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Clinical Dialogues

jersey avatar
jersey
104 diapositives · 1.3K Views · Jul 13, 2014

Clinical Dialogues. Part 1. Woman complained of tightness in abdomen associated with belching( 嗳气 ) wind which did not relieve feeling. Symptoms usually began between 5 and 6 p.m. lasting several hours. Relieved by white mixture. (D=Doctor, P=Patient).

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Clinical Dialogues
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  1. Clinical Dialogues

  2. Part 1. Woman complained of tightness in abdomen associated with belching(嗳气) wind which did not relieve feeling. Symptoms usually beganbetween 5 and 6 p.m. lasting several hours. Relieved by white mixture.(D=Doctor, P=Patient)

  3. D: Does the pain come on in the night?[come on: to startIf a cold, headache, or some other medical condition is coming on, it is just starting.e.g. I felt a cold coming on. 我觉得开始感冒了。]P: Not often.

  4. D: When it comes on, do you get up?P: Yes, I get up and walk around and it relieves.

  5. Pain

  6. I have a headache. I have a splitting headache. （我头痛得像要裂开了。）I have a stomach-ache.I feel a dull pain in the stomach.I seem to havepain all over. （我似乎浑身都痛。）I’maching all over. （我浑身都痛。）

  7. It’s a dull sort of pain, and I don’t know what’s causing it.It’s not a sharp pain; just sort of a dull ache.It all beganyesterday.It started two days ago.It came onlast night.It hurts terrible.（痛得很厉害。）

  8. It’s been hanging about for nearly a week. （这已经持续了将近一个星期了。）It keeps hanging on.（这老是不好。）Itsort ofhung on.（这似乎不见好。）Or: Just off and on. （就是时断时续。）I’ve got a pain inmy back. （背疼）

  9. My eyes have been sore.（眼睛发痛）My left foothurts. My tooth is aching up again. I feel shivery and I’ve got asore throat. （我觉得怕冷发抖，而且喉咙疼痛。）The pain’s been keeping me awake.

  10. D: Does anything but the white mixture help it?P: I’ve beenon a strict dietfor six months. Inever touch milk.

  11. on a diet: If you are on a diet, you are eating special kinds of food because you want to lose weight. （为减肥）节食touch: If you do not touch a particular kind of food or drink, you never eat it or drink it. 吃；喝e.g. Drink?No, she never touches the stuff. 喝酒？不，他从不喝这种东西。

  12. D: Does any position help you?P: No, It comes on after tea, about five. I have my main meal midday.D: Have you been sick?（你呕吐过吗？）(=Any vomiting?)P: Only at the beginning I was very sick then.

  13. Asick person has an illness or some other problem with their health.To be sick means to bring up food through your mouth from your stomach.e.g. I think I’m going to be sick.

  14. Note that “George is being sick” means “George is bringing up food from his stomach”; “George is sick” means “George is ill”. However, “George was sick” can mean either “George brought up food from his stomach” or “George was ill”.

  15. Vomit has the same meaning as “be sick”. Vomit is a fairly formal word.e.g. She was stricken with(被...折磨) pain and began to vomit.Throw up: In conversation, some people saythrow up instead of “be sick”.e.g. I think I’m going to throw up.I’ve been throwing up. 我一直呕吐。

  16. D: Do youfeel sick?（恶心吗？）(= Have you gotany feeling of nausea?)(=Are youfeeling nausea?)

  17. P: Yes, I feel sick but I can’t be sick. （我经常恶心，但不再呕吐。）Feel sick: To feel sick means to feel that you want to be sick.e.g. Flying always makes me feel sick.

  18. Note:ILLandsickare both used to say that that someone has a disease or some other problem with their health.e.g. Davis isill.Your uncle is very sick.A sick child …

  19. Most British speakers do not use ill in front of a noun unless they are also using an adverb(副词). For example, they do not talk about “an ill woman”, but they might talk about “a seriously ill woman”.… a terminally ill patient.

  20. American and Scottish speakers sometimes use ill in front of a noun without using an adverb.We had to get medical help for our ill sisters.

  21. D: Does the pain go through to the back?P: No, but it goes under my armpits. （腋下）D:What’s your weight been doing? （你的体重最近怎样？）(=Have you lost weight recently?)P:I’ve lostone and half stone but I’ve been on a fat-free diet for six months.(or: My weight fell from 65kg. to 50 kg.)

  22. Stone: a unit of weight in Great Britain, 14 pounds (6.4 kilograms) 英石[英国重量单位，等于14磅(6.4公斤）]

  23. D: What’s your appetite like?（你的胃口怎样？）(=How about your appetite?)(=Do you have any appetite?)

  24. What’s (your)/(the)… ? / What seems to be the…?What’s your appetite like?

  25. What’s your complaint? (你有什么不舒服？)=What’s your trouble?=What’s the trouble?=What’s bothering you?=What seems to be bothering you?

  26. =What do you complain of?=What’s the matter with you?=What seems to be the matter?=What’s wrong with you?=What hurts you?=What seems to be the problem?=What seems to be the trouble?

