医学英语问诊PPT课件
临床诊断学问诊ppt课件
ppt课件
39
1. 内容真实 病历客观、反映真实、不臆想 和虚构
2. 格式规范 传统病历和表格病历 3. 描述精练 用词恰当 4. 书写全面 不遗漏、字迹清晰、不可
潦草和涂改
ppt课件
40
病历书写的种类、格式与内容
(kinds、rules and content of history)
ppt课件
第二篇 问诊
（Inquiry）
ppt课件
1
目的要求
(objective and requirement)
充分认识问诊的重要性 掌握问诊的重要内容与方法
ppt课件
2
问诊 (inquiry)----
通过对患者或相关人员的系统询问获 取病史资料,经综合分析作出临床判断。
问诊是病史采集（history taking）的主要 手段。
(admission history in table)
主诉、现病史以外内容进行表格化书写
ppt课件
47
（三）住院病历举例
(admission history sample clerking )
(P370)
ppt课件
48
二、常用医疗文件 (general medical files )
（一）入院记录 ( admission record) (P377）
1. 主诉及现病史同住院病历、余简明记 录、勉去摘要
2. 重点突出、简明扼要、24h内完成由住 院医师书写
3. 入院记录格式与内容举例
ppt课件
49
（二）病程记录
(record of the illness process )
1.病人住院期间病情发展变化和诊治 过程的全面记录
英语中询问疾病的课件
05
Do you have any difficulty in breathing or wheezing?
06
Have you been smoke or around smoke recently?
Cough
02
Common vocabulary for inquiring about medical conditions
Ensure that your diet includes all the essential nutrients and energy sources needed for good health. A balanced diet should include a variety of fruits, vegetables, whole grains, lean protein, and healthy fats.
详细描述
Have you been sweating at night?
Have you been drinking enough water and taking care of yourself?
总结词：询问发热相关症状
Do you feel hot or have a fever?
Do you have any pain, especially in your head or body?
Common symptoms
fever, cough, fatigue, headache, nausea, etc.
Symptom
Etiology: the cause of a disease or condition.
Etiology
Treatment methods: the various methods used to diagnose and treat medical conditions.
问诊技巧ppt课件
在睡眠中发病昏迷，如发生在年 轻人或者全家集体发病，应想到 是否有煤气中毒的可能性。如果 胸痛发生在快走或者骑车过程中， 休息即可减轻，诊断心绞痛的可 能性很大；如果胸痛与睡眠或者 心情有关，则冠心病的可能性很 小。
.
（3）主要症状的部位、性质、持 续时间及特点 如典型心绞痛多位于胸骨后 深部，手拳大小，疼痛呈压榨、 窒息样或者不易描述，每次持续 一般不超过5分钟，休息或者含服 硝酸甘油后1~2分钟缓解。
.
对于涉及职业病、伤害等与法律 或者赔偿有关的情况，应注意相关人 员提供病史的真实性、因果关系和时 间顺序，不要不加分析记录在病例上， 有时需要作相应的调查。对关键病史 的真实性表示怀疑又无从查证时，可 以添加引号或者记录叙述人姓名。
.
应尽量回避在病例中出现与责任 相关的内容，如患者近期发生车祸， 本次看病诉因车祸发生心绞痛，医生 不可在病史中写成“车祸后心绞痛3 个月”，稳妥的表述应该是“发作性 胸痛3个月”。
.
临床遇到病人讲话离题或者一 件简单事情或者经过反复讲述的 情况，这时医生应有耐心，因势 利导，注意引导的方式和方法， 让病人能够接受，同时避免以自 己的主管臆断压制病人的客观真 实感受。
.
也应注意病人提供病史的真实 性，一旦发现与病情不符时，应 反复核实。
.
问诊中应注意时间顺序，因果 关系和逻辑性。问诊一般从主诉 开始，然后逐步深入，有目的、 有层次、有顺序地询问。
.
问诊 INQUIRY
通过问诊所获取的资料对了解疾病的发 生、发展情况，诊治经过，既往健康状 况和曾患疾病的情况对现病的诊断具有 极其重要意义。
.
