医学英语完整版.ppt

1 1 Askingapatientabouthisillness Anyvomiting Areyoufeelingallright Areyoufeelingwell Areyoufeelingnausea 2 Haveyouhadthisexperiencebefore Haveyougotanychronicdiseasesinthepast Haveyougotanyfeelingofnausea Haveyoulostweightrecently Haveyoutakenanythingforit 3 Areyourbowelsactingproperly Areyourbowelsregular Didyouhavepainsherebefore Doyoucough Doyoufeelshortofbreathsometimes Doyoufeelshort winded Doyoufeeltired Doyouhaveanyappetite Doyouhavedifficultybreathing Doesithurt 4 Howaboutyourappetite Howbadisit Howfarpregnantareyou Howlonghasitbeenthisway Howlonghasthisbeengoingon Howlonghaveyoubeenill Howlonghaveyoubeenlikethis Howlonghaveyouhadit Howlonghaveyouhadthistrouble 5 6 7 Howareyoufeelingnow Howisyourrheumatism Howisyoursleep Isthecutstillpainful Sincewhenhaveyoubeenfeelinglikethis Whatdidyoueatyesterday Whatsortofpaindoyougetthere What swrongwithyourear What syourappetitelike 8 Whatdoyoucomplainof What syourcomplaint Whathurtsyou What sthetrouble What stroublingyou What syourtrouble What sthematterwithyou What swrongwithyou What sbotheringyou Whatseemstobebotheringyou 9 Whatseemstobethematter Whatseemstobetheproblem Whatseemstobethetrouble Whendidthepainstart Whendidyoubeginfeelingunwell Whichtoothistroublingyou Whyisthat Yourcaserecord please You resufferingfromanallergy 10 2 Tellingadoctorhowyoufeel Aboutaweeknow Aboutfivedaysrunningalready Ican tlifemyrightarm 11 Icoughagreatdealatnight Idon tfeellikeeatinganything Ifeelabitoffcolor Ifeelapaininmyleftleg Ifeelabsolutelyrotten Ifeelchilly IfeeldizzyandI vegotnoappetite Ifeelfeverish Ifeelhotandcold IfeellikeI mburningup 12 Ifeellikevomiting Ifeelsick Ifeelpoorly Ifeelratherunwell Ifeelverybad Ifeelsoill IfeelshiveryandI vegotasorethroat Ifeeladullpaininthestomach Ijustfeelallpoopedout Ikeepfeelingdizzy 13 Ireallyfeelterrible Ihaveaheadache Ihaveasplittingheadache Ihaveastomach ache Ihaveastuffed upnose Iseemtohavepainallover IthinkI mdying Itriedsomesleepingpills buttheyhavedonenothingforme I mabitstuffedup 14 I machingallover I mafraidI vegotatemperature I mfeelingratheroutofsortsthesedays I mhavingsometroublesleeping I msufferingfrominsomnia I mrathersick I mrunningafever I mrunningatemperature I mundertheweather 15 Itallbeganyesterday Itcameonlastnight Ithurtsterrible Itkeepshangingon Itsortofhungon Itstartedtwodaysago It sadullsortofpain andIdon tknowwhat scausingit It sbeenhangingaboutfornearlyaweek It snotasharppain justsortofadullache 16 I vebeenhavingpainsinmychestrecently I vebeenlosingsleep I vebeensneezingallday I vebeenthrowingup I vegotabadappetite I vegotahumming I vegotapaininmyback I vehadtwomoremovementsthismorning I vetakensomeaspirin butitdidn thelpmuch 17 Justoffandon Mybackisgivingmeabitoftrouble Myeyesightisfalling Myeyeshavebeensore Myleftfoothurts Mylegshavenotbeenrightlately Myrighteardrumhasbecomeinfected Mystomachisupset Mytoothisactingupagain Myweightfellfrom60kg to50kg 18 Mywholebodyfeelsweak Oneofmyteethtroublesme Oneofmyupperteethislooseandaching Thepain sbeenkeepingmeawake There sabittertasteinmymouth Thistoothonthelowerjawissensitivetocoldandhot 19 3 Examiningapatient Abloodtestisnecessary Anypainhere Breathedeeper please 20 Cough Nowagain Doyouhaveanypainhere Doesithurthere DoesithurtwhenIpresshere DoesithurtwhenItouchithere GoandhaveyourchestX rayed Howdoesitfeel Ithinkwe dbettergiveyouafewtests I llhaveyourtemperaturetaken I mgoingtotakeathroatculturesowe llknowforsure 21 Letmecheckyourlungsandheart Letmeexamineyourstomach Letmefeelyoupulse Letmelistentoyourheartandlungs Letmesoundyourlungs Letmetakeyourbloodpressure MayItakeyourbloodpressure Liedownonthecouchthere Letmeexamineyourbelly Nowbreathein Adeepbreath 22 Nowletmejustsee Nowslipoffyourcoatandshirt please Openyourmouthandsay Ah Openyourmouthplease andshowmeyourtongue Pleasegoandtakeastooltest Putthisthermometerunderyourtongue Rollyoursleevesup Showmewhereithurts Slipyourshoesoffandhopuponthebed 23 Striptoyourwaist