英语查房
教学查房英文互动范文
教学查房英文互动范文英文回答：Introduction:Teaching rounds are an essential component of medical education, providing learners with the opportunity to engage in direct patient care, develop clinical reasoning skills, and enhance their knowledge. As a medical student, I have had the privilege of participating in numerous teaching rounds, and I am eager to share my experiences and provide a comprehensive overview of this valuable learning experience.Benefits of Teaching Rounds:1. Patient Care: Teaching rounds offer an invaluable opportunity for students to contribute to patient care under the supervision of experienced clinicians. By observing patient interactions, collecting information, andparticipating in treatment discussions, students gain hands-on experience that is vital for their future roles as physicians.2. Clinical Reasoning: Teaching rounds provide a platform for students to develop their clinical reasoning skills. Through discussions with attending physicians and residents, students learn how to synthesize patient data, formulate diagnoses, and determine appropriate treatment plans.3. Knowledge Acquisition: Teaching rounds expose students to a wide range of medical conditions and treatment options. By participating in daily patient management, students expand their knowledge base and enhance their understanding of the complexities of medical practice.4. Communication: Effective communication is essential in patient care. Teaching rounds provide students with opportunities to interact with patients, family members, and healthcare professionals, developing theircommunication skills and fostering their ability to build rapport with individuals from diverse backgrounds.5. Professionalism: Teaching rounds contribute to the development of students' professionalism. By observing experienced clinicians, students learn the importance of professionalism in interacting with patients, colleagues, and other healthcare professionals.Structure of Teaching Rounds:Teaching rounds typically follow a structured format, which may vary depending on the institution and thespecific medical service. In general, the rounds consist of the following steps:1. Patient Presentation: The team presents a brief overview of each patient's medical history, current condition, and treatment plan.2. Physical Examination: Students participate in physical examinations, under the guidance of an attendingphysician or resident.3. Discussion: The team discusses the patient's diagnosis, treatment options, and any relevant medical issues. Students are encouraged to ask questions and participate in the decision-making process.4. Plan of Care: The team collaboratively develops a plan of care for each patient, considering their medical condition, treatment options, and preferences.5. Documentation: Students participate in documenting patient encounters, including writing progress notes and orders.Role of Students in Teaching Rounds:The role of students in teaching rounds is active and participatory. Students are expected to:1. Prepare in Advance: Review patient charts and relevant medical literature before the rounds to enhancetheir understanding of the cases.2. Observe and Participate: Actively observe patient interactions, physical examinations, and discussions, and participate in the discussion when appropriate.3. Ask Questions: Engage in active questioning toclarify concepts, explore alternative diagnoses, and gain a deeper understanding of the patient's medical condition.4. Contribute to the Plan of Care: Offer suggestions and participate in the development of treatment plans, based on their knowledge and clinical reasoning skills.5. Document Accurately: Accurately document patient encounters and participate in writing progress notes and orders.Challenges and Opportunities in Teaching Rounds:Teaching rounds present both challenges and opportunities for students. Some of the challenges include:1. Time Constraints: Teaching rounds can be time-consuming, requiring students to balance theirparticipation with their other academic responsibilities.2. Patient Sensitivity: Students need to be sensitive to the privacy and confidentiality of patients, andinteract with them in a respectful and empathetic manner.3. Assertiveness: Students may need to be assertive in asking questions and expressing their opinions, while maintaining a respectful and collaborative approach.Despite these challenges, teaching rounds offer numerous opportunities for students to develop theirclinical skills, knowledge, professionalism, and communication abilities. Students should embrace these challenges as opportunities for growth and development.Conclusion:Teaching rounds are a cornerstone of medical education,providing students with an invaluable opportunity to participate in patient care, develop their clinical reasoning skills, and enhance their knowledge. By actively engaging in teaching rounds, students can gain hands-on experience, contribute to patient care, and progress towards becoming competent and compassionate physicians.中文回答：教学查房的介绍：教学查房是医学教育中必不可少的一个环节，它为学生们提供了参与直接的病人护理、发展临床推理技能和增强知识的机会。
英语查房
