Choose the correct answer: 1. What disease may the onset of rheumatic endocarditis be preceded by?(a) It may be preceded by tonsillitis; b) It may be preceded by lung abscess.) 2. What examination can the enlargement of the heart be determined by? (a) It can be determined by percussion and X-ray examination; b) It can be determined by electrocardiogram.) 3. What must the diet of a patient with rheumatic endocarditis contain? (a) It must contain much salt; b) It must contain many vitamins.)
3. Translate into English 1. /moderate/ Умеренное повышение кровяного давления. Обнаружить умеренный лейкоцитоз. Очаги умеренной полости.
2. /readings/ Важные показания. Показания электрокардиограммы. На основании всех полученных показаний.
3. /slight/ Легкая простуда. Незначительное повышение температуры. Ни малейшего сомнения. Сердце незначительно увеличено.
4. /confirm/ Подтвердить предварительный диагноз. Что подтверждает ваше заключение? Наличие туберкулезных палочек было подтверждено анализом мокроты.
5. /insist/ Настаивать на постельном режиме. Вы настаиваете на этих условиях? Хирург настаивал, чтобы больного прооперировали немедленно.
4. Answer the questions. 1. What most characteristic clinical manifestations has rheumatic endocarditis?
2. What readings does the electrocardiogram show in case of rheumatic
endocarditis?
3. How can a therapeutist determine the enlargement of the heart?
4. How can systolic and diastolic heart murmurs be revealed in patients with
rheumatic endocarditis?
5. What regimen must a patient with rheumatic endocarditis follow?
5. Read and translate the text “The Treatment of Rheumatic Endocarditis”
The Treatment of Rheumatic Endocarditis
The patient with the diagnosis of rheumatic endocarditis was treated at the in-patient department. He was administered antibiotic therapy to eliminate the primary focus of infection. He was also administered Adonis preparations to control cardiovascular insufficiency. The preparations of Adonis were administered in the dosage of a tablespoonful three times a day. The patient took aspirin in the dosage of 1 gr four times a day.
The physician recommended the patient's diet to be nourishing and contraining many vitamins. But his diet had to be limited in salt. The patient was allowed only a limited amount of fluid.
The patient had been following the administered treatment for 45 days. By that time his condition had become much better.
Having been discharged from the hospital he had to come to the out-patient department for regular follow-up examinations. In spring and autumn he had to undergo aspirin and bicillin treatment to prevent the recurrence of the disease.