常用英语问诊

EngIishfordoctors:Authentic

consu11ing—roomactivitiesfordoctors,

dentists,studentsandnurses

FromDXY.CN

1PASTMEDICALHISTORYwheniwassmaII,ihadmeasIes,chickenpoxand

i'dliketoaskyouaboutyourpastmedicaIwhoopingcough.butidon'tthinkieverhad

history,canyoumewhetheryouhavehadanyrubeIIa

chiIdhooddiseases?forexamplehaveyoueverbeeninhospitalizedfor

chickenpox,measles,mumpsorrubeIlaanything?orhaveyoueverhadanoperation

well,ihadmytonsiIstakenoutwheniwasacinditionbeforehedied

chiIdohno,itwasverysudden

haveyouhadanymajorheaIthprobIemssinceandyouraunts?doyouknowwhatkindof

thendiabetestheyhave?dotheyhavetotake

yes,ihavediabatesinsuIinortabletsoraretheyjustonadiet

whenv/ereyoufirstdiagnosedwiththeyjusttakesomepills,ithink

diabetes?whatwereyoursinptomsyouaremarried,isee,haveyouanychiIdren

iwasdiagnosedwheniturned14.iwasaIv/aysyes,aboyandagirl

thirsty,tiredanddepreassedaretheyhealthy

areyoureceivinganytreatmentforthisyes,theyare

ihavebeengettinginsuIinshotseversinth3SOCIALHISTORY

haveyouhadyourvaccinationsar.yo.workin.righ.now

yesn...hav.jus.bee.lai.off

goodo...a.sorr..wha.wa.you.job

didyourreferringphysiciangiveyouaIetter.wa..manage,fo.a.impor.an.expor.pany

forme.se..wa.i.a.offic.jo.o.v/er.yo.o.you.fee.aI.

yes,hereitisday

2FAMILYHISTORY.worke.behin..desk

asfarasyouknow,arethereanyiIInessesthatwa.i.manageriaI,di.yo.hav..Io.o.responsibiI

runinyourfamiIy?ity

nonethatiknowof,doctorye.,.wa.i.charg.o..larg.department

nothingIikediabetes,highbloodpressure,.see,quit,stressfuI.now,teI.m.,d.yo.smoke

heartdisease,stroke,cancer,mentaIiIInessyes,.do.unfortunately.quit..lot

oranythingIikethat?o.,rea11y.ho.much

ohisee!myfatherhadaheartcondition,andaI.abou..pack..day

ihavetwomyauntswhohavediabetesho.Ion.hav.yo.bee.smoking

andisyourfatherstillalivesine.,wa.abou.fourteen

no,heisn'thav.yo.eve.tr.t.qui.smoking

howoldwasyourfatherwhenhediedye...hay.trie,severa.time..bu.withou.succes

hewas68s

whatdidhedieoffwha.abou.driking?d.yo.drink

hehadaheartattackye.,sometime.wit.m.friends

didhesufferforalongtimev/iththisheardho.muc.aIcoho.d.yo.drin..day

letsee.acoupIeofglassesofbeeratlunch1-4-dialogu..(1-4-diaIogu..)

time.awiskyintheevening.andabouthalfawha.seem.t.b.th.probIe.a.th.moment(today)

bottleofwinewithmydinnerweII,.hav.bee.feelin.s.poorI.recently(iI.la

that'squiteabit.howoldwereyouwhenyoutely)

startdrinking.se..feeIin.poorly(iII).(now)wha.d.yo.mea.b

oh,about17ir18,isuppose.that

whataboutyourIivingconditions?wheredo.hav.bee.gettin.ver.shor.o.breath

youIivehm...ho.Ion.ha.thi.bee.goin.on

weIivinginasmaIIapartment,weownit.butfo.abou.1.month.,.think

ofcoursewearestillpayingthemorgageonan.wer.ther.an.othe.symptom,befor.the.o.di.

