医学英语课文总结

医学英语课文知识总结

1.Seasonal Influenza (P18)

Definition: Seasonal influenza is an acute infection caused by the influenza virus.

Type:

Type A: A1(H1N1) and A3(H3N2) are circulating among human

Type B: Only influenza A and B viruses are included in seasonal influenza vaccines

Type C: much less frequently than A and B

Cause:

1. High risk: People with certain medical conditions, such as chronic heart, lung, kidney, liver, blood or metabolic diseases (such as diabetes), or weakened immune systems

2. Transmission: Spread by breathing in infected droplets

Signs and symptoms: high fever, cough, headache, muscle and joint pain, severe malaise, sore throat and runny nose

Treatment: antiviral drugs such as adamantanes and inhibitors of influenza neuraminidase Prevention: vaccinate timely(most effective);covering mouth and nose with tissue when coughing, washing hands regularly

2.Diabetes (P25)

Definition:Diabetes is a chornic disease that occurs when the pancreas does not produce enough insulin,or alternatively,when thw body cannot effevtively use the insulin it produces.

Type:

Type 1 diabetes(previously know as insulin-dependent or childhood-onset)is characterized by a lack of insulin production.

Type 2 diabetes(fromly called non-insulin-dependent or adult-onset)results from the body's ineffective use of insulin.

Gestational diabetes is hyperglycaemia which is first recognized during pregnancy.

Common consequences：

Diabetes can damage the heart,blood vessels,eyes,kindneys,and nerves.

Such as:retinopathy,neuropathy;tingling;pain;numbness,or weakness in the feet and hands;fool ulcers,even amputation;kidney failure;heart disease;stroke;cardiovascular disease.

Prevent:

achieve and maintain healthy body weigh;be physically active;blood testing;tabacco cessation; blood pressure control;foot care;morderate blood control,

people with type 1 diabetes require insulin,people with type 2 diabetes can be treated with oral medication,but may also require insulin.screening for retinopathy;blood lipid control;

screening for early signs of diabetes-related kindney disease.

5.Obesity And Overweight（P70）

Defintion:Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health.WHO defines “overweight” as a BMI equal to or more than 25 and “obesity” as a BMI equal to or more than 30.

Reason: Energy imbalance ,unhealthy diet and physical inactivity.

Consequence:Cardiovascular disease,diabetes,musculoskeletal disorders,some cancer Prevention: Achieve energy balance and a healthy weight,limit energy intake,

fruit,vegetables,legumes,whole grains and nuts.increase physical activity and limit sugar intake

3.Ear Infection（P52）

Definnition:An ear infection means that the middle ear is infected.

Occur:

The middle ear space sometimes becomes filled with mucus which infected by bacteria or viruses Sometimes an ear infection occurs 'out of the blue' for no apparent reason.

Main symptoms:

earache, dulled hearing, fever (high temperature),

children feel sick or vomit,irritable, crying

Treatment :

Most bouts of ear infection will clear on their own without treatment within 2-3 days. The immune system can usually clear bacteria or viruses that cause ear infections.

first use painkillers regularly,then antibiotics

Complications:

It is common for some mucus to remain behind the eardrum after the infection clears. Sometimes it may cause eardrum perforates.

Prevented:

do not use dummies in babies,prevent passive smoking of babies and childen.

A long course of antibiotics used to prevent further bouts occurring for the children that have recurring bouts of ear infections close together.

4.Cardiovascular Diseases（P65）

Definition:Cardiovascular diseases include coronary heart disease,cerebrovascular disease, raised blood pressure ,peripheral artery disease,disease,congenital heart disease and failure.

Causes:

Major:tobacco use,physical inactivity,an unhealthy diet.

The most common cause is a build-up of fatty deposits on the inner walls of the blood vessels that supply the heart or brain.

Common symptoms:

a heart attack or stroke;

diffivulty in breathing or shortness of breath;feeling sick or vomiting;feeling lightheaded or faint;breaking into a cold sweat

Symptom of a heart attack:pain or discomfort in the centre of the chest;pain or discomfort in the arms,the left shoulder,elbows,raw or back.

Common symptom of a stroke:sudden weakness of the face,arm,or leg,most often on one side of the body;(some other symptoms inP66)

Prevention:

physical activity at least 30min every day;make sure enough fruit and vegetables intake and limit salt intake;check blood pressure regularly;control blood pressure and blood sugar for someone who have disbetes;maintain a ideal body weight;eat a healthy diet

6.HIV and AIDS (P78)

Defintion:The human immunodeficiency virus(HIV) is a retrovirus that infects cells of the human immune system, destroying or impairing their function.

