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C2  ·  34 words

Respiratory medicine in French

What a chest sounds like, and what the machine makes of it.

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From these 34 words, as many per round as you like — up to all of them: first what is due today, then new ones. First you choose, then you fill the gap, then you write it yourself. Mistakes come back again shortly.

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The tenth entry is les râles, and it is the place on this list where one French word has to be unpacked into four English ones. In a chest, les râles are the wet clicking heard through a stethoscope, and the English word for that is « crackles ». « Rales » was the borrowed term for a century and has been dropped on purpose, because half the profession used it of one sound and half of another; a report that still carries it is being read rather than understood. Away from the clinic the same noun keeps going. Le râle of somebody dying is the « death rattle ». Le râle des genêts is a bird, the corncrake, named after the noise it makes in a hayfield at night. And the verb has travelled furthest of all: râler in everyday French is to grumble, so il râle tout le temps describes a colleague and not a patient. One rasping sound, four English words, and only the first of them belongs in a lung report.

The words

Noun (f) (21)

Grammar for these: Definite article: le, la, les · Indefinite article: un, une

la spirométriethe spirometryNoun (f)C2
La spirométrie se fait debout ou assis.Spirometry is repeated until three efforts agree with one another.
la capacité vitalethe vital capacityNoun (f)C2
La capacité vitale reste presque normale.Vital capacity falls as the lung grows stiffer.
la réponse aux bronchodilatateursthe bronchodilator responseNoun (f)C2
La réponse aux bronchodilatateurs oriente le diagnostic.A bronchodilator response is measured twenty minutes after the dose.
l’obstruction bronchiquethe airflow obstructionNoun (f)C2
L’obstruction bronchique se voit sur la courbe.Airflow obstruction is confirmed by a ratio and not by a single number.
la toux chroniquethe chronic coughNoun (f)C2
Une toux chronique dure des mois.A chronic cough that outlasts eight weeks is investigated.
l’expectorationthe sputumNoun (f)C2
L’expectoration change de couleur pendant la crise.Sputum is collected first thing in the morning.
la gazométriethe blood gas analysisNoun (f)C2
La gazométrie montre un manque d’oxygène.Blood gas analysis settles whether oxygen on its own is enough.
l’insuffisance respiratoirethe respiratory failureNoun (f)C2
L’insuffisance respiratoire s’installe lentement.Respiratory failure is defined by two numbers rather than by how the patient looks.
l’oxygénothérapie de longue duréethe long-term oxygen therapyNoun (f)C2
L’oxygénothérapie de longue durée occupe tout le salon.Long-term oxygen therapy works only if it is worn for most of the day.
la ventilation non invasivethe non-invasive ventilationNoun (f)C2
La ventilation non invasive se fait par un masque.Non-invasive ventilation is set up over the first few nights.
la technique d’inhalationthe inhaler techniqueNoun (f)C2
La technique d’inhalation est revue à chaque visite.Inhaler technique explains more failures than the drug itself does.
la chambre d’inhalationthe spacerNoun (f)C2
La chambre d’inhalation aide surtout les enfants.A spacer catches the dose that would otherwise hit the throat.
l’exacerbationthe exacerbationNoun (f)C2
Une exacerbation conduit souvent à l’hôpital.An exacerbation is a worsening measured in days rather than hours.
la trousse d’urgencethe rescue packNoun (f)C2
La trousse d’urgence reste dans le sac.The rescue pack stays at home and is started on agreed rules.
la fibrose pulmonairethe pulmonary fibrosisNoun (f)C2
La fibrose pulmonaire raidit le tissu.Pulmonary fibrosis reduces what the lung is still able to hold.
l’exposition professionnellethe occupational exposureNoun (f)C2
L’exposition professionnelle remonte à des décennies.Occupational exposure is asked about job by job.
la bronchoscopiethe bronchoscopyNoun (f)C2
La bronchoscopie se fait sous légère sédation.Bronchoscopy brings back a sample from the place in question.
la tuberculosethe tuberculosisNoun (f)C2
La tuberculose n’a jamais disparu.Tuberculosis is treated for months and never for weeks.
la réhabilitation respiratoirethe pulmonary rehabilitationNoun (f)C2
La réhabilitation respiratoire mêle exercice et suivi.Pulmonary rehabilitation runs in a group over several weeks.
la vaccination contre la grippethe influenza vaccinationNoun (f)C2
La vaccination contre la grippe revient chaque automne.Influenza vaccination has to be repeated because the virus keeps changing.
la surveillance à domicilethe home monitoringNoun (f)C2
La surveillance à domicile évite bien des séjours.Home monitoring sends a reading in without anybody travelling.

Noun (m) (13)

Grammar for these: Definite article: le, la, les · Indefinite article: un, une

le volume expiratoire maximal secondethe forced expiratory volume in one secondNoun (m)C2
Le volume expiratoire maximal seconde baisse chaque année.The forced expiratory volume in one second is the figure the diagnosis turns on.
le débit de pointethe peak flowNoun (m)C2
Elle note son débit de pointe chaque matin.Peak flow drops before the patient notices anything.
le sifflementthe wheezeNoun (m)C2
Le sifflement s’entend sans stéthoscope.The wheeze is loudest when the patient breathes out.
les râlesthe cracklesNoun (m)C2
Les râles apparaissent à la base des poumons.Crackles do not clear when the patient coughs.
l’essoufflement à l’effortthe breathlessness on exertionNoun (m)C2
L’essoufflement à l’effort commence dans l’escalier.Breathlessness on exertion is often put down to age first.
l’arrêt du tabacthe smoking cessationNoun (m)C2
L’arrêt du tabac change la pente de la courbe.Smoking cessation is written into the notes with a date beside it.
les paquets-annéesthe pack-yearsNoun (m)C2
Le dossier indique le nombre de paquets-années.Pack-years multiply the daily packet by the number of years smoked.
l’amiantethe asbestosNoun (m)C2
L’amiante se cache encore dans les vieux bâtiments.Asbestos stayed in use long after the harm was known.
l’épanchement pleuralthe pleural effusionNoun (m)C2
L’épanchement pleural gêne la respiration.A pleural effusion shows as a rising line on the film.
le pneumothoraxthe pneumothoraxNoun (m)C2
Le pneumothorax survient parfois sans cause.A pneumothorax can arrive in somebody young and otherwise well.
le nodule pulmonairethe pulmonary noduleNoun (m)C2
Le nodule pulmonaire est surveillé par des images.A pulmonary nodule turns out, more often than not, to be nothing at all.
le trouble respiratoire du sommeilthe sleep-disordered breathingNoun (m)C2
Le trouble respiratoire du sommeil fatigue toute la journée.Sleep-disordered breathing is suspected when the nights are loud and the days are drowsy.
l’exercice respiratoirethe breathing exerciseNoun (m)C2
Un exercice respiratoire calme la panique.A breathing exercise is practised twice a day at home.

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