问诊 INQUIRY
一个具有深厚医学知识和丰富临床经验 的医生，常常通过问诊就能对某些患者 提出准确的诊断。
英语中询问疾病的ppt课件
knee n. 膝盖
nosebleed n. 鼻出血
breathe v. 呼吸
Fish can not breathe out of water. 鱼离开水就不能呼吸。
sunburned adj. 晒伤的
climber n. 登山者
accident n. （交通）事故意外遭遇
rock n. 岩石
Presentation
2a Accidents or problems can sometimes
happen when we do sports. Write the letter of each sport next to each accident or problem that can happen.
翻译下列句子。
1. 你怎么了？我头痛。 What is the matter with you? I have a headache.
2. 他怎么了？他发烧。 What’s the matter with him? He has a fever.
3. 李雷怎么了？他喉咙痛。他应该多喝 水。 What’s the matter with Li Lei ? He has a sore throat. He should drink lots of water.
knife n. 刀
blood n. 血
control n. & v. 限制；约束；管理
spirit n. 勇气；意志
Discussion
Did these accidents happen to you? When they happen, what should you do?
get hit on the head
诊断学基础--问诊 ppt课件
末次月经日或绝经年龄
例 :14 岁
4 ~ 6天 2007 年6月 18 日 28 ~ 31 天
2．生育史：对已婚妇女，询问妊娠及生育次数（例:孕3产 2） 、生育年龄、人工或自然流产的次数、有无死胎或难产、 现有孩子数及年龄性别、计划生育情况等。
PPT课件
48
8.家族史（family
history）
3.现病史举例
起病时间
诱因 主 诉：全身皮肤散在瘀点2天。 现病史：患者2天前无明显诱因出现全身 皮肤散在瘀点，以四肢为甚,伴有牙龈出血， 无血便、血尿及呕血，无畏寒、发热，无 主 头晕、乏力，未就诊及治疗。今天仍有出 要 现新鲜瘀点，为进一步诊治收住院。发病 症 以来，食欲、睡眠尚正常，大、小便未见 状 异常。 特 病 点 情 病后一般情况 发 展 与
15
概念：
问诊，又称病史采集，是指医生通过向 病人及有关人员询问病情，借以了解疾病的 发生、发展、现状，既往健康状况，有关生 活经历等病史资料的过程。
PPT课件
16
全面系统问诊—住院病人
问诊
重点问诊—急诊、门诊
PPT课件
17
♠
通过问诊可以了解疾病的发生、发展、现状、 既往健康状况，有关生活经历情况，对疾病的 诊断有极其重要的意义。 临床上相当部分的疾病通过问诊就可确定， 如心绞痛、肺炎、急性支气管炎等。 忽视问诊，必然使临床资料不全，病情了解 不够详细，可造成误诊或漏诊。 对病情复杂的又缺乏典型症状、体征者深入 细致的问诊尤为重要。
PPT课件 46
6.婚姻史（marriage
history）
包括病人婚否，结婚年龄，配偶健康 状况，性生活情况，夫妻关系等。
PPT课件
47
泌尿系统英文问诊 ppt课件
Appearance and Courtesy Rapport-Facilitative Behavior Rapport-Positive Verbal Reinforcement Patient’s Perspective Impact on Patient and Family and Self Image Support system Patient’s Expectation Patient’s Understanding Admitting Lack of Experience Rapport-Encouragement of Question Closure of the interview
Content of the interview
introduction chief complaint history of the present illness past medical history review of systems personal history family history closure
1、腹痛年龄，性别、职业的关系。 2、腹痛起病急、缓和诱发因素。起病前有
无饮食不节、外科手术；加重和缓解的因
素；进食油腻事物（诱发胆囊炎、胆石症发 作）史、暴饮暴食史（急性胰腺炎。） 3、腹痛的部位，腹痛的部位常代表疾病部 位，对于腹部牵涉痛的准确判断更有助于了
解疾病的部位和性质。
八、腹痛问诊要点
primarydiagnosis整理课件方法与技巧方法与技巧v从礼节性的交谈开始从礼节性的交谈开始v问诊一般由主诉开始问诊一般由主诉开始逐步深入有目的逐步深入有目的有层次有顺序有层次有顺序v避免暗示性提问和逼问避免暗示性提问和逼问v避免使用医学术语避免使用医学术语v及时核实陈述中不确切或有疑问的情况及时核实陈述中不确切或有疑问的情况v仪表和礼节仪表和礼节整理课件问诊的内容v一般项目一般项目v现
医学英语问诊课件
医学英语问诊课件
目 录
• 问诊简介 • 问诊常用句式与词汇 • 常见疾病问诊技巧 • 医学英语听力与口语训练 • 医学英语阅读与写作
01
问诊简介
问诊的定义与重要性
问诊定义
问诊是指医生通过与患者或相关人员的交流，了解患者的主 诉、病史、家族史和社会情况等，以便做出初步诊断和制定 治疗方案的一种医学诊断方法。
身体检查
制定初步诊断和治疗方 案
医生需要对患者进行必要的身体检查，包括 观察面色、呼吸、心率、体温等体征，以便 进一步了解患者的病情。
医生根据问诊和身体检查结果，制定初步诊 断和治疗方案，并告知患者或家属治疗方案 及可能的风险。
问诊的注意事项
充分沟通
医生需要与患者建立良好的沟通， 充分了解患者的病情和需求，以便 做出准确的诊断和治疗。
呼吸系统疾病问诊
总体概述
询问患者是否存在咳嗽、咳痰、呼吸困难等典型症状，以及症状的持续时间 和严重程度。
详细问诊
询问患者是否有吸烟史、职业暴露史等致病高危因素，是否有胸痛、胸闷、 心悸等心脏疾病症状，以及是否有发热、乏力等全身症状。
消化系统疾病问诊
总体概述
询问患者是否存在腹痛、腹泻、恶心、呕吐等典型症状，以及症状的持续时间和 严重程度。
Can you describe the symptoms you are experiencing?
What is the duration of your symptoms?
Have you experienced any changes in your health recently?
Have you had similar symptoms in the past?
医学英语 问诊
