诊疗英语会话
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Or: I work in the … department.
I’m a cardiac surgeon/….
anesthesiologist dermatologist hepatologist ophthalmologist pharmacologist pulmonologist Toxicologist neurologist
loss of appetite
My appetite is very poor. I've been off my food for days.
Increase in weight I've put on eight kilos in the last year. I've gained five kilos.
询问病人的服药史I Inquiring the medicine taken
D: Have you taken any medicine? 你服过什么药 吗？
P：I took some aspirin. 我服用过阿司匹林。 D: Does it help to relieve the pain? 能缓解
还有别的症状吗？
• Has anything else troubled you? • Do you suffer from indigestion/bowel
trouble/…? • Have you noticed anything else?
发作，犯病
• I’ve not had much trouble with that for two years.
• 这两年没大犯过。 • Does the pain come on in the night? • 夜间腹部疼痛吗？ • Are you all right between spasms? • 两次发作期间你感觉好吗？ • I keep getting dizzy spells. • 我的晕眩周期性发作。 • It used to come and go but now stays put. • 本来时好时坏，如今持续不好。 • The appendix has burst.--------We’d better
complaints
Patients say
loss of energy
I feel tired all the time. I feel completely worn out. Lately I've been feeling completely exhausted at the end of the day.
SH
married with 1 son
25 cigs/day; 50 units alcohol/week
PH
nil relevant
FH
father d.42 MI; mother a&w
OE
obese; 2 spider naevi on chest
P 110/min reg.
BP 100/60
• 2. 问症状的性质和严重程度
Is the condition serious? Has it gotten worse?
What do you think provokes it?
• 3. 问诱因 Has anything started this off?
Does anything bring them on?
Have you ever tried to cut down your drinking?
general feeling of being unwell
I feel unwell. I don't feel well. I've been feeling off-color for two days. I haven't been feeling myself for a week. I've been out of sorts all day.
你是什么时候停服这种药的？
询问病人的社会史 Inquiring the social history
病人的职业occupation, 吸烟饮酒习惯 smoking/drinking habits, 饮食习惯 eating habits都 可能和疾病有关。
1）Do you smoke? How long have you been smoking? How much do you smoke a day?
5）What was the cause of your mother's death? 你母亲的死亡原因是什么？
6）Are there illnesses that seem to run in your family? 你家里有什么遗传病吗？
询问病人的家族史II Inquiring the family history
urologist
cardiologist hematologist oncologist pathologist psychologist radiologist
医生问话的三个主要部分： 就诊原因（含症状）、询问病史、临床体检
Mr. Simpson 34, plumber
呼吸困难
c/o
dyspnoea 1/12; ankle swelling 2/52
remove it.
How long have you had this? When did this start?
提示日期 • Christmas = December • Thanksgiving (USA) = November • Easter = April • Summer Holidays = July/ August • Patient’s Birthday
诊疗英语会话
Good morning, Ms Rayner. Come and sit down.
• Good afternoon , my name is
, and my English name is Mary.
So you can call me Dr. Mary. I am a doctor of Internal Medicine. I’m responsible for your treatment / I’ll be looking after you.
average every day? Do you drink alone? Do you drink in the mornings? Have you ever been a drinker?
Drinking habits
Do you ever feel guilty about your drinking?
decrease in weight I'm not eating any less than usual I lost a lot of weight recently.
hard, infrequent faeces My motions are very hard. I’ve been quite constipated lately. I'm not very regular.
你以前住过院吗？
询问病人的家族史I Inquiring the family history
1）Tell me something about your family. 告诉我一些关于你家庭的事。
2）Are your parents still living? 你父母还健在吗？
4）How are your parents' health? 你父母的健康状况怎么样？
• Did you have it at Christmas time?
医生问话的三个主要部分：
就诊原因（含症状）、询问病史、临床体检
询问病人的既往史 Inquiring the health history 询问病人的家族史 Inquiring the family history 询问病人的服药史 Inquiring the medicine taken 询问病人的社会史 Inquiring the social history
2）Do you drink alcohol?你喝酒吗？ How much alcohol do you drink in a day? 一天喝
多少？ 3）What foods don't you like to eat? 你不爱吃什么食
物？ 4）What do you do? / What's your job?