The most advanced stage of HIV infection is acquired immunodeficiency syndrome(AIDS) Causes:

Transmissins:Unprotected sexual (anal and vaginal) ,transfusion of contaminated blood, sharing of

contaminated needles, and between a mother and her infant during pregnancy, childbirth and breastfeeding.

Main symptoms:encephalitis;meningitis;retinitis;pneumocystis/pneumonia;tuberculosis;tumors; esophagitis;chronic diarrhea

7.Hepatitis (P102)

Definition: Injury to the liver with inflammation of the liver cells.

Types:

Hepatitis A：Infection is through food all water that contains HA V,and Anal-oral contact during sex.it does not lead to chronic.

Hepatitis B：Infection is through blood,semen,other body fluids and mother’s milk.

Hepatitis C：Infection is through blood.liver cancer risk is only increased in people with cirrhosis. Hepatitis D：only a person who is already infected with Hepatitis B.It can become infected with Hepatitis E：Infection is though water contained HEV.and anal-oral sex.

Hepatitis F：unknown.

Hepatitis G：Symptoms are mild .

Symptoms: The acute :diarrhea,fatigue,mild fever,nausea,vomiting,weight loss,muscle or joint aches,slight abdominal pain, loss of appetite,

The acute phase develops into the fulminant or rapidly progressing. Circulation,Dark urine, dizziness, hives, itchy skin.

circulation problems,dark urin,dizziness,drowsiness,enlarged spleen,

headache,hives,itchy skin,light colored feces,yellow skin

Treatment:

Hepatitis A：no specifical treatment/abstain from alcohol and drugs;can recover spontaneously. Hepatitis B：need rest;high protein and carbohydrate died;interf

Hepatitis C：pegylated interferon;ribavirin

Hepatitis D/E：no effective treatment.

Non-Viral Hepatitis：flush out of harmful substance in the stomach;corticosteroid

8.Cancer

Definition: Cancer is a generic term for a large group of diseases that can affect any part of the body

Feature: The abnormal cells grow rapidly beyond their usual boundaries, Which can invade adjoining parts of the body and spread to other organs.

Common types：lung,stomach,colorectal,liver,breast

men：lung, stomach, liver, colorectal, esophagus and prostate.

women：breast, lung, stomach, colorectal and cervical.

Causes:external agents and inherited genetic factors

Physical carcinogens:ultraviolet and ionizing radiation

Chemical carcinogens:asbesyos,components of tobacco smoke,aflatoxin and arsenic

Biological carcinogens:infection from certain virus(hepatitis B and liver cancer,HPV and cervical cancer,HIV and kaposi sarcoma) ,bacteria(helicobacter pylori and stomach cancer) or parasites(schistosomiasis and bladder cancer)

Low- and middle-income countries: tobacco use, alcohol use, low fruit and vegetable intake, and chronic infectious (HBV, HCV, HPV).

High-income countries: tobacco use, alcohol use, and being overweight or obese.

Signs and symptoms：

early signs include lumps,sores,persistent indigestion,persistent coughing,and bleeding from the body’s orifices

Risk factors:tobacco use,being overweight or obese,low fruit and vegetable intake,physical inactivity,alcohol use,sexually transmitted HPV-infection,urban air pollution,indoor smoke from household use of solid fuels

Prevention:

Avoid the risk factors.Vaccinate against HPV and HBV.Control occupational hazards.Reduce exposure to sunlight.

Treatment:Principal treatment methods are surgery, radiotherapy, chemotherapy.palliative care

9.Hypertension（P126）

Definition:

Hypertension or high blood pressure is a condition in which the blood pressure in the arteries is chronically elevated.

Hypertension means high blood pressure:transitory or sustained elevation of systemic arterial blood pressure to a level likely to induce cardiovascular damage or other adverse consequences. Diagnose:blood pressure between120/80 and 139/89 is called prehypertension (to denote increased risk of hypertension),and a blood pressure of 140/90 or above is considered hypertension.

