанных заболеваний:

1. In acute cholecystitis the patient suffers from ... (a) atrial fibrillation; 6) intense pains in the right hypochondrium and in the umbilical area; в) slight pain and general epigastric discomfort)

2. In attacks of acute appendicitis the patient usually develops ... (a) pro­fuse external bleeding; 6) vomiting of blood; в) sharp pains in the epigastrium, which soon become generalized in the abdomen)

3. Perforating ulcers are characterized by ... (a) pain which is usually dull in character; 6) acute pain in the stomach; в) sharp pain in the substernal area radiating down the arm)

4. The development of chronic gastritis is characterized by the appearance of ... (a) the loss of appetite, pain and epigastric discomfort after meals; 6) nausea, vomiting accompanied by haemorrhage; в) cold perspiration at night and intermittent fever)

VII. Приготовьте сообщения на следующие темы, используя опор­ные слова:

1. Chronic gastritis: separate; to be associated with; liver disease; the im­pairment; catarrhal condition; to cause; inadequate food; a bad diet regimen

2. The incidence of gastric cancer: common; women; highest incidence; age; malignant course; young persons; the duration of the disease

3. Acute appendicitis: sharp pam; epigastrium; to become generalized; breathing in; to be accompanied by; retention of stools: temperature; blood analy-

sis

223

,4. Acute cholecystitis: inflammatory disease; bile duct; frequent; gallblad­der; to occur; to be associated with; the forms of cholecystitis; to involve; the liver; purulent; gangrenous; catarrhal

VIII. 1. Прочитайте текст Л. 2. Найдите и переведите предложения, содержащие а) самостоятельный причастный оборот; б) сложное под­лежащее. 3. Расскажите о симптоматике перитонита. 4. Найдите анг­лийские эквиваленты следующих словосочетаний:

неотложная операция, прободная язва, разлитой гнойный перитонит, полые органы брюшной полости, значительно способствует выздоровле­нию

Text A. Peritonitis

Peritonitis is known to be general or localized, acute or chronic, primary or secondary.

Acute general purulent peritonitis is believed to be due to perforation of one of the hollow abdominal organs. The most frequent causes are perforating appendicitis, inflammatory conditions of the female sex organs and perforating gastric or duodenal ulcers.

The main symptoms of this condition are vomiting, pain and tenderness in the abdomen, it being considerably enlarged due to the presence of fluid there. The temperature is known to be moderately elevated, the pulse rate being con­siderably changed. The blood analysis usually reveals leucocytosis.

This condition is extremely dangerous to the patient's life, an emergency surgery being performed to save the patient. During the operation the primary focus of peritonitis is to be removed, the danger for the patient being elimi­nated.

Emergency operative treatment is known to be followed by a course of antibiotic treatment, which greatly contributes to the recovery.

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