Практика Shadowing: Respiratory Examination | OSCE Guide | UKMLA | CPSA | PLAB 2 - Изучайте разговорный английский по видео
Создание урока...
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Hello, my name is Hassan.
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I'm one of the final year medical students.
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Can I start by checking your name please?
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Ollie Walker.
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And what's your date of birth?
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6th of March 94th.
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Okay, Ollie.
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Today I've been asked to perform a respiratory examination on you.
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This involves having a look, listen and feel of your chest.
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Is that alright?
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Yes.
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Before we begin can I check do you have any pain?
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No, no one at all.
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Good.
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If you could take off your t-shirt for me and get onto the examination couch we'll make a start.
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Okay Oli, I'm just gonna have a look at you from the end of the bed.
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Now I'm going to have a look at your hands.
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If you could just hold them out in front of you like so.
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Turn them over.
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Hold your fingers together like that.
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That's good.
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And if you just extend your arms out like that, just hold it there.
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Cock your wrists back.
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Just keep them in that position.
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That's good.
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Pop your arms down.
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Just going to assess the temperature.
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All right, now I'm going to take your pulse.
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Alright, next I'll get you to rest your head back and turn away from me.
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I'm going to have a look at your neck.
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Okay Ollie, I'm just going to take a closer look at your face.
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I'm just going to pull your lower eyelid down here.
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Open your mouth for me and stick your tongue to the roof of your mouth.
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You can close close your mouth now it's going to take
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a closer look at your chest could you raise this arm up just
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so i can have a look at the side
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and the same with you there on please you can put
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that back down thank you now i'm going to feel for
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the position of your windpipe this might feel a bit uncomfortable Now I'm going to feel for your heartbeat.
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Now I'm going to assess the expansion of your chest.
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To do this I'm just going to have to squeeze a bit, okay?
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Take a deep breath for me. And out.
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Okay, that's good.
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Now I'm going to tap on your chest.
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Tap on the side there.
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Now I'm going to listen to your chest, so take some deep breaths in and out through your mouth.
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I'm just going to have a listen at the sides.
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Next I'm going to listen at all the same sides, but I'd like you to say 99 every time the stethoscope touches your chest.
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99. 99.
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99 99 99 99
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99 99 99 99 99 99
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99. Okay, Ollie, next can you sit forward for me?
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I'm just going to examine the glands in your neck just while standing behind you.
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Okay, now I'm just going to have a look at your back.
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Now take a deep breath in for me. And out.
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again and out.
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Okay, I'm going to tap on your back now.
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Before I do that, if you could cross your arms over your chest for me.
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Thank you.
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Okay, now I'm going to listen to your breathing again.
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So if you take some deep breaths in and out through your mouth.
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you Thank
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you.
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Next, I'm going to listen again, but this time, every time the stethoscope touches your back, I want you to say 99, please.
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99, 99, 99, 99, 99, 99, 99, 99, 99.
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Thank you.
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Now, I'm going to press firmly at the bottom of your back.
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okay Ollie you can uncross your arms and sit back now I'm going to examine your legs and ankles
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I'm just going to press firmly here on this side
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I'm going to squeeze your carbs, let me know if it's painful.
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Thank you. That concludes the examination.
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You can get addressed now.
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Today I performed a respiratory examination on Ollie Walker, a 30 year old man.
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He was comfortable at rest, his pulse was regular at 75 beats per minute and his respiratory rate was 15 breaths per minute.
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Chest expansion was equal throughout,
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the percussion note was resonant in all areas and on auscultation he had normal vesicular breathing throughout with no added sounds.
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In summary all of these findings are consistent with a normal respiratory examination.
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To complete my assessment, I would perform a full cardiovascular examination and I would check vital signs including oxygen saturations.
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Check out the GeekyMedics collection of over 1,000 OSCE stations.
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Лексика и советы по произношению к этому уроку
В этом видео 76 предложений и 738 слов для шедоуинга. Речь длится 9:49. Говорящий говорит медленно, около 75 слов в минуту, поэтому есть время повторить каждый звук. Только 81% слов входят в 3000 самых частых слов английского языка, поэтому лексика сложная.