itit(thi.condition,star.quit.suddenIy

4PRESENTPLAINTS.hadn'.notic.anythin.befor.then

.presen.pIaintss.yo.haven'.(didn'.hav.an.of)experenc.thi.s

1-4-1ympto.before

what'.th.probIe.todayn..no.tha..ca.remembe..doctor

ca.yo.teI.m.wha.you.symptom.are.see.wa.ther.anythin.tha.seem.t.caus.this(h

hav.ho.eve.ha.thes.plain.beforeav.cause,thes.symptoms)

what'.seem.t.brin.thi.conditio.onwell,nothing(no,not.really.excep.mayb.i.get

whe.di.yo.star,feeIin.poorly.reaII.ba.whe..g.u.t.Iondon(ne.york.t.se.m.

sisiter

2

let'.tak..Iook(t.begi.with).i'I.Iiste.t.you

.hear.an.Iung.t.begi.withkidney.an.urinar.tract

d.yo.hay..shar.pain

1-4-5d.yo.ha-z..dul.ache

..wha.ca..d.fo.yo.todayd.yo.hav.sever,disfort

ho.ca..heI.yo.mr.jonesburning/stinging/nagging/nigging/splitting/

..wha.d.yo.mea.b.thatflank/back/abdominal/steady/1o.grade

ca.yo.describ.tha.i.mor.detaiId.yo.hav.siigh.disfort

..wha.ar.you.symptoms

ca.yo.describ.th.change.tha.hav.occurredextremities

..di.i.star.suddenlyd.yo.hay..shar.pai.i.you.shoulder

di.you.conditio.chang.withou.an.v/arningd.yo.hay..tingIin.pai.i.you.hand

..wha.bring.i.ond.yo.hav..shootin.pai.i.you.foot

wha.d.yo.thin.cause.you.conditio.dull/burnin./severe/puIsating/throbbing

d.yo.hav.weaknes.i.you.hands

5PAINd.yo.hay.numbnes.i.you.arms

.paind.yo.hav.cramp

1-5-1d.yo.ha*/,a.ach.o.you.hand

head

d.yo.hav..splittin.headache/throbbing/band-1-5

Iike/duII/aching/burning/sharp/stabbing/coIdialogu..(dialogu.b)

icky/migraine/blinding/stress.induced/tensid.yo.fee.an.pain

onoh,ye..quit..bit

couI.yo.sho.m.wher.i.hurts

toothrigh.here,doctor,i.m.chest

d.yo.hav..shar.toothachehere,hm...i.i.aIway.jus.i.tha.spot

i.you.toothach.dull/throbbing/stabbing/pulsno.sometime,i.move,aroun.t.here

ating.see.wha.kin.o.pai.i.it.ca.yo.descri.th.pai

i.you.toot,sensitive/aching/tendern

well,mos.o.th.tim.i.feeI.Iik..cramp,bu.occa

Iowe.backsionaII.i.i.shar.an.stabbing

i.th.pai.i.you.bac.sIo.i.onset\Ion.i.duratidoe.i..an.g.o.d.yo.hav.i.aI.th.time

on/dull/diffused/aching/steady/constant/sevweII,i.wors.a.times,i.seem.t..ove.m.i.waves

ere/progressin.poorIy/1ocaIised/crushing/de.bu.mostI.it'.ther.aI.th.time

ep/miIddoe.i.star,suddenI.o.buiI.u.slowly

i.seem.t.buiI.u.gradua11y

chestwha.d.yo.d.whe.yo.ge.the(fee.this.pain

i.th.pai.i.you.ches.burningwell,ther.isn*.muc..ca.do..jus.hav.t.pu.u.w

d.yo.hav..constrictin.pai.i.you.chestit.it

bursting/choking/squeezing/griping/pressingan.doe.anythin.i.paticula.see.t.brin.th.pai

