GYNECQLOGIC PRACTICE AND APPROACH TO THE PATIENT Protas gyriabeg.qu at Delile cli La pel i I INTRODUCTION : paragraphs 1-2-3 - 4-5-6. 1). Find in the indicated paragraphs words meaning severe test (2)0%-leal, denounced fied bed making dirty () Sn making pure (2)Clzaa$ing. represent (9) accent. fet... detay ) alg causelto come out @) 4! parteners (4). ... bringing up (4) « Maateg .. wealthy (4) .. apple 2). True or false ? Justify. a. The first visit is important even for the physician as an individual. b. The study of religions is very important in medicine. c. Dyspareunia and urinary incontinence can be embarrassing but they are always reported to the physician. . The incidence of STD, sexual problems and pregnancy in teenagers has been controled by an efficient sexual education. e. Women trust their physicians about any de n related to their health.33 3. Grammar focus : Expressing excess. eg. The symptom might be too embarrassing to mention - The treatment may be too tiring for you to travel back and forth. Express ae ideas. of excess in the exercise below. Moye ACK pouk | Vight = 26 Ae pourrait a. She is very ill. She cannot see any visitors. elle at typ molode Aer Ae Qe dds da. Ak At Aten ihe. Jawwar lta sil. b - ihe soon oe the operation. We cannot say anything definite yet. Atan..ape, this -usshe dng Tate aust xh if iaikall ill ysl ie « Vout We tes ed iat inl St hae ving anct al ppt Vepetvaue ly. iat cate Tee core. i. Late. Calica G cod att trop Com plaaua” our met 4. Translate into French paragraph 4 ‘ Aur que jepu From a * to” must be assessed individualy”. ow Den, wtf it. “walle. tte "alts “eee a. wk. omtlle.. Dien deh. haefod duu Btsiled,-tlls pe dance, marin con farirtII. THE GYNECOLOGIC HISTORY : 2). Give the Pree equivalent Primary complaint a iif Cngubliteckground deta clones... 2auirmnemint tic: edanomnigue Synplons acl ~pesacfoules cackrishaputs deamenitnucch History of es na Review of past illness Ankéceclonth Tso oF radiation therapy .antééedent uct... acicdddeagi, in co reatth Glick. onan. status Clat..yclsting Drug inate dniliand miclicoux. Bleeding abnormalitie: Zmovyas ~ aie a ia ke 1 [edule AID efi. Tavebunter lew ePurine = Tundiioe artatre 2). Pronunciation Circle the words containing the sound [ai] then read loudly. menarche - Gaiety) - fhlebitid~ migraine -Giglyeerid®- seizure -Gerind~ 3). Translate into French the first paragraph From "Report begins ....... to " realization of her independance ".Ill. THE GYNECOLOGIC EXAMINATION 1. Read quickly throuth the text and pick out the names of the parts of the body mentioned then give their French equivalents. K jlo 2+ Find in the indicated paragraphs the equivalents of : auscultation cardiaque (2) Check eb. examen des aires ganglionnaires (2) - position couchée (3) Asis degré de maturation (3) ‘Dakin. bruits digestifs 4)... emda. dua . “a défense de ia paroi abdominale (4) te fis adic a irradiation abdominale de Ja sensibilité ge ata stendecoehh.. douleur provoquée a la détente brusque de la paroi ab sdominale apres palpation (4) ... "Re or 0EMA..... position gynécologique 6) Eien degré d’ouverture de lorifice dyer 5) nal: sil spor Le. reflexe de tressaillement (5) des augmentations de volume (8) Cala: pe un ramolissement (8) .s3 Gran. des signes précoces (8) .2Q1My. la tonicité pelvienne (8) ..eISiC....jb prolapsus utérin (8) .. Del Cainuus, ae vary Geen la face postérieure de I'utérus (9) .. eke. ef es. dM,3). Translating "should" ” Should = "devrais". C'est le cas le plus fréquent eg, Everybody should practise sport Tout le