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PROGRAMA DE EDUCAÇÃO CONTINUADA A DISTÂNCIA Portal Educação CURSO DE INGLÊS PARA PROFISSIONAIS DA SÁUDE Aluno: EaD - Educação a Distância Portal Educação CURSO DE INGLÊS PARA PROFISSIONAIS DA SAÚDE MÓDULO I Atenção: O material deste módulo está disponível apenas como parâmetro de estudos para este Programa de Educação Continuada. É proibida qualquer forma de comercialização ou distribuição do mesmo sem a autorização expressa do Portal Educação. Os créditos do conteúdo aqui contido são dados aos seus respectivos autores descritos nas Referências Bibliográficas. INTRODUÇÃO AO CURSO Com o aumento do turismo no Brasil, a iminência da Copa do Mundo de 2014 e dos Jogos Olímpicos de 2016, os profissionais da área da saúde atenderão consequentemente mais estrangeiros que visitam o país e que muitas vezes não falam o nosso idioma. Por outro lado, a própria necessidade de especializar-se ou aproveitar oportunidades de trabalho ou estudos no exterior, que são cada vez mais acessíveis, justifica a atualização constante em línguas estrangeiras. Nos últimos anos, o conhecimento de inglês deixou de ser um componente extra da qualificação do profissional de saúde e passou a ser um requisito obrigatório para que se possa ter acesso à literatura científica atualizada e à comunidade médica internacional. Para ter uma ideia da importância inglesa, atualmente para se fizer um mestrado ou doutorado, é notória a exigência de conhecimentos de inglês, sendo item eliminatório nas provas de seleção. Numa pesquisa feita recentemente com os profissionais da Saúde, em relação ao domínio da língua inglesa, percebe-se claramente que um domínio “ótimo” deste idioma está associado a uma renda mensal substancialmente maior do que a dos com menos conhecimento de inglês. No entanto, não há diferença relevante de renda entres os profissionais da saúde com domínio “mínimo” a “bom” da língua inglesa. Em vista de todas estas necessidades explícitas, este curso de inglês técnico é voltado para médicos, enfermeiros, estudantes de medicina, enfermagem, farmácia e outras áreas da saúde com um nível de inglês intermediário. Através de um apanhado de vocabulário acurado, de estratégias de leitura e comunicação, tenta-se proporcionar-lhe uma ampla gama de recursos que podem ser muito úteis para o seu dia a dia, mantendo, ao mesmo tempo, um estreito contato com termos que vão além das estruturas de artigos científicos. Ao longo dos módulos, você se familiarizará ou conhecerá a terminologia específica da área da saúde, compreendendo especialidades e anatomia humana, entre outros tópicos, até os aparelhos de imagem mais utilizados. Em relação ao foco de conseguir-se uma comunicação eficaz com o paciente, apresentam-se vários tópicos vinculados à rotina de atendimento, entre elas, formas de realizar a anamnese e orientações sobre procedimentos. Você também contará com dicas e expressões úteis para situações mais complexas, como o atendimento a pacientes pediátricos, geriátricos, agressivos ou com doenças terminais. Posteriormente, a comunicação interna, entre colegas de profissão, se dá a partir da exemplificação de formulários, de abreviações universais de doenças e quadros clínicos mais comuns. Para finalizar, você terá a oportunidade de aprender algumas técnicas de inglês instrumental, para a leitura eficaz de textos no idioma inglês. Para tornar o seu aprendizado mais dinâmico e prazeroso, você terá dentro dos módulos, itens como “DID YOU KNOW?”, para saber curiosidades e informações extras. Uma considerável variedade de exercícios consta nos tópicos “ACTIVITY”, com o propósito de tornar o estudo mais eficaz, reforçando e revisando aspectos importantes do conteúdo. Também acompanhará de perto o Pedro, o personagem representativo de um estudante de medicina que, durante suas aulas teóricas e práticas, apresentará a você as informações fornecidas neste curso. Bons estudos e esperamos que goste do curso! SUMÁRIO MÓDULO I 1 MEDICAL LANGUAGE: TERMINOLOGY IN CONTEXT 1.1 THE HOSPITAL TEAM 1.2 OUTLINE OF HUMAN ANATOMY 1.2.1 Head 1.2.2 Upper Body 1.2.3 Upper Limbs 1.2.3 Lower Body 1.2.4 Lower Limbs 1.3 THE BODY'S SYSTEMS 1.3.1 Human Body Organs 1.3.2 The Skeletal System 1.3.3 The muscular system 1.3.4 The Gastrointestinal and Urinary System 1.3.5 The Reproductive System 1.4 DISEASES AND SYMPTOMS 1.5 MEASUREMENT IN MEDICINE 1.5.1 Calipers 1.5.2 Scales 1.5.3 Measuring Tape 1.5.4 Sphygmomanometer 1.5.5 Thermometer 1.6 IMAGE EXAMS AND DIAGNOSTIC EQUIPMENTS 1.6.1 Computed Tomography, CT 1.6.2 Ultrasound 1.6.3 Magnetic Resonance Imaging, MRI 1.6.4 X-Ray 1.6.5 Angiography 1.6.6 Mammography 1.6.7 Echocardiography MÓDULO II 2 COMMUNICATING EFFECTIVELY WITH PATIENTS 2.1 FILLING OUT FORMS 2.2 PATIENT-CENTERED INTERVIEWING 2.2.1 Hesitation Fillers 2.2.2 Office Visit 2.3 HANDLING EMERGENCIES 2.3.1 Emergency Codes 2.3.2 Useful Phrases 2.4 INTERACTING WITH PATIENTS 2.4.1 Conversation Starters 2.4.2 Verbal Clues 2.4.3 Providing Assistance 2.4.4 Dealing with Complaints 2.4.5 Explaining Procedures 2.4.6 Giving Clear Instructions 2.4.7 Checking for Understanding 2.4.8 Giving Medications 2.5 NON-VERBAL COMMUNICATION 2.6 CULTURAL MISUNDERSTANDINGS 2.6.1 Touch and Gender 2.6.2 Personal Space 2.6.3 Eye Contact 2.6.4 Smiling MÓDULO III 3 HUMANIZATION IN PRIMARY HEALTH CARE 3.1 MANAGING DIFFERENT TYPES OF CLIENTS 3.1.1 The Challenge of Communicating with Pediatric Patients 3.1.1.1 Communicating Strategy: Empathy 3.1.1.2 Communicating Strategy: Age-Appropriate Words and Phrases 3.1.1.3 Communicating Strategy: Invented Words 3.1.1.4 Communicating Strategy: Distracting Someone 3.1.2 Improving Communication With Older Patients 3.1.2.1 Communicating Strategy: Comprehension Checks 3.1.2.2 Communicating Strategy: Refusals 3.1.2.3 Communicating Strategy: Repetition 3.1.2.4 Small Talk: Wh- Questions and Yes/No Questions 3.1.2.5 Small Talk: Follow-Up Questions 