  27. P: Poor as ever.(=I’ve got a bad appetite.)D: What about yourbowels? （大便如何？）(=Are your bowels acting properly?)(=Are your bowels regular?)P: I go twice a day, in the morning.

  28. D: Is this a life-long habit?P: Yes.D:What do the motionslook like?Well-formed, firm? （大便什么形状？成形，坚实吗？）P: Yes.D:What about the color? Has it changed?P: No.

  29. D: Are they dark?P: Yes.D: Any sign of blood?P: No.D: Do they float on the water when you flush the lavatory? （你冲洗厕所时，它漂浮在水面上吗？）P: No.

  30. D: Have you noticed an unpleasant smell?P: No.D:Have you noticed any difference in your water?（你排尿有无异常？）P: No.D: Do you have to get up in the night?（你夜间起来上厕所吗？）P: Once.

  31. D: Your waterhasn’t been darker?P: No. D: Do you smoke?P: 10 a day.D: Do you drink?P: Not much.

  32. D: Have you any othertrouble?P: No, my angina’s been very good. （我的心绞痛已经好了。）I’ve not had much trouble with that for two years. （这两年没大犯过。）-- Or:I feel absolutely rotten. （我觉得身体很不舒服、非常虚弱。）[If youfeel or look rotten, you feel or look ill]

  33. I feel a bit off color. （我觉得有点不舒服。）[Here, color means reddish-pink color in one’s face that shows that one’s health is good. 面色；血色]I feel so ill.I feel rather unwell.I feel very bad.

  34. I really feel terrible.I think I’m dying.（我难受极了。）I’m feeling rather out of sortsthese days. （这些天我觉得身体很不舒服。）[If you feel out of sorts, you feel slightly unwell, discontented, or annoyed. 身体不适；心情不佳；烦恼]

  35. I’m under the weather.（我不舒服。）[If you say that you are under the weather, you mean that you feel slightly ill.]My whole body feels weak.I just feel all pooped out.（我只觉得精疲力竭。）[be pooped out: to be very tired; used mainly in informal American English.]

  36. D: You’ve also had trouble with your leg?P: Yes, they thought it was thrombosis(血栓).D: When did you first start with your tummy trouble?（第一次胃病是什么时候发作的？）Tummy: the human stomach or belly 肚子，胃P: About 14 years ago.

  37. D: The same, but more bothersome now? （现在是否更厉害?）P: Yes, it’s tighter.（病情更重了。）Warning: 1) You do not say that someone becomes “iller” or “more ill”. You say that they become worse.2) You do not use ill or sick to say that someone has received an injury. You say that they are injured or hurt.

  38. D: Have you ever been jaundiced?（得过黄疸吗？）P: No.D:Is your tummy swollen when you feel like this? （犯病时肚胀吗？）P: It feels as thoughI’m going to burst. （我觉得肚子快要爆炸了。）

  39. D: Well, I’d like to have a look at you.（检查一下）Will you get undressed and lie on the couch please? （请脱去衣服，躺在检查床上。）Or:Lie down on the couch there. Let me just see.Lie down on the couch there. Let me examine your belly.

  40. Would you mindtaking off all your clothes except your pants (for men)/except your pants and bra奶罩 (for women)? Lie on the couch and cover yourself with the blanket.Well, let’s see.Now slip off your coat and shirt, please.Strip to your waist, please.把上身衣服脱掉

  41. Rollyour sleeve up.Slip your shoes off and hop up on the bed.Slip off your shoes and socks.Let me check your lungs and heart.Let me listen to your lungs and heart.

  42. Let me examine your stomach.Let me sound your lungs. (叩诊)Unbutton your shirt and let me listen to your lungs.Open your mouth and say “Ah”.Open your mouth please, and show me your tongue.

  43. Put this thermometer(体温计) under your tongue.I’ll have your temperature taken.Well, I’d bettertake your blood pressure.May I take your blood pressure?Let me take your blood pressure.

  44. Clinical Examination

  45. During the examination the doctor asked the following questions:

  46. D: Do you suffer from heartburn?P: No.D: Have you had any children?P: No.D: Are your hands always cold and red?P: Yes. A lovely color in the winter! （冬天简直红得可爱！）

  47. D: Just hold your breath for a moment. Breathe through your mouth. Show me where you get this pain. Your age?P: 72.D: Your periods finished when? （你什么时候停经的。）P: When I was about 52 or 3.

  48. D: Any tenderness here?P: It’s a bit sore but not a lot. D: Does it catch you at all when you breathe?（你每次呼吸都觉得痛吗？）P: No.

  49. D: Have you any pains in your legs?(=Do you have any pains in your legs?)P: I get cramp （抽筋）a bit when I’m in bed.D: More in one leg than the other?P: I get it in my right leg; that’s my varicose （静脉曲张）leg.

  50. D: Apart from this, you’ve had no other serious illness in the last 14 years?P: No.D:I’m going totake a drop of your blood andI’d like you to have a stomach X-ray. You’ll have to come specially, don’teat anything beforeanddrink a white paste which outlines your stomach and we’ll takesome pictures.