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Питт: Вялый мальчик - 1

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Врачи осматривают мальчика, который выглядит необычно вялым.

▸ Подробности сюжета

Это отделение неотложной помощи в больнице Питтсбурга.

Мальчика по имени Тайлер только что привезли родители.

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📜 Сценарий
📖 Слова
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🏆 Результат

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Доктор Лэнгдон
Доктор Лэнгдон
Тайлер
Тайлер
Доктор Кинг
Доктор Кинг
an antecedent illness
предшествующее заболевание
a fever
температура, жар
vomiting
рвота
barely
едва, почти не
flinch
вздрагивать, содрогаться
pass out
терять сознание, отключаться
pass out
вырубаться (от усталости), быстро засыпать
ingest
проглотить, употребить внутрь
prescriptions
лекарства по рецепту
be left around
быть оставленным без присмотра
a medicine cabinet
аптечка (шкафчик для лекарств)
childproof
защищённый от детей
an injury
травма
bump
удариться, стукнуться
roughhousing
возня, шумные игры
a pulse
пульс
an infection
инфекция
urine
моча
metabolic
метаболический, обменный
an abnormality
отклонение, аномалия
PMH
анамнез (история болезни)
lethargic
вялый, апатичный

Нажмите на слово — покажем перевод.

Dr. King

I have a lethargic four-year-old. No PMH, no antecedent illness, no fever or vomiting. Parents just couldn’t wake him up this morning.

aɪ hæv ə ləˈθɑrʤɪk four-year-old. noʊ pmh, noʊ ˌænˈtɛsədənt ˈɪlnəs, noʊ ˈfivər ər ˈvɑmətɪŋ. ˈpɛrənts ʤɪst couldn’t weɪk ɪm əp ðɪs ˈmɔrnɪŋ.

Dr. Langdon

What room?

wət rum?

Dr. King

South 15.

saʊθ 15

Dr. Langdon

Can you wake up for me, Tyler? He’s not usually this sleepy?

kən ju weɪk əp fər mi, ˈtaɪlər? he’s nɑt ˈjuʒəwəli ðɪs sˈlipi?

Mother

No. And he barely flinched for the blood test.

noʊ. ənd hi ˈbɛrli flɪnʧt fər ðə bləd tɛst.

Father

He wakes up at 90 miles an hour and doesn't stop till he passes out at night.

hi weɪks əp æt 90 maɪəlz ən aʊər ənd ˈdəzənt stɑp tɪl hi ˈpæsɪz aʊt æt naɪt.

Dr. King

He passes out?

hi ˈpæsɪz aʊt?

Mother

No. He just means he goes all day.

noʊ. hi ʤɪst minz hi goʊz ɔl deɪ.

Dr. Langdon

Any chance he could’ve ingested something? Maybe pills, vitamins, any prescriptions that may have been left around?

ˈɛni ʧæns hi could’ve ˌɪnˈʤɛstəd ˈsəmθɪŋ? ˈmeɪbi pɪlz, ˈvaɪtəmənz, ˈɛni prəˈskrɪpʃənz ðət meɪ hæv bɪn lɛft əraʊnd?

Mother

No, that's all kept locked in the medicine cabinet. The whole house is childproof.

noʊ, ðæts ɔl kɛpt lɑkt ɪn ðə ˈmɛdəsən ˈkæbənət. ðə hoʊl haʊs ɪz childproof.

Dr. King

What about alcohol? Anything left out?

wət əˈbaʊt ˈælkəˌhɑl? ˈɛniˌθɪŋ lɛft aʊt?

Father

No.

noʊ.

Dr. Langdon

What about pets?

wət əˈbaʊt pɛts?

Father

No.

noʊ.

Dr. King

You said he’s usually quite active?

ju sɛd he’s ˈjuʒəwəli kwaɪt ˈæktɪv?

Mother

Very.

ˈvɛri.

Dr. King

Any injuries lately?

ˈɛni ˈɪnʤəriz ˈleɪtli?

Father

No.

noʊ.

Dr. King

Bumped his head recently?

bəmpt hɪz hɛd ˈrisəntli?

Mother

Not that I am aware of, but he does love roughhousing with Drew.

nɑt ðət aɪ æm əˈwɛr əv, bət hi dɪz ləv roughhousing wɪθ dru.

Father

But he never gets hurt.

bət hi ˈnɛvər gɪts hərt.

Dr. Langdon

Oxygen level is normal. Good pulse and blood pressure. No signs of infection. We're going to start with blood and urine tests — check for any metabolic abnormalities.

ˈɑksɪʤən ˈlɛvəl ɪz ˈnɔrməl. gʊd pəls ənd bləd ˈprɛʃər. noʊ saɪnz əv ˌɪnˈfɛkʃən. wɪr goʊɪŋ tɪ stɑrt wɪθ bləd ənd ˈjʊrən tɛsts — ʧɛk fər ˈɛni ˌmɛtəˈbɑlɪk ˌæbnɔrˈmælətiz.

Включите фразу из сцены, повторите её вслух, затем сверьтесь с текстом.

Фраза 1

I have a lethargic four-year-old.

Фраза 2

No PMH, no antecedent illness, no fever or vomiting. Parents just couldn’t wake him up this morning.

Фраза 3

No. And he barely flinched for the blood test.

Фраза 4

He wakes up at 90 miles an hour and doesn't stop till he passes out at night.

Фраза 5

Any chance he could’ve ingested something?

Фраза 6

Any prescriptions that may have been left around?

Фраза 7

What about alcohol? Anything left out?

Фраза 8

Any injuries lately? Bumped his head recently?

Фраза 9

Not that I am aware of, but he does love roughhousing with Drew.

Фраза 10

Oxygen level is normal. Good pulse and blood pressure.

Фраза 11

No signs of infection. We're going to start with blood and urine tests — check for any metabolic abnormalities.

  1. The father says, “He wakes up at 90 miles an hour.” What does he mean?
  2. Were you similar when you were a child? How about any of your siblings or friends? If so, can you describe your/their behavior?
  3. Father: He wakes up at 90 miles an hour and doesn't stop till he passes out at night. Dr. King: He passes out? Mother: No. He just means he goes all day. What does the father mean when he says pass out? What does the doctor mean?
  4. The mother says the house is “childproof.” What does this mean?
  5. How would/do/did you childproof your home?
  6. What do you think is wrong with Tyler? What do you think will happen next? For medical professionals:
  7. How would you evaluate this medical team's performance? What did they do well? What could they improve?
  8. How would you evaluate this scene as a doctor? Does it seem realistic or unrealistic? In what ways?
  9. Why do the doctors keep asking about things like pills, alcohol, and pets? What are they trying to rule out?
  10. What metabolic abnormalities could explain acute lethargy in a child with normal vital signs?
  11. How did you feel about the doctors' bedside manner? Did they seem friendly? Professional? Competent? Would you feel safe being treated in this hospital?
  12. What other lab tests beyond blood and urine would you consider in this case, and why?

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