please Takeabreath please Takeyourbloodcountfirst please Thegumsareswollen There ssomerespiratorymurmurinyourheart Unbuttonyourshirtandletmelistentoyourlungs Well I dbettertakeyourbloodpressure Well let ssee 24 Well let stakeanX rayofyourchest Youmusthaveanelectrocardiographexamination Yourbloodpressureisnormal Yourpulseisabitfast Yourtongue srathercoated Yourtongue sthicklyfurred You retohaveabloodtest You vegotafaintmurmuroftheheart 25 Aslightinfection Anoperationisneededtoremoveyourtonsils 4 Diagnosingandtreating 26 Bythelookofit itshouldbearash Bythesoundofit it sbronchitis Idon tthinkit sanythingserious Ishouldsayyou vecaughtcold Ishouldthinkyou vegottheflu Ithinkyouneedashottodeadenthepainfirst Ifyourrecoverygoesonlikethis youcanleaveinthreedays I llgiveyouaninjectionfirst I llgiveyouashot I mafraid 27 I mafraidanurgentoperationisnecessary I mafraidyou llhavetobeoperatedonforappendicitis ItcouldbeacaseofTB Itlooksasifit sscarletfever Itlookslikemeasles Itsoundsasifyou vecaughtcold Itsoundslikebronchitis It sanacutecase It sinflammationoftheskin 28 It snotsoseriousasitseems It snothingbutalittleinfectioninthefingertip It snothingserious butyou dbetterstayinbed Letmegiveyouaneedletonumbthetooth Nothingserious Thetoothwillhavetobetakenout TheX rayshowsafracturedankle There sabadvirusgoingaroundhereandthat sprobablywhatitis 29 There samarkedimprovementinyourcondition There snothingtobealarmedabout Theinfectionmayleadtorespiratorycomplications Well itcouldbeasimplesprain ButIthinktobeonthesafeside weoughttohaveitX rayed Youmustbehospitalizedrightnow Youmusthaveyourappendixremoved 30 Youmusthaveyourtoothextracted Youneedaninjection Youprobablyhavecontractedtheflu Youseemtohavepickedupsomekindofinfection You llbeallrightsoon You llbetreatedforafractureofthebone You llgetoveritsoon You llhaveanimmediateoperation You llhavetobeoperatedon 31 You llhavetohaveyourdecayedtoothpulledout You llhavetostayinthehospitalforobservationfortwodays You llrecoverintwoorthreedays Yourcaseisnotveryserious Yourleftthumbsuffersacomminutedfracture Yourrheumatismshouldtakeacourseoftreatmentforaboutamonth 32 You resufferingaheartdisease I mafraid You vegotadropoffever You rerunningatemperature You vegottheflu butnotveryserious 33 5 Givingprescriptionandadvice Achangeofdietmaydoyougood Agoodsleepmayhelpyoupickupflesh 34 Administertheointmentonceeveryday Applythistubeofjellythreetimesaday Areyouallergictoanymedication Avoidgreasyfoods Becarefultoyourdiet Besuretokeepwarmandrest Comebackandseemeintwoweeksifyou renotfeelingbetter Cutdownonyourdrinking Donotsmoke 35 Don toverdothings Don tstrainyourselftoomuch Drinkmorehotwater DrinkmoreliquidsandtakethemedicineIprescribed Drinkplentyofwater Drinkthismixturefourtimesaday onemeasureeachtime Electricaltreatmentswillbegoodforyourrheumatism 36 Fattyfoodwilldoyouharm Getplentyofexercise Gohomeandrestforatleastthreeorfourdays Haveagoodrest Here saprescriptionforsomemedicine Here saprescriptionforyou Pleasetakethemedicineaccordingtotheinstruction Here saprescription Havesomeonetogetitfilled 37 Hereisaprescription I dlikeyoutotakeoneofthesepillsthreetimesaday Here sasick leavecertificateforthreedays Icanprescribesomepillswhichwillrelievethepain butyou dbewelladvisednottooverworkyourself IsuggestyoutakeChinesetraditionalmedicines Ithinkamonthatahealthresortwilldoyougood 38 Ithinkthisgarglewillrelieveyoursorethroat Ifyourfeverlingers cometomeagain I llgiveyouadoseofstreptomycin I llgiveyousometablets I lljustgiveyouaprescription I llmakeupaprescriptionforyou I llprescribeabottleofcoughsyrupforyou It llkeeptheswellingdown 39 Keepawayfromthedraught Keeptoyourbed andtrytohavemorewater Keepwarmandtakeahotbathbeforegoingtobed Letmeprescribesomemedicineforyou Onetableteachtime threetimesadayaftermeal Putaplasteronthesoreonceaday Putthislotiononeveryfourhours 40 Rubinthiscreamonceaday StayawayfromworktillMonday anddon toverdothings Stayinbedandrest Takeadosethreetimesaday T