《诊疗英语会话》PPT课件.ppt

EnglishforDoctors EnglishinUse JiangsuUniversity Goodmorning MsRayner Comeandsitdown Goodafternoon mynameis andmyEnglishnameisMary SoyoucancallmeDr Mary IamadoctorofInternalMedicine I mresponsibleforyourtreatment I llbelookingafteryou Or Iworkinthe department I macardiacsurgeon anesthesiologistdermatologisthepatologistophthalmologistpharmacologistpulmonologistToxicologistneurologisturologist cardiologisthematologistoncologistpathologistpsychologistradiologist 医生问话的三个主要部分 就诊原因 含症状 询问病史 临床体检 Mr Simpson34 plumberc odyspnoea1 12 ankleswelling2 52SHmarriedwith1son25cigs day 50unitsalcohol weekPHnilrelevantFHfatherd 42MI mothera2spidernaevionchestP110 minreg BP100 60CXRenlargedheartandbilat Pleuraleffusions 呼吸困难 胸腔积液 ChestX ray 与患者打招呼 请患者描述症状 收集病例 临床检查 通知诊断结论 治疗方案和进一步化验项目 医嘱 复诊 Wellnow howcanIhelpyou Well Mr Rayner What tthetrouble Whatsymptomsdoyouhave 1 问时间 如症状开始的时间 持续的时间 间隔的时间或频率2 问症状的性质和严重程度3 问诱因 医生问话的三个主要部分 就诊原因 含症状 询问病史 临床体检 Whendiditbegin start Whendidyoubegintonoticethesesymptoms Howlongdoeseachepisode attacklast Howoftendoesithappen Howoftenaretheattacks Istheconditionserious Hasitgottenworse Whatdoyouthinkprovokesit Hasanythingstartedthisoff Doesanythingbringthemon 还有别的症状吗 Hasanythingelsetroubledyou Doyousufferfromindigestion boweltrouble Haveyounoticedanythingelse 发作 犯病 I venothadmuchtroublewiththatfortwoyears 这两年没大犯过 Doesthepaincomeoninthenight 夜间腹部疼痛吗 Areyouallrightbetweenspasms 两次发作期间你感觉好吗 Ikeepgettingdizzyspells 我的晕眩周期性发作 Itusedtocomeandgobutnowstaysput 本来时好时坏 如今持续不好 Theappendixhasburst We dbetterremoveit Howlonghaveyouhadthis Whendidthisstart 提示日期Christmas DecemberThanksgiving USA NovemberEaster AprilSummerHolidays July AugustPatient sBirthdayDidyouhaveitatChristmastime 医生问话的三个主要部分 就诊原因 含症状 询问病史 临床体检 询问病人的既往史Inquiringthehealthhistory 1 Whatdiseasehaveyouhadbefore 你过去得过什么疾病 2 Pleasetellmesomethingofyourpastillness 请告诉我你过去的患病情况 3 Didyouhaveanychildhooddiseases 你小时候得过什么疾病吗 4 Whatkindoftreatmentdidyouhaveinthepast 你过去曾接受过什么治疗吗 5 Didyouhaveanyoperationbefore 你以前做过手术吗 6 Haveyoueverbeenhospitalizedbefore 你以前住过院吗 询问病人的家族史IInquiringthefamilyhistory 1 Tellmesomethingaboutyourfamily 告诉我一些关于你家庭的事 2 Areyourparentsstillliving 你父母还健在吗 4 Howareyourparents health 你父母的健康状况怎么样 5 Whatwasthecauseofyourmother sdeath 你母亲的死亡原因是什么 6 Arethereillnessesthatseemtoruninyourfamily 你家里有什么遗传病吗 询问病人的家族史IIInquiringthefamilyhistory 7 Wereyourparentsandtheirparentsrelatedbyblood 你父母和祖父母是近亲结婚吗 8 Doesanyoneinyourfamilysmoke 你家里有人吸烟吗 9 Hasanyoneinyourfamilyhadthesametrouble 你家里有人得过这种病吗 询问病人的服药史IInquiringthemedicinetaken D Haveyoutakenanymedicine 你服过什么药吗 P Itooksomeaspirin 我服用过阿司匹林 D Doesithelptorelievethepain 能缓解疼痛吗 P No itseemshelpless 不 似乎没什么效果 询问病人的服药史IIInquiringthemedicinetaken 1 Areyoutakinganymedicinenow 你现在服什么药吗 2 Whatkindofmedicineareyoutakingfortheproblem 你在服什么药治疗这种病 3 Whatkindofvaccinationdidyoureceive 你打过什么疫苗 4 Areyouallergictoanymedicine 你对什么药过敏 5 Doyoutakesleepingpills 你吃安眠药吗 6 Doyouuselaxatives 你服泻药吗 7 Whendidyoustoptakingthemedicine 你是什么时候停服这种药的 询问病人的社会史Inquiringthesocialhistory 病人的职业occupation 吸烟饮酒习惯smoking drinkinghabits 饮食习惯eatinghabits都可能和疾病有关 1 Doyousmoke Howlonghaveyoubeensmoking Howmuchdoyousmokeaday 2 Doyoudrinkalcohol 你喝酒吗 Howmuchalcoholdoyoudrinkinaday 