UNIVERSIDAD ANDINA DEL CUSCO

FACULTAD DE CIENCIAS DE LA SALUD

CARRERA PROFESIONAL DE MEDICINA
HUMANA

ASIGNACION 2

INGLES MEDICO

DOCENTE:
DIANA ARESTEGUI

ESTUDIANTES DE MEDICINA:

FERNNDEZ ACURIO MARA ALEJANDRA

HURTADO RIVEROS DANIEL
ORE CHUQUIMIA JANIA RUBI
TORRE ALAGON LADY CRISTINA
VALENZUELA FARFAN ARACELY

CUSCO PERU
2016-II
EJERCICIO N 1: CULTURE PROJECT

1.- Find a picture a-c to match each description of body

language
1) a :

The doctor is not sure about what he is saying.

2) a, b, c: The patient is not comfortabe or at ease.

3) a-c :
4) c :

The patient is angry.

The doctor is bored and unsympathetic.

5) b :

The doctor is showing interest and inviting.

6) a-b :

The patient doesnt understand what the doctor is saying.

7) c :

The doctor and patient arent communicating.

2.- In groups, discuss what the body language in wouls mean in

your own culture

The body Language body language have it all the persons in your home,
university , school , or friends ,they are facial expressions, hand
gestures, eye movements, body position, posture, foot movements, all

are expressing the signs, the signs of their internal states and
intentions, maybe we dont know what is are our body is really saying,
there are universal emotions that any human being can recognize like
happiness and sadness
However, body language is that interpersonal contact, which functions
as an honest signal of their inner state and intentions and complement
the messages they are trying to express.
In Medicine
The body language can express a problem more fast and accurate, also
in an emergency, if the patient can not speak have to look at their body
language to find the problem and take necessary measures

3.- Use the internet to find :

1.- Other field besides medicine where understanding nonverbal communication is important
Other field for the corporal language is the psicology, in which the body
applies language such as eye movements, hands movements to know
what could happening.
2.- what a patient centred approach in history taking means
It should be a good doctor-patient comunicacion, that is important to know
what can be happening or know what is the problem another point could be
say true information and the doctor must provide security.

3.- What the Calgary Cambridge method is

The calgary cambridge metod talk about effective consulation, explain
how to do a physical exam diagnosed. That involves steps to do a
correct proces
1)Preparation
2)Initiate consultation
3)Gather informacion
4)Fisic exam
5)Explanation
6)Close consulation

EJERCICIO N 2: DE LA LECTURA DEL ESTUDIO

DE CASO: CONSIDER THE CASE OF PATIENT
TAMAI:
Case Study: Consider the case of Patient Tamai

Shohei Tamai is a 57-year-old director of athletic programs at a

women's junior college in Shikoku. He has come to your office to seek
help because of recent changes in his health. For the past few months
Patient Tamai has been feeling tired, and more recently he seems to
become thirsty far more often, drinking colas, coffee and tea many
times during the work day, and lots of beer in the evening. He also tells
you he's been under a lot of pressure in his workplace lately, having to
work long hours five, six and sometimes seven days a week during
sports competitions involving his students at the junior college.
Mr. Tamai is really most concerned about the numbness in his legs
which often occurs during the middle of his work day. His blood
pressure is 155-95 mm Hg. and you have measured his BMI as 32. Mr.
Tamai's LDL is 176 mg/dl; HDL is 30 mg/dl. Additionally, Mr. Tamai tells
you that he is much more irritable lately, that he sometimes gets angry
with his students and family members with little or no provocation. Mr.
Tamai has no clear idea what causes his fatigue, anger or numbness.
But it seems clear that the preliminary data on this patient as well as
the patient's personal and family histories put him in some danger of
developing a serious heart condition. In talking with Mr. Tamai you have
learned that both his mother and father have died of heart disease.
Further, while Patient Tamai helps young people in their athletic
exercises, because he is the only man in the gymnasium he himself
does little or no exercise. In addition, he is a heavy smoker and he has
poor eating habits, preferring to consume fatty meats such as pork,
spare ribs, and steak as well as fried eel and fish. His grain intake
consists of mostly white rice of the Japanese variety. And when he has a
chance to eat breakfast, he prefers continental-style light fare,
croissants and coffee and sometimes one or two fried eggs.
How you can help: To advise Mr. Tamai you need to reconsider all the
factors that influence his case. So you should reread and take notes
from all the files in the Preventing Heart Disease Index. The files on
CVD Risk Factors and High Blood Pressure / Hypertension may be
helpful in detailing Patient Tamai's case. Mr. Tamai's LDL cholesterol
count is high, so Cholesterol, Diet and Heart Disease may also be a
helpful source of information.
EXERCISE: Since Mr. Tamai has asked you for advice, you will want to
consider at least these three points:
1) How can you best inform Mr. Tamai of his current risk factors
for heart disease. For example, what do you consider the most
important risk factor for Tamai to address? What risk factors
would be the second and third in importance for him to pay
attention to? And how are these risk factors interrelated?.