11. Asking a patient about his illnessAny vomiting?Are you feeling all right?Are you feeling well?Are you feeling nausea?2I Have you had this experience before?I Have you got any chronic diseases in the past?I Have you got any feeling of nausea?I Have you lost weight recently?I Have you taken anything for it?3I Are your bowels acting properly?I Are your bowels regular?I Did you have pains here before?I Do you cough?I Do you feel short of breath sometimes?I Do you feel short -winded?I Do you feel tired?I Do you have any appetite?I Do you have difficulty breathing?I Does it hurt?4I How about your appetite?I How bad is it?I How far pregnant are you?I How long has it been this way?I How long has this been going on?I How long have you been ill?I How long have you been like this?I How long have you had it?I How long have you had this trouble?567I How are you feeling now?I How is your rheumatism?I How is your sleep?I Is the cut still painful?I Since when have you been feeling like this?I What did you eat yesterday?I What sort of pain do you get there?I What ’s wrong with your ear?I What ’s your appetite like?8I What do you complain of?I What ’s your complaint?I What hurts you?I What ’s the trouble?I What ’s troubling you?I What ’s your trouble?I What ’s the matter with you?I What ’s wrong with you?I What ’s bothering you?I What seems to be bothering you?9I What seems to be the matter?I What seems to be the problem?I What seems to be the trouble?I When did the pain start?I When did you begin feeling unwell?I Which tooth is troubling you?I Why is that?I Your case record, please.I You ’re suffering from an allergy?102. Telling a doctor how you feel About a week now.About five days running already.I can ’t life my right arm.11I I cough a great deal at night.I I don ’t feel like eating anything.I I feel a bit off color .I I feel a pain in my left leg.I I feel absolutely rotten.I I feel chilly.I I feel dizzy and I ’ve got no appetite.I I feel feverish.I I feel hot and cold.I I feel like I ’m burning up.12I I feel like vomiting.I I feel sick.I I feel poorly.I I feel rather unwell.I I feel very bad.I I feel so ill.I I feel shivery and I ’ve got a sore throat.I I feel a dull pain in the stomach.I I just feel all pooped out .I I keep feeling dizzy.13I I really feel terrible.I I have a headache.I I have a splitting headache.I I have a stomach -ache.I I have a stuffed -up nose.I I seem to have pain all over.I I think I ’m dying.I I tried some sleeping pills, but they have done nothing for me.I I ’m a bit stuffed up.14I I ’m aching all over.I I ’m afraid I ’ve got a temperature.I I ’m feeling rather out of sorts these days.I I ’m having some trouble sleeping.I I ’m suffering from insomnia .I I ’m rather sick.I I ’m running a fever.I I ’m running a temperature.I I ’m under the weather .15I It all began yesterday.I It came on last night.I It hurts terrible.I It keeps hanging on .I It sort of hung on.I It started two days ago.I It ’s a dull sort of pain, and I don ’t know what ’s causing it.I It ’s been hanging about for nearly a week.I It ’s not a sharp pain; just sort of a dull ache.16I I ’ve been having pains in my chest recently.I I ’ve been losing sleep.I I ’ve been sneezing all day.I I ’ve been throwing up .I I ’ve got a bad appetite.I I ’ve got a humming.I I ’ve got a pain in my back.I I ’ve had two more movements this morning.I I ’ve taken some aspirin, but it didn ’t help much.17I Just off and on.I My back is giving me a bit of trouble.I My eyesight is falling.I My eyes have been sore.I My left foot hurts.I My legs have not been right lately.I My right eardrum has become infected.I My stomach is upset.I My tooth is acting up again.I My weight fell from 60 kg. to 50 kg.18I My whole body feels weak.I One of my teeth troubles me.I One of my upper teeth is loose and aching.I The pain ’s been keeping me awake.I There ’s a bitter taste in my mouth.I