«С.Ж.

АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ

НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ
С.Д.АСФЕНДИЯРОВА»
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Кафедра языковых дисциплин МР Страница 1 из7

Specialty: General medicine

Work-out for practical study

Theme: Acute Appendicitis

Course: IV

Compiled by: Abdullaeva R.T

a senior teacher

Almaty 2023
 «С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ
С.Д.АСФЕНДИЯРОВА»
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Work-out +(for practical class)

Theme: Acute Appendicitis

Lexics: Words and word combinations of the theme
Aims. Didactic aims: to form the following components of competence in students:

 educational (cognitive) component:

a) to form students’ knowledge on gaining medical terms from the text using basic knowledge of
Latin-Greek languages (phonetic, orphographic peculiarities of terms)
b) to form students’ knowledge on using Conditional sentences

 practical component (operational component):

a) to form students’ skills on listening (audition), reading the text with a help and without help of
dictionary
b) to form students’ skills on extracting necessary information from the text, on summarizing and
rendering it for using in the process of educational-professional communication

 self- studying component:

a) to form students’ habits on working with professional medicinal supplementary literature in
informative means of communication
b) to develop students’ habits on enlarging their lexics

Urgency of the theme:

Medical students must know the importance of studying medical clinical lexics to learn about
medical hygiene, which they’ll study at clinical disciplines.

.Issues to be studied:
a) medical terms, describing the different types of hygiene
b) Conditional sentences, its formation and usage

Methods of teaching:
Associograms, verbal-graphic method, inductive method, method of integration (use of background
knowledge of the passed disciplines in English), roleplays, creative tasks.

Means of teaching:
visual aids, tables, schemes, pictograms, cards, audio techniques
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ
С.Д.АСФЕНДИЯРОВА»
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New Words
to suffer страдать, болеть
illness болезнь
insomnia бессонниц
indigestion нарушение пищеварения
to catch a cold простудиться
to cough кашлять
to sneeze чихать
to guess догадываться
to be run down быть разбитым, больным
a nervous breakdown нервный срыв,
расстройство
to give up smoking бросать курить
evil зло
to keep off smth. держаться подальше,
избегать ч-л.
to hurt повредить
infants
acute
abdomen
deep breathing
local anaesthesia
gangrenous
«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ
С.Д.АСФЕНДИЯРОВА»
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 «С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ
С.Д.АСФЕНДИЯРОВА»
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Read and translate Text. Retell it:

Acute Appendicitis

Acute Appendicitis is know to occur in all age group. Its incidence varies in different sex group; it
is more frequent in women from 20 to 40 years of age. Cases of appendicitis have been noted to
occur even in infants and in very old age.
Acute appendicitis is know to begin suddenly with sharp pain which is at first felt in epigastrium
but then becomes generalized in the abdomen. The pain becomes worse on deep breathing in and
coughing, it does not radiate and is accompanied by nausea, retention of stool and gases.
The temperature is normal or subfebrile and there is moderate leucocytosis. The ESR is initially
normal. With the development of the disease temperature elevation is observed and ESR becomes
increased. The pulse is quick but it is found to be not more than 90-100 beats per minute. The
tongue is coated and dry.
The attack of acute appendicitis is know to last for 3-4 days. Then the temperature returns to
normal, abnormal pains decrease and only a moderate tenderness is felt in the right lower part of the
abdomen on palpation.
Acute appendicitis is treated surgically. The operation is performed both under general and under
local anaesthesia.
The appendix is removed immediately to prevent its rupture which may result in peritonitis. Such
forms of appendicitis as gangrenous and perforating are particularly dangerous to life. But
sometimes even a mild form of appendicitis may take a severe and to result in perfomation.
Acute appendicitis refers to the sudden and severe inflammation of the appendix. Acute appendicitis
is a medical emergency, and people will need medical care straight away. People will usually need to
undergo surgery to remove the appendix. Receiving prompt treatment can help prevent the appendix
from bursting

Symptoms of appendicitis may include:

 Sudden pain that begins on the right side of the lower abdomen.
 Sudden pain that begins around the navel and often shifts to the lower right abdomen.
 Pain that worsens with coughing, walking or making other jarring movements.
 Nausea and vomiting.
 Loss of appetite.
 Low-grade fever that may rise as the illness worsens.
 Constipation or diarrhea.
 Abdominal bloating.
 Gas.