monde devrait faire du sport. Should = "dois" , "il faut que" et autres expressions equivalentes. eg. you should know. that we have spoken to him Il faut que vous sachiez que nous lui avons parlé. Translate into French £. You should tum down the radio. It's eleven. -Tut.ceulais nile. Fe faut bnuner Oo aslo Gar HPat mye Dawes - 4, Translate into French . Paragraphs 4and 5: From “Abdominal examination..." to "péritoneal irritation"39 MANAGEMENT OF NORMAL LABOUR ‘Tme or false ? Justify. £4 knew Hat labor - . a). Labor is known to be initiated by a stimulus from the posterior pituitary rob gland. he b), Normal labour mustn't exceed 2 weeks after the estimated date of delivery: Fal dadper...aabwuably.. tlh Casall nal.ae io wy ke (oorg Se ( pag 3) @). A physical examination is optional upon admission of the patient to & 7 Fake pagy)L hospital. ne oud Mail tbe peed acane. he. tek e). A Sein examination is mandatory upon admission. Poe Mie po: ‘funn f), An enema is thought to stimulate labour. ; Cavemonr Ce g). Shaving vulvar hair is recommended. False, is iccitndang 00d, Mf Laci feseb te o / h). An LV. infusion of Ringer's solution is usually sugted upon admission of / alse the patient to the labour ward. Nay acted i). Fluid preloading is necessary in case of epidural anesthesia. True . hen. anatbheakio. do bt. saben. t jh In the second stage of labor both the mother and the foetus must be watched ' Vow closely = attuntivemantoA D. The pen to facilitate delivery. Faby 2). Find in the indicated paragraph the equivalents of : Des pertes sanguinolantes (2) .. lanai... Shaw Déclenchement du travail (2)... Q.asel.. id. baler. Fréquence cardiaque (4)... esa... Juade.. NFS (4) ... RG. .. Engagement (5) Occipito iliaque gauche antérieure (5) Sacro iliaque droit postérieur (5) ...../ Epines sciatiques (5) ... _wavchial.... ps re Salle de travail (8) Jae. lalooc.Suili. Un lavement 6. a Un catheter de gros calibre (@) ....0..LacRe.- boone... iach Remplissage liquidien préalable (Q Ela, pis. loe Anesthésie péridurale ®) ... ep cco aoolgehia.. Le petit bassin (9). Qed PEW cnr Des ventouses obstétricales (AQ)... ee vextoan tor. - dens:4 3). Grammar focus : Expressing impersonal recommandations Should be + past participle eg. A urine specimen should be collected. A physical examination should be performed. Use the same structure to make the following recommandations more impersonal. a). To avois! mistaking amoebic colitis for ulcerative colitis you should obtain the complement fixation test (CFT) results in patients in whom such gdh roar. Pande... tub.Ccex i orbs ides 3a. tant Ad. ihe such. diagasiis confedtn Site confirms the presence of shigellae, then the doctors should diagnostic confusion is likely consider antibiotic therapy ©). Doctors should consider amoebiasis during the initial evaluation of patients Amecdaanis...Abiauldl be. coveted. acing. Jealiad... wtila huatrnns. of. prlinb...wlittr. clic. eben een a). The doctor should note any abnormal hair texture or distribution. Abner mad...awe..bex luce..oc.Aestelackoblmalel le. —tnaders. e). The physician should systematically probe each quadrant of the abdomen with chronic diarrhea. for masses and tenderness. oneal quustectteustlfe tht. aledoman. Neu le. ySlana aly oie pork fi at08. A Hrastecoed .4), Pronunciation : Write in full letters. Tra dea wehnsuh... bell Blood. predic, a), An IV solution .. b). BP should be checke ©). Bvery q3 mn... Jeu. 4). The drug is given IV, pal or SC. 10h e). 