3.1.3 Handling Nervous or Aggressive Patients 3.1.4 Coping with Death and Dying 3.1.5 Dealing with Terminally ill Patients 3.1.5.1 Communicating Strategy: Avoiding the Issue 3.1.5.2 Vocabulary: Near-Death and Death Idioms 3.1.5.3 Caring for a Terminally ill Patients 3.1.5.4 Communicating Strategy: Expressing Condolences MÓDULO IV 4 WORKING WITH COLLEAGUES 4.1 HELPING WITH TASKS 4.1.1 Communicating Strategy: Requesting and Giving Help 4.1.2 Communicating Strategy: Expressing Thank you and You're Welcome 4.1.3 Communicating Strategy: Referring to Others 4.1.4 Communicating Strategy: Using the Telephone 4.1.5 Communicating Strategy: Clarification Requests for Meaning 4.2 INTERACTING WITH SUPERVISORS 4.2.1 Communication Strategy: Confirmation Checks 4.2.2 Communication Strategy: Soliciting Information 4.2.3 Communication Strategy: Apologizing 4.3 FILLING OUT FORMS 4.3.1 Communication Strategy: Double-Checking Information 4.3.2 Communication Strategy: Drawing Conclusions 4.4 MEDICAL FORMS 4.4.1 Discharge Form 4.4.2 Request Form 4.4.3 Cardiac Care Unit Form 4.4.4 Day Surgery Follow-Up Form 4.4.5 ECG Request Form 4.5 MEDICAL ABBREVIATIONS 4.6. PRE AND POSTOPERATIVE CARE 4.6.1 Preoperative care 4.6.2 Physical Preparation 4.6.3 Psychological Preparation 4.6.4 Postoperative Care 4.6.5 Immediate Postoperative Care 4.6.6 First 24 Hours of Care 4.6.7 After 24 Hours Care MÓDULO V 5 ENGLISH FOR SPECIFIC PURPOSE 5.1 GENERAL COMPREHENSION 5.1.1 Pre-reading Strategy: Making Prediction 5.1.2 Reading Strategy: Skimming 5.1.3 ReadingStrategy: Scanning 5.2 DETAILED COMPREHENSION 5.2.1 Recognizing Loanwords and Cognates 5.2.2 Dealing with false cognates 5.2.3 Inference: Word Formation and Affixes 5.3 REVIE REFERENCIAS BIBLIOGRÁFICAS MÓDULO I TERMINOLOGIA ESPECIFICA DA ÁREA DA SAÚDE Neste módulo vamos ver os principais termos utilizados em saúde, e ao final, os objetivos a serem atingidos, serão: 1. conhecer os termos referidos aos profissionais da saúde, componentes da equipe hospitalar; 2. ter como referencia termos básicos e relevantes da anatomia humana; 3. revisar as doenças e sintomas mais comuns; 4. reconhecer a terminología de medidas e seus instrumentos de medição; 5. conhecer os principais exames de imagen; 6. identificar os termos relacionados à aparelhagem diagnóstica simples e acurada. 1. MEDICAL LANGUAGE: TERMINOLOGY IN CONTEXT 1.1 THE HOSPITAL TEAM Vamos acompanhar de perto o Pedro, estudante de medicina, que está participando de um intercâmbio cultural nos Estados Unidos. Junto a outros acadêmicos da sua universidade, ele pôde fazer um “hospital tour”, conhecer os serviços e os procedimentos hospitalares. Antes de conhecer seus sujeitos, os pacientes, ele se deu conta de que a equipe hospitalar é muito grande. Vejamos suas anotações em língua inglesa. A big hospital is like a small town; it needs thousands of people to make it work. All these people are organized into teams and each person in each team has a rank and often a specialism. The doctor is in charge of a patient’s treatment. In the U.S, that doctor is called attending physician. They can supervise fellows, residents and medical students. They may also have an academic title at an affiliated university such as "professor". Residents have graduated from an accredited medical school and hold a medical degree, but they can practice medicine only under the supervision of a fully licensed physician. If a resident finishes a residency and decides to further his or her education in a fellowship, he or she is referred to as a fellow. They are capable of acting as attending physician or consultant physician in the generalist field in which they were trained. After completing a fellowship, they are permitted to practice without direct supervision. The most senior nurses are advanced practice registered nurses (APRNs). They are registered nurses with advanced academic and clinical experience in diagnosing and managing most common acute and chronic illnesses either independently or in collaboration with a physician. Then come registered nurses (RNs) who often supervise the tasks performed by licensed practical nurses and nursing assistants. They provide direct care and make decisions regarding the care for the patients. Licensed practical nurses (LPNs) perform simple as well as complex medical procedures but must operate under the supervision of a registered nurse or a physician. They can administer most medications, perform measurements, keep records and administer basic care. There are also many people the patient does not meet like lab technicians doing the tests and pharmacists dispensing medicines. Like any town, a hospital has teams of office staff and ancillary workers such as porters, orderlies, technicians, drivers, cleaners, receptionists and cooks. Every team is essential for the delivery of treatment and care. This includes the volunteers who, without pay, raise money for the hospital. Para proporcionar ao paciente o mais completo atendimento, o hospital conta com uma equipe multidisciplinar com profissionais especializados em diferentes areas. Vamos ver os mais comuns. Allergist Alergista Nurse Enfermeira Anesthesiologis t Anestesiologista Obstetrician Obstetra Cardiologist Cardiologista Occupational Therapist Terapeuta Ocupacional Chiropractor Quiropata Oncologist Oncologista Dentist Dentista Ophthalmologi st Oftalmologista Dermatologist Dermatologista Pediatrician Pediatra Fertility Specialist Especialista em reprodução Physical Therapist Fisioterapeuta Gynecologist Ginecologista Psychiatrist Psiquiatra Neurologist Neurologista Radiologist Radiologista DID YOU KNOW? Doctor or Physician? Você já deve ter notado, em artigos científicos, que no lugar de "doctor", a palavra "médico" quase sempre vem como "physician". Isso porque "doctor" é um termo usado em situações mais informais. Outro caso, quando nos referimos a "doutor" (aquele que fez doutorado), também não