醫(yī)學(xué)專業(yè)英語課件-9

1、A Dialogue in the HospitalJay ZhuangGeneral Surgical DepartmentRen Ji HospitalClinical Dialogue Three 1Sentences Commonly Used by Medical Personnel What can I do for you?May I help you?Please take a seat!Wait a moment, please.Sorry to have kept you waiting.It is not serious.Dont worry. / There is no

2、thing to worry about.You need a thorough examination.2Sentences Commonly Used by Medical Personnel You will have to stay in hospital for several days. / We think that you had better be hospitalized.You should stay in bed for a few days.You can keep on working. / You can carry on with your work.You s

3、hould be very careful for a week or two.Try to relax and keep calm.3Sentences Commonly Used by Medical Personnel Youll soon be all right.Im sure this medicine will help you a great deal. Feeling well again is a rather slow process, Im afraid.You will have to wait for twenty minutes.Complete recovery

4、 will take a rather long time.4Sentences Commonly Used by Medical Personnel If you feel worse, please come back to the clinic right away.If you feel worried, dont hesitate to go to the clinic anytime, day or night.Ill come right away.Im going to make arrangements for your admission 5Sentences Common

5、ly Used by Medical Personnel Please come with your interpreter next time.Do you understand what Im saying?Is there anything else you would like me to explain to you?Shall I explain it again?6Sentences Commonly Used by Medical Personnel If the trouble persists, come back again.There doesnt seem to be

6、 anything serious, but well take an x-ray just to be certain.Please wait until we get the result of the x-ray (blood-test).7Sentences Commonly Used by Medical Personnel Its difficult to say just now exactly whats wrong.This is quite common among people of your age. / This often happens to people of

7、your age. / This often occurs at your age.This kind of illness usually occurs among people whose work requires a lot of concentration (who undergo a lot of stress).8Sentences Commonly Used by Medical Personnel I suggest you do some light exercises.I suggest you have a course of acupuncture. I sugges

8、t you take Chinese herbs. I suggest that you get physiotherapy treatment. I would like to transfer you to the gynecology (surgery,dermatology, urology) department.9Sentences Commonly Used by Medical Personnel Your WBC (RBC, hemoglobin, urine, stool, sputum) should be checked.A smear should be taken.

9、 A culture should be done.Please dont eat anything tomorrow morning before blood test.Please wait for the result of your hemoglobin test.10Sentences Commonly Used by Medical Personnel Whats your trouble?How long have your been feeling unwell?What medicine did you take?Have you taken any medicine?Did

10、 you take your temperature?11Sentences Commonly Used by Medical Personnel Do you smoke (drink)?Have you any temperature (a cough, a bad headache)?Have you ever had jaundice (low grade fever, any chronic ailments, cold sweats at night, attacks of asthma)?12Sentences Commonly Used by Medical Personnel

11、 Do you suffer from heartburn stomachaches (loose bowel movements, chest pains)?Do you want to have your tooth extracted (tooth filled, dressing changed, blood pressure checked)?Let me examine you please.13Sentences Commonly Used by Medical Personnel Please take off your shoes and lie down.Please un

12、button your shirt and loosen your belt.Please take off your trousers.Please lie on your back (stomach, right side, left side).Please bend your knees.14Sentences Commonly Used by Medical Personnel Please relax.Please breathe deeply (normally).Please stick out your tongue.Please let me feel your pulse

13、.Let me take your blood pressure.Please lift your left leg (right leg).15Sentences Commonly Used by Medical Personnel Please open your mouth and say “Ah”.It is normal (essentially normal).Have you ever received any treatment before?Has it gotten worse?Has it happened before?16Sentences Commonly Used

14、 by Medical Personnel Are you feeling better?Is the pain getting less?Does it still hurt?How long have you had this pain?What kind of pain is it?Please tell me something of your past illnesses.Is there any blood in your stool (urine, sputum)?17Admission and Discharge Doctor: We are going to do the o

15、peration on you tomorrow. I hope you dont worry.Patient: I will try not to, but will it hurt?D:Well give you anesthesia. If you feel any pain during the operation, just let us know. Have you handed in your consent yet?18Admission and Discharge P: How should I write it?D: “I (name) the undersigned ha