0.01 mg/ Kg... Aetna ).81/2hin aaa LUD + Dnt wu levine BW Ce 5). Translate into French paragraph 4: lth . frequency should also be recorded”. ‘dont tentacle EC La ER, La sai. Gib pint task Sad abhente J secon: coven ere cu aD wattle Di udrtie tf Aetlat. Jucduere se sci (nan KJES..utd. Ae cnet idee lyase eromnsas..abalannil Mfr ad bllte to dha pei bitanth cle sca. fects nena Ad.. ak Cif44 MANAGEMENT OF NORMAL DELIVERY 1). Find in the indicated paragraphs thel@quivalents of saceeucbamant salle de-réveil (1) .... anesthésie du nerf onto Q. épine sciatique (2) .. rachianesthésie (3) .. Sina. ‘Ono Miena. accouchement en présentation de sidge at hauteur de la téte (5) .. Bilan, = a bosse occipitale (7) . cocci tod une couveuse (8) .... arms décottement du placenta (9).. effusion de sang (9) tune créche (10)... lectueny 2), Find in the indicated paragraphs words meaning : Covered () clinpect. consists in fouled urns @) ,Awings. area @)-patiuldi... ordinary (8) (BLM push down ahaa tence effort (5) . ean ta p opening ©) 4.04 A... prevents opel effort (6) Abainin\ ae 4. nb. become longer (7) «. . operation(7 laceration (7) aac. fight a stretched (9) "atin rE Gina nu) systematically (9) .45 3). True or false ? Correct the false statements. a). Pudendal block consists in anesthetizing the vulva. b). Paracervical anesthesia is sometimes accompanied with fetal bradycardia. i d). The patient is asked to bear down in order that more and more of the head will appear. {). Froceps are nut used in case of complications. c ‘ociated with an excessive stretching and tearing of the 8). Episiotomy is ass perineal tissues. h). The mediolateral episiotomy heals more rapidly than the middline episiotomy. i). After delivery of the head the umbilical cord is double-clamped and cut between the clamps. Four hours after delivery begins the 4th stage of labour.4). Pronunciation Read loudly Vagina - ischial spine - perineum - vulva - nitrous oxide - introitus - primipara - perineal - brow - syringe - resuscitation - bassinet - uterine fundus - umbilical - taut - hemorrhage. Translate into English. Accouchementadomicile Heme ele L'accouchement & domicile a été défendu par certains, mais il est peu conseillé en raison de la fréquence non négligeable de survenue de complications inattendues pendant Ie travail et l'accouchement, tel qu'un décollement brutal du placenta (séparation prématurée), une souffrance foetale pendant le travail, une grossesse multiple inattendue, ou des complications imprévues du postpartum telle qu'une dépression néonatale ou des malformations ou une hémorragie maternelle. Les hépitaux répondent actuellement aux désirs des patientes en leur proposant des salles de naissance aménagées et en réduisant les formatilés et les réglements rigides, mais en maintenant a disposition un équipement d'intervention et un personnel compétent. emer } nn Adbaugl. hans shy ii ase soma, 2b i ~ {he ee Antichunte...of ned perce Lrmslucotioor ducteg.2). Answer the questions as briefly as possible. a). What's the difference between missed abortion and the dead fetus syndrome ? tee week of bir Gweekes [Mindi 2 b). What are the dangers of the dead fetus syndrome ? e). In septic abortion what are anuria, anemia, jaundice, and thrombocytopenia typical of ? 