4. At the doctor’s. Examining a patient.

Ex. 1. Match the examination in column A with the instructions in column B. Use the following model:

I'd just like to examine your throat. Could you just open your mouth as wide as you can?

A: B:

1. the throat a) remove your sock and shoe

2. the ears b) remove your top clothing

3. the chest c) turn your head this way

4. the back d) open your mouth

5. the foot e) tilt your head back

6. the nasal passage f) stand up

Ex.2 In each of the situations fisted below, the doctor is telling a child's mother what he or she is going to do to cure the trouble. Decide which advice refers to which situation.

1. Sally is in bed with a heavy cold and temperature.

2. Johny has been stung by a bee.

3. Alan has cut his forehead badly.

4. Paula has broken her leg.

5. Mark has broken his arm

6. Sandra has pulled a muscle

7. Laura is very pale and anaemic.

1. Obviously, she'll have to go to hospital for an X-ray With luck, it is a clean break, and young bones set quickly, but she'll have to have it in plaster for a time, she can go to school, though, but naturally she'll have to go round on crutches until the plaster comes off

2 I’ll give you a diet sheet that she must follow, but apart from that I'd better give her these vitamin pills. She must take the tablets three times a day after meals.

3. You can get this ointment from the chemist's. I'll write out a prescription for you. Rub it gently into the skin every night before she goes to bed. Some people recommend sprays for this kind of thing, but my view is that the ointment gives more relief.

4. It's nothing serious. But this medicine will be better than the patent cough mixtures and syrups they sell in the chemist's. If she has a headache as well, give her half an aspirin

5. That is nasty. I'm going to clean the wound with antiseptic, and it may sting. Now. Here's the cotton wool. We'll just put a little antiseptic on it. Welt done, that's a brave boy. Now we'll protect it from the air and put a bandage over it, and you'll look like a little soldier after a battle

6. There's quite a lot of swelling, but I see you've taken the sting out. He must take these tablets to reduce the inflammation, but be very careful not to exceed the dose, not more than two a day, every twelve hours, for three days,

7 Once the plaster comes off. He'll still have it in a sling for a time to rest it.

Ex. 3. Work in pairs. Imagine that one of you is a doctor and another is a patient. The patient comes to visit the doctor and describes the symptoms. The doctor has to diagnose the disease and give recommendations. Act out your dialogues.

1. Commom symptoms: weakness, fever, sore throat, and “puffiness” to the cheek(s). The swelling may extend from the cheeks to under the angle of the jaw.

2. This common childhood illness has its highest incidence in the spring. One has fever, malaise, headache, and sore throat. These symptoms will give way to a rash (pink, circular spots) that starts on the face and spreads to the trunk, arms and legs. Duration of the rash is typically 1-3 days.

3. Common symptoms in adults include: fever, chills, runny nose, sore throat, swollen glands, frontal headache, muscle and body ach6s, joint pains, dry cough, chest pains with coughing, and weakness.

4. The common presentation is abdominal pain with fever, loss of appetite, and nausea. Within hours (6-8 hours) the pain localizes to the right lower quadrant of the abdomen.

5. Common symptoms include productive cough, fever, and chills. Shortness of breath is seen in more severe cases, breathing out is more difficult than breathing in. The act of breathing OUT may be accompanied by a musical wheeze.

6. This infection will commonly start as an upper respiratory infection with symptoms of runny nose, fever, and sore throat. A cough may be present, but it is usually dry and nonproductive. Eventually a rash erupts, first on the face or trunk finally spreading to the limbs. The rash starts as red spots that later turn to blistery bumps (vesicles). The rash will eventually crust over, scab, and only rarely cause scarring. This process may take 7-14 days.

7. It is generally a 3-7 days illness (often seasonal) that results in congestion, runny nose, sneezing, watery eyes, sore throat and dry cough. There may be an associated low grade fever.

Diseases: measles, bronchitis, mumps, appendicitis, flu, chicken pox, common cold.

Ex.4. Here are some pieces of advice that a doctor gives to his patients. Try to guess the patients’ complaints.

1.

You should see a doctor as soon as possible. Your doctor will arrange for you to have a complete series of tests. I'm afraid you really could be very seriously ill, you know

2.

You've probably got a minor infection. Sometimes they take a long time to go away. The important thing is to get plenty of rest. Take some time off work and you'll probably be back to normal in a few weeks' time.

It sounds as if you have got an infection. You'll have to see your doctor, who will probably write you a prescription for an antibiotic and some medicine to put on your skin as well

3. .

You have what is commonly called stomach flu. It's most important that you drink a lot. You should feel better soon, but if it continues much longer you should see your doctor