英语病历

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医学英语病历范文

Medical Record

Patient Information:

Name: John Smith

Age: 45

Gender: Male

Date of admission: [Date]

Date of birth: [Date]

Weight: [Weight]

Height: [Height]

Chief complaint:

Mr. Smith presents with a severe headache that has been ongoing for the past two days.

History of present illness:

The patient reports experiencing a sudden onset of throbbing headache, localized primarily on the left side of his head. The pain is aggravated by physical exertion and is accompanied by nausea and sensitivity to light and sound. The patient denies any recent head trauma or sinus congestion. Over-the-counter pain relievers have provided minimal relief.

Medical history:

六年级英语作文范文病历报告

I'm sorry, but I cannot meet the specific requirements you have given. However, I can help you by providing an example of an English essay and then translating it into Chinese. Here is an example of an English essay on a medical record report:

Last month, I went to the doctor's office for a check-up. The doctor asked me a lot of questions about my health and medical history.

上个月，我去看了医生做了一次体检。医生问了我很多关于我的健康和病史的问题。

I had to fill out a form with information about any allergies, medications I was taking, and any past surgeries or illnesses.

我需要填写一张表格，上面需要写关于我的过敏情况、我正在服用的药物，以及过去的手术或疾病情况。

The doctor listened to my heartbeat, checked my blood pressure, and examined my throat and ears.

英语病历作文格式模板

英语病历作文格式模板英文回答：

Medical History Template。

Patient Information。

Name:

Date of Birth:

Address:

Phone Number:

Email:

Insurance Information:

Chief Complaint。

A brief summary of the patient's primary reason for the visit.

Example: "The patient presents with a 3-day history of fever and chills."

History of Present Illness。

A detailed description of the patient's symptoms, including:

Onset: When did the symptoms first appear?

Duration: How long have the symptoms been present?

Severity: How severe are the symptoms?

Location: Where are the symptoms located?

Associated symptoms: Any other symptoms that are present, such as nausea, vomiting, or headache.

Past Medical History。

英语病历报告作文格式

English:

A medical record report in English typically follows a specific format to ensure clear and organized documentation of a patient's medical history, diagnosis, treatment, and progress. The report usually starts with the patient's demographic information, including their name, age, gender, address, and contact information. This is followed by the reason for the patient's visit or hospitalization, including the chief complaint and any relevant medical history. The report then details the physical examination findings, laboratory and imaging test results, diagnosis, treatment plan, and prognosis. It is important to use clear and concise language, medical terminology, and abbreviations to accurately convey the patient's medical information. Additionally, proper grammar, spelling, and punctuation should be used to ensure professionalism and accuracy in the medical record report.

英语病历卡作文

探索英语病历卡的重要性与应用

In the modern medical world, the English medical record, also known as the medical chart or patient chart, plays a crucial role in documenting a patient's health history, current health status, and the course of treatment. This document, typically written in English to ensure universal understanding and accessibility, serves as a communication bridge between healthcare providers, patients, and other relevant parties.

The structure of an English medical record typically begins with the patient's personal information, including name, age, gender, and contact details. This is followed by a detailed history of the patient's present illness, past illnesses, surgeries, allergies, and medications. The

医学英语病历书写重点

Case History 病史

In-Patient Case History 住院病历

Items of Case History

1. General Data, Biographical Data 一般项目

2. Chief Complaints (C. C.) 主诉

3. Present Illness (P. I.) 现病史

4. Past (Medical) History (P. H.) 既往病史

5. Personal History (Per. H.)/ Social History 个人史/社会史

6. Family History (F. H.) 家族史

7. Medications 曾用药物

8. Allergies 过敏史

9. System Review, Review of Systems 系统回顾

10. Physical Examination (P. E.) 体格检查/查体

11. Laboratory Data 实验室与其他检查/检查资料

12. Impression (Imp.) (Diagnosis) 诊断

13. Hospital Course 住院治疗情况记录

14. Discharge Instructions/ Recommendations出院医嘱

15. Discharge Medications 出院后用药

General Data, Biographical Data 一般项目

Reliability (病历可靠性):

