At the cardiologist’s

Cardiologist: What do you complain of?

Patient:My heart often troubles me.

C.:Of what character is the pain? Is your pain cutting or dull?

P.:I have a stitch pain in my heart.

C.:Do you have any difficulty in breathing?

P.:Yes, I do. I have breathlessness when ascending a staircase or walking quickly.

C.: What else troubles you?

P.:My temperature is not constant. It is rising by the evening. I often have a general malaise and get tired after some physical exertion.

C.:When did you notice these disturbances? When have the pains in your heart become constant?

P.:These disturbances appeared some years ago. My pains have become constant this year.

C.:What diseases did you suffer from in the past?

P.:In my childhood I often had quinsy but then my tonsils were removed. During some years ago I am ill with rheumatism.

C.:Do you have a pain in your joints?

P.:Yes, I do. My hands and legs become periodically swollen and painful.

C.:Were you treated at a hospital?

P.:Yes, I was. Last year I was hospitalized and treated at the hospital. My diagnosis was rheumatism.

C.:Did you have any improvement after the treatment in the hospital?

P.:Yes, I did. Last summer I was treated at the sanatorium too and I felt well.

C.:Now strip to the waist, please. I'll examine you.

(After examination)

C.:You are seriously ill. Your main disease is rheumatism and that's why you must periodically be treated at a hospital. But at present you have to make electrocardiogram and to come to me. I'll administer you the treatment for your heart. I advise you to avoid intensive physical exertion. You should not be tired. Your diet has to be nourishing and containing many vitamins but it is limit in salt. Walk in the fresh air as much as possible.

Ex. 24. Reproduce the similar dialogue.

Overview

The blood entering the right side of the heart returns from the tissues and has been deliv­ered by the veins. The receiving chamber is the right atrium. It pumps the oxygen-poor blood through the pulmonic valve into the lungs, where the blood gives up the carbon dioxide and is absorbing oxygen. The pump­ing action moves the blood from the lungs to the left atrium, which pumps the blood into the left ventricle. The left ventricle sends the oxygen-enriched blood into the aorta, which delivers the blood to the body's tissues, including the brain, organs, and extremities. The cardiac cycle is repetitive contraction and relaxation of the heart chambers. The normal cardiac cycle (0.7 to 0.8 second) depends on the capability of cardiac muscle to contract and on the functional integrity of the conducting system.

Lesson 33

REVISION

TEST

І. Insert missing words:

1. _ is an enlarged segment of the digestive tract in the left superior portion of the abdomen.

A. stomach

B. esophagus

C. kidney

2. Each person has a particular combination of _ in his/her blood.

A. tissues

B. substances

C. atria

3. Leukemia causes the formation of large amount of _ white blood cells.

A. effective

B. normal

C. abnormal

4. The heart is an inner hollow _ organ placed within the chest.

A. accessory

B. ventricular

C. muscular

5. The bones of the skull consist of _ and facial parts.

A. lumbar

B. thoracic

C. cranial

6. The patient with the signs of atherosclerosis must _ not less than 7-8 hours.

A. run

B. sleep

C. eat

7. The most important _ of chronic gastritis are alcohol, inadequate food, and a bad diet regimen.

A. manifestations

B. causes

C. symptoms