医学英语问诊PPT课件.ppt

问诊用语,医生：1.Hello,may/canIhelpyou？Sitdown，please.Whatsthetrouble?Whatstheproblem?Whatstroublingyou?Whatsthematter(withyou)?Whatswrong(withyou)?Whatsbotheringyou?Whatsyourcomplaint?2.Doyouhavearecord？Whendidithappen?Whendidthetroublestart?Whendidthesymptombegin？Whendidyoufirstnoticeit?Howlonghaveyoubeenlikethis?Howlonghaveyoubeenfeelinglikethis?,Whendidthepainstart?Whendidyourdiarrheastart?3.Whereisyourpain?Whatkindofpaindoyoufeel?Haveyouseenanybodyaboutit?Whatkindoftreatmenthaveyouhadbeforeyoucamehere?4.DoyoumindifIexamineyoubriefly?Allright.Letmeexamineyou.Wouldyoumindtakingoffyourcoat？Illrunsometestsonyou.我要给你做些化验Trynottoblink.Takeadeepbreath，please.Breatheindeeply.Thatlldo.好了。Nowtakeabreath.Nowtakeadeepbreathwithyourmouthopen.Nowturnaround，please.Takeiteasyanddontmove.Showmeyourtongue，please.,病人主诉：1.Ifeelundertheweather.我不舒服，生病了。Ihaveaheadache,nauseaandvomiting.我觉得头痛、恶心、想吐。Myheadispounding.我头痛。Ifeellight-headed.我觉得头晕。Ifeeldrowsy,dizzyandnauseated.我觉得昏昏欲睡，头晕目眩，还想吐。Ifeelasthougheverythingaroundmeisspinning.Ifeelexhaustedmostofthetime.我大部份时间都觉得非常疲倦。Ifeelunusuallytired.我感到反常的疲倦。2.Urinatingafteranoperationisveryhard.手术后排尿很困难。Ihaventhadmuchenergyforsometime.我感到虚弱有段时间了。Ihavebeenstayinginforafewdays.我生病在家几天了。Mysymptomsincludelossofappetite,weightloss,excessivefatigue,feverandchills.我的症状是没有食欲、体重减轻、极度疲倦、发烧和发冷。医生问诊：1.Haveyouhadanychills（chestpain）？您有发冷（胸痛）吗Haveyouevercoughedupblood？您咳血吗？Doyoubringanythingupwhenyoucough？咳嗽时有痰吗Isthereasenseofdistensionandnumbness？你有胀和麻木的感觉吗,Whatdidyouvomit，foodorblood？你吐的是什么，食物还是血Whataboutyourheart？你的心脏怎么样Whatsyourappetite？你的胃口怎么样Howsyourappetitethosedays？近来食欲怎么样Whatsyourstoollike？大便是什么样子Whatkindofstooldidyounotice，wateryormucous你注意大便的样子了吗？是水样的还是粘液样？Haveyoubeencoughingandsneezing？你是不是一直咳嗽和打喷嚏Haveyougotahighfever？Anyfever？Didyourunanytemperature?Doesitbleedoften？Doyoufeelshortofbreath？你觉得气急吗Doyouhaveacough？Doyouhaveapaininyourstomach？Doyoufeelpainaftermeals？饭后痛Haveyougotanychronicdiseasebefore?Doyoufeelabdominalpainwhenyougotothetoilet？你去厕所时感到腹痛吗Doyourememberhowmanytimesyouwenttothetoilet？你记得去过多少次厕所吗,Pleaseusethiscontainerforyoururine.请将尿放进这个容器内。Showmewhichoneitis？告诉我是哪个？Whichofyourarmsissore？你哪个胳膊痛？Doyouhaveanypaininyourbelly？你腹部痛吗？Doyoufeelweak？你感到身体虚弱吗？Doesithurthere？这儿痛吗？Showmewhereithurtsthemost？告诉我哪儿最疼。2.诊断：Idliketolistentoyourchest.我想听听你的胸部。Idliketorunafewtests.我想给你做些检查。Ithinkyouneedsomeexaminationsfirst.我想您首先需要做一些检查。Youmusthaveablood/sputumtest.你需要验验血（痰）。Illtakeawhitebloodcountandgiveyouax-rayexamination.我将给您做白细胞计数和胸片检查。YoudbettertakeanX-raypicturetoseeifthereisafracture.你最好拍张X片子，看看有没有骨折。,IdliketogiveyouanX-ray.我想给你透视一下。Haveyoueverhadaninjectionofprocaine（penicillin）before你以前打过普鲁卡因（青霉素）吗？Youhaveaflu.你得了流行感冒。Youhavegotenteritis.你得了肠炎。Youhavecaughtachill.你着凉了。Youseemtohavepickedupsomesortofinfection.你好象染上什么传染病了。Imsureitspneumonia.Youshouldbeadmittedtothehospital.我可以确定您得了肺炎，应当住院。TheX-rayrevealsadislocationofyourelbow.X光片显示你的肘关节脱位。Illtransferyoutothesurgerydepartment.我给您转到外科去。Illgiveyoursomemedicine.我给您开点药。Thefracturedlegmustbekeptinplaster.必须把骨折的腿打上石膏。Imafraidyouhavetoreceiveanamputation.恐怕你需要截肢。Itistheonlywaytosaveyourlife.