Reliable(可靠)/ Not Entirely(不完全可靠)/

医学英语阅读：英文病历

导读：本文医学英语阅读：英文病历，仅供参考，如果觉得很不错，欢迎点评和分享。

a sample of complete history

patient's name: mary swan

chart number: 660518

date of birth:10-5-1993

sex: female

date of admission: 10-12-2000

date of discharge: 10-15-2000

final discharge summary

chief complaint:

coughing, wheezing with difficult respirations.

present illness:

this is the first john hopkins hospital admission for this seven-year-old female with a history of asthma since the age of 3 who had never been hospitalized for asthma before and had been perfectly well until three days prior to admission when the patient development shortness of breath and was unresponsive to tedral or cough medicine.

英语病历范文

Patient Information:

- Name: [Not Specified]

- Age: [Not Specified]

- Date: [Not Specified]

- Doctor: [Not Specified]

Chief Complaint:

The patient presents with a persistent cough, accompanied by mild fever and body aches for the past three days.

History of Present Illness:

The patient first noticed the symptoms on [Date], with a dry cough that gradually worsened. The fever started as low-grade but has been increasing, reaching up to 38.5 degrees Celsius.

Past Medical History:

The patient has no significant past medical history. No previous hospitalizations or chronic illnesses are reported.

Medications:

The patient has not taken any medications for the current illness, nor are they on any regular medication.

英语病历模板范文

Patient Identification:

Date of Birth: [DOB]

Sex: [Male/Female]

Patient ID: [Unique Identifier]

Chief Complaint:

[Patient's primary concern or reason for the visit, e.g., "Severe headache for the past 3 days"]

History of Present Illness:

[Detailed account of the onset, duration, severity, and any associated symptoms of the current illness. Include any treatments already attempted.]

Past Medical History:

[List any previous medical conditions, surgeries, or hospitalizations.]

Medications:

[List all current medications, including dosages and

frequency.]

Allergies:

[Note any known allergies to medications, foods, or environmental factors.]

Family Medical History:

英语大病历模板

英文大病例写作示例时间:2007-06-04 17:19来源:中国医师协会作者: 点击: 355 次 ?

撰写大病例是实习医师与住院医师的日常工作，也是上级医师作进一步诊断治疗的原始依据，国外的英文大病例并无统一格式，但是基本内容大致相仿，本节介绍的许多医疗记录的词汇值得借鉴。

Details个人资料

Name: Joe Bloggs(姓名：乔。伯劳格斯)

Date: 1st January 2000（日期：2000年1月1日）

Time: 0720(时间：7时20分)

Place: A&E（地点：事故与急诊登记处）

Age: 47 years（年龄：47岁）

Sex: male（性别：男）

Occupation: HGV(heavy goods vehicle ) driver（职业：大型货运卡车司机）

PC(presenting complaint)（主诉）

4-hour crushing retrosternal chest pain（胸骨后压榨性疼痛４小时）

HPC(history of presenting complaint)（现病史）

Duration: persistent since onset（间期：发病起持续至今）

Severe: “worst pain ever had”（严重性：“从未痛得如此厉害过）

Relieving/exacerbating factors缓解与恶化因素

GTN(glyceryl trinitrate) provided no relief although normally relieves pain in minutes, no other relieving/exacerbating factors.（硝酸甘油平时能在数分钟内缓解疼痛，但本次无效，无其它缓解和恶化因素。）

医护英语病历作文格式

Title: Proper Format for Medical Records in English。

In the realm of healthcare, maintaining accurate and organized medical records is paramount for effective patient care and legal documentation. Whether it's in hospitals, clinics, or other healthcare facilities, adhering to a standardized format ensures clarity, consistency, and confidentiality. Here, we delve into the essential components and formatting guidelines for medical records composed in English.

1. Patient Information:

Begin with the patient's demographic details including full name, date of birth, gender, address, and contact information.

