医生诊疗英语会话
既往史Past medical historyi 'd like to ask you about your past medical history.can you me whether you have had any childhood diseases?for example chickenpox ,measles,mumps or rubella
when i was small ,i had measles,chickenpox and whooping cough .but i don't think i ever had rubella
have you ever been in hospitalized for anything?or have you ever had an operation
well,i had my tonsils taken out when i was a child
have you had any major health problems since then
yes,i have diabetes
when were you first diagnosed with diabetes?what were your simptoms
i was diagnosed when i turned 14.i was always thirsty ,tired and depreassed
are you receiving any treatment for this
i have been getting insulin shots ever sinth
have you had your vaccinations
yes
good
did your referring physician give you a letter for me
yes ,here it is
家族史family history
Dialog A
A: As far as you know, other any illness running your family?
B: No, as far as I know, doctor.
A: Nothing like diabetes, high blood pressure, heart disease, stroke, cancer, mental illness or anything like that?
B: Oh,I see. My father had heart condition and I have two aunts who have diabetes.
A: And is your father still alive?
B: No, he isn’t.
A: How old was your father when he died?
B: He was sixty-eight.
A: What did he die of?
B: He had a heart attack..
A: Did he suffer for a long time with this heart condition before he died.
B: Oh, no. It was very sudden.
A: And your aunts. Do you know what kind of diabetes do they have? Do they have to take insuline or tablets, or they just on a diet?
B: They just take some pills, I think.
A: You are married, I see. Have you any children?
B: Yes. A boy and a girl.
A: Are they healthy?
B: Yes, they are.
Dialog B
A: As far as you know, are there any illnesses that running your family?
B: Not at all, doctor.
A: Nothing like diabetes, high blood pressure, heart disease, stroke, cancer, mental illness or anything like that?
B: Oh,I see. My father had heart condition and I have two aunts who have diabetes.
A: And is your father still alive?
B: No, he isn’t.
A: How old was your father when he passed away?
B: He was sixty-eight.
A: What did he die of?
B: He had a heart attack..
A: Did he have an ongoing heart condition ?
B: Oh, no. It was very sudden.
A: Are your aunts taking any medication right now for the diabetes? Do they have to take insuline shots or all medications or they just on a diet?
B: They just take some pills, I think.
A: You are married, I see. Do you have any children?
B: Yes. A boy and a girl.
A: Are they healthy?
B: Yes, they are.
1. Do you have a family?
2. Are there any illnesses running the family?
3. How did you father died?
4. How is your aunt’s health?
社会史social history
1. Yes, couple of bottles of beer a day.
Some wine with my friends ? weekends.
2. I smoke three packs of cigarettes in some times a pie.
I don’t smoke because it bothers my eyes.
3. Yes, I have quite stressful job.
I just lost my job last week.
4.I live in a damp basement department. It’s usually quite cold.
I live in a house in the countryside. It’s quite sunny and quiet.
5. I usually have to sit my desk all day.
I’m a sales clerk, so I have to stand on my feet all day.
Dialog A:
A: Do you have a job at the moment?
B: No, I just may be redundent.
A: Oh, I am sorry. What was your job?
B: I was a civil servant in customs next side.
A: I see. Was it an office job or were you on your feet all day.
B: I was a desk man I am afraid.
A: Was it managerial? Did you have a lot of responsibility?
B: Yes. I was in charge of a large department.
A: I see. Quite stressful. Now, tell me, do you smoke?
B: Yes. Unfortunately, quite a bit.
A: Oh, really? How much?
B: Oh, about forty a day.
A: hmm… How long have you been smoking?
B: Since I was about fourteen.
A: Have you give a try to give up smoking?
B: Yes, I have tried to give it up for several times. But without success.
A: What about drinking? Do you drink?
B: Yes, sometimes with my friends.
A: How much alcohol do you drink a day?
B: let’s see. Oh, couple of pines and pop at lunch time. A wisky in the evening and about a half bottle of wine without meal.
A: That’s quite a bit. How old were you when you start drinking.
B: Oh, that’s 17 or 19, I suppose.
A: What sort of type do you live in?
B: We live in a small flats, it’s our own but we still pay the morgage on it of course.
Dialog B:
A: Are you working right now?
B: No, I’ve just been laied off.
A: Oh, I am sorry. What was your job?
B: I was a manager for an import and export company.
A: I see. Was it a official job or were you on your feet all day?
B: I worked behind a desk.
A: Was it managerial? Did you have a lot of responsibility?
B: Yes. I was in charge of a large department.
A: I see. Quite stressful. Now, tell me, do you smoke?
B: Yes. I do, Unfortunately, quite a lot.
A: Oh, really? How much?
B: Oh, about two packs a day.
A: How long have you been smoking?
B: Since I was about fourteen.
A: Have you ever try to quit smoking?
B: Yes, I have tried for several times. But without success.
A: What about drinking? Do you drink?
