医学英语：问诊

1、问诊用语医生：1. Hello,may /can I help you？ Sit down，please. Whats the trouble? Whats the problem? Whats troubling you? Whats the matter (with you)? Whats wrong (with you)? Whats bothering you? Whats your complaint?2. Do you have a record？ When did it happen? When did the trouble start? When did the sympto

2、m begin？When did you first notice it? How long have you been like this? How long have you been feeling like this?When did the pain start?When did your diarrhea start?3. Where is your pain? What kind of pain do you feel? Have you seen anybody about it? What kind of treatment have you had before you c

3、ame here? 4. Do you mind if I examine you briefly? All right. Let me examine you. Would you mind taking off your coat？ Ill run some tests on you. 我要给你做些化验 Try not to blink. Take a deep breath，please. Breathe in deeply. Thatll do.好了。Now take a breath.Now take a deep breath with your mouth open.Now tu

4、rn around，please. Take it easy and dont move. Show me your tongue，please.病人主诉：1. I feel under the weather. 我不舒服，生病了。 I have a headache, nausea and vomiting. 我觉得头痛、恶心、想吐。 My head is pounding. 我头痛。 I feel light-headed. 我觉得头晕。 I feel drowsy, dizzy and nauseated. 我觉得昏昏欲睡，头晕目眩，还想吐。 I feel as though every

5、thing around me is spinning. I feel exhausted most of the time. 我大部份时间都觉得非常疲倦。 I feel unusually tired. 我感到反常的疲倦。2. Urinating after an operation is very hard.手术后排尿很困难。 I havent had much energy for some time. 我感到虚弱有段时间了。 I have been staying in for a few days. 我生病在家几天了。 My symptoms include loss of appe

6、tite, weight loss, excessive fatigue, fever and chills. 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. Have you had any chills （chest pain）？您有发冷（胸痛）吗Have you ever coughed up blood？您咳血吗？ Do you bring anything up when you cough？咳嗽时有痰吗 Is there a sense of distension and numbness？你有胀和麻木的感觉吗What did you vomit， food o

7、r blood？你吐的是什么，食物还是血What about your heart？你的心脏怎么样Whats your appetite？你的胃口怎么样Hows your appetite those days？近来食欲怎么样Whats your stool like？大便是什么样子What kind of stool did you notice， watery or mucous你注意大便的样子了吗？是水样的还是粘液样？Have you been coughing and sneezing？你是不是一直咳嗽和打喷嚏Have you got a high fever？Any fever？Di

8、d you run any temperature?Does it bleed often？Do you feel short of breath？你觉得气急吗Do you have a cough？Do you have a pain in your stomach？Do you feel pain after meals？饭后痛Have you got any chronic disease before?Do you feel abdominal pain when you go to the toilet？你去厕所时感到腹痛吗Do you remember how many times

9、 you went to the toilet？你记得去过多少次厕所吗Please use this container for your urine. 请将尿放进这个容器内。Show me which one it is？告诉我是哪个？Which of your arms is sore？你哪个胳膊痛？Do you have any pain in your belly？ 你腹部痛吗？Do you feel weak？你感到身体虚弱吗？Does it hurt here？这儿痛吗？Show me where it hurts the most？告诉我哪儿最疼。2. 诊断：Id like to

10、 listen to your chest.我想听听你的胸部。Id like to run a few tests.我想给你做些检查。I think you need some examinations first. 我想您首先需要做一些检查。You must have a blood /sputum test. 你需要验验血（痰）。Ill take a white blood count and give you a x-ray examination. 我将给您做白细胞计数和胸片检查。Youd better take an X-ray picture to see if there is

11、a fracture. 你最好拍张X片子，看看有没有骨折。Id like to give you an X-ray. 我想给你透视一下。Have you ever had an injection of procaine（penicillin） before 你以前打过普鲁卡因（青霉素）吗？You have a flu. 你得了流行感冒。You have got enteritis. 你得了肠炎。You have caught a chill. 你着凉了。You seem to have picked up some sort of infection. 你好象染上什么传染病了。Im sure

12、 its pneumonia. You should be admitted to the hospital. 我可以确定您得了肺炎，应当住院。The X-ray reveals a dislocation of your elbow. X光片显示你的肘关节脱位。Ill transfer you to the surgery department. 我给您转到外科去。Ill give your some medicine.我给您开点药。The fractured leg must be kept in plaster. 必须把骨折的腿打上石膏。Im afraid you have to rec