Include unique identifiers such as medical record number or social security number for easy reference.

Admission Notes英文版病例英语病历

Admission Notes (2)

A 60-year-old married male was admitted on March 10,2010, with a two-month palpitation and a thoracalgia.

Since this March, the patient has frequently felt palpitations a chest pain upon physical exertion, the latter radiating into the left shoulder and arm. One attack lasts about five minutes. He has a feeling of suffocation. It seems as if something heavy were pressing hard on his chest. He has a slight cough and expectorates a little mucous sputum during the attack.. Because he has not had any treatment before, the symptoms mentioned above have also deteriorated this week and his legs have been swollen as well, he came to the hospital for medical treatment.

医学英语病历写作范文

Chief Complaint: Patient presents with chest pain and shortness of breath for 3 days.

History of Present Illness: The patient, a 55-year-old male, reports experiencing sudden onset of chest pain 3 days ago. The pain is described as sharp and crushing, radiating to the left arm. He also reports associated shortness of breath and diaphoresis. The symptoms are aggravated with physical activity and alleviated with rest. There is no history of similar episodes in the past.

Past Medical History: The patient has a history of hypertension and hyperlipidemia. He is on regular medications including amlodipine and atorvastatin.

Family History: The patient's father had a history of myocardial infarction at the age of 60. His mother has hypertension and diabetes.

英语作文病历模板

英语作文病历模板英文回答：

Medical History Template。

Patient Information。

Name:

Date of Birth:

Gender:

Address:

Phone Number:

Email Address:

Reason for Visit。

What brings you to the clinic today?

Medical History。

Past Medical History。

Do you have any past medical conditions?

Have you ever been hospitalized or had surgery?

Do you currently take any medications?

Do you have any allergies?

Family Medical History。

Do any of your close family members have any medical conditions?

Have any of your close family members passed away at a young age due to illness?

Social History。

What is your occupation?

Are you currently married or in a relationship? Do you have any children?

Do you smoke, drink alcohol, or use drugs?

[英语学习]病历中中英文对照

病历中中英文对照

第一章病人身份[Identification]

• [Name] 姓名

• [Sex] 性别• [Age] 年龄• [Occupation] 职业• [Date of birth] 出生日期• [Marriage （Marital status）] 婚姻• [Race] 民族• [Place of birth (Birth place)] 籍贯• [Identification No.(code of ID card No.)] 身份证号码• [Department of work and TEL. No. (Unit and Business phone No.)] 工作单位及电话• [Home address and phone No.] 家庭住址及电话• [Post code] 邮政编码• [Person to notify (Correspondent) and phone No.] 联系人及电话• [Source (Complainer;offerer;supplier;provider) of history] 病史陈术者•[Reliability of history] 病史可靠程试• [Medical security (Type of payment)] 医疗费用• [Type of admission (Patient condition)] 住院类别（入院时病情）• [Medical record No.] 病历号• [Clinic diagnosis] 门诊诊断

医院常用英文词汇及简单句子-全面实用

医院常用英语：词汇及简单句子

1 病历case histroy 一般事项date of admission /marital status /present address /correspondence / occupation 主诉chief complaints 现病史present illness / history of present illness 既往史past medical history 家族史family history 个人病史personal history / social history 曾用药物medications 过敏史allergies 系统回顾system review / review of system 体检physical examination 一般资料physical data 生理指标physical signs 一般状况或全身状况general appearance 头眼与耳鼻喉head ,eyes,ear,nose,throat 略, 作heent.

胸部与心肺CHEST,heart,and lungs 腹部abodoms

四肢extremities 神经系统nervous system,Neurological, 略作CNC 或Neuro, 骨骼肌系统Musculoskeletal 泌尿生殖系统Genitourinary 化验室资料laboratory data/ studies /diagnosis 血液检查blood test 化学7 项指标chem.-7 心脑电图electrocardiogram / electroencephalogram , 略作EKG/EEG