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V. Translate into Russian:
1. The surgeon did not doubt that he could perform this operation under local anaesthesia. 2. Gangrenous forms of appendicitis are dangerous to life because they may result in peritonitis. 3. The retention of stool may be due to the inflammatory process in the appendix. 4. During the operation the upper lobe of the lung was removed since a malignant tumour had been revealed there. 5. After the attack of acute appendicitis had been controlled the patient complained of a moderate tenderness on palpation.
1. Read and translate text F. 2. Put questions on text. 3. Retell it:
Text F. Appendicitis
Acute appendicitis is known to occur inn 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 very old age. Acute appendicitis is know to begin suddenly with sharp pains which are at first felt in epigastrium but then become generalized in the abdomen. The pain becomes. The pain becomes worse on deep breathing in and conghing, 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 and 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 3-4 days after wich time 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 may have s severe course and may result in perforation.
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