This tooth on the lower jaw is sensitive to cold and hot.193(. Examining a patient(A blood test is necessary.Any pain here?Breathe deeper, please.20I Cough. Now again.I Do you have any pain here?I Does it hurt here?I Does it hurt when I press here?I Does it hurt when I touch it here?I Go and have your chest X -rayed.I How does it feel?I I think we ’d better give you a few tests.I I ’ll have your temperature taken.I I ’m going to take a throat culture so we ’ll know for sure.21I Let me check your lungs and heart.I Let me examine your stomach.I Let me feel you pulse.I Let me listen to your heart and lungs.I Let me sound your lungs.I Let me take your blood pressure.I May I take your blood pressure?’I Lie down on the couch there. Let me examine your belly.I Now breathe in. A deep breath.22I Now let me just see.I Now slip off your coat and shirt, please.I Open your mouth and say “Ah ”.I Open your mouth please, and show me your tongue.I Please go and take a stool test.I Put this thermometer under your tongue.I Roll your sleeves up.I Show me where it hurts.I Slip your shoes off and hop up on the bed.23I Strip to your waist, please.I Take a breath, please.I Take your blood count first, please.I The gums are swollen.I There ’s some respiratory murmur in your heart.I Unbutton your shirt and let me listen to your lungs.I Well, I ’d better take your blood pressure.I Well, let ’s see.24I Well, let ’s take an X -ray of your chest.I You must have an electrocardiograph examination.I Your blood pressure is normal.I Your pulse is a bit fast.I Your tongue ’s rather coated.I Your tongue ’s thickly furred.I You ’re to have a blood test.I You ’ve got a faint murmur of the heart.25A slight infection.An operation is needed to remove your tonsils.4. Diagnosing and treating26I By the look of it, it should be a rash.I By the sound of it, it ’s bronchitis.I I don ’t think it ’s anything serious.I I should say you ’ve caught cold.I I should think you ’ve got the flu.I I think you need a shot to deaden the pain first.I If your recovery goes on like this, you can leave in three days.I I ’ll give you an injection first.I I ’ll give you a shot, I ’m afraid.27I I ’m afraid an urgent operation is necessary.I I ’m afraid you ’ll have to be operated on for appendicitis.I It could be a case of TB.I It looks as if it ’s scarlet fever.I It looks like measles.I It sounds as if you ’ve caught cold.I It sounds like bronchitis.I It ’s an acute case.I It ’s inflammation of the skin.28I It ’s not so serious as it seems.I It ’s nothing but a little infection in the finger tip.I It ’s nothing serious, but you ’d better stay in bed.I Let me give you a needle to numb the tooth.I Nothing serious.I The tooth will have to be taken out.I The X -ray shows a fractured ankle.I There ’s a bad virus going around here and that ’s probably what it is.29I There ’s a marked improvement in your condition.I There ’s nothing to be alarmed about.I The infection may lead to respiratory complications.I Well, it could be a simple sprain. But I think to be on the safe side, we ought to have it X -rayed.I You must be hospitalized right now.I You must have your appendix removed.30I You must have your tooth extracted.I You need an injection.I You probably have contracted the flu.I You seem to have picked up some kind of infection.I You ’ll be all right soon.I You ’ll be treated for a fracture of the bone.I You ’ll get over it soon.I You ’ll have an immediate operation.I You ’ll have to