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Aleksandra Žmegač Horvat: MEDICAL ENGLISH WORKBOOK BASICS GENERAL HEALTH VOCABULARY I Complete the sentences with appropriate words or phrases. In most cases there are several possibilities: 1. There were a lot of people at the doctor’s __________, so I had to wait for hours. 2. It’s just a small hospital, so all the beds in the surgical __________ are occupied. 3. There’s been an accident, someone call a(n) __________! 4. You won’t get this antibiotic without a __________. 5. They did a biopsy and took a __________ of the suspicious tissue. 6. The doctor gave her a painkiller to __________ the pain. 7. The flu is a highly ___________ disease. 8. I hurt my wrist yesterday playing tennis and today it’s ______________. 9. The cut was bleeding a lot, so he had to put on a __________. 10. The arm was broken and had to be put in a __________. 11. The usual symptom of an allergy is a __________ on your skin, or, in the case of hay fever, a __________ nose. 12. I feel sick, I think I’m going to __________. 13. She slipped and fell, and now she’s got a nasty blue __________ on her forehead and a(n) __________ on her cheek. II DISEASE, DISORDER, ILLNESS, or SICKNESS? disease/disorder = any deviation from the normal structure or function of a part, organ or system of the body, or the mind, manifested by characteristic symptoms illness = 1. state of bad health, experience of not being healthy for a period of time; 2. disease sickness = 1. feeling ill in the stomach and vomiting; 2. disease 1 Use them appropriately in the following sentences: 1. He died at the age of 83 after a short ___________. 2. Cirrhosis is a serious liver __________. 3. Many women suffer from morning ___________ in the first trimester of pregnancy. 4. Heart ___________ is one of the leading health problems in developed countries. 5. It is inconvenient if frequent flyers suffer from air ___________. 6. Her prolonged ___________ was hard for the family. Which other words for DISEASE can you think of? III Complete the sentences with the following words: BENIGN CURE DEFICIENCY HEAL HEREDITARY MALIGNANT RECOVER RELAPSE RELIEF REMISSION 1. After surgery and chemo, she’s in __________ and feeling fine. We all Hope the cancer’s gone and there won’t be a __________. 2. __________ tumors are normally not life-threatening. 3. Due to his young age, it didn’t take him long to __________ after the operation. 4. In diabetics, wounds tend to __________ with difficulty. 5. Unfortunately, the biopsy proved that the tumor was __________. 6. Diseases which run in families are called ___________. 7. An efficient antibiotic will __________ the infection in a few days. 8. The treatment is going to take some time, but I’ll give you an analgesic for pain __________. 9. A vitamin __________ can lead to serious health problems. 2 PARTS OF THE BODY Go through the alphabetical list of some parts of the body and sort them out under the following headings (2 words belong to two categories): ABDOMEN ANKLE ARCH ARMPIT BALL BUTTOCK CALF CHEEK CHEST CHIN ELBOW head (10) EYEBROW EYELASH EYELID FINGER FLANK FOREARM FOREHEAD GROIN GUM HEEL torso (11) HIP KNEE KNUCKLE LOBE LOIN NAIL NAVEL NIPPLE NOSTRIL PALM PELVIS SHIN SHOULDER SOLE TEMPLE THIGH THUMB TOE WAIST WRIST arm + hand (11) leg + foot (11) Now look at each category and list the structures from top to bottom according to their location on the body. ORGANS AND ORGAN SYSTEMS I Match the names and functions of the organ systems: A B C D E F INTEGUMENTARY SYSTEM FEMALE REPRODUCTIVE S. CARDIOVASCULAR SYSTEM DIGESTIVE SYSTEM RESPIRATORY SYSTEM MALE REPRODUCTIVE S. G H I J K MUSCULOSKELETAL SYSTEM LYMPHATIC SYSTEM URINARY SYSTEM NERVOUS S. + SENSE ORGANS ENDOCRINE SYSTEM a immunity; drainage of tissue fluid; absorption of lipids b external protection; thermoregulation; sensory reception c exchange of gases between lungs and external environment d coordination of all voluntary and involuntary body activities e transport of nutrients to all body cells; elimination of waste materials from the cells f internal support of the body and protection of inner organs; body movement 3 g production of hormones responsible for female secondary sex characteristics; production of ova; place for growth of embryo and fetus h production of hormones that regulate many functions of the organism i production of testosterone and sperm cells j filtration of blood; maintaining balance of body fluids; endocrine function k breakdown of foods; absorption of nutrients; elimination of solid wastes II Decide which systems the listed groups of organs belong to: muscles, bones, joints, tendons, ligaments mouth, pharynx, esophagus /gullet, stomach, intestines (small & large) + liver, gallbladder, pancreas ______________ brain, spinal cord, nerves (motor & sensory) + eye & ear ______________ heart, blood vessels (arteries, veins, capillaries) ______________ nose, pharynx, larynx /voice box, trachea /windpipe, bronchi, lungs, bronchioles, alveoli ______________ ______________ ovaries, fallopian tubes /uterine tubes /salpinges /oviducts, uterus /womb, vagina, vulva + mammary glands ______________ testes & associated tubes, urethra, penis + prostate & other glands ______________ skin + hair, nails, glands (oil /sebaceous & sweat /sudoriferous) ________ hypophysis /pituitary, epiphysis /pineal, thyroid, parathyroid, thymus, pancreas (islets of Langerhans), adrenal, gonads ______________ lymph vessels & nodes + spleen, thymus gland ______________ kidneys, ureters, urinary bladder, urethra ______________ 4 WHAT IS IT IN ENGLISH? There are many medical words that are also frequently used in everyday speech. What are their equivalents in general English? ANALGESIC (ANALGETIC) ____________________________ CEREBRAL INSULT ____________________________ DILATATION (DILATION) ____________________________ EDEMA ____________________________ FETUS ____________________________ FRACTURE ____________________________ GRAVIDITY ____________________________ HEMORRHAGE ____________________________ HYPERTENSION ____________________________ INSOMNIA ____________________________ LARYNGITIS ____________________________ MENSTRUATION ____________________________ MUCUS ____________________________ MYOCARDIAL INFARCTION ____________________________ NAUSEA ____________________________ NECROSIS ____________________________ SALIVA ____________________________ SPASM ____________________________ 5 COLLOCATIONS Collocations are typical, common or frequent combinations of certain words (e.g. adjectives + nouns, or verbs + nouns, etc.) in a specific language. But what may function in one language does not necessarily work in another. That is why you have to make sure and check in a dictionary before you mechanically translate Croatian collocations into English. For example: teško disanje translates as hard (heavy, labored) breathing, teško krvarenje as heavy bleeding, težak porod as difficult birth, teška bolest (ozljeda) as serious (grave) disease (injury), etc. I See how many of the following common collocations for body structures and functions or conditions you can get right: KLJUČNA kost SLOBODNA rebra TANKO crijevo DEBELO crijevo arterijska STIJENKA KUCANJE srca SPUŠTENA stopala CUREĆI nos MASNA koža MASNA kosa MASNE naslage _______________ bone _______________ ribs _______________ intestine _______________ intestine arterial _________ heart _________ _______________ feet _______________ nose _______________ skin _______________ hair _______________ plaques Now match the adjectives on the left with the nouns on the right to get some more common medical collocations: 1 2 3 4 5 6 7 allergic bedside bone brain clinical general general A B C D E F G death trial anesthetic marrow reaction manner practitioner II From the jumble below, make as many collocations around the words DISEASE and TREATMENT as you can. Then use some of your collocations in sentences of your own: DISEASE TREATMENT 6 HOME INFECTIOUS FATAL VIRULENT PALLIATIVE DRUG INCURABLE DENTAL HOSPITAL CANCER CONTAGIOUS PROGRESSIVE HEART HEREDITARY INTENSIVE CHRONIC SURGICAL DEGENERATIVE ACUTE CONGENITAL SEXUALLY TRANSMITTED MANAGEMENT GIVE PROVIDE DIAGNOSE CAUSE RECEIVE CARRY CURE SUFFER FROM TRANSMIT CATCH FIGHT CONTROL TREAT PASS ON CONTRACT III Spot the medical collocations in the following text and list them under the headings below: IN-FLIGHT EMERGENCIES A recent study about in-flight medical emergencies estimated that there are an average of 30 emergencies on U.S. flights every day. Most of them are not serious; fainting, dizziness and hyperventilation are the most frequent complaints. But 13% of them – roughly four a day – are serious enough to require a pilot to change course. The most common of the serious emergencies include heart trouble (46%), strokes and other neurological problems (18%), and breathing difficulties (6%). Most people agree that plane rides are stressful. First, cabin pressures at high altitudes can be compared to living at 5,000 to 8,000 feet above sea level. Usually people can tolerate these pressures easily, but passengers with heart disease may experience chest pains as a result of the reduced amount of oxygen flowing through their blood. Low pressure can also cause the air in body cavities to expand up to 30%. Again, most people won't notice anything beyond mild stomach cramping. But if someone has recently had an operation, their wound could open. And if a medical device has been implanted in your body – a splint, a tracheostomy tube or a catheter – it could expand and cause damage. Another common in-flight problem is deep venous thrombosis – the so-called economy-class syndrome. When you sit too long in a cramped position, the blood in your legs tends to clot. Most people just feel a pain in their calves. But blood clots could travel to the lungs, causing breathing difficulties and even death. Such clots are easily prevented by keeping blood flowing, so you should walk and stretch your legs when possible. But there’s no reason for panic. Emergency medical kits with automated defibrillators in case of heart attacks have become standard equipment on most flights since 2004. adjective + noun verb + noun 7 Now use some of the collocations from your lists in the following sentences: 1. One of the symptoms of food poisoning is ________ ________. 