医学英语问诊PPT课件

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ቤተ መጻሕፍቲ ባይዱ
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
问诊用语
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?
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 right. 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.
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。
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