Régulièrement, cette rubrique animée par Virginia Allum, auteur et consultante EMP (English for Medical Purposes), vous permettra, exercices à l'appui, de parfaire votre anglais médical au travers de situations de soins concrètes. Bon travail à tous ! Corrections en fin d'article...
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Activity 1 - The Emergency Department : talking about a fractured clavicle
The bones of the upper body - Label the diagram using the terms below.
- xiphoid process
Match the terms with their meaning.
|1. clavicle||a) lower part of the breastbone that eventually fuses with it in middle age|
|2. sternum||b) square-shaped upper part of the sternum|
|3. manubrium||c) collarbone: long bone which connects the scapula to the sternum|
|4. xiphoid process||d) breastbone: narrow bone which forms the centre of the chest|
|5. ribs||e) largest bone of the arm and only bone of the upper arm|
|6. scapula||f) long, curved bones which protect the chest organs|
|7. humerus||g) bone at the top of the shoulder which joins the clavicle at the acromioclavicular joint|
|8. acromion||h) shoulder blade: flat, triangular bone on the upper back of the body|
Complete the information using the words below to help you.
The clavicles are long (1) ____________ which join the scapula to the sternum. The cylinder-shaped bones are around 15 cm long and curved into an (2) ____________ . The clavicles form joints with both the sternum and the (3)____________ . The sternoclavicular joint joins with the manubrium and the acromioclavicular (AC) joint joins with the (4)____________ .
The clavicles help to anchor the arms to the trunk without stopping (5) ____________ of the shoulder joints. In fact, the clavicles allow sufficient movement of the shoulders for the arms to move in large (6)____________ .
The clavicle is one of the most commonly (7) ____________ bones in the human body especially after a fall. If the arm is (8) ____________ to try to break the fall, most of the force of the fall results in the shifting of the shoulder. This can easily fracture the clavicle.
Activity 4 - Asking about an accident
Watch the YouTube video
Answer the questions below.
- How did the patient injure himself?
- What part of his body does he think he has injured?
- How did the patient get to the Emergency Department?
- What treatment will the patient receive?
Grammar Focus - Talking about the past
The past simple is used to talk about an action in the past. The action is a completed action. Notice that the nurse says
Can you tell me what happened?.
The past continuous is used to give background information - to say what was happening at the time of another action. E.g. I was skateboarding along the path to my house.
Use the correct verb form to complete the sentences.
- I was going / went home when I had a car accident.
- He didn't notice that his arm was bleeding / bled.
- He was tripping over/ tripped over his bag because it was dark.
- His shoulder was hurting / hurt a lot after the accident.
- She was trying / tried to move her fingers when she felt the pain.
Put the notes in the correct order
- X-ray of collar bone
- was skateboarding
- hit side of head
- collar bone was sticking out
- give painkillers
- was going home after work
- fell on right side
- friend brought to Emergency Department
Activity 7 - Asking questions
Watch the video again and complete the dialogue.
- (a) How did you fall?
- (b) Did you fall onto outstretched arms?
- (c) Have you already taken any?
- (d) Can you tell me what happened?
- (e) That's what happened, right?
- (f) What happened then?
Nurse: Hello, I'm Valerie. I'm one of the nurses on duty in the Emergency Department today. I can see that you've hurt yourself. (1) _______________________________.
Patient: I was going home after work. I was skateboarding along the path to my house. Someone must have put a metal pole in the middle of the path but it was too dark and I didn't see it. It was very dark last night so I didn't notice it.
Nurse: Oh dear. That's no good. So, you were skateboarding home and you didn't see what was on the path. Then you fell over and hurt your shoulder. (2) _______________________________.
Patient: That's right. I tripped over it and fell. I don't think it's my shoulder, it's my collar bone.
Nurse: (3) _______________________________
Patient: What do you mean?
Nurse: (4) _______________________________
Patient: No, I didn't. I had a can of drink in my hand which was lucky, I suppose. I fell on my right side and hit the side of my head as well.
Nurse: (5) _______________________________
Patient: Well, I tried to sit up..it was really painful. I tried to move my right arm but it wouldn't move much. I could see my collar bone was sticking out a bit. I managed to get home and then a friend brought me to the Emergency Department. What will happen now?
Nurse: You'll have an X-ray of your collar bone soon. Before the X-ray, I'll give you some painkillers. (6) _______________________________
Patient: Painkillers? No, I came straight here. It's hurting a lot now.
Nurse: OK, I'll get you some painkillers now. You should have the X-ray soon.
Patient: Thank you very much.
Activity 8 - Treatment of collar bone injuries
Complete the patient information leaflet below using the verbs below to help you.
Collarbones usually (1) __________ without the need for surgery. Surgery is only necessary if the collar bone (2) __________ through the skin or if the bones do not (3) - __________ properly.
If an X-ray (4) __________ that you have a broken collar bone or not, you need to use a figure of 8 sling to (5) __________ your arm and hold the collar bones together in their normal positions. You must (6) __________ the sling all day and at night.
Collar bones take between 6 and 8 weeks to heal. It can take much longer to (7) __________ full strength and movement in your shoulder. As the fracture is healing, you may notice a small lump along the collarbone. The lump will often (8) __________ over the following months.
Virginia ALLUM Author and Consultant in English for Medical Purposes United Kingdom