be operated on.31I You ’ll have to have your decayed tooth pulled out.I You ’ll have to stay in the hospital for observation for two days.I You ’ll recover in two or three days.I Your case is not very serious.I Your left thumb suffers a comminuted fracture .I Your rheumatism should take a course of treatment for about a month.32I You ’re suffering a heart disease, I ’m afraid.I You ’ve got a drop of fever.I You ’re running a temperature.I You ’ve got the flu, but not very serious.335. Giving prescription and adviceA change of diet may do you good.A good sleep may help you pick up flesh.34I Administer the ointment once everyday.I Apply this tube of jelly three times a day.I Are you allergic to any medication?I Avoid greasy foods.I Be careful to your diet.I Be sure to keep warm and rest.I Come back and see me in two weeks if you ’re not feeling better.I Cut down on your drinking.I Do not smoke.35I Don ’t overdo things.I Don ’t strain yourself too much.I Drink more hot water.I Drink more liquids and take the medicine I prescribed.I Drink plenty of water.I Drink this mixture four times a day, one measure each time.I Electrical treatments will be good for your rheumatism.36I Fatty food will do you harm.I Get plenty of exercise.I Go home and rest for at least three or four days.I Have a good rest.I Here ’s a prescription for some medicine.I Here ’s a prescription for you. Please take the medicine according to the instruction.I Here ’s a prescription. Have someone to get it filled.37I Here is a prescription. I ’d like you to take one of these pills three times a day.I Here ’s a sick -leave certificate for three days.I I can prescribe some pills which will relieve the pain, but you ’d be well advised not to overwork yourself.I I suggest you take Chinese traditional medicines.I I think a month at a health resort will do you good.38I I think this gargle will relieve your sore throat.I If your fever lingers, come to me again.I I ’ll give you a dose of streptomycin.I I ’ll give you some tablets.I I ’ll just give you a prescription.I I ’ll make up a prescription for you.I I ’ll prescribe a bottle of cough syrup for you.I It ’ll keep the swelling down.39I Keep away from the draught.I Keep to your bed, and try to have more water.I Keep warm and take a hot bath before going to bed.I Let me prescribe some medicine for you.I One tablet each time, three times a day after meal.I Put a plaster on the sore once a day.I Put this lotion on every four hours.40I Rub in this cream once a day.I Stay away from work till Monday, and don ’t overdo things.I Stay in bed and rest.I Take a dose three times a day.I Take curative baths once a day, and drink some mineral water.I Take one capsule every four hours.I Take ten c.c. each time, three times a day.I Take the medicine I prescribed and come back in a week.41I Take the medicine I prescribed and get plenty of rest.I Take these tablets twice a day.I Take this prescription to the chemist ’s and then go straight to bed.I Take this prescription to the dispensary for your medicine.I These tablets are to keep the fever down.I These tablets should clear up the trouble.I These eye drops may improve your eyesight.42I These vitamin B and C pills are to build up your resistance.I This is for oral administration.I This is for reducing the fever.I This medicine will give you quick relief.I This medicine will relieve your pain.I This ointment will subdue the inflammation.I This solution is for external use only.43I Try these pills. They will cure your insomnia.I Use this cream once a day.I You should go on a diet.I You should have your leg bandaged.I Your fractured leg should be plaster cast.。