utilizamos "doctor" e sim Ph.D (do latim Philosophiæ Doctor e em inglês " Doctor of Philosophy"). ACTIVITY 1: Use the information in the text to complete the following sentences. A hospital is like a small town because it is busy. it is full of different kinds of people. there are so many buildings. there are so many streets. Residents and fellows are both senior staff. students and employees. office staff. ancillary workers. APRNs are senior nurses. office workers. senior doctors. ancillary workers. There are occupational therapists who help patients manage every-day living. specialize in exercises to treat injury or dysfuncion. help patients find a job. help doctors find a job. Lab technicians and pharmacists deliver treatment and care. work in the background. help the specialists. are in charge of the patient's treatment. Hospital volunteers are sometimes needed. paid well. essential. Underpaid for the work they do. Durante a visita técnica ao hospital, Pedro pôde conhecer a organização administrativa, os setores e os departamentos do hospital. Reparou logo como o nome de cada setor – “department” - pode variar bastante de hospital em hospital. A big general hospital has many different specialist departments. Identifying departments can be confusing because different hospitals use different names for the same thing. For example, one hospital may have a ‘Children’s Unit’ which a different hospital calls ‘Pediatrics’. ‘Accident and Emergency’ (A&E) in one hospital is called ‘Casualty’ in another. There are many other examples. The department that specializes in heart problems, is sometimes called ‘Coronary Care’. Others call it ‘Cardiology’ or ‘Cardiovascular medicine’. ‘Nephrology’, the department that treats illnesses of the kidney is sometimes called ‘the Renal Unit’. ‘Gastroenterology’ (digestive system) is sometimes ‘the Department of Hepatology’. Hospital staff often use abbreviations for departments. For example, they refer to OB/GYN, OBG, O&G or Obs & Gynae. This is a department combining Obstetrics (pregnancy), and Gynecology (women’s reproductive organs). They call Otolaryngology, ‘ENT’ (ears, nose & throat), mostly because it is much easier to say. Vamos fazer uma rápida atividade para não esquecer o que acabamos de aprender? ACTIVITY 2: Match department names with parts of the body. Coronary Care Obstetrics Gastroenterology ENT Nephrology heart placenta intestines tonsils kidneys 1.2 OUTLINE OF HUMAN ANATOMY FIGURA 1 - SUPERFICIAL ANATOMY OF FEMALE AND MALE HUMAN BODY FONTE: Disponível em http://en.wikipedia.org/wiki/File:Anterior_view_of_human_female_and_male,_with_labels.jp g : Acesso em 12 jun. 2013 Depois de observar os profissionais que formam a equipe hospitalar e ter visitado os vários departamentos do hospital, Pedro se dirigiu à sala de estudos, onde o professor lhes reforçou algumas importantes partes do corpo. http://en.wikipedia.org/wiki/File:Anterior_view_of_human_female_and_male,_with_labels.jpg http://en.wikipedia.org/wiki/File:Anterior_view_of_human_female_and_male,_with_labels.jpg 1.2.1 Head Pedro, em suas notas, procurou descrever cada parte do corpo. Vejamos como ficaram suas anotações de anatomia.FIGURA 2 – PARTS OF THE HEAD FONTE: Disponível em: http://www.dreamstime.com/royalty-free-stock-photos-parts-head- image21767118 Acesso em 12 jul. 2013 The neck is the part that attaches the head to the upper body. The chin is the lowermost part of the face. The jaw is at the entrance of the mouth. On the outside part of the mouth we can see the lips, and on the inside of the mouth are the teeth and the tongue for tasting. At the sides of the face we have the cheeks and at the sides of the head, the ears. Beneath the hairline at the front of the face is the forehead. Underneath the forehead are the eyes, the nose between them, and the mouth for eating. Inside the head we have the brain. The top of a person's scalp is covered with hair. 1.2.2 Upper Body The trunk of the body is made up of the abdomen and the thorax (or chest). It is also known as the torso which is a term for the central or middle portion of the body which extends the limbs and the neck. The framework of the walls of the thorax, which is referred to as the thoracic cage, is formed by the vertebral column behind, the ribs and intercostal spaces on either side, and the sternum and costal cartilages in front. http://www.dreamstime.com/royalty-free-stock-photos-parts-head-image21767118 http://www.dreamstime.com/royalty-free-stock-photos-parts-head-image21767118 Why is it so important to know the clinical anatomy of the thorax? The thoracic cage protects the lungs and heart and affords attachment for the muscles of the thorax, upper extremity, abdomen, and back. The abdomen is the lower part of the trunk below the diaphragm. Its walls surround a large cavity called the abdominal cavity. Why is it so important? Because the organs and glands of digestive and urinary systems occupy most of the abdominal cavity. Here are the main features of the abdomen: stomach, small intestine, and most of the large intestine liver, gall bladder, and pancreas two kidneys and upper part of the ureters adrenal glands other structures include blood vessels, lymph vessels, nerves, spleen and lymph nodes. FIGURA 3 - ABDOMEN FONTE: Disponível em: http://commons.wikimedia.org/wiki/File:Anatomy_Abdomen_Tiesworks.jpg Acesso em 12 jun. 2013 http://commons.wikimedia.org/wiki/File:Anatomy_Abdomen_Tiesworks.jpg 1.2.3 Upper Limbs The arms are attached to the shoulders. The elbow is the joint between arm and forearm. The forearm is connected to the hands by the wrist. Each hand has five fingers with their nails. FIGURA 4 - BONES OF HUMAN - HAND FONTE: Disponível em: http://www.tutorvista.com/content/biology/biology-iv/locomotion- animals/limb-bones.php Acesso em 12 jun. 2013 1.2.4 Lower Body Below the waist are the hips. The buttocks are at the back of the lower part