Dear Mr. Tamai , Risk factors are conditions or habits that make a
person more likely to develop a disease. They can also increase the
chances that an existing disease will get worse. Important risk factors
for heart disease that you can do something about are:
1.
2.
3.
4.
5.
6.
7.
8.
9.

High blood pressure

High blood cholesterol
Diabetes and prediabetes
Smoking
Being overweight or obese
Being physically inactive
Having a family history of early heart disease
Unhealthy diet
Age (55 or older for women)

Some risk factors, such as age and family history of early heart disease,
can't be changed. And all these risk factors will ruin eventually the
function of your heart

2) What course of action do you recommend Mr. Tamai take in

the longer term? And, again, what reasons will you give him for
changing his lifestyle habits?
Mr. Tamai no matter what your age, everyone can benefit from a
healthy diet and adequate physical activity.

Choose a healthy eating plan. The food you eat can decrease
your
risk
of
heart
disease
and
stroke.
Choose foods low in saturated fat, trans fat, and sodium. As part
of a healthy diet, eat plenty of fruits and vegetables, fiber-rich
whole grains, fish (preferably oily fish-at least twice per week),
nuts, legumes and seeds and try eating some meals without
meat. Select lower fat dairy products and poultry (skinless).
Limit sugar-sweetened beverages and red meat. If you choose to
eat
meat,
select
the
leanest
cuts
available.

Be physically active. You can slowly work up to at least 2 hours

(150 minutes) of moderate-intensity aerobic physical activity
(e.g., brisk walking) every week or 1 hour and 15 minutes (75
minutes) of vigorous intensity aerobic physical activity (e.g.,
jogging, running) or a combination of both every week

Do not smoke anymore because smoking helps remodeling the

arteries and blocks the antihypertensive treatment

Also you should know that the majority of cardiovascular disease (CVD)
is caused by risk factors that can be controlled, treated or modified,
such as high blood pressure, cholesterol, overweight/obesity, tobacco
use, lack of physical activity and diabetes. However, there are also some
major CVD risk factors that cannot be controlled like:

Age. Aging increases your risk of damaged and narrowed arteries

and weakened or thickened heart muscle.

Sex. Men are generally at greater risk of heart disease. However,

women's risk increases after menopause.

Family history. A family history of heart disease increases your

risk of coronary artery disease, especially if a parent developed it at
an early age (before age 55 for a male relative, such as your brother
or father, and 65 for a female relative, such as your mother or
sister).

But we will work in risk factors that can be controlled, treated or

modified , for the following reasons you should change your lifestyle
habits :

Smoking. Nicotine constricts your blood vessels, and carbon

monoxide can damage their inner lining, making them more
susceptible to atherosclerosis. Heart attacks are more common in
smokers than in nonsmokers.

Poor diet. A diet that's high in fat, salt, sugar and cholesterol can
contribute to the development of heart disease.

High blood pressure. Uncontrolled high blood pressure can

result in hardening and thickening of your arteries, narrowing the
vessels through which blood flows.

High blood cholesterol levels. High levels of cholesterol in your

blood can increase the risk of formation of plaques and
atherosclerosis.

Diabetes. Diabetes increases your risk of heart disease. Both

conditions share similar risk factors, such as obesity and high blood
pressure.

Obesity. Excess weight typically worsens other risk factors.

Physical inactivity. Lack of exercise also is associated with

many forms of heart disease and some of its other risk factors, as
well.

