Question

XIV. 1. Read Text D. 2. Entitle it. 3. What data important for a future doctor does it contain? 4. Put questions.

Text D

Last year my father was ill with angina pectoris. He suffered from constant attacks of chest pain. He was admitted to the in-patient department. After he had undergone all the necessary laboratory examinations and several electrocardiograms had been taken both during the attack of chest pain and at the time when the chest pain was relieved the cardiologist admi- nistered him an adequate treatment. To relieve a sharp pain in very severe attacks my father was given the injections of 1% omnopon solution. It was given in combination with 0.5 ml of a 0.1% atropine solution. If the attacks were mild or moderate he took nitroglycerin in an adequate dose of 3 drops. Nitroglycerin was dropped on some sugar which my father put under the tongue. My father said that nitroglycerin relieved the pain immediately and a moderate attack or a mild one was controlled within 3 or 5 minutes. The cardiologist explained that nitroglycerin relieved the spasm of coronary arteries which caused chest pain. My father stayed in the hospital for about two weeks. Now he is fol- lowed up at the out-patient department. His condition has considerably improved. The last electrocardiogram readings were neither diminished nor deviated.​

Answer 1

Title: Treatment of Angina Pectoris and Patient Improvement

Data important for a future doctor in the text:
1. The patient's diagnosis: Angina pectoris, characterized by constant attacks of chest pain.
2. Laboratory examinations and electrocardiograms were performed to assess the patient's condition.
3. Administration of an adequate treatment by a cardiologist to relieve the chest pain.
4. Treatment methods used:
a. In severe attacks: Injections of 1% omnopon solution combined with 0.5 ml of a 0.1% atropine solution.
b. In mild or moderate attacks: Nitroglycerin taken orally in a dose of 3 drops, placed under the tongue.
5. The patient's reported experience: Nitroglycerin provided immediate relief, and attacks were controlled within 3 to 5 minutes.
6. Explanation of nitroglycerin's mechanism of action: Relieving the spasm of coronary arteries, which alleviates chest pain.
7. The patient's hospitalization duration: Approximately two weeks.
8. Follow-up at the out-patient department and the patient's considerable improvement.
9. Electrocardiogram readings showed no diminishment or deviation.

Questions:
1. What was the patient's diagnosis?
2. What examinations were performed on the patient?
3. How was the patient's chest pain treated during severe attacks?
4. What medication was used for mild or moderate attacks?
5. How did the patient describe the effect of nitroglycerin on the pain?
6. What is the mechanism of action of nitroglycerin in relieving chest pain?
7. How long did the patient stay in the hospital?
8. Where is the patient currently receiving follow-up care?
9. What was the patient's condition according to the latest electrocardiogram readings?