Revue "What's Up Doc" n°27 - Juillet Août 2016 In the sixth english corner, you will find a contribution dealing with internal medicine. We would like to remind that our aim is not to teach medicine but to familliarize readers with medical english as used by professionals and patients. Dans ce sixième coin anglais, vous trouverez une contribution concernant la médecine interne. Nous tenons à vous rappeler que notre objectif n'est pas d'enseigner la médecine, mais de familiariser les lecteurs avec l'anglais médical utilisé par les professionnels et les patients. (...) http://www.reseauprosante.fr/

1. IN THIS SIXTH ENGLISH CORNER, YOU WILL FIND A CONTRIBUTION DEALING
WITH INTERNAL MEDICINE. WE WOULD LIKE TO REMIND YOU THAT OUR
AIM IS NOT TO TEACH MEDICINE BUT TO FAMILIARIZE READERS WITH
MEDICAL ENGLISH AS USED BY PROFESSIONALS AND PATIENTS.
6N°
Internal
medicineJean-Pierre Charpy, Philip Bastable, Didier Carnet*
EXERCISE - FIND IN THE TEXT A WORD OR EXPRESSION (IN BOLD)
EQUIVALENT TO THE WORDS OR EXPRESSIONS BELOW:
1. Accident and
Emergency (GB)
2. Articulations
3. Attacks, crises
4. Carefully
5. Carrying a baby
6. Causes, starts off
7. Continuous, not sharp
pain
8. Diminished, reduced
9. Ease, alleviate
10. If not
11. In the abbreviated
form
12. Left
13. Malar rash
14. Motivated
15. Oedema
16. Persist
17. Radiate
18. Recommended
19. Renal function
20. Rigidity
21. Sensible, reasonable,
intelligent
22. Spontaneous
abortion
23. Strip to the waist
24. Thorax
25. To a foreign country
26. Zygomatic bones
1.AccidentandEmergency(GB)=A&E
2.Articulations=joints
3.Attacks,crises=flare-ups
4.Carefully=closely
5.Carryingababy=pregnant
6.Causes,startsoff=triggers
7.Continuous,notsharppain=dullache
8.Diminished,reduced=muffled
9.Ease,alleviate=providerelieffor
10.Ifnot=otherwise
11.Intheabbreviatedform=forshort
12.Left=gotoff
13.Malarrash=butterflyrash
14.Motivated=prompted
15.Oedema=swelling
16.Persist=last
17.Radiate=spread
18.Recommended=advisable
19.Renalfunction=kidneyfunction
20.Rigidity=stiffness
21.Sensible,reasonable,intelligent=wise
22.Spontaneousabortion=miscarriage
23.Striptothewaist=takeoffyourtop
things
24.Thorax=chest
25.Toaforeigncountry=abroad
26.Zygomaticbones=cheekbones
*
PROFESSEURS D’ANGLAIS MÉDICAL À L’UNIVERSITÉ DE DIJON
What’s Up Doc? 27 juillet-août 201632
ENGLISH
CORNER
Get more keywords and key expressions
on www.whatsupdoc-lemag.fr

2. A patient referred to the
internal medicine department…
Dr Wolf: Sit down, Ms Carter. So, you’ve been sent up
from the A&E Department. Could you tell me what
prompted your visit to the emergency department?
Rose Carter: Well, I’ve had this pain in my chest for the
last couple of days. I called the NHS 111 service and
they told me to come to the hospital.
Dr Wolf: I see – a wise decision –
Can you describe the pain for me?
Rose Carter: It’s like a dull ache and it’s there all the time.
And it’s difficult for me to breathe.
Dr Wolf: Does the pain spread at all – to your
shoulder or arm, for example.
Rose Carter: No, not at all – it’s just in my chest.
Dr Wolf:Tell me, Ms Carter, have you travelled
abroad recently?
Rose Carter: Well, in fact, yes – I’ve just come back
from a holiday in the Philippines – we had a lovely time.
Dr Wolf: And your problems started when you got back?
Rose Carter: Yes, that’s right.
Dr Wolf: Did you notice any swelling in your legs
when you got off the plane?
Rose Carter: No, nothing like that, but my face was
a bit red, especially my nose and cheekbones,
probably a bit of sunburn.
Dr Wolf: Tell me, do you ever have any pain or
stiffness in your joints, in your hands, for example?
Rose Carter: Well, now you mention it, yes,
my hands are a bit stiff in the morning.
Dr Wolf: And what about in cold weather, do your fingers
tend to become white or blue and then red and painful?
Rose Carter:Yes, they do. I thought it was just poor
circulation.
Dr Wolf: Right, Ms Carter, we’ll have to do some
more tests. I’ll send you down for a chest X-ray
in a few minutes, but first, I’d like to examine you.
Rose Carter: OK.
Dr Wolf: Well your vital signs are OK.There’s no
swelling or redness in your legs. Could you take
off your top things, I’d like to listen to your chest?
Rose Carter:Yes, of course.
Dr Wolf: Hmm – your heart sounds are a bit muffled;
there seems to be some liquid in your chest. I think
you’d better go down for your chest X-ray now and
we’ll do some blood tests.
Rose Carter: Oh dear – is it serious, Doctor?
Dr Wolf: I think you may have systemic lupus
erythematous, SLE, for short, but I’ll know
for sure when I’ve got the results of the tests.
(…)
Dr Wolf: Come in, Ms Carter; sit down.
Rose Carter:Thank you.
Dr Wolf: We have the results of the tests and it is indeed
lupus, I’m afraid. It’s an autoimmune disease and there
is no cure for the moment, but there are treatments
available that control the disease well and certain
recommendations that you need to follow.
Rose Carter: Oh dear – What do I have to do?
Dr Wolf:This illness mostly affects women between
20 and 40, and people with lupus experience flare-ups,
which may last for several weeks, and then disappear
for months or even years.You have to be very careful
with exposure to the sun because this often triggers
flare-ups.The rash that you had on your face after
your holiday was typical of lupus – it’s called a butterfly
rash. Hormones may also be a factor, so it would
be advisable to avoid taking the pill or change
to progestin-only contraception.
Rose Carter:What about the treatment?
Dr Wolf: We usually prescribe corticosteroids to
control inflammation if it becomes severe, and
hydroxychloroquine, which can provide relief for certain
symptoms. We’ll need to do some other tests too to
check your kidney function and to see if your nervous
system is affected. Just one more question. Are you
thinking of starting a family?
Rose Carter: Not yet, but we have spoken about it.
Is there a problem?
Dr Wolf: Well, it’s very strongly advised to make sure
the lupus is under control before you become pregnant,
because otherwise, there is a high risk of miscarriage.
But if you’re followed closely, there’s no reason why you
shouldn’t have children…
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