Ключевая лексика этого видео
15 менее частых слов из видео с произношением и значением:
- examination /ɪɡˌzæm.ɪˈneɪ.ʃən/ (существительное) — прове́рка, иссле́дование. The act of examining.
- breathe /bɹiːð/ (глагол) — дыша́ть. To draw air into (inhale), and expel air from (exhale), the lungs in order to extract oxygen and excrete waste gases.
- respiratory /ɹɪˈspɪ.ɹət.ə.ɹi/ (прилагательное) — дыха́тельный, респирато́рный. Relating to respiration or the organs of respiration; breathing.
- examine /ɪɡˈzæmɪn/ (глагол) — осма́тривать, осмотре́ть. To observe carefully or critically to learn about someone or something.
- assess /əˈsɛs/ (глагол) — определя́ть, определи́ть. To determine, estimate or judge the value of; to evaluate; to estimate.
- pulse /pʌls/ (существительное) — пульс. A normally regular beat felt when arteries near the skin (for example, at the neck or wrist) are depressed, caused by the heart pumping blood through them; the…
- firmly /ˈfɝmli/ (наречие) — уве́ренно, твёрдо. In a firm or definite or strong manner.
- squeeze /skwiːz/ (глагол) — сжима́ть, сжать. To apply pressure (to something) from two or more sides at once.
- consistent /kənˈsɪs.tənt/ (прилагательное) — после́довательный. Of a regularly occurring, dependable nature.
- finger /ˈfɪŋɡɚ/ (существительное) — па́лец, перст. A slender jointed extremity of the human hand, (often) exclusive of the thumb, and the corresponding part, irrespective of including a thumb, in many other…
- assessment /əˈsɛsmənt/ (существительное) — оце́нка налогообложе́ния. The act of assessing or an amount (of tax, levy or duty etc) assessed.
- vital /ˈvaɪtəl/ (прилагательное) — жи́зненный. Relating to or characteristic of life.
- summary /ˈsʌm.ə.ɹi/ (существительное) — резюме́, кра́ткое изложе́ние. An abstract or a condensed presentation of the substance of a body of material.
- extend /ɛkˈstɛnd/ (глагол) — продлева́ть, продли́ть. To increase in extent.
- painful /ˈpeɪn.fl̩/ (прилагательное) — боле́зненный, мучи́тельный. Causing pain or distress, either physical or mental.
Фразовые глаголы, которые вы услышите
- feel for (глагол) — сочувствовать. To experience sympathy for, to sympathise with.
- back down (глагол) — пойти́ на усту́пки, пойти́ на попя́тный. To take a less aggressive position in a conflict than one previously had, or has planned to have.
- check out (глагол) — проверя́ть, прове́рить. To record the departure or withdrawal of someone or something (such as guests, employees, books, etc.).
- sit back (глагол) — откинуться. To recline while still in a seated position, with one's back on the frame of the seat.
- take off (глагол) — снима́ть, снять. To remove.
Произношение, на которое стоит обратить внимание
Говорящий использует 29 сокращённых и редуцированных форм, например I'm, gonna, I'd. Произносите их коротко, так, как слышите.
- Звуки «th»: breathe /bɹiːð/, stethoscope /ˈstɛθəsˌkoʊp/
- Звуки «sh» и «zh»: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, auscultation /ˌɔːskəlˈteɪʃən/, percussion /pɚˈkʌʃən/
- Длинные слова — следите за ударением: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, respiratory /ɹɪˈspɪ.ɹət.ə.ɹi/, uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, cardiovascular /ˌkɑːdi.əʊˈvæskjʊlə(ɹ)/, auscultation /ˌɔːskəlˈteɪʃən/
Как заниматься с этим видео
- Прослушайте всё видео один раз молча и выпишите незнакомые слова.
- Повторяйте предложение за предложением на обычной скорости, пока ваш ритм не совпадёт с ритмом говорящего.
- Запишите себя и сравните с оригиналом, обращая внимание на такие слова, как examination, breathe, respiratory.
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.