/crusching/sticking/jabbing/sharp/knife.Iik.o.o.mak.i.worse

e/fIeeting/throbbing/du11/severe/stabbing/1weII,.fin.goin.upstair.difficult(i.i.mor.in

ik..weigh.o.it/lik..ban.acros.ittens.whe.climbin.stairs).aIs.whe..hav.t.cou

g.o.tak..deepbreat.it'.terribl.Iik..knif.st

abdomenabbin.me

d.yo.feI..shar.pai.i.you.abdomen

duII/aching/gnawing/burning/cramping/colick1-5-6

y/diffused/1ocaIised/recurrent/constant/fIaa.ca.yo.sho.m.wher.i.herts

nk/intermittent/stabbingb.couI.yo.describ.wha.th.pai.feeI.like

d.yo.ge.bloatedc.ho.Ion.hav.yo.ha.thi.pain

d.yo.fee.bloatedd.whe.doe.i.e,when,doe.i.go

d.yo.hav.an.heartburne.doe.anythin.reIiev.th.symptom,o.mak.the.w

d.yo.hav.an.indigestionorth

3

yes,doctor,ihavebeenfeelingquiteI.seem.t.b..sor.o.yeIlowis.gree.color.

flushed(warm)latelyDoe.i.eve.hav.bloo.i.i.o.loo.Iik.groun.coff

isyourtemperature(constantIy)highaIItheee?

timeordoesitgoupanddownno.never

itususIIygoesup(itisuauaIIyhigher)atD.yo.belc..lot/bur..Iot/o.hav..ba./.nasty,t

night.butitisstillhighevenduringthedayast.i.you.mouth?

what'sthehighestandthelowestithasbeenWell.yes.doctor..d.belc..Io.an..see.t.suffe

inthepastfewdays.fro..Io.win.jus.lately,/an..hav.ha..Io.o.g

thehighestwas104.thelov/estwas100a.lately.

andwheredidyoutakeyourtemperature,under

yourarmorunderyourtongue(oraIIy)10DYSPN(0)EA

undermytongue(imeasureditoraIIy)Dyspnea

doyouaIsohavetheshivers(chiIIs)D.yo.hav.an.difficult,breathing?

yes,sometimesWhat'.harde.breathin.i.o.breathin.out?

do(did)yourteethchatter(rattle)oraretheAr.yo.shor.o.breat.whe.yo.ar.restin.?

shivers(chiIIs)miIderthanthatCa.yo.Ii.fla.i.bed?

ohyes,theychatter(rattle).i'vebittenmyI.i.reIieve.b.sittin.u.i.bed?

tongueseveraItimesaIreadyD.yo.ha*/,t.sto.frequentI.whe.yo.cIim.th.sta

do(did)youtakeanythingforthefeverirs?

aspirinHav.yo.eve.ha.an.breathin.tests?

doesithelp

nonotreallyDialogu.a

haveyoubeenabroad(traveled)toanyHo.Ion.hav.yo.ha.difficutI.breathin.?

tropicaIordevelopingcountriesrecentlySine.Ias.week,doctor.

yes,ijustcamebackfromtailandafewmonthsI.i.ver.bad?

agoYes..fee.a.i..can'.ge.enoug.air.

isee.doyouperspiremorethanusuaIWhic.i.mor.difficult.breathin.i.o.breathin.

yes,alot,iamafraidout?

justwhenyourworkhardoralsoatothertimesI.i.harde.t.breathin.in.

well,ineverusedtosweatmuch,butnowiseemsAr.yo.shor.o.breat.whe.yo.ar.restin.o.onI.w

tobreakoutinasweat(atthedropofahe.yo.doin.something?

hat)easiIy.mycIothesoftengetsoakingwetWhe..a.rest.bu.i.i.wors.whe..tr.t.d.anythin

doyoufeelshakyorweakataIIg-

yes,practicallyaIIthetime'Ca.yo.Ii.fla.i.bed?

Oh.no.

9NAUSEAANDVOMITINGHo.man.piIlow.d.yo.use?

D.yo.jus.fee.sic./nauseous.o.hav..actuaII.vThree.

omited?/throw.up/D.yo.eve.wak.u.nigh,feeIin.shor.o.breath?

oh..a.vomitin.an.i.seem.(I'.throwin.up.aI.Yes..do.

th.time.(I.frighten.m.becaus.whe..wak.u.feelin.a.i.

Whe.di.i.aI.started?.cann'.breath.

Abou.tv/,month,ago.Wha.d.yo.d.whe.thi.happens..mean.d.yo.si.o.

An.ho.ofte.doe.thi.happen?stan.up.doe.som.movemen.heIp?