treatment of car 治疗车carbage plate 弯盘thermometer 体温表notebook 记录本pen 笔the guaze dipped with alcohol 酒精纱布dry guaze 干纱布watch 手表Go to a simple assessment of patient.N：Good afternoon．Miss Yuan, My name is Li Ning. Do you remember me? I am the nurse in charge of you. P：Good afternoon.N：Miss Yuan. How do you feel today?P：Not too bad. Better than yesterday.N：We need some medical information from you toprovide the basis for treatment. Are you ready?P：I am ready.N：Did you drink warm water or eat something just now?P：No.Today I had been lied down on the bed until now.N：Did you just take a bath 30 minites ago?P：No I didn’t. Why do you ask?N：Your temperature reading would be inaccurate if you drank warm water, had a meal or took a bath just before taking the temperature. If so, we will take your temperature later.P：Oh, I see.N：Please lie down. Put the thermometer in the armpit, and put the right hand on the left shoulder. It will take 10 m inutes.Prepare wash handsIn the process of waiting, we can give the patient to do health education.N：Did you sleep well last night?P：No. I didn't get much sleep last night.N：Why? Can you tell me how many hours did you sleep last night?P：It is the first time I stayed in the hospital, I'm not adapt to the strange environment. I sweat a lot and the mouth was very thirsty last night, so I can't sleep.N：You should always wipe sweat, replace of sweaty clothes and bed sheets in time. To do this can prevent catch a cold. When sweating, you lost a lot of water, you need to add more water and salt, for exampleorange juice, banage, bread and so on.P：It’s wonderful. I’d like to.N：In the hospital, What are you worry about? And can you accept treatment and care at ease?P：I’m optimistic and confident to cure.N：The doctor may need to use antibiotics for this fever Are you allergic to any drug?P：I'm allergic to penicillin.N：I know. We will give you a drug allergy test before intravenous infusion.P：Ok.N：I will cooperate with the treatment. Could you give me some suggestions?P：Ok. I’d love to. You need drink much water about 2-3 liters everyday. In addition, you should pay attention to some high-protein, high quantity of heat, high vitamin and digestible food, such as eggs, fresh vegetables and fruits and so on.P：I see.N：At the same time, I advise you to take more restand keep the air fresh, we will open the window at 10:00 to 14;00. In addition, we will take the air disinfection at regular time.P：Thank you for your advise. I will do that.N：In the hospital, you should stay here for a few days, do some light work, maintain a happy mood, avoid excitement and too much worry. If you feel uncomfortable, you can call me and we will be here at once. Now, I will tell the director Gu Yong to see you.He will come to see you later. Please wait a moment.Try to relax and keep calm．Hope you have a good rest.P：Thank you. I believe I will soon be all right．10 minutes, please put the thermometer out.N：Ok. Your temperature is 38.2℃.It is not serious．P：Oh.N：Put your hands under the quilt .I tidy up your bed. P：Thank you.N：Thanks for your Cooperation . P：No thanks.。
医学英语查房(详细)
Misdeal 治疗不当
Resident: I assume that you blocked the neurogenic phase with atropine. How did you block the hormonal phase? Director: I put down a Levin tube, and the patient on constant gastric suction. Resident: This will keep the gastric contents from entering the duodenum and the production of secretin, which, in turn, would increase the liberation of pancreatic enzymes, thus adding to the insult.
Theory
Operation
3. Tertiary system ground
一级查房：经治医师查房，分晨、午、晚三次。普 查全组病人，为“医患对话”。 二级查房：主治医师查房，外称 Teaching Attending Rounds，每天一次。轮流检查所辖各组 病人，除医患对话，尚需“医医对话”。 三级查房：主任查房，外称 professor’s ground 或 chief’s round，每周二次;每次检查主治医师提供1 至2病例; 主要突出“医医对话”。 大查房：great rounds 英美普及，除本科室外， 其他相关科室均参加，国内称大型会诊讨论。
hear fine moist rale? Intern: Yes, I got it.
Director: Why didn’t you hear it?
晨间查房医学英语作文
晨间查房医学英语作文Title: Morning Ward Rounds in Medical Practice。
In medical practice, morning ward rounds serve as a pivotal aspect of patient care and clinical education. Conducted by attending physicians, residents, and medical students, these rounds offer a structured approach to assessing patients' conditions, monitoring treatment progress, and fostering interdisciplinary communication. This essay delves into the significance of morning ward rounds, their components, and their impact on patient outcomes and professional development.First and foremost, morning ward rounds facilitate comprehensive patient assessment. Physicians reviewpatients' medical histories, current symptoms, vital signs, and laboratory results to gain insights into their conditions. Through systematic examination and discussion, healthcare teams identify pertinent issues, establish differential diagnoses, and formulate treatment planstailored to individual patients' needs. Moreover, these rounds provide opportunities to address patients' concerns, clarify treatment goals, and enhance therapeutic relationships, thereby promoting patient satisfaction and engagement in their care.Furthermore, morning ward rounds promote interdisciplinary collaboration among healthcare professionals. Attendings, residents, nurses, pharmacists, and other team members convene to share expertise, exchange information, and coordinate patient care activities. By fostering open communication and mutual respect, these rounds facilitate consensus building and ensure that all stakeholders are aligned in delivering high-quality, coordinated care. Additionally, interdisciplinary collaboration enables healthcare teams to leverage diverse perspectives and skill sets, leading to more informed clinical decisions and optimized treatment outcomes.Moreover, morning ward rounds serve as invaluable educational opportunities for medical trainees. Residents and medical students actively participate in patientassessments, contribute to diagnostic discussions, and propose management strategies under the guidance of experienced clinicians. By engaging in real-time clinical reasoning and decision-making processes, trainees develop critical thinking skills, clinical acumen, and professional judgment. Furthermore, direct patient interactions during ward rounds foster empathy, professionalism, and effective communication skills essential for delivering patient-centered care.The components of morning ward rounds typically include patient presentations, bedside examinations, and team discussions. Attendings or senior residents lead the rounds by presenting each patient's case in a structured