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Осмотр.
Особенности окраски кожи – “мраморность”, бледность, иктеричность, ”восковой” оттенок, вишнево – красный цвет.
Наличие геморрагической сыпи, изменение языка (“лакированный”, красный, трещины, сглаженность сосочков). Некротические и гангренозные поражения в полости рта – состояние миндаликовой зоны, десен. Наличие ассиметрии живота, увеличение первой половины, состояние суставов, опорно – двигательного аппарата.
Пальпация:
Состояние лимфатической системы, болезненность при пальпации костей, печени, селезенки, дать характеристику поверхности, консистенции.
Перкуссия:
Определение размеров печени и селезенки. Перкуссия по длинным трубчатым костям, по грудине, ребрам – наличие болезненности, проверка симптомов жгута, щипка.
I READING Текст №1 The white house
The President of the United States lives at 1600 Pennsylvania Avenue, Washington DC. For many North Americans, it is an important symbol of their country. It is more than 200 years old. The President lives in the Oval Office. The White House is on four floors and has 132 rooms and 35 bedrooms. There is also a kitchen, a tennis court, swimming pool, cinema and a bowling lane. The White House is open to visitors five days a week. On the walls, there are pictures of ex-Presidents of the USA. Next to the house, there are big trees, a pond and a wonderful rose garden.
I READING Текст №2 Keep up your energy levels at work
Follow these simple instructions to improve your energy levels. First, stand in front of a chair with your hands on your hips. Now fold both arms across your chest. Bend your knees and sit down. Keeping your left foot on the ground, put your right leg straight out in front of you. Bend your body and try to touch your toes with your left hand. Now do the opposite with the other leg. Then relax.
I READING Текст №3 My grandfather
My grandfather, Pierre was born in France in 1922. He grew up in the countryside. He left France in 1939, and came to Britain. He knew just one word in English: ‘Hello’. At first, he didn’t feel very happy – he was lonely. But he spoke to everyone he met and he soon made friends easily. He learnt English well and now he speaks it perfectly.
I READING Текст №4 Learning to swim
- It took me a long time to learn. I wasn’t a natural. I still don’t swim very well. I certainly wouldn’t like to be in a boat in rough seas. I never really learnt to put my face in the water. It hurts my eyes and I can’t see.
- My father was a swimming instructor so I guess it’s in the blood. I can’t remember a time when I couldn’t swim. I spent most of my childhood holidays at the beach and I still go at any opportunity I get.
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