englishfordoctors医生诊疗英语会话.docx
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englishfordoctors医生诊疗英语会话.docx
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englishfordoctors医生诊疗英语会话
Englishfordoctors(医生诊疗英语会话)
Englishfordoctors:
Authenticconsulting-roomactivitiesfordoctors,dentists,studentsandnurses
FromDXY.CN
1PASTMEDICALHISTORY
i'dliketoaskyouaboutyourpastmedicalhistory.canyoumewhetheryouhavehadanychildhooddiseases?
forexamplechickenpox,measles,mumpsorrubella
wheniwassmall,ihadmeasles,chickenpoxandwhoopingcough.butidon'tthinkieverhadrubella
haveyoueverbeeninhospitalizedforanything?
orhaveyoueverhadanoperation
well,ihadmytonsilstakenoutwheniwasachild
haveyouhadanymajorhealthproblemssincethen
yes,ihavediabetes
whenwereyoufirstdiagnosedwithdiabetes?
whatwereyoursimptoms
iwasdiagnosedwheniturned14.iwasalwaysthirsty,tiredanddepreassed
areyoureceivinganytreatmentforthis
ihavebeengettinginsulinshotseversinth
haveyouhadyourvaccinations
yes
good
didyourreferringphysiciangiveyoualetterforme
yes,hereitis
2FAMILYHISTORY
asfarasyouknow,arethereanyillnessesthatruninyourfamily?
nonethatiknowof,doctor
nothinglikediabetes,highbloodpressure,heart
disease,stroke,cancer,mentalillnessoranythinglikethat?
ohisee!
myfatherhadaheartcondition,andihavetwomy
auntswhohavediabetes
andisyourfatherstillalive
no,heisn't
howoldwasyourfatherwhenhedied
hewas68
whatdidhedieoff
hehadaheartattack
didhesufferforalongtimewiththisheardcinditionbeforehedied
ohno,itwasverysudden
andyouraunts?
doyouknowwhatkindofdiabetestheyhave?
dotheyhavetotakeinsulinortabletsoraretheyjustonadiettheyjusttakesomepills,ithink
youaremarried,isee,haveyouanychildren
yes,aboyandagirl
aretheyhealthy
yes,theyare
3SOCIALHISTORY
areyouworkingrightnow
no,ihavejustbeenlaidoff
oh,iamsorry.whatwasyourjob
iwasamanagerforanimportandexportcompany
isee.wasitanofficejoborwereyouonyourfeetallday
iworkedbehindadesk
wasitmanagerial,didyouhavealotofresponsibility
yes,iwasinchargeofalargedepartment
isee,quitestressful.now,tellme,doyousmoke
yes,ido.unfortunately,quitealot
oh,really?
howmuch
allabout2packsaday
howlonghaveyoubeensmoking
sinceiwasaboutfourteen
haveyouevertrytoquitsmoking
yes,ihavetriedseveraltimes.butwithoutsuccess
whataboutdriking?
doyoudrink
yes,sometimeswithmyfriends
howmuchalcoholdoyoudrinkaday
letsee.acoupleofglassesofbeeratlunchtime.awiskyintheevening.andabouthalfabottleofwinewithmydinner
that'squiteabit.howoldwereyouwhenyoustartdrinkingoh,about17ir18,isuppose
whataboutyourlivingconditions?
wheredoyoulive
welivinginasmallapartment.weownit.butofcourseweare
stillpayingthemorgageonit
4PRESENTCOMPLAINTS
4presentcomplaints
1-4-1
what'stheproblemtoday
canyoutellmewhatyoursymptomsare
havehoueverhadthesecomplainsbefore
what'sseemstobringthisconditionon
whendidyoustartfeelingpoorly
1-4-dialoguea(1-4-dialogueb)
whatseemstobetheproblematthemoment(today)
well,ihavebeenfeelingsopoorlyrecently(illlately)
isee.feelingpoorly(ill).(now)whatdoyoumeanbythat
ihavebeengettingveryshortofbreath
hm...howlonghasthisbeengoingon
forabout18months,ithink
andwerethereanyothersymptomsbeforethenordidit(thiscondition)startquitesuddenly
ihadn'tnoticeanythingbeforethen
soyouhaven't(didn'thaveanyof)experencethissymptombefore
no,notthaticanremember,doctor
isee.wasthereanythingthatseemstocausethis(havecausedthesesymptoms)
well,nothing(no,not)really.exceptmaybeitgetsreallybadwhenigouptolondon(newyork)toseemysisiter
let'stakealook(tobeginwith).i'lllistentoyourheartandlungstobeginwith
1-4-5
a.whatcanidoforyoutoday
howcanihelpyoumr.jones
b.whatdoyoumeanbythat
canyoudescribethatinmoredetail
c.whatareyoursymptoms
canyoudescribethechangesthathaveoccurred
d.diditstartsuddenly
didyourconditionchangewithoutanywarning
e.whatbringsiton
whatdoyouthinkcausesyourcondition
5PAIN
5pain
1-5-1
head
doyouhaveasplitting
headache/throbbing/band-like/dull/aching/burning/sharp/stabbing/colicky/migraine/blinding/stress-induced/tension
tooth
doyouhaveasharptoothache
isyourtoothachedull/throbbing/stabbing/pulsating
isyourtoothsensitive/aching/tender
lowerback
isthepaininyourbackslowinonset\longin
duration/dull/diffused/aching/steady/constant/severe/progressingpoorly/localised/crushing/deep/mild