一天喝多少 3 Whatfoodsdon tyouliketoeat 你不爱吃什么食物 4 Whatdoyoudo What syourjob Whatdoyoudoforliving 你是做什么工作的 Drinkinghabits Doyoudrinkatall Doyoudrinkeverydayorjustonsocialoccasions Roughly howmuchdoyoudrinkonaverageeveryday Doyoudrinkalone Doyoudrinkinthemornings Haveyoueverbeenadrinker Drinkinghabits Doyoueverfeelguiltyaboutyourdrinking Haveyouevertriedtocutdownyourdrinking Haveyoueverhadanyfitsorblackoutsthroughdrinking 昏厥 眼前发黑Doyouthinkyourdrinkingcausesanyproblems Atwork Withyourmarriage Haveyouevergotintotroublewiththelawthroughdrinking 与患者打招呼 请患者描述症状 收集病例 临床检查 通知诊断结论 治疗方案和进一步化验项目 医嘱 复诊 临床检查 Instructthepatientinaclearbutpolitemanner Whenexaminingapatient politeformsareoftenusedfortheinitialinstruction Couldyoubendforwardasfarasyoucan Ifyoucouldcrossyourarmsinfrontofyourchest WhatI dliketodoisexamineyoustandingup Afterthatdirectinstructionsmaybeused Standwithyourfeettogether Lieperfectlystill Tosoftentheinstruction Canyoujustturntothesideagain Couldyoujustlieonthecouch Usefulexpressions Pleaselieonyourtummy 请肚子朝下躺着 Pleaseturnoverandlieonyourback 请转过来 背朝下躺着 Rolloverontoyourleft rightside 左 右侧卧 Bendyourknee 屈膝 Situp 坐起来 Leanforward 前倾 Getoffthecouchandstandup 下床并站立 Walkacrosstheroom 步行穿过这个房间 Showsensitivitytothepatient sneedsandrespondtodiscomfort reassuringifappropriate Youmightfeelalittlebitofdiscomfort ThismighthurtalittlebutI llbequick Tellmeifithurts Letmeknowifit ssore Itwillbeoververyquickly Itwon ttakelong You redoingverywell Talkthepatientthroughtheprocedure Seepage5 I mjustgoingto FirstI ll ThenI ll NowI mgoingto You llfeel Whenit sover I ll That sit Allover 测量生命体征VitalSigns 我需要量一下你的体温 我将把这个放到你的耳朵里面 Ineedtotakeyourtemperature Iamgoingtoputthisinyourear 请问我能把体温计放到你的腋窝处几分钟吗 PleasecanIputthisthermometerunderyourarmforafewminutes 测量生命体征VitalSigns 你的体温正常 低烧 高烧 比正常体温低 Yourtemperatureisnormal slightlyhigh high belownormal BloodPressure 我要量一下你的血压 Ineedtotakeyourbloodpressure 我要在你的上臂绑一个血压计 Iamgoingtoputatourniquetaroundyourupperarm t n k t Sphygmomanometer sfi m um n mit BloodPressure 会感觉很紧 但是一会就好 Itwillfeelverytight butonlyforashorttime alittletime foramoment 请保持你的手臂不动 Pleasecanyoukeepyourarmstill 你的血压是120 90 Yourbloodpressureis120over90 Pulse Ineedtotakeyourpulse PleasemayIfeelyourwrist 指导穿衣 Youcangetdressednowandthencomeouttome 你现在可以穿上衣服跟我出去 Don thurry Takeyourtime 别着急 慢慢来 与患者打招呼 请患者描述症状 收集病例 临床检查 通知诊断结论 治疗方案和进一步化验项目 医嘱 复诊 Shareyourfindingswiththepatient Ihaven tfoundanythingtosuggestanyproblems Theredoesn tseemtobeanythingwrongwithyou I msurethiswillclearuponitsown 无需治疗 需要做某些检查或化验 开检查用语 1 Allright thelastthingleftisaphysicalexamination afewlabtests anX raypictureofthechest 好 再做项体格检查 化验 拍胸片就行了 2 Well MissHartley Ican tfindanythingseriouslywrongwithyou butI dlikeyoutohaveyourchestX rayedandanECG 3 YouneedtohaveanECGtest IneedyoutohaveanECGtest 你需要做一下ECG 我需要你做一下ECG Expression X ray 你需要拍一下X光 YouneedtohaveanX ray 你需要拍一下 部位 头部 的X光 YouneedanX rayofyour 开检查用语2 4 YouneedtotakeaMRIscan ultrasonicscan ultra scan 你需要做个核磁扫描 超声 5 Asputumcultureshouldbedoneforyourcase 你需要做个痰培养 6 wewouldliketohaveyourstoolexamined Willyoupleasegiveusaspecimen 你要查一下粪便 能留个样本吗 7 I dliketohaveaspecimen sampleofyourwater 我想留一份你的尿样 I dliketohaveamidstreamspecimen 我想留一份中段尿样 Expression Bloodtest 