这是挽救您生命的唯一办法。Thewoundhasnthealedenoughyet.伤口还没完全愈合。,Mydiagnosisisthatyouhaveamalignanttumorosteogenicsarcoma.我的诊断是您得了恶性骨肉瘤。Whatkindofmaterialdoyouprefer？你想要什么材料的？Youcantrythegold-alloyones.你可以试一下合金的。Youllhavetowaitforonemoremonth，ortheywontfitproperly.你得再等一个月，要不然装上也不会合适。Youvegottocomefivetimesbeforetheworkcanbefinished.你得来五次才能做好。3.妇科：Howareyourperiods？Aretheyheavy？你的月经怎么样？量多吗？Whatstheamountofbleeding？Isitprofuse？出血量多少？很多吗？Haveyouhadanypaininthisareaduringyourmenstruation？你来月经时间时这一部位疼吗？Howaboutyourmenstruationcycles？你的经期准吗？Whenwasyourlastmenstruation？你上一次月经是什么时候？Howlongisyourperiodusually？通常你的月经周期多长？Howlonghasthisbeenbotheringyou？这种不适感有多久了？,Haveyouhadanybleeding，waterydischargeorpaininyourlowerabdomen？你有过阴道出血、水性分泌物以及下腹部疼痛的情况吗？Didyoufeelcontractionsregularly？你感觉到过有规律的宫缩吗？Pleasetakeoffyourshoesandpantiesandlieontheexaminingtable.请你脱去鞋和裤子，躺到检查床上。Thatsduetoyourheavyperiod.这是因为你月经过多造成的。Ithinkitscarcinomaofthebreasts.我认为是乳腺癌。Wellsendhertothedeliveryroomforfurtherobservation.我们想把她送到产房进一步观察。Illwriteoutaprescriptionforyourightnow.我马上给你开张药方。Illgiveyouaprescription.Takeittothechemists.我给你一张处方，到药房去配药。Idliketoputyouonsomemedicineandhaveyoucomebackinseveraldays.给你开点药，几天以后你再来。Comebackinaweekforare-examinationofyourwomb.一周以后来复查您的子宫。Illsendyousomemedicine（pill，tablet,ointment，capsule）.给你开些内服药（丸药，片,药膏，胶囊）。Hereissomelotionforyou.Pleaseuseitonceforaday.洗剂,Takethemedicineaccordingtotheinstruction.请按医嘱用药。Onetableteachtime，threetimesadayaftermeals.每日3次，每次1片，饭后服。Takeonecapsuleeveryfourhours.每4小时服用一胶囊。Takeadosethreetimesaday.每天服3次，每次一剂。Puttheointmentonthesoreonceaday.把软膏涂在患处，每日1次。Shakewellbeforeusingit.使用之前要摇匀。Themedicinewillrelieveyourpain.这种药会给你止痛。Thismedicinecankeepyourfeverdown.这种药可给你退烧。Thisisfororaladministration.这是口服药物。Thislotionisforexternaluseonly.这种洗剂只可外用。4.外科：Yourtongueisrathercoated.你的舌苔比较厚。Dulltonguewithwhitishandgreasycoating.舌质暗，苔白腻。YoudbetterhaveachestX-ray.你最好透视一下胸部。YouarescheduledtohaveaGIandaGBtesttomorrowmorning.您预定明天早上作胃肠检查和胆囊检查。,(胃肠镜：gastrointestinalendoscope.胆囊：gallbladder）Thistestisdoneona24hourbasisfrom6inthemorninguntil6inthefollowingmorning.这个检查是以早晨六点到第二天早上六点的二十四个小时为单位进行的。Pleasedonteatordrinkanythinguntilthetestisover.Imsorrybutyouhavetohaveanabsoluteemptystomach.要检查结束之前请不要吃喝任何东西。我很抱歉，您得完全空着胃。Youresufferingfromacuteappendicitisandmusthaveanoperation.你得的是急性阑尾炎，要动手术。Imsorrytosayyoullhaveanimmediateoperation.很遗憾，你得快动手术。Youarescheduledtohaveanoperation.您要预定动手术。Wouldyouliketohavealookatsomeofthesamples？你要看一看样品吗？IwillgiveyouanNGtuberightnow.我马上给你插鼻胃管。（nasogastrictube）Didyoupassanywindbyrectum.有气从肛门排出吗？Youcanlieonyoursidemoreoften.您可以经常翻身。5.医嘱：,Yourmealsshouldbefrequentbutsmallinquantity.应该少吃多餐。Yourmealsshouldbelightanddigestible.吃的东西要清淡容易消化。Youshouldtakesomemorevitamines.你应该多吃些维生素。Youshouldgoonadiet.你应该节食。Youcanttouchanythingsweet.你一点甜食也吃不得Fattyfoodwilldoyouharm.高脂肪食物对你有害处。Avoideatinggreasyfood.不要吃油腻食物。Drinkplentyofwater.要喝大量的水。Youmayhavesomethingtodrinkwheneveryouwish.你可以随意喝你想喝的东西。Howdoyoufeelnow？现在你觉得怎么样？Haveyouhadanydiscomfort？有什么不舒服吗？Youlookalittlebettertoday.今天看来你精神好一些。Youcangetoutofbedtoday.你今天可以下床了。Shallwelimittheamountofvisitors？要不要限制访客的人数呢？,6.牙科：Itstoow