13、eive an amputation. 恐怕你需要截肢。It is the only way to save your life. 这是挽救您生命的唯一办法。The wound hasnt healed enough yet. 伤口还没完全愈合。My diagnosis is that you have a malignant tumor osteogenic sarcoma. 我的诊断是您得了恶性骨肉瘤。What kind of material do you prefer？你想要什么材料的？You can try the gold-alloy ones.你可以试一下合金的。Youll ha

14、ve to wait for one more month， or they wont fit properly. 你得再等一个月，要不然装上也不会合适。Youve got to come five times before the work can be finished. 你得来五次才能做好。3.妇科：How are your periods？ Are they heavy？ 你的月经怎么样？量多吗？Whats the amount of bleeding？ Is it profuse？出血量多少？很多吗？Have you had any pain in this area during

15、your menstruation ？你来月经时间时这一部位疼吗？How about your menstruation cycles？你的经期准吗？When was your last menstruation？你上一次月经是什么时候？How long is your period usually ？通常你的月经周期多长？How long has this been bothering you？这种不适感有多久了？Have you had any bleeding， watery discharge or pain in your lower abdomen？你有过阴道出血、水性分泌物以及下

16、腹部疼痛的情况吗？Did you feel contractions regularly？你感觉到过有规律的宫缩吗？Please take off your shoes and panties and lie on the examining table. 请你脱去鞋和裤子，躺到检查床上。Thats due to your heavy period.这是因为你月经过多造成的。I think its carcinoma of the breasts.我认为是乳腺癌。Well send her to the delivery room for further observation. 我们想把她送

17、到产房进一步观察。Ill write out a prescription for you right now. 我马上给你开张药方。Ill give you a prescription. Take it to the chemists .我给你一张处方，到药房去配药。Id like to put you on some medicine and have you come back in several days. 给你开点药，几天以后你再来。Come back in a week for a re-examination of your womb. 一周以后来复查您的子宫。Ill sen

18、d you some medicine （pill，tablet, ointment，capsule ）. 给你开些内服药（丸药，片,药膏，胶囊）。Here is some lotion for you. Please use it once for a day. 洗剂Take the medicine according to the instruction. 请按医嘱用药。One tablet each time， three times a day after meals. 每日3次，每次1片，饭后服。Take one capsule every four hours. 每4小时服用一胶

19、囊。Take a dose three times a day. 每天服3次，每次一剂。Put the ointment on the sore once a day. 把软膏涂在患处，每日1次。Shake well before using it. 使用之前要摇匀。The medicine will relieve your pain. 这种药会给你止痛。This medicine can keep your fever down. 这种药可给你退烧。This is for oral administration. 这是口服药物。This lotion is for external use

20、 only. 这种洗剂只可外用。4. 外科：Your tongue is rather coated. 你的舌苔比较厚。Dull tongue with whitish and greasy coating. 舌质暗，苔白腻。Youd better have a chest X-ray. 你最好透视一下胸部。You are scheduled to have a GI and a GB test tomorrow morning. 您预定明天早上作胃肠检查和胆囊检查。(胃肠镜：gastrointestinal endoscope. 胆囊：gall bladder）This test is do

21、ne on a 24 hour basis from 6 in the morning until 6 in the following morning. 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。Please dont eat or drink anything until the test is over. Im sorry but you have to have an absolute empty stomach. 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。Youre suffering from acute appendicitis and m

22、ust have an operation. 你得的是急性阑尾炎，要动手术。Im sorry to say youll have an immediate operation. 很遗憾，你得快动手术。You are scheduled to have an operation. 您要预定动手术。Would you like to have a look at some of the samples？你要看一看样品吗？I will give you an NG tube right now. 我马上给你插鼻胃管。（nasogastric tube）Did you pass any wind by

23、 rectum. 有气从肛门排出吗？You can lie on your side more often. 您可以经常翻身。5. 医嘱：Your meals should be frequent but small in quantity. 应该少吃多餐。Your meals should be light and digestible. 吃的东西要清淡容易消化。You should take some more vitamines. 你应该多吃些维生素。You should go on a diet. 你应该节食。You cant touch anything sweet. 你一点甜食也吃

24、不得Fatty food will do you harm. 高脂肪食物对你有害处。Avoid eating greasy food. 不要吃油腻食物。Drink plenty of water. 要喝大量的水。You may have something to drink whenever you wish. 你可以随意喝你想喝的东西。How do you feel now？现在你觉得怎么样？Have you had any discomfort？有什么不舒服吗？You look a little better today. 今天看来你精神好一些。You can get out of bed today. 你今天可以下床了。Shall we limit the amount of visitors？要不要限制访客的人数呢？6. 牙科：It