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Theme: Rheumatic Endocarditis

Lexics: Words and word combinations from the text


Grammar: Complex Object
Aim. 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
language (phonetic, orphographic peculiarities of terms)
b) to form students’ knowledge on using Infinitive
c) to develop students’ knowledge on morphological analysis of words
• practical component (operational component):
a) to form students’ skills on listening (auding), reading the text with a help and without help of dictionary
b) to form students’ skills on extracting necessary information from the text, summarizing and rendering it for
using un 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:


Students must know the imtortance of learning medical terms in English, as they will deal with making
diagnosis in clinical departments

Literature:
1. “English for students-stomatologists”, A.-2006.
2. “Essential English for medical students”, A.M. Maslova, Z.I. Winestein,
L.S. Plebeyskaya, M.-2003.
3. “Grammar in use” for intermediate students R. Murfhy, Cambridge University Press, 1994.
4. “Headway”, Elementary, Oxford University Press, 1995.
5. “Vocabulary in use”, Intermediate, Stuart Redman with Ellen Shaw, Cambridge University Press, 2001.
7. “Test your Professional English”, Alison Pohl, Series editor:Nick Brieder, 2003.

Tasks:
a) to teach students morphological analysis of words, paying attention to the Latin term – elements
b) to teach students for providing triunity program of medical education in KazNMU.
c) to develop students’ skills on monological speech on the given theme for making up a dialogue-
conversation by using new lexics and grammar for enlarging their lexics
d) to teach students to read the text with commenting and giving their opinion

Procedure of the lesson

Issues to be studied:
a) Medical terms of the text Rheumatic Endocarditis.
b) Words and word-combinations from the text.
c) Complex Object

Methods of teaching:
Verbal-graphic method, illustrative method, inductive method, method of integration (use of background
knowledge of the passed disciplines in English), roleplays, situational tasks, creative tasks, computer
technologies

Means of teaching:
visual aids, tables, schemes, cards, test tasks.
Presentation of grammar.
(look at the grammar references): Complex object may consist of a noun (pronoun) and an infinitive. This
grammar construction is translated into Russian as a subordinate clause with the conjunction.
Complex Object is a syntactic construction typical of modern English. It’s used as one member of the
sentence – an object. It’s called complex because it consists of two parts: a nominal part & verbal part.
Complex Object is translated into Russian by a) a subordinate object clause (явидел, как (что)) or b) a
construction with an infinitive.
1. Complete the sentences using complex object as in example.
E.G. “Bring me a book” said my brother to me.
My brother wanted me to bring him a book.
1.The teacher said to the pupils: “Learn the rule.”-The teacher wanted ….
2.The man said “My son will study mathematics.”-The man wanted….
3. “Waitfor me after university”, said Ann to me. Ann wanted….
4. “It will be very good if you study English”,said my mother to me.-My mother wanted…

2.Change the sentences as in example.


E.g. I expect that she will send me a letter.
I expect her to send me a letter.
I know that he is a great scientist.
I know him to be a great scientist.
• I know that my friend is a just man.
• I expect that he will understand your problem and help you to solve it.
• I didn’t expect that my brother would forget to send her flowers.
• We know that it is true.

Presentation of the lexics and the text.


III Pre-reading task.
New words:
Readily-легко
To present-представлять
Secondary-вторичный
1)audering the text “Acute Bacterial endocarditis”
2)answering the questions on the listening text.
• What may the causative agent of endocarditis be?
• What primary foci of infection may this disease have?
• What heart valves are usually affected in bacterial endocarditis?
• What is bacterial endocarditis sometimes accompanied by?

Work on active vocabulary.


Palpitation-
To feel palpitation.
Onset-
The onset of the disease, the onset of the inflammatory process,
the onset of vomiting, the onset developed suddenly.

