医学英语情景会话实战.docx

医学英语情景会话实战.docx

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医学英语情景会话实战

一、一般问诊和检查

Whatisyourname?

MynameisWangMing.

Wheredoyoulive?

IliveinHongKang.

Howoldareyou?

Iam40yearsold.

Whatisyouroccupation?

Iamaworker.

Whattroubledoyouhave?

Ihaveacoughandasorethroat.

Howlonghaveyoubeensick?

Ihavebeensicksinceyesterday.

Didyoufallsickabruptlyorgradually?

Ifellsickgradually.

Whatdiseaseshaveyouhadbefore?

IhadT.B.attheageofthirty-three.

Here,putthisthermometerunderyourtongue.

Letmefeelyourpulse…alittlefast.

Givemethethermometer.DoIhaveafever?

Justalittle.

Unbuttonyourshirtandletmelistentoyourchest.

Breathedeeply.

Openyourmouthandsay“Ah”.

Liedownonthebed,please.

Lieonyourback.

Loosenyourwaistband.

Bendbothlegs.

Relaxyourmuscles.

DoesithurtwhenIpresshere?

Ithurtsgreatly.

Pointtothepainfulplace.

Well,upplease.MayIgonow?

No.YouhavetohaveabloodtestandachestX-ray.WhenshallIcomeback?

ComebacktomorrowtoseetheX-rayfilm.Thankyou,doctor.Seeyoutomorrow.

Thenextday

Accordingtothesymptomsandfindingsin

examinations,yourdiseasemaybediagnosedasT.B.

Areyourparentsingoodhealth?

No,myfatherdiedofT.B.20yearsago.

Andhowisyourmother?

Shehasbeensickforalongtime.

Doseyourmotherhavethesamediseaseasyour?

Yes,shedose.Doctor,canthisdiseasebecured?

We’redeterminedtotryourbesttocureyou.

Hereisyourprescription.

Youmaygooverthereforthemedicine.IsthereanythingIshouldorshouldn’tdo?

Youshouldrestproperly.

Youhadbettertakeawalkintheopenaireveryday.

Smokingshouldbeavoided.Thankyouverymuchforyouradvice.

Notatall.It’smyresponsibility.

二、医护常用会话

Whatclassofcaseisthepatient?

（这位病人是哪科的？

）

Sheisagynecologicalpatientandsheshouldgotothegynecologicalwardonthefirstfloor.

Whoseservicewillthispatiententer?

（这病人该归哪位医生治疗？

）

HewillgotoDoctorWang’sserviceintheDepartmentofInternalMedicine.（该归内科王医生）

Sendthepatienttothehospitalbyambulance.

Bringthispatienttotheemergencyroomforfirstaidquickly.

Thepatienthascopioushemorrhage.Pleasegettheblood-transfusionequipmentreadyimmediately.I’llgiveherabloodtransfusionatonce.

Allright.I’llbringittoyounow.Isthereanythingelseyouwant?

Telephonetothebloodbanktoaskwhetherthereispreservedbloodavailableforthispatient.

I’vejusttelephonedtoaskthem,buttheysaythereisnobloodavailableforthispatient.Whatshallwedonow?

Pleasetellthepatient’srelativestocometothehospitalanddonatebloodtoher.

I’lltalkoverwiththematonce.

Let’sgotomakethemorningward-round.（查房）

Thebedsinthiswardlookuntidy.Pleasechargethebeddingtoday.

Letusmakeup（铺好）Bed2now.

Thepatientisindangerandit’snecessarytotakehispulse,respirationandbloodpressure.

Allright.I’lltakethemeveryhour.

Ifthepatient’sconditionbecomesworse,sendformeimmediately,please.

I’llsurelydoso.

Thereisoozingofblood（渗血）formthepatient’swoundandthedressingissoiled.Pleasechangeitforhertoday.

ThepatientinBed1sufferedwithaseverepainlastnight.Hisleftbuttockisinflamed.（发炎）Itisswollen,red,hotandpainful.Anabscesshasformed.Wehavetoinciseit.