of the body. 1.2.5 Lower Limbs Each foot has five toes with their nails. The joint that connects the foot to the leg is called ankle. Above, the front part of each leg is called shin. The knee is the joint that connects the leg to the thigh. http://www.tutorvista.com/content/biology/biology-iv/locomotion-animals/limb-bones.php http://www.tutorvista.com/content/biology/biology-iv/locomotion-animals/limb-bones.php FIGURA 5 - BONES OF HUMAN - LEG FONTE: Disponível em: http://www.tutorvista.com/content/biology/biology-iv/locomotion- animals/limb-bones.php Acesso em 12 jun. 2013 Fácil, não? Vamos, então, fazer uma atividade para fixar esses termos! ACTIVITY 3 (part 1): Match the parts of the body to the corresponding definitions. cheek ankle wrist jaw part of your face below your eyes. the joint where your leg and foot meet. the joint where your hand and arm meet. either of the two bony parts that hold your teeth in place. ACTIVITY 3 (part 2): Match the parts of the body to the corresponding definitions. palm heel elbow calf the inside part of your hand. the rounded back part of the foot. the bony point at which the arm bends. the curved part of the back of the leg below the knee. http://www.tutorvista.com/content/biology/biology-iv/locomotion-animals/limb-bones.php http://www.tutorvista.com/content/biology/biology-iv/locomotion-animals/limb-bones.php 1.3 THE BODY'S SYSTEMS The human body is made up of a number of inter-related systems that work together to maintain a stable internal environment. This list represents the bodily systems and the specific parts that comprise them: FIGURA 6 - THE BODY’S SYSTEMS FONTE: Disponível em http://www.sciencelearn.org.nz/Science-Stories/Our-Senses/Sci- Media/Images/The-body-s-systems : Acesso em 12 jun. 2013 Skeletal: supports and protects the body while giving it shape and form. Bones, joints, ligaments, tendons, cartilage Muscular: enables movement of the body.Muscles and tendons Integumentary: protects the internal structures of the body from damage, prevents dehydration, stores fat and produces vitamins and hormones. Skin, hair, nails, and sweat glands Sensory: eyes, ears, nose, skin receptors, and mouth Cardiovascular: transports nutrients and gasses to cells and tissues throughout body. Heart, blood vessels, and blood Lymphatic: Tonsils, spleen, thymus, lymph nodes, lymphatic vessels, and lymph fluid Respiratory: provides the body with oxygen via gas exchange between air from the outside environment and gases in the blood Nose, pharynx, larynx, trachea, bronchi, and lungs http://www.sciencelearn.org.nz/Science-Stories/Our-Senses/Sci-Media/Images/The-body-s-systems http://www.sciencelearn.org.nz/Science-Stories/Our-Senses/Sci-Media/Images/The-body-s-systems Gastrointestinal: breaks down food polymers into smaller molecules to provide energy for the body. Primary organs: mouth, stomach, small and large intestines, rectum Accessory organs: teeth, tongue, liver, pancreas and gallbladder Endocrine: helps to maintain growth and homeostasis within the body. Hormones, pituitary gland, thyroid, adrenal glands, pancreas, and gonads Nervous: monitors and coordinates internal organ function and responds to changes in the external environment. Brain, spinal cord, ganglia, nerves, and sensory organs Urinary: removes wastes and maintains water balance in the body. Kidneys, ureters, bladder, and urethra Reproductive: enables the production of offspring through sexual reproduction. Male: testes, scrotum, penis, urethra, prostate Female: ovaries, uterus, uterine tubes, vagina, mammary glands 1.3.1 Human Body Organs Humans have five vital organs that are essential for survival. These are the brain, heart, kidneys, liver, and lungs. FIGURA 7 - INTERNAL ORGANS FONTE: Disponível em http://www.tutorvista.com/science/diagram-of-internal-organs Acesso em 12 jun. 2013 The brain is the body's control center, receiving and sending signals to other organs through the nervous system and through secreted hormones. It is responsible for our thoughts, feelings, memory storage and general perception of the world. The heart is responsible for pumping blood throughout our body. http://www.tutorvista.com/science/diagram-of-internal-organs The job of the kidneys is to remove waste and extra fluid from the blood. The kidneys take urea out of the blood and combine it with water and other substances to make urine. The liver has many functions, including detoxifying of harmful chemicals, breakdown of drugs, filtering of blood, secretion of bile and production of blood-clotting proteins. The lungs are responsible for removing oxygen from the air we breathe and transferring it to our blood where it can be sent to our cells. The lungs also remove carbon dioxide, which we exhale. 1.3.2 The skeletal system The skeletal system inthe body provides the shape, supports and protects organs and the soft areas of the body. Its other functions are bodily movement, producing blood for the body, and storing minerals that the physical structure needs. FIGURA 8 - HUMAN SKELETON FONTE: Disponível em http://www.tutorvista.com/science/diagram-of-internal-organs : Acesso em 12 jun. 2013 http://www.tutorvista.com/science/diagram-of-internal-organs 1.3.3 The muscular system The body's muscular system consists of about 650 muscles that aid in movement, blood flow and other bodily functions. There are three types of muscle: skeletal muscle which is connected to bone and helps with voluntary movement, smooth muscle which is found inside organs and helps to move substances through organs, and cardiac muscle which is found in the heart and helps pump blood. FIGURA 9 - THE MUSCULAR SYSTEM FONTE: Disponível em http://www.tutorvista.com/science/diagram-of-internal-organs : Acesso em 12 jun. 2013 http://www.tutorvista.com/science/diagram-of-internal-organs 1.3.4 The Gastrointestinal and Urinary System The gastrointestinal or digestive system, also referred