Дополните диалог: Professor: What is against the pernicious anaemia on physical 1_______ Student: Th...: ответ на тест 933109 - Английский язык

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Professor: What is against the pernicious anaemia on physical 1_______?
Student: The problem 2_______ quite suddenly. So it didn’t have the typical insidious onset. He doesn’t have any skin pallor and he doesn’t have symmetrical, or absent vibration sense, and I couldn’t feel his spleen.
Professor: What about his 3_______?
Student: His tongue was 4_______ and not inflamed or sore.

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Professor: What’s the most likely 1_______ in this case?
Student: Most probably carcinoma of the bowel with 2_______ blood loss.
Professor: What’s against that as a diagnosis?
Student: Well, we hasn’t had any change in this bowel habit, or lost weight.
Professor: What else will you include in the differential diagnosis of severe anaemia in a man of this age?
Student: He might have leukaemia of some sort, or aplastic anaemia, but that’s rare – it would be very unusual. Another cause is iron deficiency, but he seems to have an adequate 3_______.
Professor: OK. There’s another cause of anaemia which I think is more likely.
Student: Chronic bleeding ulcer?
Professor: Yes, that’s right. But what about pernicious anaemia? Can you exclude that?
Student: Well, he’s got none of the typical neurological 4_______, like paraesthesiae.

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Doctor: What seems to be the problem?
Patient: I’ve been getting 1_______.
Doctor: 2_______ have you had them?
Patient: For about six months. But I’ve had 3_______ for years, with tiredness and shortness of breath. In the end I couldn’t walk more than a hundred metres without having to stop. I had to sleep on three pillows. I had a mitral valve 4_______ three years ago, and that improved for a while.

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Doctor: How long have you had the 1_______?
Mr Hamilton: Oh, for years.
Doctor: Do you smoke?
Mr Hamilton: I used to smoke heavily, but I gave up a year ago.
Doctor: Do you cough any 2_______?
Mr Hamilton: Yes.
Doctor: What colour is it?
Mr Hamilton: Usually yellow.
Doctor: Have you ever noticed any 3_______ in it?
Mr Hamilton: No.
Doctor: Any problems with your breathing?
Mr Hamilton: Yes, I get very short of breath. I have 4_______ halfway up the stairs to get my breath back.

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Doctor: Are you having any 1_______ with your waterworks?
Mr Jones: Well, I do seem to have to go to the toilet more often than I used to.
Doctor: How often is that?
Mr Jones: It depends, but sometimes it’s every hour or even more often.
Doctor: What about at night? Do you have to get up at night?
Mr Jones: Yes. Nearly always two or three times.
Doctor: Do you get any burning or 2_______ when you pass water?
Mr Jones: No, not usually.
Doctor: Do you have any trouble getting started?
Mr Jones: No.
Doctor: Is the stream 3_______? I mean is there still a good strong flow?
Mr Jones: Perhaps not quite so good as it used to be.
Doctor: Do you ever lose control of your bladder? Any leaking or dribbling?
Mr Jones: Well, perhaps a little dribbling from time to time.
Doctor: Have you ever passed blood in the 4_______?
Mr Jones: No, never.

Дополните диалог:
Professor: What’s the most likely 1_______ in this case?
Student: Most probably carcinoma of the bowel with 2_______ blood loss.
Professor: What’s against that as a diagnosis?
Student: Well, we hasn’t had any change in this bowel habit, or lost weight.
Professor: What else will you include in the differential diagnosis of severe anaemia in a man of this age?
Student: He might have leukaemia of some sort, or aplastic anaemia, but that’s rare – it would be very unusual. Another cause is iron deficiency, but he seems to have an adequate 3_______.
Professor: OK. There’s another cause of anaemia which I think is more likely.
Student: Chronic bleeding ulcer?
Professor: Yes, that’s right. But what about pernicious anaemia? Can you exclude that?
Student: Well, he’s got none of the typical neurological 4_______, like paraesthesiae.