16、ve requested and consented to a certain operation.” Thats all. We need the seal of your embassy and the signature of your Ambassador on the consent form.19Admission and Discharge Nurse:Id like to shave off the hair around the operation area.P: I have never been in a hospital before. Im so scared. 20

17、Admission and Discharge N: There is nothing to worry about. The doctor who will operate on you is very experienced and considerate. If you have any discomfort during the operation, please dont hesitate to tell him. I will give you an enema tonight. After that please dont take any food or water befor

18、e the operation. 21Admission and Discharge P:How do you do it? Does it hurt?N:I will insert a rubber tube into your anus and let the soap suds solution flow into your rectum. Please let me know if you feel distension. Ill stop the flowing. Hold it for several minutes before you expel it. That may pr

19、oduce a better result. 22Admission and Discharge N:The operation went very well. Please turn from side to side every two or three hours.P:I only feel a mild pain. I dont think a pain-killer is necessary.The pain is very severe. I cant stand it. Please give me a pain-killer at once. 23Admission and D

20、ischarge N:Ill help you get up. You can try walking around the room or corridor.P:I think Im quite all right now.N:You are going to be discharged the day after tomorrow.P:Is that so? Im so happy.N:You have been in the hospital for two weeks, Havent you?P:Exactly, but the doctor told me I still have

21、to rest for one more week. 24Admission and Discharge N:The doctor has written a certificate for you. There are two suggestions. First, avoid any mental stress and have a good rest. Secondly, examinations fasting sugar and an EKG should be done regularly.P: My organization (doctor) needs my medical h

22、istory. May I have it tomorrow?N:Certainly.25Open Injury Doctor:How were you injured?Patient:I tripped and fell, banging my forehead quite hard. My wife wrapped a bandage around it to stop the bleeding.D:Did you lose a lot of blood?P:Not too much.D:Were you unconscious?P:No.26Open Injury D:Did your

23、nose or ears bleed after the accident?P:No.D:The wound is rather large, so Ill stitch it up.P:Will it hurt?D:Oh, no. It wont be painful. Well give you a local anesthetic. Youre a brave fellow. Well, were all finished. That wasnt so bad, was it? 27Open Injury P:No, not very.D:Have you had an anti-tet

24、anus injection lately?P:I think the only one I have had was about five years ago.D:Well, I think youd better have another one. P:Whatever you say, Doctor.D:Come again after three days and well examine the wound. 28Fracture D:Hello, Im an orthopedic surgeon. What happened to your leg?P:I fell down th

25、e stairs. Immediately, I felt a bad pain in my left hip and I couldnt stand at all.D:When did it happen?P:Two hours ago.D:Have you taken any pain-killers?P:No, I came directly here.29Fracture D:Please lie on the bed, loosen your belt. Point to the spot where you feel the most pain.P:Its here, Doctor

26、, around the left hip.D:Im afraid your femur is broken. Wed better x-ray it, just to be sure. Take this paper to the office; the nurse will show you the x-ray department.The x-ray shows a fracture of your left femur. 30Fracture P:Doctor, will it heal properly?D:Of course, it will, dont worry. I thin

27、k you should be admitted to hospital. You need an operation to fix it.P:I have hurt my right elbow. I cant move it because of the pain.D:How did it happen?P:When I was getting into the bus, I fell on my elbow. That happened this morning. 31Fracture D:Is it still painful?P:Yes. Since the accident it

28、has been stiff and looks black and blue. At times it feels numb.D:Can you feel this, when I put it in your hand?P:Yes.32Fracture D:Im afraid you may have broken your elbow, Ill send you to the x-ray department to check.The x-ray reveals a fracture of the lower humerus. Well give you a “U” type plast

29、er cast on your elbow and shoulder.P:How long will I have to have it?33Fracture D:About six weeks.P:Is there anything else I should do?D:Youd better rest in bed and keep your elbow higher than your heart. Move your finger joints from time to time. Keep an eye on the color of the fingers. If you have

30、 pain and numbness or if the color of the fingers turns pale or dark, come right away. 34膽石病 病人：醫(yī)生，我突然覺著右上腹疼痛Patient:Doctor, I suddenly felt a pain in the right upper side of my stomach.醫(yī)生：什么時(shí)候開始的?Doctor:When did it first start?病人：大約在三天前P:About three days ago.35膽石病 醫(yī)生：疼還向別的地方竄嗎?D:Does the pain move