Types：

essential hypertension:unknown cause

secondary hypertension:a known direct cause such as kidney disease,tumors,or birucontrol pills Causes:unknown exactly

smoking;obesity or being overweight;diabetes,sedentary lifestyle;lack ofphysical activity;high levels of salt intake(sodium sensitivity); VitD deficency;insufficient calcium,potassium,and magnesium consumption;high levels of alcohol consumption;stree;aging;medicines such as birth control pills;genetics and a family history of hypertension;chronic kidney disease;adrenal and thyroid problems or tumors

Symptoms:severe headaches；fatigue or confusion；dizziness；nausea；problems with vision；chest pains；breathing problems；blood in the urine

Treatment:lower blood pressure

1.By changing lifestyle

2.Be treated medically

Prevention：

adjust lifestyle:proper diet and exercise

maintain a healthy weight,reduce salt intake,reduce alcohol intake,and reduce stress.

be important to screen,diagnose,treat,and control hypertension in its earliest stages.

10.Basic Anatomy-Tissues and Organs（P145）

Tissues：Cells group together in to form tissues including 4 primary tissue types

Epithelial tissue：serves as membranes linings organs and helping to keep the body's organs separate,in place and protected.

Connective tissue：add support and structure to the body

Muscle tissue：contract

Nerve tissue：generate and conduct electrical signals

Organs：the second level of organization .An organ is a structure that contains at least two different types of tissue function together for a common purpose.

The largest organ is skin which composed of three layers：the epidermis (epithelial tissue to provide a barrier),dermis(connective tissue to provide support,nerve tissue to provide feeling,blood vessels to nourish,muscle tissue for goosebumps) and subcutaneous layer(adipose tissue to help cushion the skin and provide protection from cold temperature)

Organ systems：composed of two or more different organs that work together to provide a common function.10 major organ systems

Skeletal system：provide support for the body, protect internal organs, provide attachment sites for the organs.including bones, cartilage, tendons, and ligaments.

Muscular system：provide movement,including skeletal muscles, smooth muscles

Circulatory system：transport nutrients, gases, hormones, and wasts.including heart, blood vessels and blood.

Nervous system：relay electrical signals . including brain, spinal cord, peripheral nerves. Respiratory system：provide gas exchange .including nose, trachea, lungs.

Digestive system：break down and absorb nutrients..including mouth, esophagus, stomach, small and large intestines.

Urinary system：filter out cellular wastes, toxins, excess water, nutrients.including kidneys, ureters , bladder, urethra

Endocrine system：relay chemical messages.including hypothalamus, pituitary, thyroid , pancreas, adrenal glands.

Reproductive system：manufacture cells that allow reproductive.

Female including ovaries, oviducts ,uterus, vagina ,mammary glands

Male including testes, seminal vesicles and penis

Immune system：destroy and remove invading microbes and viruses from the body.removes fat and excess fluids from the body.including lymph, lymph nodes, and vessels, white blood cells, T-and B-cells.

11.The Disease SARS（P157）

Definition：S ARS is a respiratory illness that by a SARS-COV.incubation periods for 2-7 days typically.be contagious when have symptoms.

SYmptoms：high fever,headache,sore throat,coughing,diarrhea,shortness of breath and difficult ofbreathing due to pneumonia,flu-like sympoms such as joint pain and malaise.low white cell count.

Spread：close person-to-person contact by respiratory droplets,touch something with infections droplets and then touch himself.(droplet,airborne,waterborne)

close contact:

Treatment：various antiviral drugs

Prevention：frequently hand washing with soapand water or use of an alcohol-based hand rub.avoid touching eyes,nose,mouth with unclean hands.cover nose and mouth with a tissue when coughing or sneezing.

12．Facture（P219）

Definition:a fracture is a disruption or break in the continuity of the structure of a bone. classification: traumatic and pathologic; closed and open;stable (transverse,spiral,or greenstick) or unstable(comminuted or oblique)

Symptoms:edema and swelling,pain and tenderness,muscle spasm,deformity,ecchymosis,loss of function,and crepitation

Complications:death occurs sometimes

Direct :problems with bone union,avascular necrosis,and bone infection

Indirect:

blood vessel and nerve damage result in conditions such as compartment syndrome,venous thrombosis,fat embolism,and traumatic or hypovolemic shock

pain,risk for infection,risk for peripheral neurovascular,risk for inpaired skin integrity, activity intolerance,ineffective management of therapeutic regimen

Treatment:

Goal：anatomic realignment of bone fragments,immobilization to maintain realignment,and restoration of function of the part.have no associated complications,obtain satisfactory pain relief,and achieve maximal rehabilitation potential.

