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IV. Answer the questions

Acute Appendicitis

I. Read and translate the text

Acute appendicitis is known to occur in all age groups. Its incidence varies in different sex groups; it is more frequent in women from 20 to 40 years of age. Cases of appendicitis have been noted to occur even in infants and in very old age. Acute appendicitis is known to begin suddenly with sharp pain which is at first felt in epigastrium further becomes generalized in the abdomen.The pain becomes worse on deep breathing in and coughing, it does not radiate and is accompanied by nausea, retention of stools and gases.

The temperature is normal or subfebrile and there is moderate leucocytosis. The ESR is initially normal. With the development of the disease temperature elevation is observed ESR becomes increased.-The pulse is quick but it is found to be not more than 90-100 beats per minute. The tongue is coated and dry.

The attack of acute appendicitis is known to last for 3-4 days. Then the temperature returns to normal, abdominal pains decrease and only a moderate tenderness is felt in the right lower part of the abdomen on palpation.

Acute appendicitis is treated surgically. The operation is performed not under general but under local anaesthesia. The appendix is removed immediately to prevent its rupture which may result in peritonitis. Such forms of appendicitis as gangrenous and perforating are particularly dangerous to life. But sometimes even a mild form of appendicitis is likely to have a severe course and to result in perforation.

Vocabulary:

acute – острый:

appendicitis – аппендицит;

incidence – вероятность;

to occur – случаться:

epigastrium – надчревная область;

abdomen – брюшная полость;

retention – задержка;

rupture – разрыв;

tenderness – болезненность;

moderate – умеренный-

II. Find in the text English equivalents: вероятность изменяется, разные возрастные группы, пожилой возраст, острая боль, боль усиливается при глубоком вдохе и кашле; умеренный лейкоцитоз; язык обложен; лечится хирургически: местная анестезия; предотвратить разрыв; прободение.

III. Quote the sentences in which these words and word combinations are used in the text.

is known, its incidence, in epigastrium, accompanied by nausea, the tongue is coated, in the right lower part, dangerous to life, a sever course.

IV. Answer the questions

• How does incidence of the acute appendicitis vary in different sex groups?
• How long does the attack of acute appendicitis last?
• How is it treated?
• What are the symptoms of acute appendicitis?
• What anaesthesia is the operation performed under?
• Why is it necessary to remove the appendix immediately?
• What forms of appendicitis are dangerous to life?

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