31、anywhere else?病人：是的，向右肩部竄P:Yes, it goes towards my right shoulder.醫(yī)生：是什么樣性質(zhì)的疼痛?D:What kind of pain is it?病人：先是絞疼，很快就變?yōu)槌掷m(xù)性的疼了 P:Its colic at first, but soon it became constant. 36膽石病 醫(yī)生：你發(fā)冷還是發(fā)燒?D:Have you had any chill or temperature?病人：我仿佛覺著發(fā)燒P:I feel as though I have a temperature.醫(yī)生：發(fā)熱在先還是疼在先?D:Wh

32、ich came first, the temperature or the pain?病人：疼在先P:The pain. 37膽石病 醫(yī)生：你胃口好嗎?D:How is your appetite?病人：我一看見食物就想吐P:When I look at food, I feel sick.醫(yī)生：三天來你吐過嗎?D:Have you vomited in the past three days?病人：是的，一共吐了10到15次我總感到疼 P:Yes, about 10 to 15 times. I always felt pain. 38膽石病 醫(yī)生：吐過血嗎?D: Have you vom

33、ited blood?病人：沒有，只是一些白的粘稠的東西P:No. Just a kind of whitish, thick stuff.醫(yī)生：吃得過多或吃得油膩你肚子脹嗎?D: Did you feel full after eating heavy or greasy food?病人：是的，三天前我連續(xù)參加了兩次宴會(huì)以后我就感到腹脹暴食后似乎就帶來疼痛這是發(fā)病的原因嗎?P:Yes, I went to two parties in succession three days ago. I felt bloated. Heavy eating seems to bring on the p

34、ain. Could this be the reason for it?39膽石病 醫(yī)生：暴飲暴食可以引起這些癥狀 你的皮膚和眼球發(fā)黃過嗎?D:overeating or drinking too much can cause these symptoms. Have your skin and eyeballs turned yellow?病人：沒有P:No.醫(yī)生：你的大便的顏色變淺過嗎?D:Have your stools been light in color?病人：是的，昨天我發(fā)現(xiàn)我的大便是沙土色的 P:Yes, I found my stool was a sandy color

35、yesterday. 40膽石病 醫(yī)生：你的尿色深嗎?D:Has your urine been dark?病人：是的，象茶一樣P:Yes, just like tea.醫(yī)生：讓我給你檢查一下請(qǐng)?zhí)上路潘缮詈粑每雌饋砟阆笫悄懯Y我們給你照一X線片以明確診斷D:Let me examine you. Please lie down. Relax. Take a deep breath. Fine. You may have gallstones. Well do an x-ray to see if thats so.41膽石病 病人：需要做手術(shù)嗎?P:Would an operation be

36、 necessary?醫(yī)生：在沒有看到X線片和試驗(yàn)結(jié)果之前，我還不能做結(jié)論你最好住幾天院以便觀察D:I cant say until Ive seen the x-rays and done some tests. Youd better come into hospital for a few days of observation.42Coma, Extradural Hemorrhage Women: Doctor, my husband tripped and fell, hitting his head quite hard. He has a headache, so I thou

37、ght Id better bring him in and see whats wrong with him.Doctor:When did it happen?W:This morning. About two hours ago.D:Does he have high blood pressure or diabetes?W:No.43Coma, Extradural HemorrhageD:Did he lose consciousness after the injury?W:Yes, he did. He blacked out for about half an hour. Th

38、en he regained consciousness.D:(asking the patient) Do you remember how you were injured?P:Oh, oh. (patient vomits)D:Well, he is unconscious again now. Has he been vomiting all the time before coming to hospital?W:Yes.44Coma, Extradural HemorrhageD:Now, let me have a look at him. The pupil on the ri

39、ght is dilated and does not react to light. Theres no reaction to pain in the left extremities. Im afraid your husband has torn a blood vessel when he hit his head, and the blood is compressing his brain, causing his present condition. Ill talk over his problem with the neurosurgeon and decide what

