Unit 3 Student Handoutrev
Unit 3 Student Handoutrev
Unit 3 Student Handoutrev
3
UNIT 3: THE MEDICAL EXAMINATION
LEARNING OBJECTIVES
VOCABULARY
Medical check-up, Temperature, Blood, Pressure, Degrees, Celsius, Patient,
Armpit, Measurement, Systolic, Diastolic
GRAMMAR
Polite request and useful questions
SUMMARY
In this unit you learn how to talk about some medical examinations. You also
learn the importance of family in health and role play a dialogue at the doctor’s
office.
PREPARATION TASK
https://www.uofmhealth.org/health-library/hw198785
DISCUSSION
B.-Read this text about the Medical Examination and answer the questions that
follow.
Physical examination is the process of evaluating objective anatomic findings using
observation, palpation, percussion, and auscultation. The information obtained must be
thoughtfully integrated with the patient's history and pathophysiology. Moreover, it is a
unique situation in which both patient and physician understand that the interaction is
intended to be diagnostic and therapeutic. The physical examination, thoughtfully
performed, should capture 20% of the data necessary for patient diagnosis and
management.
The Context
Information pertinent to the physical examination can be learned from observation of
speech, gestures, habits, gait, and manipulation of features and extremities.
Interactions with relatives and staff are often revealing.
The Materials
⮚ The single most useful device for optimal performance of the physical
examination is an inquisitive and sensitive mind.
⮚ Next most useful is mastery of the techniques of observation, palpation, percussion, and
auscultation.
The Examination
The clinically significant physical examination is a flexible entity that should vary with
the needs of the patient. Periodic examinations for health assessment need to be
comprehensive, as do most hospital admission examinations.
Answer the following questions
The methods used to perform a medical examination are observation, palpation, percussion, and
auscultation.
2. What is the purpose of the medical examination?
The purpose of the medical examination is to obtain objective anatomic findings that can be
integrated with the patient's history and pathophysiology in order to aid in diagnosis and
management.
3. Where do medical examinations take place?
Why is it important to show respect? physical examinations can take place in a variety of settings,
including the hospital room, office, and other settings where privacy and quiet may be difficult to
establish. It states that it is important to show respect because the interaction is intended to be
diagnostic and therapeutic, and the patient should feel comfortable and at ease.
4. What do you think about the four recommendations in order to perform a
medical examination?
The four recommendations from the text for performing a medical examination
are:
1. If the blood pressure is 134/78, what is the figure for systolic blood pressure?
2. Using the chart above, what is the correct blood pressure for an average 40
year old?
3. Using the chart above, what is the blood pressure of a newborn baby?
1. Medical check-up
2. Temperature
3. Blood
4. Pressure
5. Degrees
6. Celsius
7. Patient
8. Armpit
9. Measurement
10. Systolic
11. Diastolic
DISCUSSION
PRONUNCIATION
When you go for a medical checkup, the doctor will ask you to do certain things,
like open your mouth or breathe deeply. He will ask you to do these things in a
polite way, so he will probably say: Could you breathe deeply?
USEFUL QUESTIONS
We use questions in the present tense How many units of alcohol do you
to ask about habits or conditions. consume
per week?
How many cigarettes do you smoke a
day?
Do you have any allergies?
Are you allergic to any medicine?
Is there any history of high blood
pressure in
your family?
We use questions in the present Have you ever smoked?
perfect to ask about history of previous Have you ever had high blood
habits and pressure?
conditions.
CONTROLLED PRACTICE: AT THE
DOCTOR’S
DOCTOR DEB: I need to examine your first. Would you mind putting this in your mouth?
BOB: What is it?
DOCTOR DEB: it’s a thermometer. It is used to measure your temperature. Could
you please say Ahhh
BOB: Aaaaaahhhhhh
DOCTOR DEB: It says you have a temperature of 37 degrees Celsius. Now I need
to measure your blood pressure. Could you put this around your arm and relax
your hand.
BOB: Ok
DOCTOR DEB: Let’s see. Your blood pressure is
140 over 92 BOB: Is that ok? Or it is high?
DOCTOR DEB: It’s a bit high for your age. How many units of alcohol do you
consume per week?
BOB: Just a couple of glasses of wine.
TASK: FAMILY
HISTORY AND BACKGROUND
CHECK
1 2 3 4 5
VOCABULARY
Use the keywords to fill in the blanks
2. anemia
3. coeliac disease
4. color blindness
3) Who records your family history for the first time in your life?
4) Classify the questions you may be asked about family history into the
following categories
1.
Adaptado de Shu-Chuan Liang, Adrian Maskery