16. Заболевания дыхательной системы



 

-          Hello, what are you doing?

-          Well, I’m trying to make a report about the diseases of the respiratory tract. I have to tell about lobular pneumonia, pulmonary tuberculosis and also some words about lung abscess.

-          So… do you need my help? I have some information about pulmonary tuberculosis.

-          That’s good. Ok I’m all ears.

-          Well, it is caused by mycobacterium tuberculosis. This disease may also affect other organs: joints, bones, lymphatic glands, kidneys, etc. In the early stage the patient usually complains of a general malaise, fatigue, loss of appetite and weight.

-          Yes, I’ve heard about it. I also know that blood in sputum is sometimes the first sigh of tuberculosis and fever is one of its permanent symptoms.

-          Yes, you are right. Moreover cold profuse perspiration at night is sometimes evidence of a severe form of tuberculosis. In benign processes the body temperature is often subfebrile. In active forms it may range from 38 C to 39 C.

-          Oh, I see you know almost everything. Let’s talk about lobular pneumonia now.

-          Well I just know that when a person has lobular pneumonia, his breathing is usually rapid with 30-40 respirations per minute. He complains of the pain in the chest particularly on deep breathing in and cough with purulent sputum.

-          Certainly. The pulse rate is accelerated and the arterial pressure is reduced. The X-ray examination of the lungs usually reveals foci of inflammation. Sometimes a sever form of lobular pneumonia is difficult to differentiate from pulmonary tuberculosis and pleurisy.

-          Lung abscess is also one of the diseases of the respiratory tract. It may develop because of different factors, it sometimes develops as a complication of pneumonia – in this case the patient’s general condition gradually becomes worse.

-          I’ve heard that the course of the lung may be divided into two periods: that before and that after the rupture of the abscess into a bronchus. And after the rupture of sputum, the patient’s general condition becomes better. And within 4-5 weeks of effective treatment complete recovery is usually observed in most cases of lung abscess.

-          I think, you have enough information for your report now.

2. Запись к специалистам в ригестратуре



 

- Good morning.

- Good morning. How can I help you?

- Well. I’d like to see a skin specialist. What are his consulting hours today?

- Just a minute, let me check. Today doctor Smirnova works. She is seeing her patients now. Her reception hours are from 8 am till 12.

- What about doctor Dubrovin. What are his consulting hours?

- Well, he will be here tomorrow from 12 till 6 pm.

- Good. Could you give me an appointment card for tomorrow then?

- Sure. Here you go. Your time is 4.30 pm.

- Thank you very much. Oh, tell me please, what the number of his consulting room is.

- It is consulting room number 15.

- And… where is it?

- You should go upstairs (it’s on the second floor) and then turn right.

- Ok. Thank you very much. You’ve helped me a lot.

- You are quite welcome.