Well,I’llgettheinstrumentsanddressingreadyforyou.

Thepatienthasbeeninastateofshock.Pleasethepatientinthehead-lowposition.Elevatethefootofthebed.Puthotwaterbottlesaroundhim.Givehimsomefluidbyintravenousdrip.

Ithinkhisrightfemurisbroken.SendhimtotheX-raydepartmenttomakesureifthereisafracture.

Doctor,theconditionofthatpatientisverypoor.Whataretheordersforher?

Giveher100ml.of50%glucosesolutionbyintravenousinjectionatonce.

DoctorLi,thatnewpatientissoexcited.Ican’tquiether.

HereisanampouleofSodiumLuminal.Giveitintramuscularly（肌注）atonce.Itwillquiether.

Whendidthatpatientdie?

Hediedatmidnight.

Whenwillthispatientgohome?

He’llgohometomorroworthedayaftertomorrow.

Havethoseinstrumentsbeenused?

Yes,they’vebeenused,butIhavecleanedandsterilizedthem.

Isthismedicinetobetakenbymouth?

Themedicineinthisbottleispoisonous.Don’tdrinkit.It’sonlyforexternaluse.

Thenewpatienthasahighfever.

Examineherbloodformalariaparasites.（疟原虫）

WhatshallIdowiththepatientwhohastakenpoison?

Givehimagastriclavageimmediatelyandthengivehimtheantidote.

Thepatient’sbowelshaven’tmoved（未排大便）forthreedays.

I’llgivehimacatharticnow.

IamgoingtooperateonthepatientinBed6tomorrow.Pleaseshavehisabdominalareaandcleantheskinwithsoapandwater.

Thepatient’sconditionisverycriticalandhehasbeeninastateofcoma.

I’lllethisrelativesknowbytelephone.

Thepatient’slifeisindanger,butwe’lldoeverythingpossibletosavehim.

Headnurse,pleasegettheemergencydrugsreadybeforeyougooffduty.

Allright.I’lldoso.

三、内科病史询问和检查

1．消化系统疾病

Wheredoyoufeelapain?

Ifeelapaininmyabdomen.

Pointouttheplacewhereyoufeelapain.

Doyouhaveagoodappetite?

No,I’venoappetite.

Howlonghaveyoulostyourappetite?

Forthreedays.

Whatdidyoueatlastnight?

Butter,bread,meatandsalad.

Doyouhaveasenseofgastricdistentionaftermeals?

Yes,Ihaveafeelingofdistentioninmy

stomachaftermeals.

Doyouhaveastomachacheaftermeals?

Yes,Ihaveabadstomachache.

Howlongafteramealdoyoufeelastomachache?

Abouthalfanhour.

Doyoufeelapainwhenyouarehungry?

Yes.

Mayyourpainberelievedifyoutakesomefood?

Yes,itisalittlerelieved.

Whatkindofpaindoyouhave?

It’slikeburning.

Whendoseitfeelmostpainful?

Atmidnight.

Didyouvomit?

Yes.

Whatdidyouvomit,foodorblood?

Ivomitedfoodwithalittleblood.

Wasthebloodyouvomitedredorblack?

Likecoffee.

Doyoudrinkwine?

Yes,sometimes.

Doyousmoke?

Yes,Ido.

Howmanycigarettesdoyousmokeeveryday?

Abouttwenty.

Didyoudrinkcoffeeortea?

Idrinkcoffee,fourorfivecupsaday.

Youshouldavoidtobacco,alcohol,excessivecoffee

andirritantfoods.They’lldoyoumuchharm.Letmetrytodoso.

Ithinkyoushouldmakeupyourmind.

Thesoonerthebetter.ShallItakemeat?

No,youshouldn’ttakemeatandgreasyfoods.

Youshouldtakeeasilydigestiblefoods.

Hereisyourprescription.

Isuggestyouaweek’sleave.HowmanydaysdoyouthinkbeforeIcanresumework?

Icanhardlytell.

Pleasecomebackafteraweek.

Howlonghaveyouhadjaundice?

