Практика Shadowing: Pelvic & Abdominal Pain History | OSCE Guide | UKMLA | CPSA | PLAB 2 - Изучайте разговорный английский по видео

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Hi, my name is Grace.

I'm one of the doctors working in A &E today.

Do you mind just confirming your name and date of birth?

It's Amy Brooks, 14th of the 10th of 96th.

Okay, nice to meet you, Amy.

And how can I help you today?

I've just been having

this really bad stomach pain the last few days okay sorry to hear it um before

we begin can i just check are you comfortable enough to answer some questions yeah

i was given some codeine i feel a bit better okay fine

if that changes just let me know

because i want you to be comfortable okay and

so amy do you want to start by telling me a bit more about the pain

that you've been experiencing as it started two days ago

and kind of went away after a little bit and then it came back and it's just been getting worse since then.

Okay and where abouts is the pain?

Like sort of lower abdomen like a little bit to the left as well.

Is it going anywhere else?

No. And what does it feel like?

Like a really sharp like stabbing pain.

Okay and I mean that sounds really uncomfortable and

if you were to grade on a severity out of ten

with ten out of ten being the worst pain how bad was it when it was at its worst?

About a nine out of ten this morning.

Okay and what's it like now?

It's probably about a sixth okay um

and the pain is it there all the time

or is it kind of coming in waves or coming

and going since this morning it's been there constantly

and has anything made it better or worse uh

so yesterday i had some paracetamol and i had like a hot water bottle

and that helped a little bit um

but it didn't really help at all this morning okay okay

and other than the pain have you been feeling unwell in any other ways

i've felt quite like dizzy since this morning as well okay tell me a bit more about

that just if I kind of stand up from sitting I feel quite faint

okay and how long does

that feeling last for not very long it goes away after a few seconds

and is that only happening when you're standing up

or is it happening when you're sitting down as well just

when I stand okay and have you fainted at all okay

and have you noticed any in any other ways

that you've been feeling unwell I've just been feeling quite sick as well okay

and have you been sick yeah i was sick

this morning okay okay well amy it sounds like you're feeling quite unwell um you've described to me pain

that started the day before yesterday

but it's gotten much worse today low down your tummy

and stabbing um i think what i'm going to do is

just ask you a few more questions about it generally okay

so you mentioned feeling quite sick

and being sick this morning can i check was there any blood in

that vomit no and have you had anything to eat today

and not this morning no no okay you've been kind of off your food i just since this morning okay

and when did you last have something to eat i had some dinner last night

and are you drinking okay

and any change to your bowels at all no that's been fine okay

and when did you last open your bowels uh just this morning any blood

or mucus no okay

and what about going for a wee any changes there no that's been normal no um burning

or stinging you're not going more often than usual no blood

when you're going for a wee okay have you had a fever or sweats at all no

and you mentioned that you've been feeling quite lightheaded

when you're standing up

so can i check any chest pain at all no any palpitations what about your breathing is

that all right that's all fine

and have you been unwell with any other illnesses recently uh no okay

and the pain is quite low down in your tummy

so can i check i'm thinking about vaginal discharge have been any changes

there any vaginal bleeding just a little bit of spotting this morning okay

and tell me a bit more about

that i mean are you someone who has regular periods what's normal for you uh they're quite irregular

and quite light okay

and have they always been a regular uh no i had the coil fitted about a year ago um

so they were regular before that they were just really heavy is

that the Mirena coil okay and when's the last time you had a bleed with

that apart from today about seven weeks ago I think okay and is

that sort of the normal amount of time between your bleeds with the Mirena not really

it's longer than normal yeah okay and you mentioned

that before you had the coil put in you had quite

heavy periods did you have a diagnosis of anything like fibroids

or cysts at all that you're aware of have you had any ultrasounds

or scans before okay any previous pregnancies no have you had anything like this before this kind of

pain with bleeding um not apart from periods okay can i check are your smears up to date yeah

and have they all been normal yeah they've all been fine okay

and i'm just going to check as well because it could be relevant are you sexually active at the moment

okay and is that with a regular partner

or casual partners uh with my boyfriend okay

and um when's the last time that you had a partner

that was different to your current boyfriend uh about three years ago okay

and how long have you been with your boyfriend for my current boyfriend two years two years okay

and have you ever had a sexual health screening before yes i have okay

and when was the most recent time that you had

that about two years ago when we got together lovely

and was that normal yeah that was fine fine

and have you ever had a sexually transmitted infection before yeah about three years ago

and which infection was that I had chlamydia

and did you get antibiotics in that I did okay perfect

and and can I just check just to make sure

when was the last time

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that you had sex with your partner about three days ago now okay

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and I know you have the my arena room

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which would protect you against pregnancy can I to use condoms as well

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or just some irena no just coil okay okay thanks for answering those questions