Abou.one..day.sometime,more.I..si.up.i.help..little.

Whe.ar.yo.sick.I.i.i.mornin.o.afte.you'v.eaLe.m.Iiste.t.you.chest..ca.hea.fe.crackIe.a

ten.n.i.sound..bi.wheezy.

Well,i.isn'.reaII.reguIar.

Bu.doe.i.ge.bette.o.wors.i.yo.ea.something?Dialogu.B

Worse..think.Ho.Ion.hav.yo.ha.difficult,breezing?.

Whe.yo.vomit,d.yo.brin.u.digeste.food,undigSeine,las.week,doctor.

este.foo.o.biIe?I.i.ver.bad?

Oh.i.i.usuaII.mor.Iik.biIeYes..fee.Iik..can'.ge.enoug.air.

wha.coIou.i.it.Green,bIack.yeIIo.o.red?What'.harder.breat.i.o.breat.out?

5

It*.harde.t.breat.in.I.i.white,yeIIow.o.greenish.an.i.i.frothy/f

Ar.yo.shor.o.breath,whe.yo.ar.resting.o.onIoamy.o.sticky?

.whe.yo.ar.doin.somethin.physicaI.Yes.it*.yeIlowis.an.feeI.kin.o.Iik.jelly?

.IittI.whe..a.resting,bu.it'.wors.whe..tr.Doe.i.hav..strang.smel.o.taste?

t.d.anythin.physicaI.No..don'.thin.so.

Ca.yo.Ii.fIa.i.bed?Ha.ther.eve.bee.bloo.i.it?

Oh.no.Yes.jus.one..notice.som.bloo.i.it.

Ho.man.piIlow.d.yo.use?Hav.yo.take.an.medicin.o.tabIet.lateIy.

Three.Yes..wa.o.somethin.t.thi.m.blood.

D.yo.ofte.wak.u.nigh.feeIin.shor.o.breath?

Yes..do.It*.scare,m.becaus..wak.u.feeIin.aDiaIogu.B

.i..can,.breath.D.yo.hay..cough?

Wha.d.yo.d.whe.thi.happens..mean.d.yo.si.o..hav..cough,bu..aIs.see.t.wheez..Iot.

stan.up.Doe.som.movemen.heI.yo.breath.easieI.thi..recen.sympto.o.hav.yo.ha.fo.sometim.

r?now?

I..si.up.i.help..little.I'v.ha.i.fo.som.time,doctor.

Liste.t.you.chest....ca.hea..fe.crackIe.an.D.yo.coug..lot?

i.sound..bi.wheezy.Ye..lot.

D.yo.brin.u.phlegm,o.i.i..dr.cough.

ho.Ion.hav.yo.ha.difficult,breathing..ho.Io.brin.u.quit..bi.o.phlegm..a.afrai..migh.ha

n.hav.yo.bee.shor.o.breath?v.asthma.

i'v.ha.difficult.breathin.fo.abou.tw.weeks,Wha.i.th.phIeg.Iike?

whe.i.you.breathin.mos.diffcuIt?Wha.d.yo.mean.

.wheez.i.th.earI.hours.Ca.yo.describ.fo.m.wha.colou.i.is.whethe.i.

whic.i.mor.difficult,breathin.i.o.breathin.i.white,yeIIo.o.greenish,an.wha.i.i.foamy,t

out?hic.an.sticky?

breathin.ou.i.harder.Ye.i.i.yeIlowis.an.feeI.kin.o.Iik..jeIIy.

ar.yo.shor.o.breat.whe.yo.ar.restin.o.onI.wDoe.i.hav.strang.smeI.o.taste?

he.yo.ar.working?N..don'.thin.so.

i'.shor.o.breat.whe.i'.working.Ha.ther.eve.bee.bloo.i.it.

ca.yo.Ii.fla.i.bed?,ca.yo.slee.o.you.back?Yes.jus.one..notice.som.bloo.i.it.

yes..ca.sIee.o.m.back.Hav.yo.tak.an.medicatio.IateIy.

ca.yo.eve.wak.u.a.nigh,becaus.yo.ar.shor.o.Ye..v/a.o.som.medicatio.t.thi.m.bIood.

breath./i.you.sIee.disturbed?

yes,.eak.u.severa.time.becaus.i'.shor.o.breYes.i.smeII.ver.bad.

ath.I.i.frothy!

wha.d.yo.d.then?I'v.ha.thi.coug.fo..weeks.