40、to do.W:Thank you, Doctor. Im so worried. Do you think my husband will live? 45Coma, Extradural HemorrhageD:Dont worry. Well do everything we can to save him. Ive just finished talking to the neurosurgeon. Your husband is in a coma due to extradural hemorrhage. In order to save him, we think we shou

41、ld operate on him. (In order to be more certain what has happened to him, a lumbar puncture is necessary). We need your permission to do this.W:Anything you say, Doctor, as long as he gets well.46Coma, Extradural HemorrhageD:Well, the operation has certain risks with the anesthetic and your husband

42、may not be able to stand the operation. Post-operative complications could also occur. But well do all we can for him.W:Yes, I understand. Please help him. I agree to the operation. D:Well. Could you sign this paper to give your consent for the operation? I think everything will be all right.47Coma,

43、 Extradural HemorrhageW:Shall I stay here?D:If you want to, you can wait, and Ill let you know the result of the surgery. (Please wait in the sitting room. Ill keep you informed of what is going on).48Intestinal Obstruction Patient:Doctor, Ive had abdominal pains and vomiting for the past three days

44、.Doctor:What kind of a pain is it?P:Like colic, with spasms every 4 or 5 minutes.D:When did the vomiting first start?P:Two days ago. Ive had about five bouts of nausea and vomiting up to now.49Intestinal Obstruction D:How about your bowel movement?P:Nothing for two days.D:Any wind?P:No, not since la

45、st night.D:Have you ever had any abdominal surgery?P:I had my appendix out, but that was a long time ago.50Intestinal Obstruction D:Have you had anything like this before?P:No, its the first time.D:Now, please lie on your back, bend your knees and relax. Let me examine you. Im afraid you have an int

46、estinal obstruction. Well do some x-rays to confirm this.P:Will an operation be necessary?51Intestinal Obstruction D:Since you have a fever and some muscle rigidly in the abdomen, there is the possibility of intestinal strangulation. Immediate surgery is necessary.P:Is there any danger?D:No, dont wo

47、rry, just leave everything to us. Everything will be all right. 52Hemorrhoids (Piles) Patient:I bleed quite a bit when I have a bowel movement. Im really worried about it.Doctor:What color is the blood?P:Its bright red.D:Is it mixed with the stool?P:No, it isnt.D:Do you have constipation often?P:Yes

48、, all the time.53Hemorrhoids (Piles) D:Have these been any change in the pattern of your feces?P:No.D:Now, lets have a look at you. Please undress and lie in the knee-elbow position. Im going to examine you with an analscope. Youve got hemorrhoids and a prolapse of the rectal mucosa.P:Is there any w

49、ay to cure it? If possible, Id rather not have an operation.54Hemorrhoids (Piles) D:Dont worry. Heres a prescription. Use the suppositories and laxative. The bleeding should stop in two or three days. P:Anything else I should do?D:Eat more fruit or vegetables. Sit in warm water when you feel pain an

50、d if possible, avoid alcohol and spicy food.P:Thank you. Ill follow your advice.55Tumor of the Breast Doctor:Is there anything worrying you?Patient:Yes, I have a lump (mass) in my left breast.D:How long have you felt it?P:About three weeks.D:Have you had any pain in this area, especially during mens

51、truation?P:No.56Tumor of the Breast D:Have you had any accident to this area?P:No.D:Have you had any discharge from it or any itching of the nipple?P:No.D:Have you noticed any swelling under your left armpit?P:No.57Tumor of the Breast D:Has anyone in your family ever had a lump or tumor of the breas

52、t?P:No, not that I can remember.D:Do you mind if I examine you briefly?P:No, not at all.D:Would you please take off your blouse. Thats fine. Sit up straight. Now rest your arm on mine. Let me examine your armpit. Put your right arm over your head. Now lets do the same with the left. Good. Thats all.

53、 How old are you?58Tumor of the Breast P:Im fifty. Is serious?D:No. Nothing serious. Just a cystic disease of the breast (Adenofibroma). Its a benign hormone-dependent disease. Do you have any relatives here?P:Yes. My husband is just outside, shall I ask him to come in?D:Yes. Will you please go to the laboratory to check up a white blood cell count? 59Tumor of the Breast Doctor to patients husband: As you kn