医学诊疗英语会话.ppt

与患者打招呼请患者描述症状收集病例临床检查通知诊断结论、治疗方案和进一步化验项目医嘱（复诊） Well now, how can I help you? Well, Mr. Rayner. What’t the trouble? What symptoms do you have? 医生问话的三个主要部分：就诊原因（含症状）、询问病史、临床体检 1. 问时间：如症状开始的时间、持续的时间、间隔的时间或频率 2. 问症状的性质和严重程度 3. 问诱因 还有别的症状吗？ Has anything else troubled you? Do you suffer from indigestion/bowel trouble/…? Have you noticed anything else? 发作，犯病 I’ve not had much trouble with that for two years. 这两年没大犯过。 Does the pain come on in the night? 夜间腹部疼痛吗？ Are you all right between spasms? 两次发作期间你感觉好吗？ I keep getting dizzy spells. 我的晕眩周期性发作。 It used to come and go but now stays put. 本来时好时坏，如今持续不好。 The appendix has burst.We’d better remove it. 询问病人的既往史 Inquiring the health history 1）What disease have you had before? 你过去得过什么疾病？ 2）Please tell me something of your past illness. 请告诉我你过去的患病情况。 3）Did you have any childhood diseases? 你小时候得过什么疾病吗？ 4）What kind of treatment did you have in the past? 你过去曾接受过什么治疗吗？ 5）Did you have any operation before? 你以前做过手术吗？ 6）Have you ever been hospitalized before? 你以前住过院吗？ 询问病人的家族史IInquiring the family history 1）Tell me something about your family. 告诉我一些关于你家庭的事。 2）Are your parents still living? 你父母还健在吗？ 4）How are your parents health? 你父母的健康状况怎么样？ 5）What was the cause of your mothers death? 你母亲的死亡原因是什么？ 6）Are there illnesses that seem to run in your family? 你家里有什么遗传病吗？ 　　 询问病人的家族史IIInquiring the family history 7）Were your parents and their parents related by blood? 你父母和祖父母是近亲结婚吗？ 8）Does anyone in your family smoke? 你家里有人吸烟吗？ 9）Has anyone in your family had the same trouble? 你家里有人得过这种病吗？ 询问病人的服药史IInquiring the medicine taken D: Have you taken any medicine? 你服过什么药吗？ P：I took some aspirin. 我服用过阿司匹林。 D: Does it help to relieve the pain? 能缓解疼痛吗？ P：No, it seems helpless. 不，似乎没什么效果。 询问病人的服药史IIInquiring the medicine taken 1）Are you taking any medicine now? 你现在服什么药吗？ 2）What kind of medicine are you taking for the problem? 你在服什