.usuaII.ge.u.an.waI.aroun.whe.i.happen.Yes..brin.u..Io.o.phIegm.

11COUGHI..si.u.o.us.tw.pillow.,fee.better.

Dialogu.AIt,..barkin.cough.

D.yo.hav..cough.

.hav..cough.bu..aIs.see.t.wheez..Iot.12HEART

I.thi..recen.symptom,o.hav.yo.ha.i.fo.som.thear.symptoms

im.now.A

I,v.ha.i.fo.som.time.Doctor.wha.seem.t.b.th.probIe.a.th.moment?

D.yo.suffe.for.coughin.fits?.see.t.b.gettin.ver.shor.o.breat.nowadays,s

Yes..lot...though,i.bes.t..i.t.se.you..aIs.fee..tigh

D.yo.brin.u.phIeg.o.i.i..dr.cough?tnes.i.m.chest.

.brin.u.quit..bi.o.phlegm..a.afrai..migh.haho.Ion.ha.thi.bee.goin.on?

v.asthma.i.seem.t.hav.bee.gettin.v/ors.ove.th.las.fe.

Wha.i.i.Iike.weeks.

Wha.d.yo.mean?ar.yo.shor.o.breat.aI.th.tim.o.i.i.jus.whe.

Ca.yo.describ.th.phIeg.fo.me.Wha.coIo.i.it.yo.waI.u.th.stairs?

6

well.i.i.har.wor.goin.u.th.stairs,th.pai.fe

el.Iik..knife.hav.yo.eve.ha.an.hear,problems?

doe.th.pai.mov.t.othe.are.a.welI?i'v.neve.bee.diagnose.whi.angthing.bu..thin

yes.i.move.t.m.neck.m.Ief.arm.m.bac.an.m.sh.somethin,ca.b.wron.m.heart.

ouId.wha.seem.t.b.th.probIe.v/it.you.heart?

d.yo.eve.fee.sic.o.sweat,v/he.tha.happens?i.beat,irreguaII.especiaII.whe..smoke,

well.,don'.fee.sic.bu..ofte.brea.ou.i..sweawha.kin.o.pai.d.yo.ge.durin.yo.exercise?

t..ge.pressur.i.m.ches.sometime.whe..hav.t.wa

d.yo.eve.fee.tha.you.hear.beat,usuaII.fas.oI..Ion.distance.

.sIow?d.yo.ofte.ge.shor.o.breath?

yes.sometime,i.beat,reaII.slowly,the.fro.tiabsolutely..a.aIwa.shor.o.breat.whe..g.upst

m.1.1im.i.skip..beat.the.continue.t.bea.verair.

.rapidly.d.yo.eve.fee.sweat,whe.thi.happens?

ca.yo.ta.ou.wit..finge.wha.th.rhyth.feel.Iiyes..brea.ou.i..reaII.ba.swea.whe.m.ches.hu

k.t.you...good.hav.yo.ha.an.sweIlin.i.yo.anrts.

kle?wher.doe.th.pai.move?

yes.bot.m.fee.hav.bee.somewha.swollen.dow.m.lef.arm.

doe.thi.g.dow.overnigh.o.ar.the.stiI.sv/eIIoan.hav.yo.ha.an.sv/eIlin,i.you.fee.o.ankIes?

.i.th.morning?yes.m.ankIe.see.t.b.swoIIe.al.th.time.

oh.m.fee.fee.muc.bette.an.the.aren'.a.sv/olId.you.fee.hur.aI.th.time?

e.i.th.morning.yes.th.pai.i.fairI.constant,bu.i.help.whe..

pu.m.fee.up.

B

ca.yo.teI.me....wha.ar.you.pIaints?13BODYWEIGHTANDDIET

.see.t.b.gettin.ver.shor.o.breat.IateIy.aIsWhat,.you.appetit.Iike.