Forfourorfivedays.

Haveyouhadjaundicebefore?

Idon’tknow.

Howdidyoufeelbeforetheappearanceofjaundice?

IhadnoappetiteandfoundIwaslosingweight.

Doyouhaveadisagreeablesmellinyourmouth?

Yes,Ido.

Doseyournosebleed?

Yes,itbleedssometimes.

Doyoufeelapainintheliver?

Yes,forseveralyears.

DoyoufeelapainwhenIpresshard?

Yes,it’sverypainful.

Youshouldbeadmittedtohospital.（住院治疗）

2．呼吸系统疾病

Whattroubledoyouhave?

Ihavetroublewithmychest.

Isitverylongsinceyouhadtroublewithyourchest?

No,it’snotverylong.It’stwodaysonly.

Didyouhavechillsandfeverattheonset?

Atfirst,Ihadachillandthenahighfever.

Haveyoubecomethinner?

（你瘦了吗？

）Yes,I’vebecomemuchthinnerinthesetwodays

Doyougettiredmoreeasilythanbefore?

Yes,Ido.

Doyoucough?

Yes,Ihaveaseverecough.

Isitadrycough?

No,Ispitalittle（有些痰）,butnotmuch.

Whatisthesputumlike?

Itisviscous.

Whatisthecolorofthesputum?

Itwaswhiteinthebeginningandithasbecomeyellow.

Whatisthequantityofthesputumin24hours?

About200c.c.

Isthesputumfetid?

Yes,itis.

Istherebloodinthesputum?

Thereareonlyafewstreaksofbloodmixedwiththesputum.

Doyoufeelshortofbreathsometimes?

Yes,breathlessnessoccursaftercoughing.

Isthebreathlessnesscontinuousorinafit?

Itcomesinafit.

Doyoufeelrelievedafterexpectoration?

Thesuffocationdisappearsandmytemperaturebecomesnormalafterexpectoration.

Doyouhaveaseverepaininthesideofthechest?

Yes,Ido.

Pointouttheplacewherethereisathoracicpain.

Dosethepaininthechestbecomemoreintensiveat

thetimeofcoughorduringdeeprespiration?

Yes,itisso.

Haveyoucaughtcold?

（感冒）Yes,Icaughtcoldthedaybeforeyesterday.

Isyournoseobstructed?

Yes,itis.

Haveyouanynasaldischarge?

（流鼻涕）Yes,Ihavemuchofit.Itiswatery.

Doyousneeze?

Yes,Isneezebadly.

Doyouhaveafever?

Yes,Ihaveahighfever.

Doyoustillhavefever?

Yes,Ihavehadfeverformorethanthreeweeks.

Doyouhaveadrycough?

No,Ispitmucopurulentsputum.

Haveyoueverspitblood?

No,never.

Isthereanyrelationshipbetweenyourcoughand

thechangeofweather?

Yes,Icoughbadlywhenitiscold.

Doyouhavenightsweats?

No,Idon’t.

Letmelistentoyourchest.

Youshouldhavearoentgenographicexamination.

3.循环系统疾病

Haveyouhadrheumatismbefore?

Yes,Ihadit3yearsago.

Didyouhaveswollenkneesorotherswollenjoints?

Yes,Ihadswollenknees.

Didyouhaveafeveratthesametime?

Yes,Ihadaveryhighfeveratthesametime.

Haveyoueverfeltyourheartbeatingfast?

Yes,severaltimes.

Haveyoueverbeenarousedatnightbyafit

ofoppression?

Yes,Ihave.

Didyouexpectorateinthecourseofafit?

Yes,Idid,butverylittle.

Didyouhavedizziness,vertigoorfainting?

Yes,Idid.

Didyouhavepurplelips?

Yes,Idid.

Isitalongtimesinceyouhavesufferedfrom

hearttrouble?

Yes,itis.

Haveyoutakenanymedicine?

Yes,I’vetakendigitalis.

Didyoueverhaveapainintheheart?

Yes,Idid.Sometimesthepainradiatedtotheleftarm.

Whattroubledidy