医学英语问诊ppt课件.ppt

* * 问诊用语 医生： 1. Hello,may /can I help you？ Sit down，please. Whats the trouble? Whats the problem? Whats troubling you? Whats the matter (with you)? What`s wrong (with you)? Whats bothering you? What`s your complaint? 2. Do you have a record？ When did it happen? When did the trouble start? When did the symptom begin？ 　When did you first notice it? How long have you been like this? How long have you been feeling like this? When did the pain start? When did your diarrhea start? 3. Where is your pain? What kind of pain do you feel? Have you seen anybody about it? What kind of treatment have you had before you came here? 4. Do you mind if I examine you briefly? All right. Let me examine you. Would you mind taking off your coat？ I`ll run some tests on you. 我要给你做些化验 Try not to blink. Take a deep breath，please. Breathe in deeply. That`ll do.好了。 　Now take a breath. 　Now take a deep breath with your mouth open. 　Now turn around，please. Take it easy and don`t move. Show me your tongue，please. 病人主诉： 1. I feel under the weather. 我不舒服，生病了。 I have a headache, nausea and vomiting. 我觉得头痛、恶心、想吐。 My head is pounding. 我头痛。 I feel light-headed. 我觉得头晕。 I feel drowsy, dizzy and nauseated. 我觉得昏昏欲睡，头晕目眩，还想吐。 I feel as though everything around me is spinning. I feel exhausted most of the time. 我大部份时间都觉得非常疲倦。 I feel unusually tired. 我感到反常的疲倦。 2. Urinating after an operation is very hard.手术后排尿很困难。 I havent had much energy for some time. 我感到虚弱有段时间了。 I have been staying in for a few days. 我生病在家几天了。 My symptoms include loss of appetite, weight loss, excessive fatigue, fever and chills. 我的症状是没有食欲、体重减轻、极度疲倦、发烧和发冷。 医生问诊： 1. Have you had any chills （chest pain）？您有发冷（胸痛）吗 　Have you ever coughed up blood？您咳血吗？ Do you bring anything up when you cough？咳嗽时有痰吗 Is there a sense of distension and numbness？你有胀和麻木的感觉吗 What did you vomit， food or bloo