format, highlighting pertinent history, examination findings, diagnostic test results, and treatment plans. Subsequently, the team conducts bedside examinations to assess patients' physical status, evaluate treatment responses, and identify any new clinical findings. Throughout the process, team members engage in active dialogue, ask questions, seek clarification, and offer input to enhance diagnostic accuracy and treatment efficacy.In addition to clinical assessment and decision-making, morning ward rounds encompass teaching and mentorship activities. Attendings and senior residents impart clinical knowledge, evidence-based practices, and practical skills to junior team members, fostering a culture of continuous learning and professional growth. Furthermore, these rounds provide opportunities for feedback, reflection, and constructive criticism, enabling trainees to identify areas for improvement and refine their clinical competencies over time.In conclusion, morning ward rounds play a pivotal role in medical practice by facilitating comprehensive patient assessment, interdisciplinary collaboration, and trainee education. By integrating clinical expertise, teamwork, and educational objectives, these rounds contribute to enhanced patient outcomes, optimized healthcare delivery, and the professional development of future physicians. As such, they represent a cornerstone of quality patient care and clinical training in healthcare settings worldwide.。
多学科联合查房流程英语
多学科联合查房流程英语Multidisciplinary Rounding Process.Multidisciplinary rounding (MDR) is a collaborative approach to patient care that involves healthcare professionals from different disciplines working together to assess and manage patients' needs. The goal of MDR is to improve patient outcomes by ensuring that all aspects of a patient's care are considered and addressed.MDR typically involves a team of healthcare professionals, including physicians, nurses, pharmacists, social workers, and other specialists. The team meets regularly to discuss each patient's case, assess their progress, and develop a plan of care. MDR can be conducted in a variety of settings, including hospitals, clinics, and long-term care facilities.Benefits of Multidisciplinary Rounding.MDR has been shown to have a number of benefits for patients, including:Improved patient outcomes.Reduced length of stay.Decreased readmission rates.Increased patient satisfaction.MDR can also benefit healthcare professionals by:Improving communication and collaboration.Enhancing teamwork.Reducing burnout.How to Implement Multidisciplinary Rounding.There are a number of steps that healthcareorganizations can take to implement MDR, including:1. Establish a clear purpose and goals for MDR. The purpose of MDR should be to improve patient outcomes and enhance the patient experience. The goals of MDR should be specific, measurable, achievable, relevant, and time-bound (SMART).2. Identify the members of the MDR team. The MDR team should include a variety of healthcare professionals with different expertise. The team should be led by a physician or other healthcare professional with experience inMDR.3. Develop a structured process for MDR. TheMDR process should include a regular meeting schedule, a standardized format for discussing patient cases, and a process for documenting and tracking patient progress.4. Train the MDR team. The MDR team should be trained on the purpose and goals of MDR, the MDR process, and the use of any tools or technologies that will be used during MDR.5. ImplementMDR and evaluate its effectiveness. Once MDR has been implemented, it is important to evaluate its effectiveness in order to identify areas for improvement. The evaluation should include measures of patient outcomes, patient satisfaction, and healthcare professional satisfaction.Conclusion.MDR is a valuable tool that can improve patient outcomes and enhance the patient experience. By following the steps outlined in this article, healthcare organizations can successfully implement MDR and reap its benefits.Additional Tips for Successful Multidisciplinary Rounding.Be prepared. Team members should review patient charts and other relevant information before the MDR meeting.Be respectful. All team members should be treated with respect, regardless of their role or discipline.Be open-minded. Team members should be willing tolisten to different perspectives and consider new ideas.Be collaborative. Team members should work together to develop a plan of care that is in the best interests of the patient.Be flexible. TheMDR process should be flexible enoughto accommodate the needs of different patients and settings.Be patient. It takes time to build a successful MDR team and process. Be patient and persistent, and thebenefits of MDR will be worth it.。
医学英语查房(详细)参考
E. 小结 summary：主治医师对主任查房作应答， 提出整改措施
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5. procedures
A. 交班 morning meeting：住院总医师；外称 Senior Resident’s Morning Report
B. 引言 introduction：主治医师；提出重点查房病 例，简述棘手问题
C. 病史报告 case presentation：实习医生，可有 无诊断，诊治计划须系统
2020/3/27
Misdeal 治疗不当
• Resident: I assume that you blocked the neurogenic phase with atropine. How did you block the hormonal phase?
• Director: I put down a Levin tube, and the patient on constant gastric suction.
• Resident: This will keep the gastric contents from entering the duodenum and the production of secretin, which, in turn, would increase the liberation of pancreatic enzymes, thus adding to the insult.
开展护理英语查房的尝试和思考
开 展 护 理英 语 查 房 的尝 试 和 思 考
梁桂 仙 马 芳
探 讨 护 理 英 语 查 房 的 模 式 和 方 法 ， 高 护 理 人 员 综 合 素 质 。 方 法 制 定 计 划 并 充 提 护 理 英 语 查 房 激 发 了护 理 人 员 继 续 学 习的 热 情 ， 提
护 理 业 务 查 房 是 提 高 护 理 人 员 整 体 素 质 和 工 作 质 量 的有
效 方 法 ［ ， 是 临 床 护 理 管 理 及 护 理 教 学 管 理 中 的 一 项 重 要 １也 ］