..fee.tightnes.i.m.chest,s..though,i.wouI.bAr.yo.o..specia.diet?

.wis.t..i.an.se.you.(Hav.yo.eve.folio.,diet?)

ho.Ion.ha.thi.bee.goin.on?(Hav.yo.trie.t.Ios.weight.)

i.see.t.hav.bee.gettin.wors.o.las.fe.weeks,Hav.yo.ha.you.cholestero.checked?

ar.yo.shor.o.breat.aI.th.tim.o.i.i.jus.whe.I.you.weigh,steady?

yo.exer.yourself?

well.th.pai.get.wors.whe..exer.myseIf,i.feeTel.me.what’.you.appetit.Iike..how'.you.ap

I.kin.o.Iik..knife.petiti?

doe.th.pai.radiat.t.othe.area.a.v/eI.o.i.th.Sometime,it*.good.bu.a.othe.time..don*.fe

pai.IocaIised.e.Iik.eatin.a.alI.

no.i.move.t.m.neck.m.lef.arm.m.bac.an.m.shoHo.d.yo.fee.abou.you.eatin.habits..describ.

uld.you.eatin.habi1.1.me?

d.yo.eve.fee.sic.o.sweet,v/he.thi.happens?welI,.usuaII.ea.fiv.o.si.time..day.Lot.o.fo

well.,don'.fee.sic.bu..ofte.brea.ou.i..sweeod.an.vegetabIes.bu.whe..a.anxiou./nervou..

t..can,.ea.a.aII.

d.yo.eve.fee.tha.you.hear.beat,unusuaII.fasHav.yo.Ios.o.pu.o./gained.an.weigh.recentI.

.o.siov/?o.doe.you.weigh.sta.a.same.

yes.sometime,i.beat,realI.slowly,the.fro.tiI'

m.t.tim.i.skip..beat.the.continue,t.b.ver.rv.bee.puttin./gaining,o.quit..bi./lot/o.wei

apidly.gh.Iikely.

ca.yo.ta.ou.wit..finge.wha.th.rhyth.feeI.IiHo.man.pound,hav.yo.gai.d.yo.think.you'v.ga

k.t.you?..good.hav.yo.ha.an.sweIlin,i.yo.anine..

kies?Abou.1.pound,o.so.

yes.bot.m.fee.hav.bee.somewha.swollen.Ove.ho.Ion../what,perio.o.tim.ha.thi.happen

doe.thi.g.dow.overnigh.o.ar.the.stiI.swoIIeed.

.i.th.morning?Sinc.abou.charismas.s.i.th.Ias..months.

oh.m.fee.fee.muc.bette.an.the.aren'.swoIIe.Ar.yo.tryin.t.d.anythin.t.contro.you.v/eight

i.th.morning.fo.exampIe.ar.yo.o..diet?

7

Yes.bu.i.doesn'.see.t.work.Hav.yo.eve.trie,takin.an.Iaxative.tha.yo.ca

Ar.ther.an.food.yo.disIik.o.i.ther.anythin,.ge.a..chemist's..D.yo.tak.anythin,fo.you.b

tha.yo.particularI.Iik.t.eat.oweI.?

.ea.lot.o.past,dishes,bu..can*.hav.anythinC

.wit.nut.i.the.becaus..a.aIlergi.t.mos.kindDoe.you.stomac.eve.fee.distended..D.yo.eve.

.o.nuts.fee.bIoate.whe.yo.ar.constipated?

D.you.eatin.habit.chang.fo.an.reason?D

Yes..ea.quit..bi.mor.whe..fee.good.D.yo.hav.win.movin.arou.i.you.bowels..D.yo.

fee.gassy?

.a.Iosin,m.appetit..bit.E

Yes..a.gettin.ver.thin.D.yo.pas.wind..D.yo.brea.wind?

.hav.Ios.2.pounds.F

I’.say.durin.th.Ias..month,o.so.D.yo.hav..tendenc.toward,fIatuIence..D.yo.e

Yes..can'.stan..sigh.o.meat.ve.suffe.fro.excessiv.wind.

1.BL00.

14BOWELMOVEMENTSblood

Bowe,movementsDiaIogu.A：

1-14