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1、At the Surgical Department在外科在外科Surgical diseases include fracture, disjoint, cramp, trauma, osteomyelitis, appendicitis, ulcer and so on. Fracture includes incomplete fracture, comminuted fracture, impacted fracture, complete fracture and the like. Trauma includes puncture wound, contusion, bruise,

2、 open fracture, bite and etc. We will talk about three common surgical diseases acute appendicitis, laceration, and sprain in this unit.Sentence Pattern I feel like/ I feel Are you still? Are you going to? Wheres your?Related Expression: acute appendicitis What brought you to the emergency room? How

3、 long have you had this pain? Is it there all the time? Have you had any diarrhea? Is this regular for you? How about all this nausea and vomiting? Have ou had a temperature? Show me where it hearts most right now. Do you feel any pain when I press here?Situation A 你好,你來(lái)急診室(emergency room)看什么??? 我肚子疼

4、,總想吐(vomit)覺(jué)得很難受 你腹痛多長(zhǎng)時(shí)間了? 昨晚開(kāi)始的,在這邊,不過(guò)今天早晨又到這邊來(lái)了,痛得厲害 現(xiàn)在又轉(zhuǎn)到別的地方痛了嗎? 沒(méi),在這痛了大概兩個(gè)小時(shí)了 一直疼嗎? 不,一陣一陣的(come and go),現(xiàn)在又痛死(kill me)了 腹瀉嗎(diarrhea)? 沒(méi)有,我已經(jīng)兩天沒(méi)大便了(bowel movement) 你平時(shí)經(jīng)常這樣嗎? 不,我通常每天大便一次 說(shuō)說(shuō)惡心和嘔吐(nausea/vomit)的情況 現(xiàn)在好點(diǎn)了昨晚大約每?jī)尚r(shí)就吐一次,一疼就吐 你發(fā)燒嗎? 今天一早我量過(guò)體溫,是C. 給我指指現(xiàn)在哪最痛? 就在這,右下腹 請(qǐng)?zhí)傻酱采希医o你檢查一下腹部(abdom

5、en)我按這你疼嗎?我突然松開(kāi)手時(shí)疼嗎?你得的是急性闌尾炎,需要馬上手術(shù) Hello. What brought you to the emergency room? Ive got awful pains in my belly. And I feel like Im going to throw up all the time. I feel awful. How long have you had this pain? It started last night, up here, but this morning its here, and it really hurts. Has i

6、t moved again? No. Is been steady for almost two hours. Is it there all the time? No, it just comes and goes, but now its really killing me. Have you had any diarrhea? No, I havent had a bowel movement for two days. Is this regular for you? No, I usually have one every day. How about all this nausea

7、 and vomiting? Well, its gotten better. Last night I was vomiting about every two hours soon after the pain began. Have you had a temperature? C. Show me where it hurts most right now. Just here, on the right side of the lower belly. Please lie down on the bed. Let me examine your abdomen. Do you fe

8、el any pain when I press here? Does it hurt you when I withdraw my hand suddenly? I think that you have acute appendicitis. You need an emergent operation.Related Expression: laceration Whats the trouble with you? Well, this doesnt look too bad. Now you need local anesthesia.Situation B護(hù)士: 王大夫,急診室里有

9、個(gè)手指裂傷的韓國(guó)男孩,他母親陪著,很著急.大夫: 好的,我馬上過(guò)去.大夫: 你好,你怎么了?男孩: 我在后院(backyard)踢球時(shí)摔倒了,手扎到舊窗玻璃上了(an old window pane).大夫: 讓我看看,好象不太嚴(yán)重.大夫: 護(hù)士,請(qǐng)給我一個(gè)縫合包(suture set).護(hù)士: 您要準(zhǔn)備縫合(take stitches)嗎?大夫: 是的,只有兩針,不會(huì)太痛的.請(qǐng)讓他母親在外面等會(huì).護(hù)士: 您需要局部麻醉嗎(local anesthesia)?大夫: 當(dāng)然,與麻醉師(anesthetist)聯(lián)系.護(hù)士: 好的. Doctor Wang, we have a patient in

10、 the emergency room who has a laceration on his finger. Its a Korean boy. His mother is with him and seems quite concerned. Thank you. I will go down and see him right away. Hello. Whats the trouble with you? I fell down and fell against an old window pane when I was playing football in the backyard

11、. Let me see. Well, this doesnt look too bad. Nurse, please give me a sutrue set. Are you going to take stitches? Yes, two stitches. It wont be very painful. Please let his mother step out of the room for a few minutes. Now you need local anesthesia? Sure. Contact the anesthetist. Ok.Related Express

12、ion: sprain How were you injured? When did it happen? Id like you to have an X-ray. Well, theres nothing broken. Its just a sprain. Nurse will put on a supporting bandage.Situation C醫(yī)生:你傷哪了?病人:這兒,腳腕子(ankle)醫(yī)生:怎么傷的?病人:我在人行道上絆倒(trip over)了,扭傷(wrench)了腳,又腫(swollen)又痛醫(yī)生:什么時(shí)候扭的?病人:半小時(shí)前醫(yī)生:你去拍個(gè)X光片吧,取回片子再到我

13、這來(lái)病人:好的,大夫(照完片子)醫(yī)生:哦,沒(méi)有骨折,只是扭傷,護(hù)士會(huì)為你纏上彈力繃帶(supporting bandage),要活動(dòng),每天冷熱交替(alternately)泡腳三四次,腫痛(the pain and swelling)就會(huì)消失如果不見(jiàn)好,再來(lái)看看病人:好的,謝謝你,大夫 Wheres your injury? Here, my ankle. How were you injured? I tripped over on the pavement and wrenched it. Its swollen and very painful. When did it happen? Half an hour ago. Id like you to have an X-ray and after youve had it, come back to me. Ok, doctor.(After examining the X-ray) Well, theres nothing broken. Its just a sprain. Nurse will put on a su

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