你需要做一下血液测试 Youneedtohavesomebloodtests 你需要查一下空腹血糖 Youneedtohaveafastingbloodsugartest 请带着这张化验单到血液科 hematology hi m t l d Pleasetakethisformtohematology 化验结果出来后请带给我 Pleasebringtheresultsbacktome Expression UsagesonUltra scan 你需要做一下 部位的超声波扫描 Youneedtohaveanultra scanofyour 请带着化验单 做完之后带着化验结果来找我哦 Pleasetaketheformwithyou Afteryougettheresult pleasebringitbacktome Expression Ultra scan 在做超声波扫描前 请憋尿 Youwillneedtohaveafullbladder bl d r beforetheultrascan 请在做超声波扫描前喝足够的水 Pleasecanyoudrink glassesofwaterbeforeyouhavethescan Youneedfastingbeforethetest Thetestneedsyouremptystomach 你的检查需要空腹 Pleasedonoteatanythingordrinkwaterinthemorningbeforetakingthetest 请您早晨检查之前不能吃饭喝水 Pleasedrinkwaterandholdbackurine 请多喝水憋尿Pleasedrinkalotofwateranddon tgotothetoiletaspossibleasyoucanbeforethetest Expression Ultra scan 请你拿着单子先去收费处交费 交完费后去隔壁的化验室抽血化验 然后回这儿来 Pleasetaketheprintouttothecashiertopayyourfeesfirst Afterpaying letthemdrawbloodforabloodtestintheLaboratorynextdoor Then comebackhere Shareyourfindingswiththepatient Well I mfairlycertainyou vegota Onepossibilityisitcouldbewhatwecall Ihaven tfoundanythingtosuggestanyproblems Explainingdiagnosis You resufferingfrom You vedeveloped Youhave Thisiswhy Thisismainlybecause Prescription I dlikeyouto I llgiveyouaprescriptionforsometabletstoeasethepain Takethismedicinetwiceadayaftermeal Youshouldtakethispill tablet capsule rightafterbreakfastandrightafterdinner I dlikeyoutocomeintohospitalforafewdayssothatwecankeepaneyeonyou tofindoutwhatexactlyiscausingthistrouble 消除疑虑 Don tworryaboutthis It squiteacommonconditionandshouldclearupinaweekorso Thisisnotaseriouscondition Thesetabletsshouldhelp Theonlywaytotreatthisisbyanoperation Itisaroutinesurgeryandyoushouldbebacktonormaltwomonthsaftertheoperation Youwillnodoubtwanttogohomeassoonaspossible butweareheretohelpyouwheneveryouneedus Theprognosis Iexpectthetreatmentwill Hopefullywecan Wecanneverbeabsolutelycertainabout Youshouldremainoptimistic Doyouhaveanyquestions Isthereanythingyou dliketoask 完成各项检查后的初步治疗措施 如静脉给药 理疗等 1 ThisisyourIVsheet TaketheIVfirst 这是你的静脉输液单 先输次液 IV是intravenous的简写 也可以说IVdrop intravenousdrop 输液室IVroom输一次液haveanIV2 Thisisyourinjectionsheet 这是你的注射单 肌肉注射intramuscularinjection皮内注射intradermicinjection皮下注射hypodermicinjection 英 nt r d m k 美 nt r d m k 注射室InjectionRoom做一次注射haveaninjection3 Areyouallergictopenicillin Doyouhavepenicillinallergy 你对青霉素过敏吗 4 Youneedashotofpenicillintoday Shot injection 表示 注射 今天你需要注射一支青霉素 在离开门诊前 医生可能给予病人一些家庭指导 包括一些注意事项 某些在家要进行的活动或措施 请翻译 你应该卧床休息 多喝水 Drinkplentyofwaterandhaveagoodrest You dbetterhaveagoodrest Youshouldrestinbedanddrinkplentyofwater Discussingtreatment Advisingacourseofaction Sometimeoffworkmighthelp Ifyoufeltthatwouldbehelpful youcouldtakeaweekoffandseehowyoufeltafterthat Carryondrinkinglotsoffluids Ifyoustillhavesomepain youcankeeptakingparacetamol Otherthingsmighthelp likeraisingtheheadofyourbed That soneofthesimplethingswecouldstartyouoffwith Yousaidyouhaven ttriedindigestionremedies That ssomethingyoucouldtry 饮食方面的医嘱 Choosefreshorfrozenvegetablesandfruitswithoutaddedsaltandsugars 多吃不添加盐和糖的新鲜或冷冻蔬菜和水果 2 Pleaseeatadiethighinprotein freshfruitsandvegetables 吃富含蛋白质的食品以及新鲜水果和蔬菜 Don teatveryhotorcoldfood andkeepoffstimulatingfoodssuchassourorsp