准 确 度 及 护 士 用 英 语 表 达 熟 练 度 等 问题 进 行 点 评 ， 出 优 点 指 和不 足 ， 于 查 房 者 借 鉴 。 便 ２ ３ 评 价 方 法 查 房 结 束 后 由护 理部 下 发《 床 护 理 教 学 查 ． 临 房 评 价 表 》 查 房 准 备 、 房 内容 、 房方 法 、 果 等 方 面 对 每 从 查 查 效 次 查 房 进 行 现 场 评 价 ， 同时 比较 每 年 院 内外 国实 习 护 生 的 并 带 教 情 况 及护 理 人 员 出 国学 习 情 况 。
理 英语 查 房 的 组 织 管 理 中 ， 们 对 开 展 护 理 英 语 查 房 深 有 感 我
触 ， 报道如下 。 现 １ 对 象
能 力 。我 院 自 ２ ０ 起 开 始 承 担 昆 明 医 学 院 外 籍 护 生 临 床 ０ ４年 实 习带 教 任 务 ， 今 已保 质 保 量 地 圆 满 完 成 了来 自瑞 典 、 至 芬 兰 、 国 的 ７批 １ 泰 ６名外 籍 护 生 的 临 床 实 习 带 教 任 务 ， 到 昆 受 明医 学 院外 事 处 、 籍 护 生 所 在 学 校 和 外 籍 生 的好 评 ， 籍 实 外 外 习护 生 人 数 也 呈逐 年 增 加 趋 势 。此 外 ， 语 查 房 也 为 我 院 外 英 派 护 士 出 国进 修 、 习 和 与 国外 护 理 同 行 的进 一 步 合 作 与 交 学 流 奠 定 了 良好 的基 础 ， ２ ０ 年 以来 ， 院 共 有 ８ 自 ０４ 我 １名 护 理 人 员 出 国学 习 ， 且 呈 逐 年 上 升 趋 势 。 而
双语查房
查房记录Doctor:Good afternoon everyone, welcome to our department and participate in the teaching ward round. First let our intern delivery the case record. Intern:Case recordsCase number:143131. General information:2. chief complaint:the right eyelids failed to close completely accompanied with drooling fora month.3. history of present illness:the patient has suffered from inability to close her right eyelids completely accompanied with drooling and numb right face without obvious causes for about a month. There were no consciousness obstacle, no limbs dysfunction, no fever, no pain of pharynx, no dysphagis and no coughing when drinking water. The patient had a physiotherapy in other hospital but the symptoms didn’t turn for better. On 6.19 the patient felt more numb of the right face so she came to our hospital and admitted as “Bell palsy”.the patient had a fair appetite and sleeping. Her urination and stool was easy and smooth since she has been diseased.4. past history:The patient had a history of CRD and hypertension for three years. She also had a history of facial neuritis one year ago. She had no history of infective disease, no history of operation and no allergic history of drugs and food.5. personal history:The patient was born in liaocheng and almost always lived in jinan. Her living conditions were good and no bad personal habits and customs.6. menstrual history：the patient menstruation firstly came at 13 and ended at 49. she got married at 23 and had a daughter. Both of her husband and daughter were healthy.7. family history:The patient’s father was dead for heart failure. Her mother and all of her three siblings were healthy. She denied the history of hereditary and infective disease.Doctor:(a few questions for the patient)Eg: did you catch a cold? Did you had a fever? What treatment did you have？Can you tell me something about your history of illness?Then the doctor asks the intern to take a examination of the neurological system.Neurological examination1.status of consciousness2.cranial nerves testing3.motor system testing4.sensory system testing5.reflex testing6.the stimulus reflex of meninx7.the autonomic nerves testingphysical signs of the patient:1.loss of right forehead wrinkles2.loss of ability to close right eyelids completely3.loss of ability to raise the right corner of the mouth4.decreased right naso-labial fold prominenceDoctor:Ok very good. But I have some suggestions : when you check the motor system, you should ask the patient to reflex their joints and muscles. When you check the sensory system you should ask the patient to close their eyes so that they do not receive visual cues. Ok can you tell me the diagnosis of the patient?Intern:Bell palsyCan you talk about the case?Intern:It mainly caused by the virus infection which caused the edema and ischemia of the facial nerves which lead to the palsy of facial muscles. Doctor:Can you tell me the differential diagnosis?Intern:1.tumors2.herpes zoster infection of geniculate ganglion3.lyme disease4.aids5.scarcoidosisdoctor：the treatment include？Intern:1.antivirus drugs; Acyclovir2.corticosteroid: Dex3.neuron nutrition drugs: vit b1, vit b12, MonosialotetrahexosylangliosideSodium4.rehabilitation: physiotherapy, acupunctureDoctor:OK. Most of the patients can recovery. A poor prognosis for complete recovery is suggested by severe pain at onset and complete palsy when the patient is first seen.Even if recovery is incomplete, permanent disfigurement or some other complication effects only 10% of patients.In mononeuropathy simplex there is involvement of a single peripheral nerve. Most of the common mononeuropathies cutail both motor and sensory involvement. Accordingly only Bell palsy which leads primarily to a motor deficit.。
子宫肌瘤英语查房
五、Clinical Manifestation临床表现
1、Change of menorrhea 月经改变：
The amount of the increase, the period is prolonged, the cycle is short, the typical symptoms 经量增多、
八、TREATMENT治疗
Surgical approach手术方式
1、Myomectomy surgery肌瘤切除手术 Laparoscopy or laparotomy under direct vision, can also be removed through the vagina 腹腔镜或剖腹直视下进行， 也可经阴道切除。 2、Hysterectomy子宫切除手术 Apply to 适用于①Large fibroids, symptoms, drug treatment ineffective肌瘤较大，症状明显，药物治疗无效；②Not preserve fertility不保留生育功能；③Patients with suspected malignancy疑有恶变的患者。 50 years of age, patients with normal ovarian appearance, may retain ovary50岁以下，卵巢外观正常 的患者，可保留卵巢。
疗原则及手术适应症
性
4、To understand the secondary degeneration of uterine fibroids 了解 子宫肌瘤的继发变
一、Outline概述
1、The most common benign tumor of female genitalia from uterine smooth muscle女性生殖器最常见的良性肿瘤来源于子宫平
子宫肌瘤英语查房
Healthy lifestyle recommendations
Eat a balanced die
Women can reduce their risk of computerine fibrosis by following a balanced die that includes a variety of fruits, vegetables, whole grains, lean protein, and healthy fats
fiber growth
04
Prevention and numbering ofsure
01
Regular check ups
It is recommended to have regular check ups to detect
computer fibers early Women should schedule a Pap smart and
Mystery
This procedure involves removing the fibers while preserving the uterus It can be done through open surgery, laparocopy, or hyperscopy
Hysterectomy
Imaging examination
X-ray examination
X-ray examination can show the calculation of fibers, specifically for large fibers