Preoperative management:

preoperative preparation inform the patient something,proper skin preparation

Postoperative management:

any limitations of movement or activity should be monitored closely.

proper alignment and position

dressing or casts should be carefully to observe bleeding and drainage.

wound-drainage system should be assessed at least once each shift

prevent constipation and renal calculi

carefully evaluation

exercise

patient teaching

13. Respiratory System（P227）

Respiratory system：coordinate the exchange of O2 and CO2

animals: consumption of O2, contribution of CO2

plants: consumption of CO2, contribution of O2.

Function：maintain the acid-based balance,gas exchange(main),production of sound Anatomy: nose and mouth → pharynx → larynx → trachea → bronchi → bronchioles → lung Divided:the upper respiratory tract /conducting zone(filter;warm;moisten,provide resonance)

the lower respiratory tract/respiratory zone.

Ventilation：controlled by the autonomic nervous system，carried by muscles of respiration. The breathing center is in the medulla oblongata and the pons.

Inhalation：by the diaphragm with help from the intercostal muscles.10 to 18/min

pressure：lungs

Exhalation：with the help of abdominal and the intercostal muscles.

pressure：lungs=atmospheric at the end of both inhalation and exhalation

Conditions：

Respiratory acidosis：by a deficiency of ventilation

Respiratory alkalosis：by a excess of ventilation,or hyperventilation

Condition of the respiratory system：

Obstructive conditions (emphysema,bronchitis,asthma attacks)

Restrictive conditions (fibrosis, sarcoidosis,alveolar damage,pleural effusion)

Vascular disease (pulmonary edema,pulmonary embolism,pulmonary hypertension)

Infectious,environmental disease (pneumonia,tuberculosis,asbestosis,particulate pollutants)

14.Depression（P238）

Definition：have a low mood and other symptoms each day for at least two weeks Symptoms：be in a low mood to almost everything,sleeping problem,negative emotions,physical symptoms,abnormal sadness and poor concentration

Treatment：most recover without treatment

Divided into for mild depression and for moderate and severe depression

talking/psychological treatment,specific coumselling,excise program,a self-help program

1. Seasonal Influenza

1.Seasonal influenza is an acute viral infection.

2.Signs and symptoms: high fever, cough, headache, muscle and joint pain, sore throat, runny

nose.

3.Prevention: vaccination

acute; incubation period; complication; antiviral drugs; hospitalization; high-risk group;

vaccine

2. Diabetes

1.Diabetes is a chronic disease that occurs when the pancreas does not produce enough insulin,

or alternatively, when the body cannot effectively use the insulin it produces.

2.Insulin is a hormone that regulate blood sugar.

3.Hyperglycaemia means raised blood sugar.

4.The classification of diabetes:

Type 1 diabetes (insulin-dependent or childhood-onset): a lack of insulin production.

Type 2 diabetes (non-insulin dependent or adult-onset): the body’s ineffective use of insulin Gestational diabetes: hyperglycaemia which is first recognized during pregnancy.

5.Major symptoms: polyuria, polydipsia, constant hunger, weight loss, vision changes and

fatigue.

chronic; insulin; hyperglycaemia; retinopathy; neuropathy; impairment; numbness; kidney failure; blood glucose; blood lipid; ulcer

3. Ear Infection

1.An ear infection means that the middle ear is infection, which is also called acute otitis media.

2.Symptoms: earache dulled hearing, fever, feeling sick or vomit, being generally unwell,

eardrum perforation. Baby: hot, irritable, crying

acute otitis media; mucus; referred pain; antibiotic; prescribe; side-effect

4. Cardiovascular Diseases

1.Cardiovascular diseases include: coronary heart disease (heart attack), cerebrovascular disease,

raised blood pressure (hypertension), peripheral artery disease, rheumatic heart disease, congenital heart disease and heart failure.

2.Major cause of cardiovascular disease: tobacco use, physical inactivity and an unhealthy diet.

3.The direct cause of heart attacks and strokes: a blockage that prevents blood from flowing to

the heart or the brain.

blockage; build-up; fatty deposit; atherosclerosis; blood clot; difficulty in breathing; shortness of breath; nausea / feeling sick; vomiting; faint, lightheaded, dizzy; cold sweat; numbness;

loss of balance; unconsciousness; menopause

5. Obesity and Overweight

1. Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health.