chest
isthepaininyourchestburning
doyouhaveaconstrictingpaininyourchest
bursting/choking/squeezing/griping/pressing/crusching/sticking/jabbing/sharp/knife-
like/fleeting/throbbing/dull/severe/stabbing/likeaweighton
it/likeabandacrossit
abdomen
doyoufellasharppaininyourabdomen
dull/aching/gnawing/burning/cramping/colicky/diffused/localised/recurrent/constant/flank/intermittent/stabbing
doyougetbloated
doyoufeelbloated
duyouhaveanyheartburn
doyouhaveanyindigestion
kidneysandurinarytract
doyouhaveasharppain
duyouhaveadullache
duyouhaveseverediscomfort
burning/stinging/nagging/nigging/splitting/flank/back/abdominal/steady/lowgrade
doyouhaveslightdiscomfort
extremities
doyouhaveasharppaininyourshoulder
doyouhaveatinglingpaininyourhand
doyouhaveashootingpaininyourfoot
dull/burning/severe/pulsating/throbbing
doyouhaveweaknessinyourhands
doyouhavenumbnessinyourarms
doyouhavecramp
doyouhaveanacheonyourhand
1-5
dialoguea(dialogueb)
doyoufeelanypain
oh,yes.quiteabit
couldyoushowmewhereithurts
righthere,doctor,inmychest
here,hm...isitalwaysjustinthatspot
no,sometimesitmovesaroundtohere
isee.whatkindofpainisit.canyoudescriethepain
well,mostofthetimeitfeelslikeacramp.butoccasionallyitissharpandstabbing
doesitcomeandgoordoyouhaveitallthetime
well,itworseattimes.itseemstocomeovermeinwaves.butmostlyit'sthereallthetime
doesitstartsuddenlyorbuildupslowly
itseemstobuildupgradually
whatdoyoudowhenyougetthe(feelthis)pain
well,thereisn'tmuchicando.ijusthavetoputupwithit
anddoesanythinginpaticularseemtobringthepainonormakeitworse
well,ifindgoingupstairsdifficult(itismoreintensewhenclimbingstairs).alsowhenihavetocoughortakeadeepbreathit'sterriblelikeaknifestabbingme
1-5-6
a.canyoushowmewhereitherts
b.couldyoudescribewhatthepainfeelslike
c.howlonghaveyouhadthispain
d.whendoesitcome,when,doesitgo
e.doesanythingrelievethesymptomsormakethemworth
f.doesthepainmovetoanotherpartofyourbody
g.whatbringsiton
6HEADACHE
6headache
1-6-1
1doyoufeelthepainatthetopofyourhead
2doyoufeelanypaininyourtemples
3isthepainaroundyoureyes
4isthepainatthebackofyourhead
5doyouhaveanypaininyourforehead
6doesthepainmovetoyourface
7doyoufeelanypainaroundyourears
8doesthepainspreadtoyourneck
9doesthepainseemtobecomeingfromyourneck
10doesthepaintraveltoyourshoulders
1-6dialoguea(dialogueb)
tellmeaboutyourheadache
itcomesandgoes
canyoupointoutthepainfularea
itseemstobeontherightsideofmyhead
howlongdoestheheadachelastwhenyougetit(itcomes)
itvaries.itcanbebetweenhalfanhourandfourorfivehourswhenyougetaheadache,doesanythingelsehappenatthesametime
yes.oftenifeelsick(iamoftennauseous).sometimesiactuallyvomit(throwup)
doestheheadacheeverupsetyoureyes,forexample,doesyourvisiongetblurred
it'snotblurry.butigetflashinglightsthatseemstobeintherighteye
whatdoyoudowhenyougettheheadache
whll,i'mnotususllyabletocarryonwithwhat(iususllyhavetostopwtatever)iamdoing,ihavetogotoadarkroomandliedown
haveyoufoundanytablets(medication)thatseemstohavehelped
sometimesifitakeanaspirinearlyon,itseemstohelp.atothertimesnothingseemstohelpmuch
doesanybodyelseinyourfamilyhavethistypeofaheadacheyes,mymotherusedtosufferfrommigraineswhenshewas
younger
canyoudescribethe(characterofhe)pain.isitstabbingormoreband-like,kindofpressing
itthrobs.sortofstabbing,isuppose(guess)
1-6-6
acanyoupointoutthepainfularea
bhowlongdoestheheadachelastwhenyougetit
ccanyoudescribethepain
dwhenyougetth
eheadache,doesanythinghappenatthesametime
ewhatdoyoudowhenyougettheheadache
fhaveyoufoundanymedicanthatseemstohavehelped
gdoesanybodyelseinyourfamilyhavethistypeofheadache
7VERTIGO
Howwouldyoudescribeyourdizziness?
It’sasifIamfallingtotheleft.
whatdoesthediseasespellconstistforyou?
Akindofimbalance.
Howlongdoestheepisodeofdizzinesslast?
Sometimesanhour,sometimesawholeday.
Inwhatbodypositiondoyoufeeldizzy?
EverytimeIsquatorbenddownandtrytogetuptooquickly.
Doyoueversufferfromdizziness?
(getdizzy?
)
Yes,quiteoften.
Whendoesthishappen?
WhenIgetuptooquickly.
Doyoufeelasifyouarefallinginacertaindirection?
No,notreally.
Doesthisdizzinessfeellikespinningorisitjustakindofunsteadiness.
Itfeelsmorelikespinning.
Howwouldyoudescribeit?
Isitasiftheroo
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