完整englishfordoctors医生诊疗英语会话.docx

完整englishfordoctors医生诊疗英语会话.docx

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完整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，heartdisease，stroke，cancer，mentalillnessoranythinglikethat？

ohisee！

myfatherhadaheartcondition,andihavetwomyauntswhohavediabetes

andisyourfatherstillalive

no,heisn’t

howoldwasyourfatherwhenhedied

hewas68

whatdidhedieoff

hehadaheartattack

didhesufferforalongtimewiththisheardcinditionbeforehedied

ohno，itwasverysudden

andyouraunts？

doyouknowwhatkindofdiabetestheyhave？

dotheyhavetotakeinsulinortabletsoraretheyjustonadiet

theyjusttakesomepills,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.howoldwereyouwhenyoustartdrinking

oh,about17ir18,isuppose

whataboutyourlivingconditions?

wheredoyoulive

welivinginasmallapartment。

weownit.butofcoursewearestillpayingthemorgageonit

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

doyouhaveasplittingheadache/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\longinduration/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/likeaweightonit/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。

itcanbebetweenhalfanhourandfourorfivehours

whenyougetaheadache,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

doesanybodyelseinyourfamilyhavethistypeofaheadache

yes，mymotherusedtosufferfrommigraineswhenshewasyounger

canyoudescribethe（characterofhe）pain。

isitstabbingormoreband-like，kindofpressing

itthrobs.sortofstabbing,isuppose（guess）

1-6-6

acanyoupointoutthepainfularea

bhowlongdoestheheadachelastwhenyougetit

ccanyoudescribethepain

dwhenyougettheheadache,doesanythinghappenatthesametime

ewhatdoyoudowhenyougettheheadache

fhaveyoufoundanymedicanthatseemstohavehelped

gdoesanybodyelseinyourfamilyhavethistypeofheadache

7VERTIGO

Howwouldyoudescribeyourdizziness?

It&＃8217;sasifIamfallingtotheleft.

whatdoesthediseasespellconstistforyou?

Akindofimbalance.

Howlongdoestheepisodeofdizzinesslast?

Sometimesanhour，sometimesawholeday。

Inwhatbodypositiondoyoufeeldizzy？

EverytimeIsquatorbenddownandtrytogetuptooquickly.

Doyoueversufferfromdizziness?

（getdizzy?

）

Yes，quiteoften。

Whendoesthishappen？

WhenIgetuptooquickly。

Doyoufeelasifyouarefallinginacertaindirection?

No,notreally.

Doesthisdizzinessfeellikespinningorisitjustakindofunsteadiness.

Itfeelsmorelikespinning.

Howwouldyoudescribeit？

Isitasiftheroomisgoingaroundordoyoufeelasifit＆#8217;syouthat'sgoingaround。

ItfeelsasifIamgoingaround。

Doyouhaveanyotherproblemssuchasringingintheears.

Yes，some