The blood analysis revealed serum bilirubin to be at the level of

8.9 mg%, the hemoglobin level was 11.6 g% and the white blood cell count 7,600 per cubic millimetre. Platelets averaged to 490,000 per cubic millimetre. Urinalysis revealed the presence of bile.

1. The biopsy of the liver performed on October 16th showed normal liver structure. There was mild pigmentation of Kupffer cells² and slight capillary bile stasis. Some inflammatory reaction in the portal tracts was noted, but no inflammatory or degenerative changes were observed in the hepatic cells.

The patient was discontinued chemotherapy with chlorpropamide and her diabetes was controlled by a diet containing 150 g of carbohydrates, 75 g of proteins and 80 g of fats and the administration of 80 units of insulin preparation daily.

Her symptoms having been relieved after a month’s treatment, the patient was discharged on November 14th. She complained of neither jaundice nor any other symptoms when she was seen for a follow-up examination three months later.

Notes

¹ chlorpropamide - хлорпропамид ( название препарата ) ² Kupffer ['k υ pfə] cells - купферовскиеклетки в печени

LESSON 47

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Revision

I. Повторите грамматические правила, лексический и текстовой материал, цикл VI (уроки 41-46).

II. Переведите следующие предложения и определите в них сложное подлежащее:

Jaundice is known to be present in the diseases of liver as well as in the diseases of the intrahepatic and extrahepatic ducts. 2. The characteristic clinical manifestations of gastric carcinoma are known to be epigastric pains, loss of weight, nausea and vomiting of blood. 3. Too hot food is supposed to contribute to the development of gastritis.

III. Найдите самостоятельный причастный оборот. Предложения переведите :

The amount of phosphorus being small in food, children may develop general health impairment. 2. The patient developed severe haemorrhage, it being caused by the perforating duodenal ulcer. 3. The patient having developed hepatitis, severe jaundice was clearly marked.

IV. Переведите следующие словосочетания:

Перемежающаяся лихорадка; 2) злокачественная опухоль; 3) страдать от длительного кровотечения; 4) произвести срочную хирургическую операцию; 5) сделать переливание крови и плазмы; 6) предположить диагноз язвы двенадцатиперстной кишки; 7) обнаружить нарушение пищеварения; 8) способствовать задержке стула; 9) жаловаться на раздражение кожи.

V. Распределите данные слова и словосочетания по колонкам:

Gastric ulcer; 2) serum transfusion; 3) continuous haemorrhage; 4) carcinoma; 5) anaemia; 6) intermittent fever; 7) prophylactic vaccination; 8) profuse external bleeding; 9) chemotherapy; 10) chronic gastritis; 11) dryness in the mouth; 12) acute cholecystitis; 13) parenteral injections; 14) severe nausea.

VI. Выберите симптомы, наиболее характерные для указанных заболеваний:

1. In acute cholecystitis the patient suffers from- (a) atrial fibrillation; ( б ) intense pains in the right hypochondrium and in the umbilical area; ( в ) slight pain and general epigastric discomfort.

2. In attacks of acute appendicitis the patient usually develops- (a) profuse external bleeding; ( б ) vomiting of blood; ( в ) sharp pains in the epigastrium, which soon become generalized in the abdomen.

3. Perforating ulcers are characterized by- (a) pain which is usually dull in character; ( б ) acute pain in the stomach; ( в ) sharp pain in the substernal area radiating down the arm.

4. The development of chronic gastritis is characterized by the appearance of- (a) the loss of appetite, pain and epigastric discomfort after meals; ( б ) nausea, vomiting accompanied by haemorrhage; ( в ) cold perspiration at night and intermittent fever.

VII. Приготовьте сообщения на указанные темы, используя опорные слова:

Chronic gastritis: separate; to be associated with; liver disease; the impairment; catarrhal condition; to cause; inadequate food; a bad diet regimen.

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