CT examination
CT examination can show the internal structure of fibers and their relationships with adult organizations It is particularly useful for patients with fibroids in the abdominal cavity
英文护理查房
Lumbar disc herniation in nursing roundsPatient data：Patients with Zheng Baorong, female, 54 years old, a chief complaint of low back pain 8 years, increase with double lower limbs pain numbness and weakness in 2 monthsThe patient is now history：The patient said in 8 years ago five apparent inducement appear gradually lower back pain, lower limb swelling and discomfort, fatigue after the increase of rest after remission, and occasional pain, line of symptomatic treatment, symptoms can be relieved, then still recurring symptoms. 2 months ago the exacerbation of symptoms and gradually appeared in both the lateral lower leg and foot pain, posterolateral, lower extremity weakness, pain like stabbing, burning, was continuing, especially with the double foot is heavy, night is obvious, the intense pain affect sleep, oral pain because of poor efficacy, and double the dorsum of the foot, foot numbness, consciously plantar " on the cotton ". The patients for further treatment to the hospital, outpatient investigation to " lumbar disc herniation " for the diagnosis of wards. In the course of the disease in patients without obvious fever, night sweats, fatigue symptoms, right foot fracture after long time bed double lower limb muscle atrophy, and decreased body weight of about 10kg, poor sleep, diet, two times can be.Characteristics of disease：Lumbar disc herniation is refers to the degeneration of intervertebral disc, fibrous ring rupture, the nuclear organization salient stimuli and compression of the nerve root and cause a syndrome. Traditional Chinese medicine books without lumbar intervertebral disc protrusion in the name of. Lumbar disc corresponds to an amphiarthrosis, is covered by hyaline cartilage plates, annulus fibrosus and nucleus pulposus composition, distribution in the lumbar spine bone room. Lumbar intervertebral disc degenerative changes or trauma induced by fibrous ring rupture, nucleus pulposus prolapse from rupture, compression lumbar nerve, and leg radioactivity pain, so the medical profession that lumbar disc herniation is a " low back and leg pain, rheumatism " category. Here's Bian Tingting to introduce the symptoms of lumbar, lumbar disc herniation patients the most common symptoms are pain, low back pain, sciatica performance, typical sciatica is at the back of the thigh, hip, leg lateral to the heel or foot back pain radiation. According to clinical statistics, about 95% of the lumbar disc herniation patients have varying degrees of pain, 80% patients with lower extremity pain. Especially low back pain, lumbar disc herniation not only is the most common symptom, is also one of the earliest symptoms. The pain occurs mainly due to the prominent, degeneration of nucleus pulposus on adjacent tissues ( mainly for sinus vertebral nerve and spinal nerve root stimulation and oppression, and at the same time ) in the nucleus pulposus in glycoprotein and other biological material overflows, the release of histamine and other local chemical inflammation, induced by chemical and mechanical nerve rootcaused by inflammation, cause or light or heavy chronic pain of waist and leg. And the lumbar degeneration also often occurring simultaneously in the waist of the other organizations, such as the lumbar facet joints, ligaments, muscles of waist, causing the local tissue of chronic inflammation, cause pain. Two factor interaction, mutual aggravation, the back and leg pain for sexual development. Protrusion of the lumbar intervertebral disc herniated nucleus pulposus in front of posterior longitudinal ligament called " outstanding ", through the posterior longitudinal ligament into the spinal canal, known as the " prolapse ". According to the nucleus pulposus rearward protrusion part is divided into 3 type:1 after the outer lateral protrusion: fibrous ring of the weakest part of the rear in the intervertebral disc in the midline, this itself is weak, and lack of the posterior longitudinal ligament of the powerful central fiber support, therefore, is the waist intervertebral disc prominent the most common site of. Clinically most common, accounting for about 80%.2 central protrusion: refers to the nucleus pulposus through the annulus posterior central projection, reach the posterior longitudinal ligament under. In addition to cause sciatic nerve symptoms, but also can stimulate or compression of the cauda equina, manifested as perineal paralysis and the size of obstacles.3 prominent within the intervertebral foramen and far lateral: refers to the nucleus pulposus through the rear of the fiber ring back and posterior longitudinal ligament into the spinal canal, into the intervertebral foramen, easily missed, but fortunately, its incidence is low, only about 1%. The following from Wu Junhua to tell you about the etiology.Nursing diagnosis and measure ofPain from a herniated nucleus pulposus pressure edema of nerve root compression and spasm.( 1) the rest: patients in the acute phase of absolute horizontal rigid bed rest, three weeks after illness allows ambulation.( 2): the patient supine posture, head elevation of 30 degrees, knees, the popliteal fossa on a soft pillow.( 3) and pelvic traction( 4): according to the prescribed application drug analgesia analgesics ornon-steroidal drugs.( 5 ): psychological nursing can relieve distractions such as listen to music and chat.Constipation with cauda equina compression and prolonged bed rest on( 1) bowel training: training the patient bed defecation, guide patients to use the potty.( 2) diet and drinking water: to give the patient is rich in fiber digestible diet, encourage patientsMore water to reduce fecal dry.