2. If there is an obstruction of the upper airways, a ________ ________ may be implanted. 3. Heart attack patients usually _________ _______ ________. 4. Deep venous thrombosis is caused by a ________ ________, and if untreated may even ________ ________. 5. Ambulances should be equipped with ________ ________. 6. Smoking may ________ serious ________ to your respiratory and cardiovascular systems. . 8. In case of a ________ _________, call 911. REGISTER By register we mean the style or ‘level’ of language (vocabulary and grammar) we use in particular situations, from highly formal to informal, colloquial, or even vulgar. Additionally, each profession has its own language (jargon), which is especially true of medicine, with its huge corpus of professional terminology. Professional words and idioms are usually classified as formal. I Words for some body parts and basic body functions are frequently used in different registers, depending on the occasion. Fill in the tables: MEDICAL FORMAL NEUTRAL INFORMAL COLLOQUIAL trbuh pupak bol u želucu žgaravica podrigivanje nadutost 8 vjetrovi mučnina povraćati imati stolicu mokriti SPECIALIZED NON-SPECIALIZED painkiller auscultation swelling expectoration hidrosis slime feeling sick (examination by) touching paroxysm percussion pyrexia rhinorrhea chest windpipe II Copy the passage below using neutral instead of medical terms from the table. Make any other necessary changes: The patient presented with intense gastralgia, eructation and constant nausea accompanied by flatulence. He reported repeated emesis and defecation in the past 12 hours. His abdomen was tender to palpation in the umbilical area. Now do the opposite with the passage below: The patient reports severe coughing fits, with coughing out slime, accompanied by fever, sweating and a runny nose lasting for 5 days. Examination by listening to and tapping his chest revealed no swelling of the windpipe and upper airways. A drug to bring down the fever, painkillers and agents to make coughing out easier were prescribed. STATISTICS I Look at the list of 10 TOP CAUSES OF DEATH AND DISABILITY in the US in the last decade of the 20th century (left) and the Harvard School of Public Health projection for the year 2020 (right): 1. Respiratory infections 2. Diarrheal diseases 1. Heart disease 2. Severe depression 9 3. 4. 5. 6. 7. 8. 9. 10. Complications of birth Severe depression Heart disease Stroke Tuberculosis Measles Traffic accidents Congenital anomalies 3. 4. 5. 6. 7. 8. 9. 10. Traffic accidents Stroke Chronic pulmonary disease Respiratory infections Tuberculosis War injuries Diarrheal diseases HIV/AIDS Comment on the changes predicted to occur and their possible causes. How might a 10 top causes list for Croatia be different at present? II Translate the following sentence, and then add 2 more sentences based on the lists above: Devedesetih su godina prve na listi 10 najčešćih uzroka smrti bile infekcije dišnih puteva, dok se za 2020. godinu kao glavni uzrok predviđaju bolesti srca. A LOOK INTO THE FUTURE I Read the text about ‘tailored’ medicines of the future and underline the passages which answer the following questions: 1. What does the patient give the doctor? 2. How does the doctor reach her diagnosis and what does she prescribe? 3. What will be the main practical consequences of the decoded human genome? 4. What are customized drugs? Which other term for them is used in the text? 5. How and why will pharmacology of the future affect human reproduction? 6. What will be the drawbacks of those wonderful new drugs? TAILORED MEDICINES It’s the year 2025, and you are at your doctor’s. You're feeling terrible. It's not just a hangover after an all-night party. You're sweating. You're listless. You're aching all over. The doctor examines you. Then she asks for your gene card. The computer processes the rectangle of plastic you hand her, confirming her diagnosis of flu. She sends you to the pharmacy, where they will create a drug specially for you. This is a very likely scenario of what will be happening when you visit your physician 20 years from now, given molecular biology's current pace of progress. By then scientists will have found exactly where common diseasecausing errors lie along the genome's long, interlocked chains of DNA. 10 That will have numerous practical consequences. Your