to as the GI tract, consists of a series of connected organs that together allow the body to break down and absorb food. It is essential to good health because if the digestive system shuts down, the body cannot be nourished or rid itself of waste. FIGURA 10 - DIGESTIVE SYSTEM FONTE: Disponível em http://www.tutorvista.com/science/diagram-of-internal-organs : Acesso em 12 jun. 2013 The urinary system – also known as the renal or excretory system – produces, stores and eliminates a waste product called urea. The whole system includes two kidneys, two ureters, the bladder, two sphincter muscles and the urethra. Urine produced by the kidneys travels down the ureters to the bladder, and exits the body through the urethra. http://www.tutorvista.com/science/diagram-of-internal-organs FIGURA 11 - THE EXCRETORY SYSTEM FONTE: Disponível em http://www.tutorvista.com/science/diagram-of-internal-organs : Acesso em 12 jun. 2013 1.3.5 The Reproductive System The reproductive system is a collection of organs that work together for the purpose of producing a new life. The male reproductive system includes the penis and the testes, which produce sperm. The female reproductive system consists of the vagina, the uterus and the ovaries, which produce eggs. During conception, a sperm cell fuses with an egg cell, which creates a fertilized egg that implants and grows in the uterus. http://www.tutorvista.com/science/diagram-of-internal-organs FIGURA 12 - FEMALE AND MALE REPRODUCTIVE SYSTEM FONTE: Disponível em http://kids.britannica.com/elementary/art-89496/Men-and-women-have- different-reproductive-organs : Acesso em 12 jun. 2013 Que tal fazer uma pequena pausa e revisar um pouco todos esses termos? ACTIVITY 4: Choose the right option. The thoracic cage is a space enclosed by the: ribs, radius, and vertebral column. ribs, sternum, and vertebral column. vertebral column, femur, and sternum. ribs, vertebral column, and scapula. The ______ system helps to maintain growth and homeostasis within the body. endocrine nervous skeletal muscular The main organs of the digestive system are mouth, stomach, small and large intestines, rectum. stomach, small and large intestines, liver, bladder, rectum. mouth, stomach, small and large intestines, bladder. esophagus, small and large intestines, liver and bladder. The liver has many functions, including ______ detoxifying of harmful chemicals, and filtering of blood. production of blood-clotting proteins, and storing of minerals. http://kids.britannica.com/elementary/art-89496/Men-and-women-have-different-reproductive-organs http://kids.britannica.com/elementary/art-89496/Men-and-women-have-different-reproductive-organs removal of waste, and extra fluid from the blood. secretion of bile, and storing of minerals. 1.4 DISEASES AND SYMPTOMS Chegou agora a hora de conhecer algumas doenças e seus respectivos sintomas em inglês. Mas vamos começar perguntando: qual é a diferença entre signs e symptoms? Vejamos as anotações de Pedro. The signs of an illness are the things that a doctor or nurse can see and measure. Signs are things like spots and bleeding. Temperature, heart rate, blood pressure and respiration rate are all signs because you can measure them. Symptoms are the things which a patient experiences, but others can’t always see. Dizziness and nausea are examples of symptoms. The symptoms which make a patient seek medical help in the first place are called the presenting symptoms. Medics describe them in terms of being either strong, mild or weak. Sometimes the symptoms of serious illnesses like cancer and diabetes are weak. They stay weak for a long time and the illness remains undiagnosed. Many illnesses have the same symptoms. These symptoms are called non- specific. Fatigue is an example of this. It is a symptom of many kinds of illness, both chronic and acute, and of both physical and mental disorders. Doctors ask patients about the onset of the symptoms, what they feel like, what relieves them and what makes them worse. The more detail they have, the faster they can make a diagnosis. Vamos fazer mais uma rápida atividade? ACTIVITY 5: Decide whether these statements are true (T) or false (F) according to the text. You need signs and symptoms for a diagnosis. You can’t see symptoms. Patients' symptoms are either strong, mild or weak. Killer diseases can have weak symptoms. Non-specific symptoms help a lot with diagnosis. GABARITO 1 T 2 F 3 T 4 T 5 F DID YOU KNOW? Qual é a diferença entre DISEASE e ILLNESS? De acordo com o Longman Dictionary: 1) Quando se fala de uma doença sem especificá-la pode-se usar tanto disease como illness. 2) Disease é o termo usado mais frequentemente quando a doença é contagiosa: Ex: a very serious disease/a very serious illness, but a contagious disease 3) Quando se especifica a parte do corpo que a doença afeta costuma-se usar disease: Ex: a skin disease, a heart disease, a venereal disease Há duas exceções: mental illness und terminal illness 4) Quando se fala em contrair uma doença, por contágio ou não, usa-se disease: Ex: She caught the disease on a trip to the Amazon. 