《医学英语教程》课件
一、课件介绍
本课件将帮助医学生们提高他们的医学英语能力，包括基础医学英语、临床 医学英语和医学研究英语等内容。我们还将分享学习方法和技巧，并通过典 型例题分析加深理解。最后，总结并回答问题。
第一节：基础体结构和器官的名称以及其功
生理学
2
能。
了解生命体系的功能和机制。
数据分析
掌握统计学方法和数据分 析技术，以支持医学研究。
报告撰写
学习如何撰写结构清晰、 准确的医学研究报告。
学习方法与技巧
1 词汇记忆
采用记忆技巧和词组背 诵，加强医学英语词汇 的记忆。
2 阅读理解
3 口语表达
使用主题句和关键词法， 提高对医学文献和教材 的理解。
进行角色扮演和小组讨 论，提升口语表达能力。
典型例题分析
题目 例题1 例题2 例题3
内容
描述一种常见的疾病，并解 释其病因。
根据症状，推断患者可能面 临的疾病。
分析一篇医学研究论文的数 据和结果。
答案 答案1 答案2 答案3
课程总结和问题答疑
通过本课程的学习，您将掌握基础医学英语、临床医学英语和医学研究英语所需的关键知识和技能，为 您的医学职业发展打下坚实的基础。
3
病理学
探索疾病的原因、诊断和治疗。
第二节：临床医学英语
医患沟通
学习如何与患者进行有效的沟 通，包括询问症状、给予建议 和解释诊断。
团队合作
了解在医疗团队中的责任和角 色，并学习如何与其他医疗专 业人员进行协作。
医疗程序
掌握常见的医疗程序，如手术、 注射和护理操作。
第三节：医学研究英语
文献查阅
学习如何有效地查找和评 估医学文献。
医学英语问诊课件
病史细节
医生需要仔细询问患者病史， 注意细节和关键点，以便更好 地了解病情的发展过程和特点
。
症状分析
医生需要对患者的症状进行分 析，结合病史和检查结果，以
便更好地确定诊断。
问诊后的后续工作
诊断报告
医生需要根据问诊结果和检查 结果，撰写诊断报告，详细记 录病史、症状、诊断结果等信
息。
治疗方案
02
Cough
03
Sore throat
04
Headache
05
Diarrhea
发热，包括体温升高、恶 寒、寒战等。
咳嗽，包括干咳、咳嗽伴 痰等。
喉咙痛，包括咽喉部疼痛 、吞咽困难等。
头痛，包括头部疼痛、头 晕等。
腹泻，包括大便次数增多 、便溏、水样便等。
常见病史及英语表达
Upper respiratory tract infection: 上呼 吸道感染，包括感冒 、喉炎等。
05
问诊实例分析
呼吸系统疾病问诊实例
详细描述
医生了解患者的吸烟史、职业暴 露史、家庭病史等，判断呼吸系 统疾病的可能性。
总结词：通过分析医生与患者之 间的对话，掌握针对呼吸系统疾 病的问诊技巧和表达方式。
医生询问患者的症状和病史，包 括咳嗽、咳痰、呼吸困难等。
医生根据患者的主诉和体征，进 行必要的体格检查和辅助检查， 进一步明确诊断。
神经系统疾病问诊实例
详细描述
医生了解患者的既往病史、家族 病史、职业暴露史等，判断神经 系统疾病的可能性。
总结词：通过分析医生与患者之 间的对话，掌握针对神经系统疾 病的问诊技巧和表达方式。
医生询问患者的症状和病史，包 括头痛、眩晕、肢体麻木等。
中医门诊英语口语ppt课件
I hate injections. Can I take the medicine orally？
Example 1 Advice for Decoction
Processing
Patient: Doctor, could you tell me what I should do with the herbs? Doctor: Every morning soak one bag in 500 mls of cold water for one and a half hours, then heat it up quickly. As soon as it begins to boil, turn down the heat and simmer for thirty minutes. Then turn off the heat, leave it to cool, and pour out the liquid to drink. Be careful not to let any of the leaves go into the cup. Patient: It is quite complicated. By the way, can I use a steel pan? Doctor: No, you can’t do that. You’d better use an earthenware pot. Patient: Thank you very much, I have learned a lot from you. Doctor: You’re welcome. I hope you will recover in no time.
医药英语课件(医学英语培训教材,全英文PPT)
欢迎来到医药英语课件！通过本课件，您将学习医学术语和词汇、解剖学和 生理学基础、常见的医学缩写和符号等。
Introduction to Medical Terminology and Vocabulary
了解医学术语和词汇的基本概念，学习如何正确使用和解释医学术语，提高 医学英语水平。
学习诊断和治疗计划的基本原则和步骤，了解常见疾病的诊断流程。
Drug Classification and Pharmacology
了解药物分类和药理学基础，学习不同药物的作用机制和临床应用。
Drug Administration Methods and Techniqu。
Anatomy and Physiology Basics
了解人体解剖学和生理学的基本知识，掌握不同身体系统的结构和功能。
Common Medical Abbreviations and Symbols
学习常见的医学缩写和符号，掌握在医学文档和交流中正确使用和解读缩写和符号。
Diagnosis and Treatment Planning
Common Medical Procedures and Techniques
学习常见的医疗程序和技术，包括手术、检查和治疗方法。
Medical Imaging and Radiology
了解医学影像学和放射学的基本原理，学习不同医学影像技术的应用。
- 1、下载文档前请自行甄别文档内容的完整性，平台不提供额外的编辑、内容补充、找答案等附加服务。
- 2、"仅部分预览"的文档,不可在线预览部分如存在完整性等问题,可反馈申请退款(可完整预览的文档不适用该条件!)。
- 3、如文档侵犯您的权益，请联系客服反馈,我们会尽快为您处理(人工客服工作时间：9:00-18:30)。
医生： 1. Hello,may /can I help you？ Sit down，please. What's the trouble? What's the problem? What's troubling you? What's the matter (with you)? What`s wrong (with you)? What's bothering you? What`s your complaint? 2. Do you have a record？ When did it happen? When did the trouble start? When did the symptom begin？ When did you first notice it? How long have you been like this? How long have you been feeling like this?