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so i think what i'm going to do is just summarize back to you to make sure

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that we've not missed anything here so you've described a pain

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that started a couple of days ago kind of low down in your tummy

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and on the left hand side it went away

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but then it's come back today

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and it's stabbing it's been up to a nine out of ten severity it's very uncomfortable you vomited with it

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and you felt quite lightheaded when you're standing up

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and you've also noticed some sort of vaginal spotting as well

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which is a bit out of sync with what's normal for you um

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and you have a regular partner

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that you've been with for a couple of years is

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that right yeah okay

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and can i just check amy you said you've not had something particularly like this before

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but did you have any thoughts of what this could be um at first

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i thought maybe just a period pain um i'm not sure

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if it's maybe something worse like a cyst or something like

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that okay yeah i mean that's a reasonable thought with the pain being done there

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and on one side and sometimes people have something they're particularly worried about

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when they come in is there anything that you want to tell me

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or ask me about any worries you might have I've just had two days off work already

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and I can't really afford to take any more time off

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so I just really want to kind of get to the bottom of it

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and find out what's what's wrong yeah of course

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and obviously coming into A &E we're here to help you to figure out what's going on

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and to make sure you're comfortable was there anything else you had in mind

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that you wanted us to help you with today uh just to find out what it is okay

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fine so amy i've not met you before

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so you've given me a really good idea about what's been happening in the last few days um

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but i just want to check things before that

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and a bit about your background

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so can i ask do you have any other medical conditions

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at all no do you take any regular medications no

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i don't are you allergic to anything are there any conditions

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that run in your family at all i don't think so no and specifically any kind of gynecological conditions

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uh no okay and your living situation

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so who do you live with at the moment i just live with my boyfriend okay

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and you mentioned you're a bit worried about having time off work what is it

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that you do for work i'm an accountant okay

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and can i ask um do you smoke at all uh yeah

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i do yeah how many a day probably about 10 a day okay

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and how old were you when you started smoking uh 19.

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okay

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and do you take any drugs at all any recreational drugs

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do you drink alcohol a little bit not a lot usually just

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if i go out with friends or something like that okay

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and how much would you have if you went out with friends maybe like two

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or three drinks like vodka tonics or something like that okay

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so perfect do you give me a good idea there about what's going on amy

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so what i'm going to do i'm just going to summarize back to you to make sure

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that we've not missed anything

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so you've described quite severe lower abdominal pain on the left -hand side

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that started a couple of days ago

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and got worse today you vomited you're feeling lightheaded

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and you've also had some spotting bleeding otherwise you're generally in good health you don't take any regular medications is

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that right yes is there anything else

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that you'd like to add I don't think so okay

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and do you have any questions for me no okay and that case

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Amy that's all for today okay thank you your time thank you today

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i spoke with amy brooks a 27 year old woman who's presented to the accident

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and emergency department with a two -day history of progressive left lower quadrant pain this pain is sharp severe

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and stabbing she's also been feeling nauseous and has vomited

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and has been feeling lightheaded understanding amy has also experienced some vaginal bleeding for the last couple of days

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which she describes as light spotting.

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She has a Mirena IUD in situ and hasn't had a bleed for the last seven weeks which is unusual for her.

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She has a regular male partner and last had a sexual health screen two years ago which was negative.

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Amy has no other medical conditions and takes no regular medications.

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She lives with her partner.

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Her main concern is getting back to work and she worries that this could be something like an ovarian cyst.

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The most important differentials to consider today would be an ectopic pregnancy

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or ovarian pathology such as ovarian cyst rupture or ovarian torsion.

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In order to complete my assessment today, I would perform an abdominal examination, check vital signs and perform a urinary pregnancy test.

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For this patient I would consider referring them urgently to the gynaecology team for their assessment

176

and management and their consideration of further imaging.

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FOR YOU

Лексика и советы по произношению к этому уроку

Этот урок разговорной практики построен на видео «Pelvic & Abdominal Pain History». Чаще всего повторяются слова: pain, amy, feeling, regular. В этом видео 178 предложений и 2087 слов для шедоуинга. Речь длится 10:25. Говорящий говорит быстро, около 200 слов в минуту, поэтому звуки часто сливаются и сокращаются. 85% слов входят в 3000 самых частых слов английского языка; остальные стоит разобрать перед занятием.