5) Para referir-se à duração de uma doença, ou ao estado de estar doente, usa-se illness: Ex: He died yesterday after a short illness. Pedro acabou de receber uma lista com doenças infecciosas e infectocontagiosas mais comuns. Ao se deparar com esta lista de doenças, Pedro se deu conta de que para cada uma há muitos cognatos. Vamos acompanhá-lo em seus estudos? DISEASES SYMPTOMS A Allergy Diarrhea, Sinusitis, Asthma Antisocial Personality Disorder Impulsitivity, Substance Abuse, Persistent Lying. Attention Deficit Hyperactivity Prolixity, Hyperactivity, Impulsivity Disorder Alzheimer’s Disease Agnosia, Labile Affect, Urinary Incontinence. Anorexia Nervosa Fatigue, Immunosuppression, Osteoporosis Arthritis Fatigue, Pain, Swelling Asthma Cardiac Arrest, Bronchospasm, Dyspnea Autism Compulsive Behaviour, Restricted Behaviour Avoidant Personality Disorder Mistrust, Social Isolation, Apprehension Alopecia Itchy Scalp B Bipolar Disorder Fatigue, Suicidal Ideation, Insomnia Bladder Cancer Abdominal Pain, Back Pain, Hematuria Body Dysmorphic Disorder Suicidal Ideation, Alcoholism, Dieting Borderline Personality Disorder Suicidal Ideation, Anxiety, Delusion Breast Cancer Inverted Nipple, Breast Lump, Nipple Discharge Brain Tumor Blurred Vision, Nausea, Headache Bursitis Pain, Swelling, Join Stiffness C Carpal Tunnel SyndromePain, Paresthesia, Muscle Weakness Coeliac Disease Fatigue, Anemia, Diarrhea Cervical Cancer Vaginal Bleeding, Dyspareunia, Pelvic Pain Chronic Obstrutive Pulmonary Disease Chronic Cough, Asterixis, Dyspnea Colorectal Cancer Fatigue, Constipation, Diarrhea Crohn’s Disease Fatigue, Constipation, Nausea D Dehydration Polydipsia, Fatigue, Dizziness Diabetes Mellitus Polyphagia, Polydipsia, Polyuria Diverticulitis Constipation, Nausea, Diarrhea Down Syndrome Leucemia, Upslanting Palpebral Fissures, Immunodeficiency Dyslexia Delayed Reading Ability, Speech Disorder, Phonological Deficit E Endometriosis Dysmenorrhea, Dyspareunia, Chronic Pelvic Pain Epilepsy Mental Confusion, Loss Of Consciousness, Tonioclonic Seizure Erectile Dysfunction Sexual Dysfunction, Soft Erections, Priapism G Gallstone Nausea, Pyrexia, Abdominal Pain Glomerulonephritis Fatigue, Hypertension, Proteinuria H Herpes Simplex Asymptomatic, Pyrexia, Pruritus Ani Heat Stroke Tachycardia, Headache, Coma Hemorrhoid Pain, Hematochezia, Pruritus Ani Hiv Lymphadenopathy, Headache, Flu-Like Symptoms Hyperthyroidism Polydipsia, Polyuria, Fatigue Hypothyroidism Fatigue, Constipation, Sexual Dysfunction I Influenza Pyrexia, Headache, Cough Iron Deficiency Anemia Fatigue, Pica, Constipation Irritable Bowel Syndrome Gastroesophageal Reflux Disease, Constipation, Diarrhea K Kidney Stone Nausea, Pain, Pyrexia L Leukemia Fatigue, Dizziness, Nausea Liver Tumour Fatigue, Nausea, Abdominal Pain Lung Cancer Fatigue, Cough Dysphagia M Malaria Pyrexia, Rigor Multiple Sclerosis Fatigue, Dizziness, Constipation O Obsessive-Compulsive Disorder Sexual Obsessions, Intrusive Thoughts, Compulsive Hoarding Osteomyelitis Nausea, Sweating, Swelling Osteoporosis Back Pain, Kyphosis, Loss Of Height P Polycystic Ovary Syndrome Diabetes Mellitus Type 2, Acanthosis Nigricans, Amenorrhoea Poliomyelitis Flaccid Paralysis Pneumonia Fatigue, Sweating, Pyrexia Prostate Cancer Erectile Dysfunction, Bone Fracture, Urinary Incontinence Psoriasis Pruritus, Cracked Skin, Xeroderma R Rheumatoid Arthritis Swelling, Synovitis, Deformity Rheumatic Fever Heart Murmur, Heart Failure, Pyrexia T Tinea Blister, Pruritus, Scaly Skin R Rosacea Ocular Rosacea, Rhinophyma, Telangiectasia S Schizophrenia Thought Insertion, Thought Disorder, Social Isolation Sinusitis Fatigue, Nausea, Pyrexia Skin Cancer Skin Ulcer, Skin Lesion, Mole Strep Throat Nausea, Pyrexia, Sinusitis T Tennis Elbow Pain, Pyrexia, Muscle Weakness Tuberculosis Fatigue, Pyrexia, Cough U Urinary Tract Infection Asymptomatic, Pyrexia, Urethritis V Varicose Veins Restless Legs Syndrome, Stasis Dermatites, Livedoid Vasculitis Vertigo Nausea, Difficulty Walking, Vision Disorder Y Yellow Fever Constipation, Nausea, Pyrexia 1.5 MEASUREMENT IN MEDICINE Chegou a hora de Pedro reforçar o conceito de unidades de medida decimal e também as medições utilizadas em saúde. O professor lhe explica que se tratam de valores preciosos ao avaliar ou reavaliar a situação de um paciente. Vamos acompanhar com ele a aula sobre os instrumentos de medição mais comuns. 1.5.1 Calipers Calipers are used to measure a person's body fat content or percentage. FIGURA 13 - CALIPER FONTE: Disponível em: http://airlats.com/consistency-of-calipers-on-body-fat-measurements/ Acesso em 15 jul. 2013 http://airlats.com/consistency-of-calipers-on-body-fat-measurements/ 1.5.2 Scales Scales are used for a variety of different weighing measurements. They can be digital. In this case, they are called spring scales. FIGURA 14 - SCALE FONTE: Disponível em http://www.johnstonefitness.com/2012/01/11/fat-loss-101-the- scale-is-not-nearly-as-important-as-you-may-think/ Acesso em 15 jul. 2013 1.5.3 Measuring Tape Measuring tapes are frequently used in the medical field for taking a patient's measurements, for example, of the chest, stomach, bicep, or other part of the body. FIGURA 15 – MEASURING TAPE FONTE: Disponível em http://www.autium.sg/ring-size/ Acesso em 15 jul. 2013 1.5.4 Sphygmomanometer http://www.johnstonefitness.com/2012/01/11/fat-loss-101-the-scale-is-not-nearly-as-important-as-you-may-think/ http://www.johnstonefitness.com/2012/01/11/fat-loss-101-the-scale-is-not-nearly-as-important-as-you-may-think/ http://www.autium.sg/ring-size/ It is the most common device used for measuring blood pressure. It consists of a hand bulb pump, an inflatable cuff and a glass column containing mercury. FIGURA 16 - SPHYGMOMANOMETER FONTE: Disponível em: http://www.solostocks.com/venta-productos/otros-productos- medicina-salud/equipo-presion-arterial-manual-esfigmomanometro-aneroide-617064 Acesso: 15 jul. 2013 The inflatable cuff is placed over the brachial artery above the cubital fossa − the front side of the elbow joint. A stethoscope is placed over the cubital fossa so that the Korotkoff sounds − that is, the noises made by blood as it vibrates against the artery walls − can be heard. FIGURA 17 – SPHYGMOMANOMETER AND STETHOSCOPE 1 – Stethoscope; 2 – Inflatable cuff http://www.solostocks.com/venta-productos/otros-productos-medicina-salud/equipo-presion-arterial-manual-esfigmomanometro-aneroide-617064 http://www.solostocks.com/venta-productos/otros-productos-medicina-salud/equipo-presion-arterial-manual-esfigmomanometro-aneroide-617064 FONTE: Disponível em: http://www.revistaleia.com/site/pagina_interna.asp?cID=114&nID=3479&tp=1 Acesso em 15 jul. 2013 The digital monitor is the mobile device