( 3) drugs: severe constipation, according to medicineWill give enema or laxatives.( 4) to create a suitable environment: defecation as mentionedFor the secret of environment and enough time to wait.Somatic dyskinesia and intervertebral disc herniation, traction and operation about( 1) relieve muscle spasm: for pain caused by restricted activities give the pain measures, while the local hot compress to relieve muscle spasm.( 2) position: pelvic traction supine position, postoperative patients for pillow lying on a hard bed, turning over once every 2 hours.( 3) low back muscle exercise1) five point support method2) three point support method3) four point support method4) head of upper limbs and the back back5) lower limbs and waist back6) the whole body backwardThe potential complications of cerebrospinal fluid leakage, urinary retention or infection( 1) for monitoring vital signs: in addition to detection of basic life signs observed sensory and motor.( 2) position: according to the condition and operation of different types of anthropometric, generally slightly raised bed.( 3) strengthen the incision and drainage nursing: Observation of incision and drainage tube is smooth, colour and quantity of liquid, such as abnormal timely report to a doctor.( 4): urinary tract nursing recording intake and output volume, assist the urination and so.( 5 ): strengthening the prevention of infectionVital signs monitoring; cutThe observation and nursing.。
整形外科英语查房交班及疾病、手术英文对照
Face and neck scar after implanting the expanders面颈部瘢痕，扩张器植入术后Face scar excision, removed the expanders and replaced the scar with expanded flap 面部瘢痕切除，扩张器去除，扩张皮瓣转移Rectangular mandible and hypertrophy of masseter方形下颌骨，咬肌肥大Out layer of mandible osteotomy and part of masseter excision下颌骨外板截骨，部分咬肌切除Saddle nose and wry nose after trauma鞍鼻，歪鼻外伤后Saddle nose and wry nose correction鞍鼻歪鼻矫正Rectangular mandible and hypertrophy of masseter方形下颌骨，咬肌肥大Mandible angle osteotomy, part of masseter excision and buccal pad removing下颌角截骨，部分咬肌切除，颊脂垫去除Secondary deformity after lip-cleft correction唇裂矫正术后继发畸形Lip deformity correction唇畸形矫正Wry neck斜颈Wry neck correction斜颈矫正Low nose, hypertrophy of nose tip and microgenia低鼻，鼻尖肥大，小颏Nose augmentation with silicon implanter, nose tip reduction, mentum horizontal osteotomy and move forward硅胶假体植入隆鼻，鼻尖缩小，颏部水平截骨前移Aging face and baggy eyelids面部老化，睑袋Face and neck lifting and baggy eyelids excision面颈部提升，睑袋切除Left face and eye depression after tumor excision左面部眼部凹陷，肿瘤切除术后Left face and eye depression filling with autogenous cranial bone and medpor and skin graft from abdomen to release the contraction of the left lower eyelid自体颅骨（外板）切取、medpor，左面部眼部凹陷填充，腹部皮肤移植，左侧下睑挛缩松解Protrusion of zygoma, ectropion of lower eyelids,颧骨突出，下睑外翻Zygoma osteotomy and down fracture and eyelids ectropian correction and temple lifting颧骨截骨下降，眼睑外翻矫正，颞部提升Bilateral secondary deformity after lip cleft correction and alveolar crest cleft唇裂矫正术后双侧继发畸形，牙槽嵴裂Lip and nose deformity correction, alveolar crest cleft repairing with autogenous iliac 唇鼻畸形矫正，取自体髂骨，牙槽嵴裂修复Aging face and prominent mandibular angle(PMA)面部老化，下颌角肥大Frontal and temple lifting and mandible angle grinding额颞部提升，下颌角打磨Face and body scar after burn, ectropion of lower eyelids烧伤后面部躯干瘢痕，下眼睑外翻Eyelids ectropion correction with skin graft from right arm and implanted 2 expanders in the abdomen右上肢皮肤移植，眼睑外翻矫正，腹部扩张器植入Baggy eyelid, low nose, and hypertrophy of nasal tip睑袋，低鼻，鼻尖肥大Baggy eyelid excision, nose augmentation and nasal tip reduction睑袋切除，隆鼻，鼻尖缩小Fat and clumsy of the left ankle flapLeft ankle flap trimmingFace scar and absence of eyebrow面疤，眉毛缺失Eyebrow implanting眉毛种植Lip and nose deformity after lip-cleft correction唇裂矫正术后唇鼻畸形Lip and nose deformity correction唇鼻畸形矫正The first and second branchial arch syndrome第一、二鳃弓综合征Macrostomia correction and skin tag before the left ear excision, facial cleft,nose tip plasty and lengthen the nasal columella大口畸形矫正，左耳前皮赘切除，面裂鼻尖成形，鼻小住延长Right arm granulation wound右上肢肉芽创面Skin graft from the right leg右腿皮肤移植Body scar after burn烧伤后全身瘢痕Implanted 2 expanders in the back and 2 expanders in the leg,abdomen scar dermabrasion背部腿部扩脏器植入，腹部瘢痕磨削术Face and neck scar after burn烧伤后面颈部瘢痕Frontal skin grinding and implanted 2 expanders额部皮肤打磨，扩张器植入Popliteal fossa scar after burn and cicatricial contracture烧伤后腘窝瘢痕，瘢痕挛缩Liposuction, autogenous fat particle injection transplantation吸脂术，字体脂肪颗粒注射移植Rhytidoplasty除皱术Multiple craniofacial fractures after trauma外伤后多发性颅面骨折Frontal glabella depression filling with autogenous cranial bone , internal fixation by Ti plate and Ti screw, nasal bone fracture reduction, wry nose deformity correction, Internal fixation of left zygoma and maxilla by Ti plate and Ti screw自体颅骨外板切取，额部眉间凹陷填充，钛板钛钉内固定，鼻骨骨折复位，歪鼻矫正，左颧骨上颌骨骨折钛板钛钉内固定Osteotomy and inward shift of right zygoma, internal fixation by Ti plate and Ti screw, grinding of left zygoma, nose augmentation with silicon implanter, right frontal and temple lifting右侧颧骨截骨内收，钛板钛钉内固定，左侧颧骨打磨，硅胶假体植入隆鼻，右侧额颞部提升The pantient’s name is ,male(female) or year’s old boy(girl). The diagnosis is .We performed the operation of last Monday(yesterday or 3 days ago). We gave the patient antibiotic and hemostatic(or we tried to improve the microcirculation of flap) after operation. The drainage tube was removed in the second day post operation. We changed the dress in the second day post operation. Today is the fourth day after operation, the condition of the patient is good, temperature is normal.。
英语查房教学(病例实战)
个人史
Personal History：
Has never been to epidemic area, deny 生于原籍，长期居住新 history of poison 疆，到过全国各地 touching. 否认疫区居住史，否认 化学毒物及放射性物质 Has history of smoking for many years, he has 接触史。有吸烟史数十 already quit smoking. 年，已戒烟，偶尔饮酒， Drinking occasionally. 无明确规律。 已婚，配偶子女均体健 His wife is healthy. The two daughters are also 大学文化程度 healthy. Bachelor degree.