B: Yes, sometimes with my friends.
A: How much alcohol do you drink a day?
B: let’s see. Oh, couple of glasses of beer at lunch time. A wisky in the evening and about a half bottle of wine with my dinner.
A: That’s quite a bit. How old were you when you start drinking.
B: Oh, about 17 or 19, I suppose.
A: What about your living conditions? Where do you live?
B: We live in a small apartment, we own it but of course we have still to pay the morgage on it.
I am a math teacher at the boy’s school.
Yes ,this is my first attend teaching. I know I still quite nervous.
I’ve been trying to give up smoking cigarette since last December.
Every morning when I get up, I need to stay ambulance, you know, I drink to get me through the day.
present complaints
What’s the problem, today?
Can you tell me what your symptoms are?
Have you ever had this complains before?
What seems to bring this condition on?
When did you start feeling poorly?
A: What seems to be the problem at the moment?
B: Well, I ‘ve been feeling so poorly recently.
A: I see. Feeling poorly. What do you mean by that?
B: I’ve been getting very short of breath.
A: How long has this been going on?
B: for about 18 months, I think.
A: And were you have other symptoms before then or did it start quite suddenly?
B: I haven’t noticed anything before then.
A: So you haven’t experienced this symptoms before.
B: No, not that I can remember, doctor.
A: I see. Was there anything that seem to cause this?
B: Well, nothing really. Except maybe it gets really bad when I got to London to see my sister.
A: Let’s take a look. I’ll listen to your heart and lungs to begin with.
A: what seems to be the problem today?
B: Well, I’ve been feeling ill lately.
A: I see. Feeling ill. Now what do you mean by that?
B: I’ve been very short of breath.
A: how long has this been going on?
B: For about 18 months, I think.
A: And were there any other symptoms before then or did this condition start quite suddenly?
B: I haven’t noticed anything before then.
A: So you don’t have any of thess symptoms before.
B: No, not that I can remember, doctor.
A: I see. Was there anything that seem to cause these symptoms?
B: well ,no, not really. Except maybe it gets really bad when I got up to NewYork to see my sister.
A: Let’s take a look. To begin with our listening to your heart and your lungs.
A.What can I do for you today?
How can I help you, Mr Johns.
B.What do you mean by that?
Can you describe that in more detail.
C.What are your symptoms?
Can you describe the changes that occurred?
D.Did it stop suddenly?
Did your condition change without any warning?
E.What bring it on?
What do you think cause of your condition?
Pain
1-5-1
head
do you have a splitting headache/throbbing/band-like/dull/aching/burning/sharp/stabbing/colicky/migraine/blinding/stress- induced/tension
tooth
do you have a sharp toothache
is your toothache dull/throbbing/stabbing/pulsating
is your tooth sensitive/aching/tender
lower back
is the pain in your back slow in onset\long in duration/dull/diffused/aching/steady/constant/severe/progressing poorly/localised/crushing/deep/mild
chest
is the pain in your chest burning
do you have a constricting pain in your chest
bursting/choking/squeezing/griping/pressing/crusching/sticking/jabbing/sharp/knife- like/fleeting/throbbing/dull/severe/stabbing/like a weight on it/like a band across it
abdomen
do you fell a sharp pain in your abdomen
dull/aching/gnawing/burning/cramping/colicky/diffused/localised/recurrent/constant/flank/intermittent/stabbing
do you get bloated
do you feel bloated
du you have any heartburn
do you have any indigestion
kidneys and urinary tract
do you have a sharp pain
du you have a dull ache
du you have severe discomfort
burning/stinging/nagging/nigging/splitting/flank/back/abdominal/steady/low grade
do you have slight discomfort
extremities
do you have a sharp pain in your shoulder
do you have a tingling pain in your hand
do you have a shooting pain in your foot
dull/burning /severe/pulsating/throbbing
do you have weakness in your hands
do you have numbness in your arms
do you have cramp
do you have an ache on your hand
1-5
dialogue a (dialogue b)
do you feel any pain
oh,yes . quite a bit
could you show me where it hurts
right here, doctor, in my chest
here,hm...is it always just in that spot
no, sometimes it moves around to here
i see.what kind of pain is it.can you descrie the pain
well,most of the time it feels like a cramp.but occasionally it is sharp and stabbing
does it come and go or do you have it all the time
well,it worse at times.it seems to come over me in waves.but mostly it's there all the time
does it start suddenly or build up slowly
it seems to build up gradually
what do you do when you get the(feel this) pain
well,there isn't much i can do.i just have to put up with it
and does anything in paticular seem to bring the pain on or make it worse
well,i find going upstairs difficult(it is more intense when climbing stairs).also when i have to cough or take a deepbreath it's terrible like a knife stabbing me
1-5-6
a. can you show me where it herts
b.could you describe what the pain feels like
c.how long have you had this pain
d.when does it come,when,does it go
e.does anything relieve the symptoms or make them worth
f.does the pain move to another part of your body
g.what brings it on
headache
do you feel the pain at top your head?