which measures blood pressure, pulse, oxygen saturation and oral temperature. A rubber cuff is wrapped around the upper arm and inflated. The unit automatically inflates and deflates the cuff until the correct reading is displayed. No stethoscope is required. FIGURA 18 – DIGITAL MONITOR FONTE: Disponível em http://www.google.es/imgres?imgurl&imgrefurl=http%3A%2F%2Fwww.totclinic.com%2Ftensiom etros%2F177-tensiometro-digital-de-brazo-con- voz.html&h=0&w=0&sz=1&tbnid=x2rgEEqOS74nSM&tbnh=225&tbnw=225&prev=%2Fsearch% 3Fq%3Desfigmoman%25C3%25B3metro%26tbm%3Disch%26tbo%3Du&zoom=1&q=esfigmo man%C3%B3metro&docid=sTmt2ffVUTa7AM&hl=es&ei=J4PiUYi1JofE4APAv4GwAg&ved=0CA QQsCU&biw=1366&bih=643 Acesso em 15 jul. 2013 FIGURA 19 – DIGITAL MONITOR 1 – Upper arm; 2 – Rubber cuff http://www.revistaleia.com/site/pagina_interna.asp?cID=114&nID=3479&tp=1 http://www.google.es/imgres?imgurl&imgrefurl=http%3A%2F%2Fwww.totclinic.com%2Ftensiometros%2F177-tensiometro-digital-de-brazo-con-voz.html&h=0&w=0&sz=1&tbnid=x2rgEEqOS74nSM&tbnh=225&tbnw=225&prev=%2Fsearch%3Fq%3Desfigmoman%25C3%25B3metro%26tbm%3Disch%26tbo%3Du&zoom=1&q=esfigmomanómetro&docid=sTmt2ffVUTa7AM&hl=es&ei=J4PiUYi1JofE4APAv4GwAg&ved=0CAQQsCU&biw=1366&bih=643 http://www.google.es/imgres?imgurl&imgrefurl=http%3A%2F%2Fwww.totclinic.com%2Ftensiometros%2F177-tensiometro-digital-de-brazo-con-voz.html&h=0&w=0&sz=1&tbnid=x2rgEEqOS74nSM&tbnh=225&tbnw=225&prev=%2Fsearch%3Fq%3Desfigmoman%25C3%25B3metro%26tbm%3Disch%26tbo%3Du&zoom=1&q=esfigmomanómetro&docid=sTmt2ffVUTa7AM&hl=es&ei=J4PiUYi1JofE4APAv4GwAg&ved=0CAQQsCU&biw=1366&bih=643 http://www.google.es/imgres?imgurl&imgrefurl=http%3A%2F%2Fwww.totclinic.com%2Ftensiometros%2F177-tensiometro-digital-de-brazo-con-voz.html&h=0&w=0&sz=1&tbnid=x2rgEEqOS74nSM&tbnh=225&tbnw=225&prev=%2Fsearch%3Fq%3Desfigmoman%25C3%25B3metro%26tbm%3Disch%26tbo%3Du&zoom=1&q=esfigmomanómetro&docid=sTmt2ffVUTa7AM&hl=es&ei=J4PiUYi1JofE4APAv4GwAg&ved=0CAQQsCU&biw=1366&bih=643 http://www.google.es/imgres?imgurl&imgrefurl=http%3A%2F%2Fwww.totclinic.com%2Ftensiometros%2F177-tensiometro-digital-de-brazo-con-voz.html&h=0&w=0&sz=1&tbnid=x2rgEEqOS74nSM&tbnh=225&tbnw=225&prev=%2Fsearch%3Fq%3Desfigmoman%25C3%25B3metro%26tbm%3Disch%26tbo%3Du&zoom=1&q=esfigmomanómetro&docid=sTmt2ffVUTa7AM&hl=es&ei=J4PiUYi1JofE4APAv4GwAg&ved=0CAQQsCU&biw=1366&bih=643http://www.google.es/imgres?imgurl&imgrefurl=http%3A%2F%2Fwww.totclinic.com%2Ftensiometros%2F177-tensiometro-digital-de-brazo-con-voz.html&h=0&w=0&sz=1&tbnid=x2rgEEqOS74nSM&tbnh=225&tbnw=225&prev=%2Fsearch%3Fq%3Desfigmoman%25C3%25B3metro%26tbm%3Disch%26tbo%3Du&zoom=1&q=esfigmomanómetro&docid=sTmt2ffVUTa7AM&hl=es&ei=J4PiUYi1JofE4APAv4GwAg&ved=0CAQQsCU&biw=1366&bih=643 http://www.google.es/imgres?imgurl&imgrefurl=http%3A%2F%2Fwww.totclinic.com%2Ftensiometros%2F177-tensiometro-digital-de-brazo-con-voz.html&h=0&w=0&sz=1&tbnid=x2rgEEqOS74nSM&tbnh=225&tbnw=225&prev=%2Fsearch%3Fq%3Desfigmoman%25C3%25B3metro%26tbm%3Disch%26tbo%3Du&zoom=1&q=esfigmomanómetro&docid=sTmt2ffVUTa7AM&hl=es&ei=J4PiUYi1JofE4APAv4GwAg&ved=0CAQQsCU&biw=1366&bih=643 FONTE: Disponível em: http://www.google.es/search?newwindow=1&hl=es&biw=1366&bih=643&site=imghp&tbm=isch &oq=aferindo+a+pressao+arterial+&gs_l=img.3...85499.85499.0.85730.1.1.0.0.0.0.222.222.2- 1.1.0...0.0.0..1c.1.17.img.YJsQ8cZgIKc&q=aferindo%20a%20pressao%20arterial#facrc=_&img dii=_&imgrc=FLv4PlP- Z_HZiM%3A%3BfcKTw6WGYs0oSM%3Bhttp%253A%252F%252Fwww.semdemora.com%252 Fwp- content%252Fuploads%252F2011%252F01%252FComoMedirPresso.jpg%3Bhttp%253A%252 F%252Fwww.semdemora.com%252Fcomo-medir-pressao.html%3B434%3B300 Acesso em 14 jul. 2013 1.5.5 Thermometer Electronic thermometers are the most recommended type. The temperature is seen on an easy-to-read display. A probe can be placed in the mouth, rectum, or armpit. The measurement of body temperature may be helpful for monitoring whether a person is ill, or whether the treatment is working. FIGURA 20 - THERMOMETER FONTE: Disponível em: http://www.chinawholesalegift.com/Health-Gifts/ear- thermometer/Electronic-Digital-Clinical-Thermometer-095108699/ Acesso em 14 jul. 2013 The average normal body temperature is 98.6°F (37°C). The normal temperature can vary by: 1. Age (in children over 6 months, daily temperature can vary by 1 to 2 degrees); 2. Person; 3. Time of day (often highest in the evening); 4. Where on the body the temperature was taken. Vamos fazer uma pequena atividade? ACTIVITY 6: Choose the correct option for each medical tool. http://www.chinawholesalegift.com/Health-Gifts/ear-thermometer/Electronic-Digital-Clinical-Thermometer-095108699/ http://www.chinawholesalegift.com/Health-Gifts/ear-thermometer/Electronic-Digital-Clinical-Thermometer-095108699/ Instrument for measuring blood pressure, especially arterial blood pressure. Stethoscope Scale Sphygmomanometer Calipers Any of various measuring instruments having two usually adjustable arms, legs, or jaws used to measure thickness, diameter, and distance between surface. Thermometer Measuring Tape Scale Stethoscope Instrument used to detect and study sounds produced in the body that are conveyed to the ears of the listener through rubber tubing connected with a usually cup-shaped piece placed upon the area to be examined. Sphygmomanometer Scale Thermometer Stethoscope 1.6 IMAGE EXAMS AND DIAGNOSTIC EQUIPMENTS Pedro está prestes a iniciar a disciplina de radiologia e durante esta aula conhecerá alguns dos mais importantes exames de imagem utilizados atualmente. Durante a exposição do professor, ele está ansioso para conhecer cada equipamento, os nomes dos tipos de exames de imagens e suas características principais. 