你在服什么药治疗这种病？ 3）What kind of vaccination did you receive? 你打过什么疫
苗？ 4）Are you allergic to any medicine? 你对什么药过敏？ 5）Do you take sleeping pills? 你吃安眠药吗？ 6）Do you use laxatives? 你服泻药吗？ 7）When did you stop taking the medicine?
CXR
enlarged heart and bilat. Pleur胸al腔积液
CheestffXu-rsaiyons
与患者打招呼---请患者描述症状---收集病例 ---临床检查---通知诊断结论、治疗方案和进 一步化验项目---医嘱（---复诊）
Well now, how can I help you? Well, Mr. Rayner. What’t the trouble? What symptoms do you have?
7）Were your parents and their parents related by blood? 你父母和祖父母是近亲结婚吗？
8）Does anyone in your family smoke? 你家里有人吸烟吗？
9）Has anyone in your family had the same trouble? 你家里有人得过这种病吗？
你小时候得过什么疾病吗？ 4）What kind of treatment did you have in the past?
你过去曾接受过什么治疗吗？ 5）Did you have any operation before?
你以前做过手术吗？ 6）Have you ever been hospitalized before?
医生问话的三个主要部分： 就诊原因（含症状）、询问病史、临床体检
When did you begin to notice these symptoms?
• 1. 问时间：如症状开始的时间、持续的时间、 间隔的时间或频率 When did it begin/start?
How long does each episode/attack last? How often does it happen? How often are the attacks?
询问病人的既往史 Inquiring the health history
1）What disease have you had before? 你过去得过什么疾病？ 2）Please tell me something of your past illness.
请告诉我你过去的患病情况。 3）Did you have any childhood diseases?
/What do you do for living?
源自文库 Drinking habits
Do you drink at all? Do you drink everyday or just on social
occasions? Roughly, how much do you drink on
疼痛吗？ P：No, it seems helpless. 不，似乎没什么效果。
询问病人的服药史II Inquiring the medicine taken
1）Are you taking any medicine now? 你现在服什么药吗？ 2）What kind of medicine are you taking for the problem?
I’m a cardiac surgeon/….
anesthesiologist dermatologist hepatologist ophthalmologist pharmacologist pulmonologist Toxicologist neurologist
loss of appetite
My appetite is very poor. I've been off my food for days.
Increase in weight I've put on eight kilos in the last year. I've gained five kilos.
询问病人的服药史I Inquiring the medicine taken
D: Have you taken any medicine? 你服过什么药 吗？
P：I took some aspirin. 我服用过阿司匹林。 D: Does it help to relieve the pain? 能缓解
还有别的症状吗？
• Has anything else troubled you? • Do you suffer from indigestion/bowel
trouble/…? • Have you noticed anything else?
发作，犯病
• I’ve not had much trouble with that for two years.
• 这两年没大犯过。 • Does the pain come on in the night? • 夜间腹部疼痛吗？ • Are you all right between spasms? • 两次发作期间你感觉好吗？ • I keep getting dizzy spells. • 我的晕眩周期性发作。 • It used to come and go but now stays put. • 本来时好时坏，如今持续不好。 • The appendix has burst.--------We’d better
complaints
Patients say
loss of energy
I feel tired all the time. I feel completely worn out. Lately I've been feeling completely exhausted at the end of the day.
SH
married with 1 son
25 cigs/day; 50 units alcohol/week
PH
nil relevant
FH
father d.42 MI; mother a&w
OE
obese; 2 spider naevi on chest
P 110/min reg.
BP 100/60
• 2. 问症状的性质和严重程度
Is the condition serious? Has it gotten worse?
What do you think provokes it?
• 3. 问诱因 Has anything started this off?
Does anything bring them on?
Have you ever tried to cut down your drinking?
general feeling of being unwell
I feel unwell. I don't feel well. I've been feeling off-color for two days. I haven't been feeling myself for a week. I've been out of sorts all day.
你是什么时候停服这种药的？
询问病人的社会史 Inquiring the social history
病人的职业occupation, 吸烟饮酒习惯 smoking/drinking habits, 饮食习惯 eating habits都 可能和疾病有关。
1）Do you smoke? How long have you been smoking? How much do you smoke a day?
