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[交流]
医院常用英语会话。2
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接上次第1部分 三、内科病史询问和检查 1． 消化系统疾病 Where do you feel a pain? I feel a pain in my abdomen. Point out the place where you feel a pain. Do you have a good appetite? No, I’ve no appetite. How long have you lost your appetite? For three days. What did you eat last night? Butter, bread, meat and salad. Do you have a sense of gastric distention after meals? Yes, I have a feeling of distention in my stomach after meals. Do you have a stomachache after meals? Yes, I have a bad stomachache. How long after a meal do you feel a stomachache? About half an hour. Do you feel a pain when you are hungry? Yes. May your pain be relieved if you take some food? Yes, it is a little relieved. What kind of pain do you have? It’s like burning. When dose it feel most painful? At midnight. Did you vomit? Yes. What did you vomit, food or blood? I vomited food with a little blood. Was the blood you vomited red or black? Like coffee. Do you drink wine? Yes, sometimes. Do you smoke? Yes, I do. How many cigarettes do you smoke everyday? About twenty. Did you drink coffee or tea? I drink coffee, four or five cups a day. You should avoid tobacco, alcohol, excessive coffee and irritant foods. They’ll do you much harm. Let me try to do so. I think you should make up your mind. The sooner the better. Shall I take meat? No, you shouldn’t take meat and greasy foods. You should take easily digestible foods. Here is your prescription. I suggest you a week’s leave. How many days do you think before I can resume work? I can hardly tell. Please come back after a week. How long have you had jaundice? For four or five days. Have you had jaundice before? I don’t know. How did you feel before the appearance of jaundice? I had no appetite and found I was losing weight. Do you have a disagreeable smell in your mouth? Yes, I do. Dose your nosebleed? Yes, it bleeds sometimes. Do you feel a pain in the liver? Yes, for several years. Do you feel a pain when I press hard? Yes, it’s very painful. You should be admitted to hospital. (住院治疗) 2． 呼吸系统疾病 What trouble do you have? I have trouble with my chest. Is it very long since you had trouble with your chest? No, it’s not very long. It’s two days only. Did you have chills and fever at the onset? At first, I had a chill and then a high fever. Have you become thinner? (你瘦了吗？) Yes, I’ve become much thinner in these two days Do you get tired more easily than before? Yes, I do. Do you cough? Yes, I have a severe cough. Is it a dry cough? No, I spit a little(有些痰), but not much. What is the sputum like? It is viscous. What is the color of the sputum? It was white in the beginning and it has become yellow. What is the quantity of the sputum in 24 hours? About 200 c.c. Is the sputum fetid? Yes, it is. Is there blood in the sputum? There are only a few streaks of blood mixed with the sputum. Do you feel short of breath sometimes? Yes, breathlessness occurs after coughing. Is the breathlessness continuous or in a fit? It comes in a fit. Do you feel relieved after expectoration? The suffocation disappears and my temperature becomes normal after expectoration. Do you have a severe pain in the side of the chest? Yes, I do. Point out the place where there is a thoracic pain. Dose the pain in the chest become more intensive at the time of cough or during deep respiration? Yes, it is so. Have you caught cold? (感冒) Yes, I caught cold the day before yesterday. Is your nose obstructed? Yes, it is. Have you any nasal discharge? (流鼻涕) Yes, I have much of it. It is watery. Do you sneeze? Yes, I sneeze badly. Do you have a fever? Yes, I have a high fever. Do you still have fever? Yes, I have had fever for more than three weeks. Do you have a dry cough? No, I spit mucopurulent sputum. Have you ever spit blood? No, never. Is there any relationship between your cough and the change of weather? Yes, I cough badly when it is cold. Do you have night sweats? No, I don’t. Let me listen to your chest. You should have a roentgenographic examination. 3. 循环系统疾病 Have you had rheumatism before? Yes, I had it 3 years ago. Did you have swollen knees or other swollen joints? Yes, I had swollen knees. Did you have a fever at the same time? Yes, I had a very high fever at the same time. Have you ever felt your heart beating fast? Yes, several times. Have you ever been aroused at night by a fit of oppression? Yes, I have. Did you expectorate in the course of a fit? Yes, I did, but very little. Did you have dizziness, vertigo or fainting? Yes, I did. Did you have purple lips? Yes, I did. Is it a long time since you have suffered from heart trouble? Yes, it is. Have you taken any medicine? Yes, I ’ve taken digitalis. Did you ever have a pain in the heart? Yes, I did. Sometimes the pain radiated to the left arm. What trouble did you have before you found the pain in your heart? I had rheumatic fever. Do you cough? Yes. And the pain became worsened by coughing. Do you have swollen ankles? Yes, I have. I’ve noticed my shoes are tight. You should be confined to bed. (卧床休息) 4. 神经系统疾病 Do you often have convulsive seizures? (痉挛) Yes, I do. How long dose an attack of convulsion last? The duration of an attack varies from one minute to several minutes. Do you urinate during the convulsive phase? Yes, I do. Howe long have you been paralyzed? For two weeks. Do your fingers tremble? Yes, my fingers tremble when I take something. Do you have a crawling feeling (蚁走感) here? No, I don’t have such kind of feeling. Are you liable to have vertigoes? Yes, I often have vertigoes. Do you see things clearly? No, I see them dimly as if there were a mist before my eyes. Do you sleep well? No, I fall asleep with difficulty. Do you have nightmares? Yes, I have bad dreams. Do you suffer from headache? Yes, I do. Can you read and count? Yes, I can. Move your fingers on that hand. Do you see what I am doing? No, I don’t. Do you sense the prick? No, I don’t sense it. 5. 血液系统疾病 Did you have syncope? Yes, I faint from time to time. Do you have swollen lymph nodes? Yes, I do. What is the colour of your urine? As red as blood. Do you often have bruises (瘀斑) on your limbs? Yes, I do. Do the spots occur spontaneously or after trauma? They appear spontaneously. 四、外科病史询问和检查 How were you wounded? I was wounded in a car accident. When did it happen? Three days ago. Did you bleed much after being wounded? Yes, I swooned, but not very long. Could you walk along after that? No, I couldn’t. The pain prevented me from walking. Did you vomit after being wounded? Yes, I did. How many times did you vomit? I vomited 5 times. What did you vomit? I vomited undigested food that looked like porridge. What colour was the vomited matter? It was white with a little red. Did your nose bleed? No, it didn’t bleed much. Have you urinated since being wounded? Yes, I have urinated several times already. Was there any blood in your urine? I cannot see any. But the colour of my urine was reddish. Is there any blood in your stool? No, I didn’t notice it. How are you feeling now? My wound feels very painful. Have you had this tumour long? Yes, I have had this tumour for a year. Did the tumour grow rapidly? Yes, it grew rapidly, especially during the last few months. Dose the tumour hurt you? At first I felt nothing at all, but recently it is rather painful. Have you had any wound before the appearance of this tumour? No, none at all. Do you feel pain when I press here? Yes, it feels very painful. And how do you feel when I press here? I feel a little pain. Have you become thinner recently? Yes, I have become much thinner in the last few weeks. Move your fingers. Bend your back Point out where you have a pain. Do you feel the pricking? (针刺) Yes, I feel it. You should stay in the hospital for several days. You will not amputate my arm, will you? I won’t amputate your arm. I’ll just make an incision on your involved area. (患处) Your wound is not very serious. But you should rest for several days. Here is your certificate. During the period of rest, you should come here for treatment every other day at 2 o’clock in the afternoon. You have recovered. You may resume your work now. |
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