236 2021 u5 lab tests LIS

UNIT – LISTENING & SPEAKING (2 hours) ENGLISH IN MEDICINE – GENERAL PRACTITIONER Y2 LAB TESTS Presenter: Nguyen Hoang Quynh Mai Editor: Nguyen Hoang Quynh Mai Email: 1004quynhmai@gmail.com PRONUNCIATION EXERCISES LISTENING EXERCISES SPEAKING ACTIVITIES PRONUNCIATION EXERCISES laboratory diagnostic analysis analytic sample specimen consequence discriminate interpret influence management criteria initial differential metabolic electrolyte ultrasound urinalysis culture tourniquet plaster fracture anemia angiogram endoscope amniocentesis manifestation sputum PRONUNCIATION EXERCISES The laboratory plays a central role in health care How critical is the laboratory? By one estimate, 70% of all medical decisions are based on laboratory results, although laboratory costs account for only 2.3% of total health care dollars The purpose of the laboratory is to provide physicians and other health care professionals with information to detect disease or predisposition to disease; confirm or reject a diagnosis; establish prognosis; guide patient management; and monitor efficacy of therapy The laboratory also plays a leading role in education and research, information technology design and implementation, and quality improvement 1 PRONUNCIATION EXERCISES The clinical laboratory exposes staff, and potentially the public, to a variety of hazards, including infectious patients, infectious patient specimens, and potentially hazardous chemicals and equipment Exposure occurs from ingestion, inoculation, tactile contamination, or inhalation of infectious material from patients or their body fluids/tissues, supplies or materials they have been in contact with or contaminated needles, or by aerosol dispersion The potential also exists for inadvertent exposure to the public through direct contact with aerosolized infectious materials, improperly processed blood products, and inappropriately disposed of waste products 1 PRONUNCIATION EXERCISES This is a complex operation that must smoothly integrate all three phases of the testing process: preanalysis, analysis, and postanalysis Preanalysis refers to all the activities that take place before testing, such as test ordering and sample collection The analysis stage consists of the laboratory activities that actually produce a result, such as running a sample on an automated analyzer Postanalysis comprises patient reporting and result interpretation A laboratorybased diagnostic algorithm can assist with medical decision making and reduce test utilization With this approach, a physician requests the laboratory to perform a diagnostic workup (e.g., liver function evaluation) instead of ordering specific tests 2 LISTENING EXERCISES VIDEO: https://www.youtube.com/watch?v=D8ixnaY5XuQ&t=2638s Listen to the audio twice and try to fill in the blanks 2 LISTENING EXERCISES AUDIO AT 36:00 [1/4] Now I’m going to take some fluid (1) _ to find out what’s giving you (2) A nurse will help me It’s wont take very long Now I want you to move (3) That’s it Right Lie on your left side Right Now can you (4) up as far as they will go? That’s great I will just put a pillow between your knees to (5) There you go Put (6) right down to meet your knees Curl up Now I’m going to (7) _ with some antiseptic You will feel it a bit cold, I’m afraid Now I’m going to give you a local anesthetic so it (8) You will feel just a slight jab, okay? There We will wait for (9) _ for that to take effect Right now, lie still, that’s very important 2 LISTENING EXERCISES [1/4] Now I’m going to take some fluid (1) off your back to find out what’s giving you (2) these headaches Nurse will help me It’s wont take very long Now I want you to move (3) right to the edge of the bed That’s it Right Lie on your left side Right Now can you (4) bend both your knees up as far as they will go? That’s great I will just put a pillow between your knees to (5) keep you comfortable There you go Put (6) your head right down to meet your knees Curl up Now I’m going to (7) wipe your back with some antiseptic You will feel it a bit cold, I’m afraid Now I’m going to give you a local anesthetic so it (8) won’t be sore You will feel just a slight Jab, OK? There We will wait for (9) a few minutes for that to take effect Right now, lie still, that’s very important 2 LISTENING EXERCISES LUMBAR PUNCTURE LISTENING EXERCISES AUDIO AT 37:17 [2/4] Your pulse is (1) I’m not quite certain why this is but I think we will have to get a tracing (2) I want you to strip down to the waist and also take off (3) _ First of all, this is a completely (4) _ Are you quite comfortable? It’s better if you are (5) _ possible before I start to take the cardiograph It only takes a few minutes to (6) _ but it takes a bit longer to get you wired up I’m just putting some cream on your (7) _ That’s everything ready Now just relax as much as you can 2 LISTENING EXERCISES [2/4] Your pulse is (1) a bit irregular I’m not quite certain why this is but I think we will have to get a tracing (2) of your heartbeat I want you to strip down to the waist and also take off (3) your shoes and socks First of all, this is a completely (4) painless procedure Are you quite comfortable? It’s better if you are (5) relaxed as possible before I start to take the cardiograph It only takes a few minutes to (6) the actual test but it takes a bit longer to get you wired up I’m just putting some cream on your (7) wrists and ankles That’s everything ready Now just relax as much as you can 2 LISTENING EXERCISES ECG (ELECTROCARDIOGRAM) LISTENING EXERCISES AUDIO AT 39:35 [3/3] I’d like you to (1) _ this table here This gel helps to (2) so that the picture is clear We’ll just rub in the gel a little bit and now I’ll put on (3) _ Try to keep as still as you possibly can That’s good Now if you turn your head (4) _, you will be able to see the scan as I’m taking it As you see, it’s just like a television picture This black part here is (5) _ and this is the body As you can see, it’s (6) very well These dots allow me to (7) _ so we can work out when your baby is due… That’s everything finished now 2 LISTENING EXERCISES [3/4] I’d like you to (1) lie down on _ this table here This gel helps to (2) get a contact so that the picture is clear We’ll just rub in the gel a little bit and now I’ll put on (3) the equipment Try to keep as still as you possibly can That’s good Now if you turn your head (4) to the left , you will be able to see the scan as I’m taking it As you see, it’s just like a television picture This black part here is (5) the baby‘s head and this is the body As you can see, it’s (6) moving around very well These dots allow me to (7) measure the baby so we can work out when your baby is due… That’s everything finished now 2 LISTENING EXERCISES FETAL ULTRASOUND SCAN SPEAKING ACTIVITIES DESCRIBE THE PICTURE SPEAKING ACTIVITIES DESCRIBE THE PICTURE SPEAKING ACTIVITIES CONVERSATION WITH A PATIENT Introduce yourself - name & role Confirm patient details - name & DoB Explain the need to take history Gain consent Present complaint Ask for details Other symptoms Previous health Summary & next step SPEAKING ACTIVITIES CONVERSATION WITH A PATIENT Work in pairs to make your own story, start with a common symptom that you’ve learned QUESTIONS & ANSWERS ... EXERCISES The laboratory plays a central role in health care How critical is the laboratory? By one estimate, 70% of all medical decisions are based on laboratory results, although laboratory costs... this approach, a physician requests the laboratory to perform a diagnostic workup (e.g., liver function evaluation) instead of ordering specific tests 2 LISTENING EXERCISES VIDEO: https://www.youtube.com/watch?v=D8ixnaY5XuQ&t=2638s... purpose of the laboratory is to provide physicians and other health care professionals with information to detect disease or predisposition to disease; confirm or reject a diagnosis; establish prognosis;