A. What are the patients symptoms and what is the doctor's diagnosis?

Dialogue 1

Nurse: Okay doctor, this is Janice Burns, aged 53. She collapsed at work and is complaining of pains in her chest. Her pulse is 70, BP 70 over 120.
Doctor: Janice, my name is Dr Smith, how are you feeling now?
Patient: Much better thank you doctor. I don't know why I collapsed, a lot of fuss over nothing I think. Can I go soon, I'm sure you've got much more serious cases to deal with.
Doctor: Janice, a collapse is always serious. How long have you been having chest pains?
Patient: Oh for a couple of months now.
Doctor: What were you doing when you collapsed?
Patient: I was walking up the stairs, the lift is broken.
Doctor: Okay Janice, I'd like to do some further tests. Nurse can you arrange an angiogram and treadmill exercise electrocardiograms. Janice I think you may have Angina, which is the furring up of the arteries, which is restricting your blood supply. Exercise often triggers an attack.
Patient: Am I going to have a heart attack doctor?
Doctor: I hope not, we'll do everything we can to prevent this.

Dialogue 2

Nurse: Doctor this is Craig Jones, he's just come in complaining of pains in his arm.
Doctor: What seems to be the problem Craig?
Patient: Ever since a rather rough game of rugby about three weeks ago, I've been getting strange zingy pains down my left arm, rather like an electric shock.
Doctor: Have you had sudden sharp pains from your shoulder to fingertips.
Patient: Yes, but it only lasts a very short time. My arm also feels numb and weak.
Doctor: It's very likely that during the match you damaged the bundle of nerves that runs down from your neck into your arm, known as the brachial plexus. Damage to the brachial plexus is quite common in contact sports, especially when there's a forced lateral deviation of the neck that stretches or pinches the nerves. We need to give you an x-ray to make sure it's nothing more serous, but it should clear up by itself. Nurse, can you take Craig to x-ray?

Dialogue 3

Nurse: Doctor, this is Ted Hughes, he has had a for the last 3 days.
Patient: Doctor I know, I should have seen my GP, but the pain is terrible and I'm worried it's something serious.
Doctor: Where exactly is the pain?
Patient: On the left side of my head, I can't bear bright lights and I have been vomiting.
Doctor: Have you been under any stress recently?
Patient: I\ve been very busy at work and haven't had enough sleep; I also haven't been eating regularly.
Doctor: I think you have a migraine, but we'll do a CT scan to rule out anything else. Nurse, can you arrange this. Assuming my diagnosis is correct, I'll give you a prescription for pain killers with an ingredient to help control the pain and nausea, you need to make an appointment at your health centre and talk to your GP about how to.

Glossary:
collapsed (lung)- zapadnięte (płuco)
deal with - zająć się
treadmill exercise - ćwiczenia na bieżni
furring up of the arteries - zwężenie arterii
restricting your blood supply - ograniczanie przepływu krwi
triggers - powodować
rough, sharp - ostry
zingy - ostry, nagły (ból)
bundle of nerves - kłębek nerwów
forced - zmuszony
lateral deviation - odchylenie boczne
can't bear - nie móc znieść
vomiting - torsje
CT scan - tomografia
prescription - recepta
nausea - nudności

B. Complete the sentences with a suitable word from the text.

1. I think this is a very serious ________ of asthma.
2. Whenever I breathe, I have terrible _________ pains.
3. In order to find out what's wrong with you, we'll have to do ________tests.
4. Angina is a _________ up of the arteries.
5. The thickening of the arteries is ___________ your blood supply.
6. If you suffer from asthma smoke can ______ an attack.
7. He suffered a massive heart ______ and died.
8. Ever since the chemotherapy, I have had strange _____ in my arms.
9. The child stuck his finger in the socket and suffered a minor _______ shock.
10. I keep getting _____ pains in my legs, it's agony.
11. The nerve has been pinched due to ________ deviation.
12. The _______ of nerves at the top of your arm has been damaged.
13. Persistent ____ aches are often a symptom of brain tumours.
14. Improvement in ____________ drugs have helped patients having chemotherapy avoid constant nausea.
15. The doctor gave me a leaflet on how to _______ my pain.

C. Medical collocations
Match as many words from each box to make correct phrases.

Box 1
chest, lung, liver, kidney, bone, arm, leg, heart

Box 2
pain, cancer, disease, attack, failure, transplant, infection, collapsed, broken

Key

A.
Dialogue 1: chest pains/angina
Dialogue 2: zingy pains in his arm/damaged brachial plexus
Dialogue 3: headaches and nausea/migraine

B.
1. case
2. chest
3. further
4. furring
5. restricting
6. trigger
7. attack
8. pains
9. electric
10. sharp
11. lateral
12. bundle
13. headaches
14. anti-sickness
15. manage

C.

chest
pain, infection

lung
cancer, disease, transplant, collapsed*

liver
cancer, disease, transplant

kidney
disease, failure, transplant, infection

bone
cancer, broken*

arm
pain, broken*

leg
pain, broken*

heart
disease, attack, failure, transplant


*word in second column is first e.g. broken bone and bone cancer