家族史
Family History
父母双亡， 死因不详 家族中无类 似疾病患者 否认家族遗 传病病史
It has not been found similar disease in his family. Deny history of family heritage disease. Hon has not been clear.
Present Health History
2005年6月 动态心电图显示频发 多型室性早搏和阵发 性室速 给予口服胺腆酮治疗 超声心动图提示左室 流出道压力阶差高, ΔPG＝113mmHg
Continuous ECG revels premature ventricular contractions and paroxysmal ventricular tachycardia on June 2006. Oral Amiodarone was given him to control them. Echocardiography shows left ventricle hypertrophy, left ventricle outflow was narrow. ΔPG is 113mmHg.
【英语护理查房】
Nurses should summarize their nursing practices in English and consistently improve their nursing practice ability This helps them to better meet the needs of patients
Nurses coordinate with other healthcare professionals to ensure that the plan is implemented effectively and that all team members understand their role in its execution
Nurses can learn from the summary of nursing practices, and improve their ability to deal with complex clinical situations This also helps to enhance the quality of patient care
The theme of ward rounds should be determined according to the needs of the ward, so as focusing on the treatment and care of specific issues, or focusing on the evaluation and improvement of specific nursing procedures
客房查房流程及步骤口诀
客房查房流程及步骤口诀Checking the guest rooms is an important part of the daily operations in a hotel. The process ensures that the rooms are properly maintained and ready for new guests to check in. The steps involved in the room inspection process can be summarized in a helpful mnemonic.查房是酒店日常运营的重要环节。
这个过程确保客房得到妥善维护，并为新客人入住做好准备。
查房流程中的步骤可以用一个有用的记忆口诀概括。
First and foremost, it is crucial to start the room inspection process with a cheerful and positive attitude. Greeting the housekeeping staff and expressing gratitude for their hard work can set a good tone for the day. A positive attitude can also improve teamwork and productivity, creating a more pleasant work environment.首先，以愉快和积极的态度开始客房检查流程至关重要。
向客房服务人员问候并表示感谢他们的辛勤工作可以为一天设定良好的基调。
积极的态度还可以改善团队合作和生产力，创造更为愉快的工作环境。
Second, a thorough visual inspection of the guest room is needed. Check for any visible signs of damage or wear and tear, such as stained carpets, chipped furniture, or malfunctioning appliances. This step is essential for ensuring that the room meets the hotel's standards of cleanliness and maintenance.其次，需要对客房进行彻底的目视检查。
英语查房教学(病例实战)
MANAGEMENT
• If anemic and symptomatic, give blood
• Start proton pump inhibitor (PPI) infusion
PREVENTION
• After the acute situation is resolved, educate patient on preventive measures
• Peptic Ulcer Disease (PUD) >50% cases • Gastric erosions (15-30%)
• Subset due to NSAIDs or alcohol use • Varices from portal hypertension (10-20%) • Mallory-Weiss tears at GE junction (5%) • Esophagitis (3-5%) • Cancer (3%) • Dieulafoy’s lesion (1-3%) • Nasopharyngeal bleed – swallowed blood • Others
DISCUSSION
• Gastrointestinal bleeding is one of the most common reasons for consultation with a gastroenterologist in a hospital setting. Usually, a diagnosis can be made with an endoscopic evaluation of the upper gastrointestinal tract (esophagus, stomach, duodenum) and the lower gastrointestinal tract (rectum, colon, and distal small intestine). Often, the problem that is identified can be treated by a variety of endoscopic techniques.
医学英语教学查房
Head nurse: yesterday we’ve done our work ontime, everyone did your job very well.but parking is still a problem that need to be soluted. once your VIP client contact one of you, you have to call Mr.Wang, who is in charge of car parking,as sonn as possible.
2011年8月9日，会员来院,做了常规健康检查和TTM扫 描。
8.13th.2011, phoned the client and told him about his health examination results, client knew all we told. The certain problem of him examination is gastritis associated with helicobacter pylori.
我是Grace, VIP管理部的护士长
Today, the people take part in our teaching ground are supervisor nurse Christina, senior nurse Villvall, primary nurse Michelle, Angel, Diana, Emily,and Silvia.
2011年8月13日，健康顾问电话告知会员健康检查结果， 会员表示明白。他的主要健康问题是幽门螺杆菌感染、 胃炎。
9.2nd.2011, he came to hospital and took ECG, Echocardiography and 14C Urea breath test, then saw Dr. Liu Zheng. Dr. Liu said that he had to continue to take antihypertensive medicine.