病人主诉： 1. I feel under the weather. 我不舒服，生病了。 I have a headache, nausea and vomiting. 我觉得头痛、恶心、想吐。 My head is pounding. 我头痛。 I feel light-headed. 我觉得头晕。 I feel drowsy, dizzy and nauseated. 我觉得昏昏欲睡，头晕目眩，还想吐。 I feel as though everything around me is spinning. I feel exhausted most of the time. 我大部份时间都觉得非常疲倦。 I feel unusually tired. 我感到反常的疲倦。 2. Urinating after an operation is very hard.手术后排尿很困难。 I haven't had much energy for some time. 我感到虚弱有段时间了。 I have been staying in for a few days. 我生病在家几天了。 My symptoms include loss of appetite, weight loss, excessive fatigue, fever and chills. 我的症状是没有食欲、体重减轻、极度疲倦、发烧和发冷。 医生问诊： 1. Have you had any chills （chest pain）？您有发冷（胸痛）吗 Have you ever coughed up blood？您咳血吗？ Do you bring anything up when you cough？咳嗽时有痰吗 Is there a sense of distension and numbness？你有胀和麻木的感觉吗
Please use this container for your urine. 请将尿放进这个容器内。 Show me which one it is？告诉我是哪个？ Which of your arms is sore？你哪个胳膊痛？ Do you have any pain in your belly？ 你腹部痛吗？ Do you feel weak？你感到身体虚弱吗？ Does it hurt here？这儿痛吗？ Show me where it hurts the most？告诉我哪儿最疼。 2. 诊断： I`d like to listen to your chest.我想听听你的胸部。 I`d like to run a few tests.我想给你做些检查。 I think you need some examinations first. 我想您首先需要做一些检查。 You must have a blood /sputum test. 你需要验验血（痰）。 I`ll take a white blood count and give you a x-ray examination. 我将给您做白细胞 计数和胸片检查。 You`d better take an X-ray picture to see if there is a fracture. 你最好拍张X片子， 看看有没有骨折。
What did you vomit， food or blood？你吐的是什么，食物还是血 What about your heart？你的心脏怎么样 What`s your appetite？你的胃口怎么样 How`s your appetite those days？近来食欲怎么样 What`s your stool like？大便是什么样子 What kind of stool did you notice， watery or mucous你注意大便的样子了吗？ 是水样的还是粘液样？ Have you been coughing and sneezing？你是不是一直咳嗽和打喷嚏 Have you got a high fever？ Any fever？ Did you run any temperature? Does it bleed often？ Do you feel short of breath？你觉得气急吗 Do you have a cough？ Do you have a pain in your stomach？ Do you feel pain after meals？饭后痛 Have you got any chronic disease before? Do you feel abdominal pain when you go to the toilet？你去厕所时感到腹痛吗 Do you remember how many times you went to the toilet？你记得去过多少次厕 所吗
When did the pain start? When did your diarrhea start? 3. Where is your pain? What kind of pain do you feel? Have you seen anybody about it? What kind of treatment have you had before you came here? 4. Do you mind if I examine you briefly? All rigБайду номын сангаасt. Let me examine you. Would you mind taking off your coat？ I`ll run some tests on you. 我要给你做些化验 Try not to blink. Take a deep breath，please. Breathe in deeply. That`ll do.好了。 Now take a breath. Now take a deep breath with your mouth open. Now turn around，please. Take it easy and don`t move. Show me your tongue，please.