2. The fundamental cause of obesity and overweight is an energy imbalance between calories consumed on one hand, and calories expended on the other hand.

micronutrient; sedentary; musculoskeletal; osteoarthritis; endometrial; colon; undernutrition

6. HIV and AIDS

1.The human immunodeficiency virus (HIV)is a retrovirus that infects cells of the human

immune system, destroying or impairing their function.

2.The most advanced stage of HIV infection is acquired immunodeficiency syndrome (AIDS).

3.The transmission of HIV: unprotected sexual intercourse, transfusion of contaminated blood,

sharing of contaminated needles, and between a mother and her infant during pregnancy, childbirth and breastfeeding.

immunodeficiency,mmmune system,advanced stage,syndrome,blood transfusion

7. Hepatitis

1.The liver is the largest gland in the human body; it is also the largest internal organ.

2.Blood reaches the liver through the hepatic artery and the portal vein.

3.The functions of the liver

4.The causes, transmissions, symptoms, treatments, and preventions of seven types of hepatitis.

inflammation,acute hepatitis,chronic hepatitis,carriers of hepatitis B,swell,cirrhosis

8. Cancer

1.Cancer is also called malignant tumors and neoplasms.

2.One defining feature of cancer is the rapid creation of abnormal cells that grow beyond their

usual boundaries, and which can then invade adjoining parts of the body and spread to other organs. This process is called metastasis.

3.The factors for the cause of cancer: genetic factors, external agents, and aging.

4.There are three categories of external agents, including: physical carcinogens, chemical

carcinogens, and biological carcinogens.

5.Principal treatment methods: surgery, radiotherapy and chemotherapy

malignant,tumor,neoplasm,metastasis,mortality,pre-cancerous lesion,carcinogen,lump,sore, indigestion,cytology,pathology,surgery,radiotherapy,chemotherapy

9. Hypertension

1.Hypertension or high blood pressure is a condition in which the blood pressure in the arteries

is chronically elevated.

2.Hypertension may result in: heart attack, stroke, heart failure, aneurysm, or renal failure.

3.The normal level for blood pressure is below 120/ 80.

Prehypertension: between 120/80 and 139/ 89.

Hypertension: 140/ 90 or above.

4.Hypertension may be classified as essential or secondary.

5.The causes, symptoms, diagnosis, treatments and preventions of hypertension.

blood pressure,heart beat,pump,systolic/ diastolic,prehypertension,essential hypertension secondary hypertension

11. The Disease SARS

1.SARS: severe acute respiratory syndrome, caused by coronavirus

2.Its symptoms

3.Spread: droplet spread

4.Close contact

5.The incubation period: typically 2 – 7 days.

6.The laboratory tests for SARS: PCR, serologic test, and viral culture

ventilation,droplet,airborne spread,atypical,antiviral,hospitalization,specimenserum,culture

10. Basic Anatomy – Tissues and Organs

1.Cells group together in the body to form tissues.

2.Tissues are a collection of similar cells that group together to perform a specialized function.

3.The four primary tissue types in the human body: epithelial tissue, connective tissue, muscle

tissue and nerve tissue.

4.An organ is a structure that contains at least two different types of tissue functioning together

for a common purpose.

5.The skin is the largest organ in the human body.

6.The skin is composed of three layers: the epidermis, dermis and subcutaneous layer.

7.The systems of the body: skeletal system, muscular system, circulatory system, nervous

system, respiratory system, digestive system, urinary system, endocrine system, reproductive system and lymphatic/ immune system.

12. Fracture

1. A fracture is a disruption or break in the continuity of the structure of a bone.

2. The classification of fractures: traumatic and pathologic; closed and open; stable and unstable

3. Symptoms, complications, etc.

13. Respiratory System

1. The respiratory system of animals: consumption of oxygen, contribution of carbon dioxide

The respiratory system of plants: consumption of carbon dioxide, contribution of oxygen.

2. Anatomy: nose and mouth → pharynx → larynx → trachea → bronchi → bronchioles → lung

3. The respiratory system can be divided as the upper respiratory tract and the lower respiratory tract.

4. Ventilation is controlled by the autonomic nervous system.

5. The breathing center is in the medulla oblongata and the pons.

14. Depression

1. Depression: low mood and other symptoms for at least two weeks.

2. Symptoms of depression

考试题型：

1.Medical knowledge. (1*15)

2.Roots and Affixes. （1*20）

3.Cloze. （1*10）

4.Medical Terms. （2*10）

5.Reading comprehension. （2篇2*10）

6.Translation. （英译汉15分）