4. Перескажите текст от лица врача:

Text С. Diphtheria

The patient was a seven-year-old girl. Her fever was irregular and considerably elevated. The general symptoms, such as headache and backache were not severe, but her pulse was weak and irregular. The urinalysis revealed protein to be present in a slightly increased amount.

The patient’s throat being examined, the physician noticed it be coated with a membrane. To make an adequate diagnosis the smear was taken for culture which revealed diphtheria bacilli. If diphtheria bacilli had not been revealed in the smear the doctor might have doubted the diagnosis.

The disease having progressed, prostration became marked. The membranes which had been seen at first on the tonsils were spreading to the pharynx and larynx.

The patient received an adequate treatment with diphtheria antitoxin which contributed to the clearing up of the throat. Had the antitoxin treatment not been employed so soon toxemia would have been intense and delirium and prostration extreme or heart failure, respiratory paralysis or bronco-pneumonia might have developed.

After four or five days the membrane which had been extending over the tonsils, pharynx, and larynx began to loosen (зд. разрыхляться) and disintegrate. In 10 days convalescence was noted to have advanced favourably and the danger of a fatal outcome was considered to have been completely eliminated.

4. * Выберите предложения в сослагательном наклонении:

1. The bacteriologist was sure that the blood smear would reveal cocci. 2. If it were a severe form of diphtheria it would be characterized by general prostration, cardiac depression and even anaemia. 3. The physician did not doubt that the smear culture would reveal diphtheria bacilli. 4. Had the temperature been accompanied by vomiting, headache and chills the diagnosis of diphtheria would have been possible. 5. Subcutaneous injections of antibiotics should be given regularly lest the disease progressed.

5. Переведите, употребив сослагательное наклонение (письменно):

1. На вашем месте я назначил бы больному повторный анализ. 2. Врач настаивал, чтобы больной наблюдался по поводу отдаленных результатов в течение года. 3. У больного были такие желтые склеры, как будто бы он болел желтухой.

6. Пользуясь ключевыми словами, напишите историю болезни:

to be admitted to the hospital, to complain of, on physical examination, symptoms, to reveal, laboratory findings, antitoxin treatment, the course of the disease, convalescence

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7. Translate the following word combinations:

1. летальный исход; 2. мазок крови; 3. обложенный язык; 4. тяжелое отравление крови; 5. бредовое состояние; 6. чрезвычайное утомление; 7. выздоровление было гладким (без осложнений)

8. Choose a noun that can be used as an attribute of each of the nouns given below:

blood, diphtheria, lymph node, barium, emergency, tissue, incubation

antitoxin, biopsy, meal, surgery, degeneration, period, smear

9. Choose the verbs to be used with the nouns:

to complain of, to support, to prescribe, to sterilize, to eliminate, to remove

a strict diet, chills, the danger, the theory, a benign tumour, surgical instruments

10. Translate the following sentences:

1. If chemotherapy had not been discontinued last week liver damage would have become too severe. 2. Profuse external bleeding had to be controlled in time lest the patient would die. 3. The physician insisted that the patient should follow a strict diet. 4. This idea is likely to be supported by everybody. 5. It is important that all surgical instruments be sterilized adequately.

11. Translate the following sentences paying attention to the words given in bold type:

1. Looking back at the great discoveries of science many of them seem so simple. 2. Having been sterilized for only a few minutes the instruments were not considered to be harmless. 3. A little barium meal was given to the patient when the filling defect was being revealed. 4. Does the atmospheric air contain little or much moisture at the seaside? 5. Few effects of gastric ulcer are marked in patients during remissions, but inadequate diet is responsible for their recurrence.

12. 1. Translate the extract using a dictionary. 2. Entitle it. Say what Dr. Martin undertook to save the girl’s life:

TextD

Mary was a child of seven or eight. Doctor Marlin found her lips and fingers blue, and her face pale. From time to time she made an effort to breathe deeply and coughed up much saliva with grayish specks.

It was, he considered, quinsy or diphtheria. Probably diphtheria. No time now for bacteriological examinations and many other clinical tests. The doctor was watching the girl nervously trying her pulse again and again.

Doctor Martin decided to get diphtheria antitoxin from me nearby town and asked the child’s father to ring up the chemist’s there.

Martin was waiting nervously looking at the child. Her hoarse breathing became terrible. Should he operate: cut into the larynx so that she might breathe? He had to do something. “Get a few hot towels and keep them around her neck,” Martin said to the child’s mother. At that moment the child’s father appeared telling him that there was nobody at the chemist’s. “Then listen. I am afraid this may be serious. I must get some antitoxin. I am going to drive to town myself. You continue these hot applications. And the room must be moister. So keep a little boiling water here. No use of medicine now. I’ll be back soon.”

From “Arrowsmith” by Sinclair Lewis. (Adapted)

LESSON 50

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