诊疗英语会话知识分享.ppt

《诊疗英语会话知识分享.ppt》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、诊疗英语会话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;ankleswelli

2、ng2/52SHmarriedwith1son25cigs/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）Wellnow,

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

4、lingoff-colorfortwodays.Ihaven'tbeenfeelingmyselfforaweek.I'vebeenoutofsortsallday.lossofappetiteMyappetiteisverypoor.I'vebeenoffmyfoodfordays.IncreaseinweightI'veputoneightkilosinthelastyear.I'vegainedfivekilos.decreaseinweightI'mnoteatinganylessthanusualIlostalotofw

5、eightrecently.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?Howlongdoeseachepisode/atta

6、cklast?Howoftendoesithappen?Howoftenaretheattacks?Istheconditionserious?Hasitgottenworse?Whatdoyouthinkprovokesit?Hasanythingstartedthisoff?Doesanythingbringthemon?还有别的症状吗？Hasanythingelsetroubledyou?Doyousufferfromindigestion/boweltrouble/…?Haveyounoticedanythingelse?

7、发作，犯病I’venothadmuchtroublewiththatfortwoyears.这两年没大犯过。Doesthepaincomeoninthenight?夜间腹部疼痛吗？Areyouallrightbetweenspasms?两次发作期间你感觉好吗？Ikeepgettingdizzyspells.我的晕眩周期性发作。Itusedtocomeandgobutnowstaysput.本来时好时坏，如今持续不好。Theappendixhasburst.--------We’dbetterremoveit.Howlonghave

8、youhadthis?Whendidthisstart?提示日期Christmas=DecemberThanksgiving(USA)=NovemberEaster=AprilSummerHolidays=July/AugustPatient’s