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> Is it his appendix, doctor? Part 2
We have mixed up all the articles (a, an, the) in the text below, try and find the correct place for each one..
Is it his appendix, doctor? Part 2 (Teacher: Michael)
Next, there is
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a
an
The
the
rather sudden bout of vomiting. This usually rouses
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a
an
The
the
whole household and often
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a
an
The
the
family doctor. By
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a
an
The
the
time he is called
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a
an
The
the
sufferer may begin to feel
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a
an
The
the
bit hot. He looks more than just in pain; he looks ill.
This is
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a
an
The
the
most usual course
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a
an
The
the
illness takes.
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a
an
The
the
wretched appendix (which doesn't even seem to serve any useful function) although fixed to
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a
an
The
the
lower bowel at one end, can lie pointing in any direction of
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a
an
The
the
compass. And this fact can change
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a
an
The
the
symptoms considerably.
If it is pointing upwards it can give rise to
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a
an
The
the
suspicion of pneumonia. If pointing outwards, that is towards
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a
an
The
the
loin, it can cause fears that
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a
an
The
the
pain may be due to
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a
an
The
the
kidney. If it points directly downwards diarrhoea may be
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a
an
The
the
early symptom and
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a
an
The
the
infection of
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a
an
The
the
bowel has to be considered.
These facts make diagnosis difficult for
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a
an
The
the
doctor in
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a
an
The
the
minority of cases, but for parents any abdominal pain in
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a
an
The
the
child is
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a
an
The
the
worry. What has gone before is often important - what
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a
an
The
the
doctor calls
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a
an
The
the
history of
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a
an
The
the
case. Has
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a
an
The
the
child been to
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a
an
The
the
party and eaten too much ice-cream or too many sour apples? Has he had
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a
an
The
the
sore throat
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a
an
The
the
day before and got
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a
an
The
the
virus infection? If
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a
an
The
the
pain is slight does he refuse any offer of food?
An American surgeon, when in doubt, used to ask
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a
an
The
the
child if he would like
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a
an
The
the
hot, roast pork sandwich. If he said 'yes',
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a
an
The
the
surgeon would wait before operating. It needs
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a
an
The
the
healthy child with
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a
an
The
the
good. appetite for this test to work.
Remember that in
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a
an
The
the
acute appendicitis
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a
an
The
the
pain does not get gradually better. If during
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a
an
The
the
attack
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a
an
The
the
child starts to want to play or asks for food,
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a
an
The
the
diagnosis is almost certainly not that of
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a
an
The
the
acute appendix. Be suspicious of
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a
an
The
the
youngster whose pains begin on consecutive Monday mornings just before school!
If in doubt, if
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a
an
The
the
pain persists or worsens, or if
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a
an
The
the
patient begins to look or feel hot, don't delay. Remember that
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a
an
The
the
operation done in good time is remarkably safe and
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a
an
The
the
youngster is quickly full of beans again.
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