To precede-
To precede the onset of the disease, lung abscess may be preceded by pneumonia.
Moderate-
A moderate increase, a moderate elevation of blood pressure, to reveal moderate leucocytosis:
Readings-
Important readings, the readings of electrocardiogram, to determine the readings.
Slight-
A slight cold, a slight attack of the disease, a slight increase, a slight elevation of temperature:
Confirm-
To confirm initial diagnosis: to be confirmed by the x-ray examination, the presence of tubercle bacilli, was
confirmed by the sputum analysis:
Murmur-
Diastolic murmur, a slight systolic murmur, to hear a murmur at the base of the heart.
Duration-
The duration of the treatment, the duration of the heart murmurs.

insist(on)
To insist on a bed regimen, to insist on prolonging the treatment: the surgeon insisted on the patient’s being
operated on immediately .

Text.
Rheumatic Endocarditis

The patient complained of general malaise, early fatigue exertion, cardiac discomfort and palpitation.
The physician found him to have been having an increase of body temperature to a subfebrile level for a
prolonged period of time. The patient stated that the onset of the disease had been preceded by tonsillitis. The
patient’s pulse rate had become irregular and accelerated on physical exertion.
The blood analysis revealed moderate leucocytosis and an elevated ESR. The electrocardiogram showed the
changes in the most important readings. On percussion the doctor determined the heart to be slightly enlarged.
These findings of the physical examination were confirmed by the X-ray examination.
While listening to the patient`s heart the doctor found a soft systolic murmur to be heart at the heart apex.
These symptoms were accompanied by diastole murmur heard at the apex and base of the heart. The doctor
estimated the murmurs to be varying in their intensity and duration. It was evidence of an inflammatory process
in the valves. The doctor determined the organic changes in the mitral, aortic and tricuspid valves to be clearly
marked.
The physician considered the patient to be ill with rheumatic endocarditis and insisted on his following a
strict bed regimen at the in-patient department.

Post reading tasks.


Translate these words and word-combinations;
early fatigue on exertion; cardiac discomfort; to be preseded by tonsillitis; to accelerated on physical exertion;
moderate leucocytosis elevated ESR changes in the readings; to be slightly enlarged; to confirm by the x-ray
examination; a soft systolic murmur inflammatory process in the valves. to follow a strict beg regimen;

I. Answering the questions on the text.

1) What did the patient complain of ?


2)What disease had preceded on the onset of the disease?
3) What were the results of physical examination.
4) What did the doctor hear on auscultation?
5) What did the doctor insist on?

II. Find sentences with Complex Object from the text and translate them.

III. Work on grammar


Connect these sentences using Complex Object.
E.g. I heard the professor. He was delivering a lecter.
I heard the professor deliver a lecture.

1). The students watched the physician. He was taking the patient's blood pressure.
2). The patient felt the pain. It was varying in its intensity and duration.
3). The cardiologist heard the heart murmurs. They were soft systolic.
4). The researcher saw the microorganisms.They multiplied very rapidly.

8.Translate the sentences.


1.I want you to read a book.
2.I would like my pupils to learn English.
3.I expect him to bring me a book.
4.Mother made me clean the room.
5.I saw him examine (examining) the patient.

Contact hour 5.
9. Read the words in transcription and write them:
[.pælpiteiЅn] –
[in’sist] –
[djuə’reiЅn] –
['moderit] –
['onset] –
['sΛb'fi:brail] –
['maitrәl] –
[ig'zə: Ѕ(ә)n] –
10.Read and translate the word - combinations from English into Russian:
general malaise, early fatigue, cardiac discomfort, body temperature, a subfebrile
level, the patient's pulse rate, the most important readings, a soft systolic murmur.
11.Match the words.
General pulse rate
Subfebrile level
Systolic valves
Tricuspid bed regimen
A strict murmur
Accelerated malaise

12. Match the verbs with the noun.


To be illthe pain
Insist on with rheumatic endocarditis
Complain ofa diet
Reveal diastole murmur
Recommend on following bed regimen

Contact hour 6
13.Make up a plan and retell the text.

Plan
1. The patient’s complaints.
2. The onset of the disease.
3. The results of physical examinations.
4. Auscultation of the heart.
5. Making a diagnosis.

14.Answer the questions


What did the patient complain of?
What disease was rheumatic endocarditis preceded by?
What most characteristic clinical manifestations does rheumatic endocarditis have?
What reading were there in blood analysis, the electrocardiogram and on percussion?
What regimen must a patient with rheumatic endocarditis follow?

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