3). Complet the table about treatment of the different types of abortion. bil at anaunannf $l ihe Threatened abortion Inevitable abortion Incomplete abortion : jevan.. a decunden. ti ftir antes Missed abortion : Septic abortion Late spontaneous abortion :49 4), Give the French equivalent of : preterm birth .aWioaG., tema mis scarriage CU be. sae incompetent cervix Hanteachuiel. tacerated cervix ..Dech?cuse..chu wrk. pyr impaired corpus luteum function ....LiaSuj : een pets. facil if. - Deets. sejigcpaeeel orton piled a _apebiba a vasomotor collapse Cola fas amitulpire wfectole/ auerfonuiit ; 5). Grammar foes tot | monet Expressing sufficiency: .... eg. The size of the fetus makes it difficult to dilate the cervix enough to pass the fetus. Guilt feeling associated with abortion immediately after intercourse may be great enough to warrant abstention early / late abortion threatened abortion missed abortion. Lack of sufficiency is expressed by ....... not .. Express the same ideas of sufficiency or lack of enough + to... sufficiericy in the exercise below. a). The patient is sulficiently, well to be digenarged Fiend. .uell.2AimiQle-L0.tt. slisclaarped.. b). The apts is too unrepresentative {0 suit our purposes. is, Sniuph.da Suil..fluh. perp. ¢). i sure you're sufficiently iS to do as 1 advise. owe 00. SUL... 41 08.. coe eesugh..to,so AL. ackuise. @)..The organism & sufficiently large to be seen with the naked OLRM uh ae neg ti bite Meee. ba Hla. aked age 5 €). You acted too slowly to prevent a rena of the problem feu. cht... Ock... coped, LURE o.t.a. Recucteate. ef He 0.9 operated See a tos pie the pati ugh boi Tae sgt eal bang. Tre hour. fadion h.clicdade. 5). i think jhe 's manor experienced to handle itl alon Radetich soar bara ads Be Landh Ads abo. 1). He's tog young apply for that pos! ie Ot aA eeataeh te. appl. for that fei. De eficieney The potiant Ao to Ged tole discharges “Leo + adj pte Sofficiney The potant sn well anngh tole di charges! sy 4 nough +tTi, ECTOPIC PREGNANCY D. Read through the text quickly then say whether the following statements are true or false. a). E.P. occurs in about 0.5 - 1% of all pregnancies. | B). 10 to 25% who have already had an E.P. are likely to develop it in a subsequent pregnancy. | 0. E.P. is fatal if untreated 1 4). Uterine bleeding is frequently accompanied by an increase in HCG tevels. [= ©). A tender mass in one adnexum is typical of E.P. [= f. The cul de sac is sometimes swollen in EP TT ®. An empty uterus added to a mass in he adnextim are diagnostic of EP. h). Cramping and spotting may be present in cornual pregnancies. | 2). Give the Freitch equivalent’ Betopie pregnaney nen. BEd sen sn Spotting and cramping ....L2cln. ob Aan stack ohh. couleurs The first missed menstrual period ..e4n.0e)..cleA Aaglis. Qewate.. Did I say "no" ? I should have said "yes" ‘This structure is also commonly used to criticise actions with past reference . Example : It was wrong of you to get out of bed so soon. -—> You should have stayed inbed or ~--> Yous shouldn't have got out of bed so soon.. Now use should have or shouldn't have to express corrections and criticisms. a). you were wrong not to tell me that you had scabies.) sonanclg voli din i er acl, soli ( A wale eueets me Ste gut aunth Ol god suybbinulel, ite ABO ahaa SRG I - autor SO mm om immactuosemant 4 icone °. bd wing of you not EE pa fide effects of the fis. Alou. lscwe...canisterech. vx ats ne cs satel Myr andh di prinste gn uikidirake ba, aden! inde d). it was wrong of you to stop taking the medication. oe MlysuQio.E. bavin tapes. tak lng. oe Mauna pad SOL orreter e). a mw not right of the doctor to cause the patient such anxiety. he.utectend...casralda.. sah Cadled.. Has gaart Juels anil E madre. m laure pod dh ndre fh pobek aulth anaes - Pros he a Deak up L aha T held ¥ Maat eee omeHw o-expet pele Translate into English using "Should have" a). Tu aurais dd Je savoir a Aleta le, luawe... kamu, Hak b), Nous n’aurions pas da partir Mle... Should ©. Lnewe.. ane c). Anne aurait da téléphoner dwn Dbgrsded. hetibes. plats | Calls 4). Faurai da éerre a steve la semaine demidre .shutrabel saue..tT bate Gteve fort week: e). Elle n’aurait jamais do l'épouser “Dh. ‘Danals neuer. ae agartice Lim. D. Ils auraient diy penser They cuenta luna thegi ai *b] aleut ‘6 « g). Je n’aurais pas dd essayer de réparer la radio T.shnulda! thawte eid tafe Ha Sadia. 