神经科英文病历语句

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1、神经科英文病历语句杜万良北京天坛医院神经内科2011.2.251前言用简练的语言汇报主要的病史、发现、诊断、治疗。英语的习惯表达。照葫芦画瓢而已。2举例颈“软”，实际是指“无抵抗感，易弯曲的”正确表达：Theneckwassupple错误表达：Theneckwassoft颈“强”，是指“不易弯的”正确表达：Theneckwasrigid3主诉Thepatientisa……yearoldfemalewhopresented（to……）with（complaintsof）……，accompaniedby…….thepatientwasa

2、dmittedto……with……Thepatientisreferredto……for……aswellas……Shewasunconsciousfor……seconds,andwasthenconfusedfor……minutes.A72-year-oldmanwasadmittedto……becauseof……4现病史shedeveloped……in…….Shewentto……，received……totreather……Twodayspriortoadmission,henotedanabruptonsetof…….hebeg

3、anhavingdifficulty……（doing）when……（doing）Hehadtrouble……（doing）,andsubsequentlyin……（doing）Hethenbegantohaveproblems……（doing）haveproblemswith……gotworsewithincreasing…………in……graduallyincreasedupto……andtoalesserextentinvolvedhis…….5现病史……haveworsenedinthelast……monthshavingpa

4、inin……radiatingdownto……Shewasprescribed……theacuteonsetof……whichwasmoremarkedon……（doing）,butwaspresenttoalesserextentwhen……（doing）.……havecontinuedtoprogresstothepresenttime.wasgradedas……Theresidualweaknessonthelefthadcompletelyresolvedandhereportednonewweakness.her……con

5、tinuedtodeteriorate.6现病史herbalancedeterioratedandononeoccasionshefellintheshower.the……becameconstantHesawanoutsideNeurologistwhostartedhimon……（drugs）withoutimprovement.7既往史Hehasexperienced……Thepatienthadalengthyhistoryof……for……yearstreatedwith……Shehasdocumented……Within

6、thepast……years,shehashad…………yearpriortothispresentation,shehadanbriefepisodeof……Shedescribesa……yearhistoryof……,butdenies……thepatientunderwent……for……of……Previousmedicalhistoryincluded……Presentmedicationsinclude……givesanegativehistoryforsmoking,drug,andonlyoccasionalalco

7、holuse.8既往史FamilyhistoryincludesagrandfatherwithAlzheimer'sdiseaseThepatientsmotherdiedof……Familyhistorywaspositivefor……and……（disease）inhisfather,negativefor……（disease）.Familyhistoryrevealednohistoryof……SheismarriedwithtwochildrenThepatientsmoked……packsadayinthepastbut

8、quitcompletely……yearsago.Hesmokedonehalfpackofcigarettesperdayfor……years,andheoccasionallydrankalcoholinmoderation.do