Digestive System (case report)
Verb tenses: advanced activity
Instructions: The case report below needs to have the verb tenses fixed. Each verb that needs
adjustment has been placed within { }. After you complete the activity, listen to the report and
check your answers. Special Note: Sometimes the words in a verb form may have to be split
around an intervening word, e.g. not.
The patient {present} __________ at 9 pm to the emergency room with nausea and {vomit}
__________. The patient not {eat} __________ since the day before. The patient {report}
__________ that the symptoms {come} __________ on slowly over a period of 12 hours. He
{recall} __________ that the first symptoms {occur} __________ that morning. He {say}
__________ he {feel} __________ a little nauseous when he first {wake up} __________ and the
feeling steadily {get} __________ worse. He {say} __________ his first episode of vomiting
{occur} __________ at 1 pm. He {report} __________ that the contents of his stomach {appear}
__________ to contain the previous evening’s meal. He {say} __________ that he {vomit}
__________ ever since.
He {say} __________ that on the previous night he and his wife {dine} __________ at a
Sushi restaurant in the central part of the city. He {have} __________ traditional sushi with rice
wine and his wife {have} __________ vegetarian sushi. She also {consume} __________ rice
wine with her meal. They {eat} __________ lunch around noon that day, although, they not {eat}
__________ together. He {eat} __________ at McDonalds and {have} __________ a Big Mac
Menu with cola, while she {eat} __________ at a Pizzeria near her office.
Since he first {vomit} __________ at 1 pm, he {say} __________ he {vomit} __________ 6
additional times, at approximately 90 minute intervals. The other episodes of {vomit} __________
produced mainly fluids with only small bits of solid matter. The patient’s wife {report} __________
no illness and no nausea. She {concur} __________ with her husband’s assessment of his illness
and the time line he {describe} __________.
She {offer} __________ some additional information regarding what he {consume}
__________ that day. She {say} __________ that she {make} __________ him coffee for
breakfast and {get} __________ him to drink several cups of tea before his first episode of
vomiting. After that, she {able} __________ {get} __________ him {drink} __________ several
glasses of water. She {guess} __________ that he {have} __________ about 4 glasses of water
since 1 pm.
The couple {say} __________ that they {make} __________ plans {go} __________ to
Aruba, and {schedule} __________ {leave} __________ in 3 days. They {concern} __________
that they {have} __________ {cancel} __________ their flight. The patient’s mood somewhat
{depress} __________, {express} __________ that if they make plans, one of them ______ almost
certainly end up {get} __________ sick just before they {is} __________ {leave} __________.
The patient {admit} __________ to the hospital, put on IV hydration and {give} __________
antiemetics. Food poisoning {suspect} __________. The patent’s condition {improve} __________
steadily over night and he {discharge} __________ home the following afternoon.
Information regarding the case {pass} __________ along to the food safety department for
investigation.