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如何用英文跟外国医生交流，一定要懂它们！(1) 一般病情:He feels headache, nausea and vomiting. (他觉得头痛、恶心和想吐。
)He is under the weather. (他不舒服，生病了。
)He began to feel unusually tired. (他感到反常的疲倦。
)He feels light-headed. (他觉得头晕。
)She has been shut-in for a few days. (她生病在家几天了。
)Her head is pounding. (她头痛。
)His symptoms include loss of appetite, weight loss, excessive fatigue, fever and chills. (他的症状包括没有食欲、体重减轻、非常疲倦、发烧和发冷。
)He feels exhausted or fatigued most of the time. (他大部份时间都觉得非常疲倦。
)He has been lacking in energy for some time. (他感到虚弱有段时间了。
)He feels drowsy, dizzy and nauseated. (他觉得昏昏欲睡，头晕目眩和想吐。
)He feels as though everything around him is spinning. (他感到周围的东西都在打转。
)He has noticed some loss of hearing. (他发觉听力差些。
)She has some pains and itching around her eyes. (她眼睛四周又痛又痒。
)(2) 伤风感冒：He has been coughing up rusty or greenish-yellow phlegm. (他咳嗽带有绿黄色的痰。
)His eyes feel itchy and he has been sneezing. (他眼睛发痒，而且一直在打喷嚏。
)He has a fever, aching muscles and hacking cough. (hacking = constant) (他有发烧，筋骨酸痛和常常咳嗽。
)He coughed with sputum and feeling of malaise. (malaise = debility) (他咳嗽有浓痰，而且觉得很虚弱。
)He gets a cold with a deep hacking cough. (他伤风咳嗽。
)He has a headache, aching bones and joints. (他头痛，骨头、关节也痛。
)He has a persistent cough. (他不停地在咳。
)He has bouts of uncontrollable coughing. (他一阵阵的咳嗽，难以控制。
)He has hoarse and has lost his voice sometimes. (他声音嘶哑，有时失声。
)He has a sore throat and a stuffy nose. (他嗓子疼痛而且鼻子不通。
)His breathing is harsh and wheezy. (他呼吸时，有气喘似的呼哧呼哧作响。
)He has a stabbing pain that comes on suddenly in one or both temples. (有时突然间太阳穴刺痛。
)He has a runny nose, sneezing or a scratchy throat. (他流鼻水，打喷嚏和喉咙沙哑。
)(3) 女性疾病：She has noticed one lump in her breast. (她发觉乳房有个肿块。
)There is a hard, swollen lump on her right breast. (她右乳房有肿块。
)Her left breast is painful and swollen. (她左乳房疼痛且肿大。
)She has heavy bleeding with her periods. (她月经来的很多。
)Her vaginal discharge is white or greenish-yellow and unpleasant smelling. (她阴道分泌物带白色或绿黄色，而且气味不好。
)She has noticed occasional spotting of blood between periods. (在月经来的前后，她有时也发觉有滴滴达达的流血。
)She has some bleeding after intercourse. (性交后有出血。
)She feels some vaginal itching. (她感到阴部发痒。
)She has painful periods and abnormal vaginal discharge. (她月经来时疼痛，而且阴道有不正常的分泌物。
)(4) 手脚疾病：His both hands and feet ache all over. (他两手两脚都很酸痛。
)He has pain on the sole of his feet. (他脚底很痛。
)There is a wart-like lump on the sole of right foot. (我右脚底有个像肉疣般的硬块。
)His ankles look puffy and they pit when he presses them with his finger. (pit = small dent form；句里的they 和them 都是指ankles)(他的足踝好象肿了，用手按，就有小坑痕。
)The pain in his left foot is accompanied by redness and swelling. (左脚酸痛，并有红肿。
) The joints near his fingernails and knuckles look swollen. (指头和指节旁边的关节，似乎有肿大。
)He has numbness and tingling in his hands and fingers. (他的手和指头感到麻木和刺痛。
) His legs become painful following strenuous exercise. (激烈运动后，他的腿就痛。
)His knee is misshapen or unable to move. (他的膝盖有点畸形，也不能动。
)There are some swellings in his armpit. (他的腋窝肿大。
)He is troubled with painful muscles and joints. (他的筋骨和关节都痛。
)She is troubled by the pains in the back and shoulders. (她的后背和肩膀都痛。
)His knee has been bothering him for some time. (他的膝盖不舒服，已有一段时间了。
)(5) 睡眠不好：He is sleeping poorly.（他睡不好）He has difficulty in sleeping, inability to concentrate.（他不易入睡，也难集中精神。
）It is usually hard for her to fall asleep when she goes to bed at night.（她晚上就寝，很难入睡。
）He wakes during the night or early morning and finds it difficult to fall asleep again.（他晚间或清早醒来后，再也不能入睡。
）He has nightmares occasionally.（他有时做噩梦。
）(6) 男性疾病：He urinates more frequently than usual.（他小便比平时多。
）He has difficulty controlling his bladder.（他很难控制小便。
）(bladder：膀胱)There are some lumps on his testicles. （他的睪丸有些硬块。
）He has had burning or pain when he urinates.（他小便时感到发烫和疼痛。
）He is passing less urine than usual.（他小便比平时少。
）He has had painless swelling in his scrotum.（他的阴囊有不痛的肿大。
）He feels lack of interest in sex.（他自觉对性的兴趣大减。
）He has difficulty starting his urine flow.（他小便不畅通。
）His urine stream is very weak and slow.（他小便流动得很慢很弱。
）He dribbles a little urine after he has finished urinating.（他小便后，还会有少量零星地滴下。
）He has had some discharge from his penis.（他的阴茎排出一些流脓。
）His urine is cloudy and it smells strong.（他的小便混浊，而且气味不好。
）He has a dull heavy ache in the crotch.（他的胯部感到隐痛。
）He has a small leakage of urine when he coughs or sneezes.（他咳嗽或打喷嚏时，会有点泄尿。
）He has trouble urinating.（他小便有困难。
）(7) 呼吸方面：His breathing has become increasingly difficult.（他呼吸越来越困难。
）He has to breathe through his mouth.（他要用口呼吸。
）He is short of breath, even when he has not been exercising, he is breathless.（他喘气；即使不运动，他也是上气不接下气。