5）What was the cause of your mother's death? 你母亲的死亡原因是什么？
6）Are there illnesses that seem to run in your family? 你家里有什么遗传病吗？
询问病人的家族史II Inquiring the family history
urologist
cardiologist hematologist oncologist pathologist psychologist radiologist
医生问话的三个主要部分： 就诊原因（含症状）、询问病史、临床体检
Mr. Simpson 34, plumber
呼吸困难
c/o
dyspnoea 1/12; ankle swelling 2/52
remove it.
How long have you had this? When did this start?
提示日期 • Christmas = December • Thanksgiving (USA) = November • Easter = April • Summer Holidays = July/ August • Patient’s Birthday
诊疗英语会话
Good morning, Ms Rayner. Come and sit down.
• Good afternoon , my name is
, and my English name is Mary.
So you can call me Dr. Mary. I am a doctor of Internal Medicine. I’m responsible for your treatment / I’ll be looking after you.
average every day? Do you drink alone? Do you drink in the mornings? Have you ever been a drinker?
Drinking habits
Do you ever feel guilty about your drinking?
decrease in weight I'm not eating any less than usual I lost a lot of weight recently.
hard, infrequent faeces My motions are very hard. I’ve been quite constipated lately. I'm not very regular.
你以前住过院吗？
询问病人的家族史I Inquiring the family history
1）Tell me something about your family. 告诉我一些关于你家庭的事。
2）Are your parents still living? 你父母还健在吗？
4）How are your parents' health? 你父母的健康状况怎么样？
• Did you have it at Christmas time?
医生问话的三个主要部分：
就诊原因（含症状）、询问病史、临床体检
询问病人的既往史 Inquiring the health history 询问病人的家族史 Inquiring the family history 询问病人的服药史 Inquiring the medicine taken 询问病人的社会史 Inquiring the social history
2）Do you drink alcohol?你喝酒吗？ How much alcohol do you drink in a day? 一天喝
多少？ 3）What foods don't you like to eat? 你不爱吃什么食
物？ 4）What do you do? / What's your job?
你在服什么药治疗这种病？ 3）What kind of vaccination did you receive? 你打过什么疫
苗？ 4）Are you allergic to any medicine? 你对什么药过敏？ 5）Do you take sleeping pills? 你吃安眠药吗？ 6）Do you use laxatives? 你服泻药吗？ 7）When did you stop taking the medicine?
CXR
enlarged heart and bilat. Pleur胸al腔积液
CheestffXu-rsaiyons
与患者打招呼---请患者描述症状---收集病例 ---临床检查---通知诊断结论、治疗方案和进 一步化验项目---医嘱（---复诊）
Well now, how can I help you? Well, Mr. Rayner. What’t the trouble? What symptoms do you have?
7）Were your parents and their parents related by blood? 你父母和祖父母是近亲结婚吗？
8）Does anyone in your family smoke? 你家里有人吸烟吗？
9）Has anyone in your family had the same trouble? 你家里有人得过这种病吗？
你小时候得过什么疾病吗？ 4）What kind of treatment did you have in the past?
你过去曾接受过什么治疗吗？ 5）Did you have any operation before?
你以前做过手术吗？ 6）Have you ever been hospitalized before?
医生问话的三个主要部分： 就诊原因（含症状）、询问病史、临床体检
When did you begin to notice these symptoms?
• 1. 问时间：如症状开始的时间、持续的时间、 间隔的时间或频率 When did it begin/start?
How long does each episode/attack last? How often does it happen? How often are the attacks?
询问病人的既往史 Inquiring the health history
1）What disease have you had before? 你过去得过什么疾病？ 2）Please tell me something of your past illness.
请告诉我你过去的患病情况。 3）Did you have any childhood diseases?
/What do you do for living?
源自文库 Drinking habits
Do you drink at all? Do you drink everyday or just on social
occasions? Roughly, how much do you drink on
疼痛吗？ P：No, it seems helpless. 不，似乎没什么效果。
询问病人的服药史II Inquiring the medicine taken
1）Are you taking any medicine now? 你现在服什么药吗？ 2）What kind of medicine are you taking for the problem?