clinicaldialogues

clinicaldialogues内容摘要：

trip to your waist, 衣服脱掉 Roll your sleeve up. Slip your shoes off and hop up on the bed. Slip off your shoes and socks. Let me check your lungs and heart. Let me listen to your lungs and heart. Let me examine your stomach. Let me sound your lungs. (叩诊 ) Unbutton your shirt and let me listen to your lungs. Open your mouth and say “Ah”. Open your mouth please, and show me your tongue. Put this thermometer(体温计 ) under your tongue. I’ll have your temperature taken. Well, I’d better take your blood pressure. May I take your blood pressure? Let me take your blood pressure. Clinical Examination During the examination the doctor asked the following questions: D: Do you suffer from heartburn? P: No. D: Have you had any children? P: No. D: Are your hands always cold and red? P: Yes. A lovely color in the winter! （冬天简直红得可爱。 ） D: Just hold your breath for a moment. Breathe through your mouth. Show me where you get this pain. Your age? P: 72. D: Your periods finished when? （你什么时候停经的。 ） P: When I was about 52 or 3. D: Any tenderness here? P: It’s a bit sore but not a lot. D: Does it catch you at all when you breathe?（你每次呼吸都觉得痛吗。 ） P: No. D: Have you any pains in your legs? (=Do you have any pains in your legs?) P: I get cramp （抽筋） a bit when I’m in bed. D: More in one leg than the other? P: I get it in my right leg。 that’s my varicose （静脉曲张）leg. D: Apart from this, you’ve had no other serious illness in the last 14 years? P: No. D: I’m going to take a drop of your blood and I’d like you to have a stomach Xray. You’ll have to e specially, don’t eat anything before and drink a white paste which outlines your stomach and we’ll take some pictures. Or: I think we’d better give you a few tests. A blood test is necessary. Take your blood count first, please. You’re to have a blood test. I’m going to take a throat culture so we’ll know for sure. You must have an electrocardiograph examination. Well, let’s take an Xray of your chest. Go and have your chest Xrayed. BOWELS 大便 Medical words: faeces, stools, to defaecate Colloquial words: motion, to have the bowels opened Useful questions ♥ How often do you have your bowels opened? ♥ Is this a lifelong habit? ♥ What do the motions look like? ♥ Are they quite well formed? ♥ What about the color? Has it changed? ♥ Are they darker in color。 ♥ Have you ever seen any blood in your motions? ♥ Have you noticed an unpleasant smell? ♥ Do you ever have diarrhea(腹泻 ) or constipation (便秘 ) ? ♥ Do you have to go in a hurry? （上厕所） ♥ Can you hold your motions? （控制排便） ♥ Do you have to strain(用力 ) to pass your motions? (tenesmus) （里急后重 ,下坠） ♥ Do you take laxatives(轻泻剂 )? ♥ Do the motions float on the water after flushing the lavatory? ♥ Do you ever have any pain on passing your motions? ♥ Do you get pain before, during or after passing your motions? ♥ Do you suffer from wind? ♥ Have you noticed any special food upsets your bowels? ♥ Have you lost any weight? Descriptive words Color: black, brown, claylike, colorlesslike ricewater (cholera霍乱 ), dark brown, green, grey, pale, peasouplike, puttylike(油灰样 ), porridgelike)(麦片粥样 )(steatorrhoea脂肪痢 ), jellylike, tarry(柏油样 ), white, yellow, etc. Form and consistency(稠度 ): bloody, bulky, dry, fatty, floating, friable, frequent, frothy(泡沫样的 ), greasy(油脂过多的 ), hard, hard dry balls, loose, purulent(脓性的 ), slimy(粘液的 ), soft, watery, wellformed, worms, etc. Amount: copious, scanty Odor: offensive (very bad) Useful Expressions Greeti。