do you feel any pain in your temples?
is the pain around your eyes?
is the pain at the back of your head?
do your have any pain in your forehead?
does the pain move to your face?
do you feel any pain aroud your ears?
does the pain spread your neck?
does the pain seem to be come in from your neck?
does the pain trouble to your shoulders?
a
tell me about your headache.
it comes and goes.
can you point out the painful area?
it sames to be on the right side of my head.
how long does the headache last when your get it(it comes)?
it varies, it can be between half an hour and four or five hours
when you get headache,does it anything else happen at the same times?
yes, often i feel sick(i am often nausea) , sometimes i actually vomit (throw up ).
does the headache ever upset your eyes, for example, does your vision get blurred
it is not blurry,but i get flashing-like, it seems to be in the right eye.
what do you do when you get headache?
well, i am not usually able to carry on what i am doing.i have to go to a dark room and lie down.(i usually have to stop what i am doing and have to go to a dark room ang lie down)
have you found any tablets(medication )that seems to be helped.
sometimes if i take asprine early it seems to help, but other times nothing seems to help much.(the other times nothing seems to help much)
does anybody else in your famly have this type of headache?
yes, my mother used to suffer from a migraine when she was a young girl.
can you describe the pain? is it stabbing or more band-like kind of pression?
it is throbs, sort of stabbing, i suppose.(guess)
can you piont out the painfull area?
how long does the headache last when get it?
can you describe the pain?
when you get the headache, does anything happen at the same time?
what doyou do when you get the headache?
have you found any medicine that seems to be helped?
does anybody else in your famly have this type of headache?
vertigo(眩晕)
How would you describe your dizziness?
It’s as if I am falling to the left.
what does the disease spell constist for you?A kind of imbalance.
How long does the episode of dizziness last?
Sometimes an hour, sometimes a whole day.
In what body position do you feel dizzy?
Every time I squat or bend down and try to get up too quickly.
Do you ever suffer from dizziness? (get dizzy?)
Yes, quite often.
When does this happen?
When I get up too quickly.
Do you feel as if you are falling in a certain direction?
No, not really.
Does this dizziness feel like spinning or is it just a kind of unsteadiness.
It feels more like spinning.
How would you describe it? Is it as if the room is going around or do you feel as if it’s you that's going around.
It feels as if I am going around.
Do you have any other problems such as ringing in the ears.
Yes, sometimes.
Have you seen a consultant(specialist) about this?
Yes, she prescribed some medication for it, but it didn’t help at all.
Do you have any associated symptoms like blurred vision.
No, but I haven't noticed(not that I have noticed. )
body temperature and sweat
Have you got a temperature? (Have you had any fever recently?)
Yes, doctor, I have been feeling quite flush lately (I have been feeling quite warm lately)
Is your temperature high all the time or does it go up and down? (Is your temperature constantly high or does it go up and down?)
It usually goes up at night (higher at nihgt), but it still high even during the day(but it’s still high during the day)
What is the highest and lowest it's been in the past few days?
The highest was 104 and the lowest was 100.
Where did you take your temperature? Under your arm or under your tongue? (orally)
under my tongue (i measure it orally)
Do you also have the shivers? (chills)
yes, sometimes.
Did your teeth chatter or other shivers milder on that?(did your teeth rattle or chills
milder on that)
Oh, yes they chatter, I have bitten my tongue several time already
(Oh, yes the chat, I have bittenmy tongue several time already)
Did you take anything for the fever?
Aspirin
Does it help?
No, not really
Have you been abroad to any tropic or developing countries recently? (Have you travel to any tropical or developing countries recently)
Yes, I just came back from Thailand a few months ago
Yes, do you perspire more than usual?
Yes, a lot of I am afraid
Just when you work hard or also at other times
well, I never used to sweat so much but now I think to break out the sweater the
drop of a hand,(break out the sweaty easily) my clothes often get soaking wet
Do you feel shaky or weak at all?
yes, practically all the time
nausea and vomiting
do you just feel sick(nauseous) or have a actually vomited?(thrown up)
ou, i am vomitting and it seems all the time(oh, it seems like i am throwing up all the time)
when did it all started?
about two months ago
and how often does this happen?
about once a day, sometimes more
when you are sick, is it in morning or after you've eaten(after you've eaten)
well, it isn't really regular
but does it get better or worse if you eat something?
worse, i think
when you vomit, do you bring up digested food, undigested food or bile?
oh, it is usually more like bile
what colour is it? green, black, yellow or red?
it seems to be a sort of yellowish green color
does it ever have blood in it or look like grown coffe?
no, never
do you belch a lot (burp a lot)or have a bad (a nasty) taste in your mouth?
well, yes doctor. i do belch a lot(burp a lot)and i seem to suffer from a lot wind just lately (and i had have a lot of gas lately) original or not?? [quote]original or not??
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