Ключевая лексика этого видео

15 слов из видео, которые стоит выучить, с произношением и значением:

Слово	Произношение	Значение
bleed глагол	/ˈbliːd/	пусти́ть кровь, пуска́ть кровь
pregnancy существительное	/ˈpɹɛɡnənsi/	бере́менность
stab глагол	/stæb/	уда́рить, коло́ть
coil существительное	/kɔɪl/	спира́ль, кольцо́
vomit глагол	/ˈvɑmɪt/	блева́ть, рвать
medication существительное	/mɛdɪˈkeɪʃən/	лека́рства, медикаме́нты
sharp прилагательное	/ʃɑɹp/	о́стрый
assessment существительное	/əˈsɛsmənt/	оце́нка налогообложе́ния
infection существительное	/ɪnˈfɛkʃən/	инфе́кция, зараже́ние
uncomfortable прилагательное	/ʌnˈkʌm.fɚ.tə.bl̩/	неудо́бный, некомфорта́бельный
sexually наречие	/ˈsɛksjʊəli/	по полово́му при́знаку
faint прилагательное	/feɪnt/	сла́бый
severity существительное	/səˈvɛɹ.ə.ti/	стро́гость
abdominal прилагательное	/æbˈdɑm.ə.nl̩/	брюшно́й, абдомина́льный
bowel существительное	/ˈbaʊ.əl/	то́лстая кишка́

Фразовые глаголы, которые вы услышите

Слово	Значение
go away глагол	уходи́ть, уйти́
stand up глагол	встава́ть, встать
come back глагол	возвраща́ться, возврати́ться
find out глагол	узнава́ть, узна́ть
check out глагол	проверя́ть, прове́рить
figure out глагол	разбира́ться, разобра́ться
sit down глагол	сади́ться, сесть

Грамматика в этом видео

Конструкции, которые говорящий использует чаще всего, с точными словами из видео:

Конструкция	В видео
Present Perfect Continuous have/has been + -ing — действие началось раньше и продолжается	I've just been having · you've been experiencing · it's just been getting
Present Perfect have/has + причастие прошедшего времени — прошлое действие, важное сейчас	it's been · i've felt · have you fainted
Придаточные определительные who / which + предложение — уточнение о человеке или предмете	someone who has · weeks which is · ago which was
Пассивный залог be + причастие прошедшего времени — важно, что происходит, а не кто это делает	was given · being done

Произношение, на которое стоит обратить внимание

Говорящий использует 52 сокращённых и редуцированных форм, например you're, you've, I'm. Произносите их коротко, так, как слышите.

Звуки «th»: sixth /sɪksθ/, breathe /bɹiːð/, pathology /pəˈθɒləd͡ʒi/
Звуки «sh» и «zh»: medication /mɛdɪˈkeɪʃən/, sharp /ʃɑɹp/, infection /ɪnˈfɛkʃən/, unusual /ʌnˈjuːʒ(u)əl/, consideration /kənˌsɪd.əˈɹeɪ.ʃən/
Длинные слова — следите за ударением: medication /mɛdɪˈkeɪʃən/, uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, severity /səˈvɛɹ.ə.ti/, unusual /ʌnˈjuːʒ(u)əl/, consideration /kənˌsɪd.əˈɹeɪ.ʃən/

Звуки, трудные для русскоязычных:

/w/ — губы округлены, это не /v/: sweat /swɛt/, unwell /ʌnˈwɛl/, quadrant /ˈkwɑ.dɹənt/
Звонкие согласные в конце слова — не оглушайте их: bleed /ˈbliːd/, stab /stæb/, progressive /pɹəˈɡɹɛsɪv/, discharge /dɪsˈtʃɑɹdʒ/, ultrasound /ʌl.tɹə.saʊnd/

Как заниматься с этим видео

Прослушайте всё видео один раз молча и выпишите незнакомые слова.
Начните со скорости 0,75×, повторяйте предложение за предложением и вернитесь к обычной скорости, когда станет легко.
Запишите себя и сравните с оригиналом, обращая внимание на такие слова, как bleed, pregnancy, stab.

Что такое техника Shadowing?

Shadowing — это научно обоснованная техника изучения языка, изначально разработанная для подготовки профессиональных переводчиков и популяризированная полиглотом доктором Александром Аргуэльесом. Метод прост, но эффективен: вы слушаете аудио на английском от носителей языка и немедленно повторяете вслух — как тень, следующая за говорящим с задержкой в 1–2 секунды. В отличие от пассивного прослушивания или грамматических упражнений, Shadowing заставляет мозг и мышцы рта одновременно обрабатывать и воспроизводить реальные речевые паттерны. Исследования показывают, что это значительно улучшает точность произношения, интонацию, ритм, связную речь, понимание на слух и беглость речи — что делает его одним из самых эффективных методов для подготовки к IELTS Speaking и реального общения на английском.

Техника шедоуинга: читать полное пошаговое руководство →

Практика Shadowing: Pelvic & Abdominal Pain History | OSCE Guide | UKMLA | CPSA | PLAB 2 - Изучайте разговорный английский по видео

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Лексика и советы по произношению к этому уроку

Ключевая лексика этого видео

Фразовые глаголы, которые вы услышите

Грамматика в этом видео

Произношение, на которое стоит обратить внимание

Как заниматься с этим видео

Что такое техника Shadowing?