1.6.1 Computed Tomography, CT The computed tomography is the method of imaging a single plane, or slice, of an object resulting in a tomogram. There are several forms of tomography as the linear tomography, the most basic form of tomography, or the computed tomography scan, that is a helical tomography. FIGURA 21 – CT SCANNER/MACHINE FONTE: Disponível em: http://www.wired.com/gadgets/miscellaneous/news/2008/04/Toshiba_CTScanner Acesso em 15 jul. 2013 FIGURA 22 – ANATOMY OF A TC MACHINE FONTE: Disponível em: http://decisaoclinica.com/?p=2822 Acesso em 15 jul. 2013 http://www.wired.com/gadgets/miscellaneous/news/2008/04/Toshiba_CTScanner http://decisaoclinica.com/?p=2822 1.6.2 Ultrasound This method of diagnostic equipment uses high frequency broadband sound waves in the megahertz range that are reflected by tissue to varying degrees to produce (up to 3D) images. The real time moving image obtained can be used to guide drainage and biopsy procedures and it is strongly use for pregnancy monitoring. Doppler capabilities on modern scanners allow the blood flow in arteries and veins to be assessed. FIGURA 23 – ULTRASOUND MACHINE 1: High resolution monitor; 2: Control panel; 3: High resolution printer; 4: Wheels for mobility. FONTE: Disponível em: http://www.dchft.nhs.uk/patients/wards-depts/radiology/ultrasound.html Acesso em 15 jul. 2013 FIGURA 24 – ULTRASOUND TRANSDUCERS http://www.dchft.nhs.uk/patients/wards-depts/radiology/ultrasound.html FONTE: Disponível em: http://www.mybloggerspalace.com/the-prime-features-of-high-end- ultrasound-transducers/ Acesso em 15 jul. 2013 1.6.3 Magnetic Resonance Imaging, MRI This equipment uses powerful magnets to polarize and excite hydrogen nuclei (single proton) in water molecules in human tissue, producing a detectable signal which is spatially encoded, resulting in images of the body. Its mechanism of producing images allows an excellent soft-tissue contrast achievable. FIGURA 25 – MRI PARTS 1: Radio Frequency Coil; 2: Gradient Coils; 3: Magnet; 4: Scanner; 5: Patient Table; 6: Patient. FONTE: Disponível em: http://www.magnet.fsu.edu/education/tutorials/magnetacademy/mri/fullarticle.html Acesso em 15 jul. 2013 DID YOU KNOW? Coil significa bobina. Então, na legenda, temos Radio Frequency Coil, significando bobina de rádio frequência, e em Gradient Coils, bobinas de inclinação. FIGURA 26 – MRI BRAIN http://www.mybloggerspalace.com/the-prime-features-of-high-end-ultrasound-transducers/ http://www.mybloggerspalace.com/the-prime-features-of-high-end-ultrasound-transducers/ http://www.magnet.fsu.edu/education/tutorials/magnetacademy/mri/fullarticle.html FONTE: Disponível em: http://emedtravel.wordpress.com/2012/04/25/brain-mris-can-lead-to- secondary-answers-part-1-of-3/ Acesso em 15 jul. 2013 1.6.4 X-Ray The X-ray or radiography. This imaging modality utilizes a wide beam of x-rays for image acquisition and it was the first imaging technique available in modern medicine. FIGURA 27 – X RAY MACHINE COMPONENTS 1: The Tube; 2: The Grid Cabinet or Table. FONTE: Disponível em: http://www.micro-epsilon.co.uk/news/2011/UK_143- draw_wire_digital_X-ray_machines/index.html Acesso em 15 jul. 2013 1.6.5 Angiography An angiogram is an X-ray test that uses a special dye and camera (fluoroscopy) to take pictures of the blood flow in an artery or a vein. An angiogram can be http://emedtravel.wordpress.com/2012/04/25/brain-mris-can-lead-to-secondary-answers-part-1-of-3/ http://emedtravel.wordpress.com/2012/04/25/brain-mris-can-lead-to-secondary-answers-part-1-of-3/ http://www.micro-epsilon.co.uk/news/2011/UK_143-draw_wire_digital_X-ray_machines/index.html http://www.micro-epsilon.co.uk/news/2011/UK_143-draw_wire_digital_X-ray_machines/index.html used to look at the arteries or veins in the head, arms, legs, chest, back, or belly. FIGURA 28 – CEREBRAL ANGIOGRAPHY FONTE: Disponível em: http://en.wikipedia.org/wiki/File:Cerebral_angiography,_arteria_vertebralis_sinister_injection.JP G Acesso em 13 jul. 2013 FIGURA 29 - CATHETERIZATION LAB FONTE: Disponível em http://en.wikipedia.org/wiki/File:Herzkatheterlabor_modern.jpeg Acesso em 13 jul. 2013 1.6.6 Mammography A mammography is based on the process of using low-energy X-rays to examine the human breast and is used as a diagnostic and a screening tool. The goal of mammography isthe early detection of breast cancer, typically through detection of characteristic masses and/or micro calcifications. http://en.wikipedia.org/wiki/File:Cerebral_angiography,_arteria_vertebralis_sinister_injection.JPG http://en.wikipedia.org/wiki/File:Cerebral_angiography,_arteria_vertebralis_sinister_injection.JPG http://en.wikipedia.org/wiki/File:Herzkatheterlabor_modern.jpeg FIGURA 30 - MAMMOGRAPHY FONTE: Disponível em http://www.healthcentral.com/breast-cancer/h/3d-mammography- disadvantages.html Acesso em 15 jul. 2013 FIGURA 31 - MAMMOGRAPHY FONTE:Disponível em http://www.mchospital.org/cr-digital-mammography Acesso em 15 jul. 2013 1.6.7 Echocardiography Echocardiogram, often referred to cardiac echo or simply an echo, is a sonogram of the heart. (It is not abbreviated as ECG, which usually refers to an electrocardiogram.) It allows the cardiologist to see heart structures in detail, as chamber size, heart function, its valves, etc. There are several types of echocardiography: transthoracic echocardiography, stress echocardiography, transesophageal echocardiography, fetal echocardiography and three- dimensional echocardiography. http://www.healthcentral.com/breast-cancer/h/3d-mammography-disadvantages.html http://www.healthcentral.com/breast-cancer/h/3d-mammography-disadvantages.html http://www.mchospital.org/cr-digital-mammography FIGURA 32 – ECHOCARDIOGRAPHY FONTE: http://www.nhlbi.nih.gov/health/health-topics/topics/echo/printall-index.html Acesso em 16 jul. 2013 Que tal fazer uma pequena e rápida revisão? ACTIVITY 7: Identify the exam equipment below. Ultrasonography X Ray Computed tomography Mammography Angiography X Ray Computed tomography MRI Angiography Ultrasonography Mammography MRI Computed tomography Angiography X Ray FIM DO MÓDULO I http://www.nhlbi.nih.gov/health/health-topics/topics/echo/printall-index.html
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