2. Expressing preference "...... would rather ... Notice hive Mrs Adams expresses a preference for having the baby at another hospital. Mrs Adams : “I'd rather have it at the Central clinic ........" « The conjunction than is used when drawing attention to the rejected alternative, as in the second part of this example I'd rather have it at the Central clinic than at the northern hospital. Crprusn ag pi . Notice this form also : can [ go back to work right away ? (wait a month or so) = iT ----> I'd rather you waited a month or so. Now use would/'d rather to express preferences for yourself or others. a). Tl try to cut down on my drinking (cut it out altogether) Bulagt ¢ 1/ Preferenu saa Ta asa gb (te ov ) Ti hs Persad pronoun ye T's hal ur a Ve 7 n ow Ts 1A ty vase af Preferenee fer * ees sr hy are et Y\BUT69 «3. 1s it all vight to send my son to schoo! ? (keep bim at home for a few days) Tl ). ls my weight okay as it is ? (reduce it). he whet \ 1 Aah. AE =f 0 seni Translate into Enyiish using "would rather". : a). Je préférerais rentrer wal. to! vader og Wace by amersie cur on vere dens! dads. hawk..0.Qlans of wake c). Est-ce que tu préféres rester 1a ou aller ailleurs ? 9 ral Af Sua dha. Mow. lacs. & domewhere he! €). jlaimerais mieux rester 18. Dabur Mau bette ©). "Une bitre 2" "je préfererais un coca f , her iON... 2o Ri ce que tu préféres voir un film ou aller au théatre, ce soir ? rll... Sadar b..0..c0nmic..or..90 ta the. Kunde onight ? g). Qu’est ce que tu aimerais mieux faire ? h). je prendrai plutot fa robe bleue Lid. haku. Bowe. delve Srods. AS eMac be Jnoyppynton veal }). Je préérerais que vous veniez vous-mémes Tan iodtses Caf le | utah l). “Est-ce que je peux fumer 2° “Vaimerais autant que vous ne le fassiez ' Dodlaurye. idole. i), Je préfere le bonheur a la richesse pas (ag... Snnithe.. 2... ryouininel 2 T Soke 9 ole Jicb Wu well71 Language study B 1, Seeking agreement and giving reasons . |, seeing that wenn." Notice how Mrs Adams asks for the doctor's agreement and gives reasons for her request I wonder if I might ask you to help me, (seeking agreement) Seeing that 'm probably pregnant. (giving, reasons) Now follow this example to ask for agreement and give reasons in the exercise below. example : You take a few days off work/ your wife needs you at home. ~--> [ wonder if you might take a few days off work, seeing that your wife needs you at home. a or Seeing that your wife needs you at home, | wonder if you might take a few days off work. a). You ask your husband to see me/ he's so opposed to your having the baby. Downer nicf apn. cape cal... you. laatt bru te See. 006. “ial ee Loo bahit. Spica at Lata othe tah b), Your biood pressures alittle high/ you try to take things easier a the office, operon. Moa. peeSSo.0e Aol nbsg ie one 2 ania we trctake.. Hage easier at Ha offic ©). You take this film along to the lab / you're going that way . seth. lab d). We have failed to control his BP with simple measures/ we do an IVP. osu Adel vaue. uch AP ul ihe Ni imple Zwinder. sa aue..caig VP. TvP= Andravenos Rye - rome