Stress. Unrelieved stress may damage your arteries and worsen

other risk factors for heart disease.

EJERCICIO N 3: ARTCULO
GINECO-OBSTETRICIA
INTRODUCTION
The medical specialty of gynecology and obstetrics comes from the
Greek era, era in which the physician Soranus, wrote the first treatise
on gynecology.
This specialty is dedicated to the prevention and comprehensive health
care of women in the different phases of life: adolescence, reproductive
and postmenopausal age, in addition to birth control and treatment of
diseases associated with t his and Worldwide is one of specialties with
greater scope and therefore the covering population

SUMMARY
Literally, gynecology means "science of women", however, when applied
to the practice of medicine, known as a medical and surgical specialty is
studying physiology, in addition to treating diseases of the reproductive
system it is external, internal and breasts of pregnant women
nongenital. Obstetrics, it comes from the Latin obstrare or obstetrics; Is
the medical specialty that deals with monitoring and care during
pregnancy, childbirth and the postpartum period, in addition to
understand the psychological aspects of motherhood. For practical
purposes both practices have combined to form a unique specialty that
deals with the treatment and comprehensive supervision of women of
childbearing age to postmenipausia

Obstetrics and Gynecology (in some countries called Gynecology and

Obstetrics, Gynecology and Obstetrics and Gynecology and Obstetrics)
is the medical specialty devoted to the fields of obstetrics and
gynecology through a unique education program. This makes training
professionals trained experts in the health care of the female
reproductive organs and management of obstetric complications, even
through surgery.

The training of doctors in this field is often very difficult: in Australia, for
example, the training period residence is one of the longest, which is six
years. This period is only comparable with neurosurgery and
maxillofacial surgery. In the United States, however, specialists in
Obstetrics and Gynecology require four years of education at an
accredited university, followed by four years of medical school and four
years of residency. In India, postgraduate training in obstetrics and
gynecology acquire the specialty after two years of study (DGO) or
three years (MD or MS). Some surgeons of Obstetrics and Gynecology
are chosen for training in the subspecialty known through scholarship
programs after completing their training in residence, although most
choose to enter private or academic practice in general and Obstetrics
and Gynecology. Training grants These can vary from one to four years,
and often have a research component involved in clinical and
operational training.

In Peru, the medical specialty of gynecology and obstetrics has a very

wide scope whose functions are mainly the comprehensive care of
women in the reproductive age, prevention, diagnosis and treatment of
sexually transmitted infections, unwanted pregnancies through the
promotion of family planning, and care of high-risk pregnancies, their
duties also include the period of childbirth, postpartum and menopause,
menopause and prevention of multiple related to the female
reproductive system diseases.
It is one of the specialties most widespread national labor demand and
higher level work. In Peru as in most Latin American countries, to
become obstetrician gynecologist, you must first be a surgeon and
applied to medical specialty whose duration is three years, at the end of
which the gynecologist title obstetrician is obtained and can just
exercise this function.

CONCLUSIONS:

Obstetrics gynecology is a medical and surgical specialty with a field of

action covers the entire productive age of women, not only is
responsible for the treatment of diseases but also prevention and health
pormocion across multiple specialties.
The gynecologists. Obstetricians should be a specialty with greater
recognition at national level because most of these professionals do not
have equipment or supplies needed to carry out their work more
efficiently.

CONCLUSIONS:

Obstetrics gynecology is a medical and surgical specialty with a field of action

covers the entire productive age of women, not only is responsible for the
treatment of diseases but also prevention and health pormocion across
multiple specialties.
The gynecologists. Obstetricians should be a specialty with greater recognition
at national level because most of these professionals do not have equipment
or supplies needed to carry out their work more efficiently.

CONCLUSIONES:

La gineco- obstetricia es una especialidad medica y quirrgica con un campo

de accin que abarca toda la edad productiva de la mujer, no solo se encarga
del tratamiento de patologas sino tambin del la prevencin y pormocion de la
salud a travs de multiples especialidades.
La gineco. Obstetricia deberia ser una especialidad con mayor reconocimiento
a nivel nacional debido a que la mayora de estos profesionales no cuentan con
equipamiento ni insumos necesarios para desarrollar su labor de manera mas
eficiente.