genetic profile, recorded on a chip, will let doctors and their computerized diagnostic tools determine your exact level or risk for a particular disease. So you'll get customized prescriptions, created to ‘fit’ on the very first try without producing adverse reactions. And that's not all. The genetically based pharmacology of the future will offer you not only the usual well-known drugs like tranquilizers, antihistamines, analgesics and antibiotics, but also all kinds of new medicines for virtually every ailment and condition. These will range from mood and pleasure enhancers (legal or not) to new medications for diseases likely to be much more common in an aging population, like Alzheimer's, cardiovascular problems and cancer. Since in developed countries at least 20% of the population will be over 60, drug companies will turn from contraception to conception with the purpose to help older women have babies. As for aging men, they'll have at their disposal libido and sex-performance boosters compared to which Viagra will seem like baby aspirin. But when you take your gene card to the pharmacy in 2025, bring a credit card too. Made-to-fit drugs won't be cheap, so many of us will still have to keep to the old aspirin! Vocabulary check - match the underlined words from the text with their meanings. Which two are synonyms? 1 2 3 hangover listless current pace 4 5 adverse ailment 6 7 8 enhancer conception booster A present tempo B illness C something that improves / increases the quality, amount or strength of something D fusion of egg and sperm cell E feeling of illness after drinking too much alcohol F lacking energy and enthusiasm G bad, negative In paragraph 4, different kinds of drugs are mentioned. Do you know what they are used for? tranquilizers antihistamines analgesics antibiotics In pairs, take turns to define the following to each other: ANTIARTHRITICS ANTICONVULSANTS ANTIPYRETICS ANTISPASMODICS ANTIASTHMATICS ANTIDEPRESSANTS ANTIRHEUMATICS ANTICOAGULANTS ANTIEDEMICS ANTISEPTICS 11 II Put the following paragraphs about how people could be computerenhanced in the future into sequence: GETTING CHIPPED A Implant technology is progressing at high speed. In England, cybernetics experts are working on the next step. Implants that wirelessly connect the nerves of a body part to a PC are being tested on volunteers. In such cases the computer records the activity of the nervous system and stimulates the nerves to produce small movements and sensations; such an implant could eventually help a person suffering from paralysis to move parts of the body the brain can’t reach. B The operation to insert the chip is simple. An antiseptic swab, a local anesthetic, an injection and a Band-Aid – that’s all it takes. Once the skin heals, the chip is completely invisible, and you will hardly know it’s there. C An American family are the first volunteer test subjects for a new, implantable computer device called VeriChip. In a few months, if they get approval by the U.S. Food and Drug Administration, doctors will load a needle with a microchip containing a few kilobytes of silicon memory and a tiny radio transmitter and inject it under the skin of their left arms, where it will serve as a medical identification device. It sounds like science fiction. D In the next few years, it will be possible to add sensors to the chip that will read your vital signs – pulse, temperature, blood sugar and so on – and a satellite receiver that can track where you are. There is already great interest for such a device in Brazil, where kidnapping has become common, especially among the rich and powerful. VeriChip seems to be looking at a great future! E But VeriChip is real, and this family could be the first in a new generation of computer-enhanced human beings. They are particularly well suited to test VeriChip for use in medicine, because one of them suffers from allergies to antibiotics and another has undergone chemotherapy. If a patient with VeriChip is injured, an ER doctor can quickly access the victim’s medical background by scanning the chip, which could be a lifesaver. Now choose the correct answer: 1. The family have not had the VeriChip implanted yet because a) they are still having second thoughts about it. b) they are waiting for the FDA to approve it. c) the device has some imperfections which need to be corrected before implantation. 12 2. The actual procedure of implantation a) is very simple. b) is done under general anesthesia. c) will leave a scar on your arm. 3. The future development of implant technology will make it possible to a) restore damaged nerve tissue. b) connect human beings with PCs. c) cure paralysis. 4. People who will probably be most interested in having VeriChip implanted are a) people with serious medical conditions. b) those whose personal security is at a greater than average risk. c) both categories of people. 13