English for medical students посібник з англійської мови


Exercise 7. Read and translate the text



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Exercise 7. Read and translate the text:
HEADACHE
Headache is one of the most frequent symptoms encountered in medical practice.
The great value in development of a headache is given to the vascular factor. The so-called vascular variant of a headache is observed in many vascular, cardiovascular diseases and pathological conditions, including migraine, hypertonic disease, arterial hypotension, atherosclerosis of brain vessels, disturbed brain circulation, acute and chronic cardiac insufficiency.
Other kind of a headache develops in pathological processes, primarily affection of sensitive receptors and nerves. It may include headache observed in pathological processes in the brain (a tumour, abscesses, hematomas and so on), in infectious inflammatory processes of the brain matter and brain membranes (encephalitis, meningitis, arachnoiditis), in cervical radiculitis, diseases of the nose, ears, eyes.
The third kind of a headache is caused basically by damage of muscles of the skull.
Character of a headache can be various. A throbbing or pressing headache localized in the area of the back of the head and accompanied by dizziness, tinnitus, nausea (sometimes vomiting), "flash spots" before eyes on the background of high arterial pressure (it is most often observed in hypertonic crisis) are signs of a headache of this etiology. In a low level of arterial pressure, the headache in most cases is moderate, the most expressed in the mornings. It is often accompanied by sensation of weakness, indisposition, formidable yawning. Such patients are inclined to faints, they often complain of palpitation and increased fatiguability.
Headache is a frequent symptom of some acute and chronic diseases of internal organs, in particular diseases of the heart.
Some patients complain of squeezing headaches, dizziness in prolonged attack of stenocardia, in acute myocardial infarction. In some cases in the patients with acute myocardial infarction the headache is accompanied by losing of consciousness.
Complete medical, neurological and psychiatric examinations are sometimes necessary to get at the root of the trouble. The ophthalmoscopic examination must never be omitted when the symptom of headache is evaluated.
Treatment of a headache depends on underlying etiology or cause, but commonly involves analgesics.




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