Terminology
Simple appendicitis — Inflamed appendix, in the absence of gangrene, perforation, or abscess
around the appendix
Complicated appendicitis — Perforated or gangrenous appendicitis or the presence of
periappendicular abscess
 «С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ
С.Д.АСФЕНДИЯРОВА»
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Negative appendicectomy —Term used for an operation done for suspected appendicitis, in
which the appendix is found to be normal on histological evaluation

1 . Укажите, какие из перечисленных симптомов относятся к острому аппендициту:

Nausea, constipation, headache, fatigue, sharp pain in the abdomen, toothache, diarrhea, coated
tongue, dizziness. Nausea, constipation, headache, fatigue, sharp pain in the abdomen, toothache,
diarrhea, coated tongue, dizziness.

Exercise 1. Put the verb in the desired form:

1) Acute appendicitis is (to know) to occur in all age groups.
2) It (to begin) suddenly.
3) The pain (to become) generalized in the abdomen.
4) Acute appendicitis (to accompany by nausea.
5) The temperature (to be) normal.
6) The attack usually (to last) 3-4 days.
7) A moderate tenderness is (to feel) in the right lower part of the abdomen.

Exercise 2 . Match the answer with the question:

1. What are the typical signs of acute D) Complications of appendicitis and

appendicitis?
2.What are the complications of acute
appendicitis?
3.What are the treatment for appendicitis?
4.What causes acute appendicitis?
appendectomy include surgical site infections,
intra-abdominal abscess formation (3% to 4%
in open appendectomy and 9 to 24% in
laparoscopic appendectomy), prolonged ileus,
enterocutaneous fistula, and small bowel
obstruction.
A) Appendicitis may be caused by various
infections such as virus, bacteria, or parasites,
in your digestive tract. Or it may happen when
the tube that joins your large intestine and
appendix is blocked or trapped by stool.
Sometimes tumors can cause appendicitis. The
appendix then becomes sore and swollen.
B) Sudden pain that begins around the navel
and often shifts to the lower right abdomen.
Pain that worsens with coughing, walking or
making other jarring movements. Nausea and
vomiting. Loss of appetite.
C) If you have appendicitis, your appendix will
usually need to be removed as soon as possible.
This operation is known as an appendicectomy
 «С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ
С.Д.АСФЕНДИЯРОВА»
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or appendectomy. Surgery is often also

recommended if there's a chance you have
appendicitis but it's not been possible to make a
clear diagnosis.

Exercise 2. Put the key words into the sentences of the text.
(appetite, acute, initial, appendicitis, patients, abdominal, pain, nausea, inflammatory)

Diagnosis of acute appendicitis

Abdominal pain is the primary presenting complaint of 1) _____ with acute appendicitis. The
diagnostic sequence of colicky central 2) _____ pain followed by vomiting with migration of the
pain to the right iliac fossa was first described by Murphy but may only be present in 50% of
patients. Typically, the patient describes a peri-umbilical colicky 3) _____, which intensifies during
the first 24 hours, becoming constant and sharp, and migrates to the right iliac fossa. The 4) ____
pain represents a referred pain resulting from the visceral innervation of the midgut, and the
localised pain is caused by involvement of the parietal peritoneum after progression of the 5) ____
process. Loss of 6) ___ is often a predominant feature, and constipation and 7) ____ are often
present. Profuse vomiting may indicate development of generalised peritonitis after perforation but
is rarely a major feature in simple 8) ______. A meta-analysis of the symptoms and signs associated
with a presentation of 9) _____ appendicitis was unable to identify any one diagnostic finding but
showed that a migration of pain was associated with a 10) ____ diagnosis of acute appendicitis.

Home task.
1. Compose a dialogue using new words
2. To learn by heart the new words
Thank you for your attention.
The lesson is over.