诊疗英语会话.ppt

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1、EnglishforDoctorsEnglishinUseJiangsuUniversityGoodmorning,MsRayner.Comeandsitdown.Goodafternoon,mynameis,andmyEnglishnameisMary.SoyoucancallmeDr.Mary.IamadoctorofInternalMedicine.I’mresponsibleforyourtreatment/I’llbelookingafteryou.Or:Iworkinthe…department.I’macardia

2、csurgeon/….anesthesiologistdermatologisthepatologistophthalmologistpharmacologistpulmonologistToxicologistneurologisturologistcardiologisthematologistoncologistpathologistpsychologistradiologist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.Simpson34,plumberc/odyspnoea1/12;ankles

3、welling2/52SHmarriedwith1son25cigs/day;50unitsalcohol/weekPHnilrelevantFHfatherd.42MI;mothera&wOEobese;2spidernaevionchestP110/minreg.BP100/60CXRenlargedheartandbilat.Pleuraleffusions呼吸困难胸腔积液ChestX-ray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）We

4、llnow,howcanIhelpyou?Well,Mr.Rayner.What’tthetrouble?Whatsymptomsdoyouhave?complaintsPatientssaylossofenergyIfeeltiredallthetime.Ifeelcompletelywornout.LatelyI'vebeenfeelingcompletelyexhaustedattheendoftheday.generalfeelingofbeingunwellIfeelunwell.Idon'tfeelwell.I've

5、beenfeelingoff-colorfortwodays.Ihaven'tbeenfeelingmyselfforaweek.I'vebeenoutofsortsallday.lossofappetiteMyappetiteisverypoor.I'vebeenoffmyfoodfordays.IncreaseinweightI'veputoneightkilosinthelastyear.I'vegainedfivekilos.decreaseinweightI'mnoteatinganylessthanusualIlos

6、talotofweightrecently.hard,infrequentfaecesMymotionsareveryhard.I’vebeenquiteconstipatedlately.I'mnotveryregular.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2.问症状的性质和严重程度3.问诱因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Whendiditbegin/start?Whendidyoubegintonoticethesesymptoms?Howlongdoeseachepi

7、sode/attacklast?Howoftendoesithappen?Howoftenaretheattacks?Istheconditionserious?Hasitgottenworse?Whatdoyouthinkprovokesit?Hasanythingstartedthisoff?Doesanythingbringthemon?还有别的症状吗？Hasanythingelsetroubledyou?Doyousufferfromindigestion/boweltrouble/…?Haveyounoticedany

8、thingelse?发作，犯病I’venothadmuchtroublewiththatfortwoyears.这两年没大犯过。Doesthepaincomeoninthenight?夜间腹部疼痛吗？Areyouallrightbetweenspasms?两次发