医学英语对话

1 1. 1. Asking a patient about his Asking a patient about his illnessillness Any vomiting?Any vomiting? Are you feeling all right?Are you feeling all right? Are you feeling well?Are you feeling well? Are you feeling nausea?Are you feeling nausea? 2 II Have you had this experience before?Have you had this experience before? II Have you got any chronic diseases in the Have you got any chronic diseases in the past?past? II Have you got any feeling of nausea?Have you got any feeling of nausea? II Have you lost weight recently?Have you lost weight recently? II Have you taken anything for it?Have you taken anything for it? 3 II Are your bowels acting properly?Are your bowels acting properly? II Are your bowels regular?Are your bowels regular? II Did you have pains here before?Did you have pains here before? II Do you cough?Do you cough? II Do you feel short of breath sometimes?Do you feel short of breath sometimes? II Do you feel shortDo you feel short--winded?winded? II Do you feel tired?Do you feel tired? II Do you have any appetite?Do you have any appetite? II Do you have difficulty breathing?Do you have difficulty breathing? II Does it hurt?Does it hurt? 4 II How about your appetite?How about your appetite? II How bad is it?How bad is it? II How far pregnant are you?How far pregnant are you? II How long has it been this way?How long has it been this way? II How long has this been going on?How long has this been going on? II How long have you been ill?How long have you been ill? II How long have you been like this?How long have you been like this? II How long have you had it?How long have you had it? II How long have you had this trouble?How long have you had this trouble? 5 6 7 II How are you feeling now?How are you feeling now? II How is your rheumatism?How is your rheumatism? II How is your sleep?How is your sleep? II Is the cut still painful?Is the cut still painful? II Since when have you been feeling like this?Since when have you been feeling like this? IIWhat did you eat yesterday?What did you eat yesterday? IIWhat sort of pain do you get there?What sort of pain do you get there? IIWhatWhat’’s wrong with your ear?s wrong with your ear? IIWhatWhat’’s your appetite like?s your appetite like? 8 IIWhat do you complain of?What do you complain of? IIWhatWhat’’s your complaint?s your complaint? IIWhat hurts you?What hurts you? IIWhatWhat’’s the trouble?s the trouble? IIWhatWhat’’s troubling you?s troubling you? IIWhatWhat’’s your trouble?s your trouble? IIWhatWhat’’s the matter with you?s the matter with you? IIWhatWhat’’s wrong with you?s wrong with you? IIWhatWhat’’s bothering you?s bothering you? IIWhat seems to be bothering you?What seems to be bothering you? 9 IIWhat seems to be the matter?What seems to be the matter? IIWhat seems to be the problem?What seems to be the problem? IIWhat seems to be the trouble?What seems to be the trouble? IIWhen did the pain start?When did the pain start? IIWhen did you begin feeling unwell?When did you begin feeling unwell? IIWhich tooth is troubling you?Which tooth is troubling you? IIWhy is that?Why is that? II Your case record, please.Your case record, please. II YouYou’’re suffering from an allergy?re suffering from an allergy? 10 2. 2. Telling a doctor how you feelTelling a doctor how you feel About a week now.About a week now. About five days running already.About five days running already. I canI can’’t life my right arm.t life my right arm. 11 II I cough a great deal at night.I cough a great deal at night. II I donI don’’t feel like eating anything.t feel like eating anything. II I feel a bit I feel a bit off coloroff color.. II I feel a pain in my left leg.I feel a pain in my left leg. II I feel absolutely rotten.I feel absolutely rotten. II I feel chilly.I feel chilly. II I feel dizzy and II feel dizzy and I’’ve got no appetite.ve got no appetite. II I feel feverish.I feel feverish. II I feel hot and cold.I feel hot and cold. II I feel like II feel like I’’m burning up.m burning up. 12 II I feel like vomiting.I feel like vomiting. II I feel sick.I feel sick. II I feel poorly.I feel poorly. II I feel rather unwell.I feel rather unwell. II I feel very bad.I feel very bad. II I feel so ill.I feel so ill. II I feel shivery and II feel shivery and I’’veve got a sore throat.got a sore throat. II I feel a dull pain in the stomach.I feel a dull pain in the stomach. II I just feel all I just feel all pooped outpooped out.. II I keep feeling dizzy.I keep feeling dizzy. 13 II I really feel terrible.I really feel terrible. II I have a headache.I have a headache. II I have a splitting headache.I have a splitting headache. II I have a stomachI have a stomach--ache.ache. II I have a stuffedI have a stuffed--up nose.up nose. II I seem to have pain all over.I seem to have pain all over. II I think II think I’’m dying.m dying. II I tried some sleeping pills, but they have I tried some sleeping pills, but they have done nothing for me.done nothing for me. II II’’m a bit stuffed up.m a bit stuffed up. 14 II II’’m aching all over.m aching all over. II II’’m afraid Im afraid I’’ve got a temperature.ve got a temperature. II II’’m feeling rather m feeling rather out of sortsout of sorts these days.these days. II II’’m having some trouble sleeping.m having some trouble sleeping. II II’’m suffering from m suffering from insomniainsomnia.. II II’’m rather sick.m rather sick. II II’’m running a fever.m running a fever. II II’’m running a temperature.m running a temperature. II II’’m m under the weatherunder the weather.. 15 II It all began yesterday.It all began yesterday. II It came on last night.It came on last night. II It hurts terrible.It hurts terrible. II It keeps It keeps hanging onhanging on.. II It It sort ofsort of hung on.hung on. II It started two days ago.It started two days ago. II ItIt’’s a dull sort of pain, and I dons a dull sort of pain, and I don’’t know t know whatwhat’’s causing it.s causing it. II ItIt’’s been s been hanging abouthanging about for nearly a week.for nearly a week. II ItIt’’s not a sharp pain; just sort of a dull ache.s not a sharp pain; just sort of a dull ache. 16 II II’’ve been having pains in my chest recently.ve been having pains in my chest recently. II II’’ve been losing sleep.ve been losing sleep. II II’’ve been sneezing all day.ve been sneezing all day. II II’’ve been ve been throwing upthrowing up.. II II’’ve got a bad appetite.ve got a bad appetite. II II’’ve got a humming.ve got a humming. II II’’ve got a pain in my back.ve got a pain in my back. II II’’ve had two more movements this morning.ve had two more movements this morning. II II’’ve taken some aspirin, but it didnve taken some aspirin, but it didn’’t help t help much.much. 17 II Just off and on.Just off and on. IIMy back is giving me a bit of trouble.My back is giving me a bit of trouble. IIMy eyesight is falling.My eyesight is falling. IIMy eyes have been sore.My eyes have been sore. IIMy left foot hurts.My left foot hurts. IIMy legs have not been right lately.My legs have not been right lately. IIMy right eardrum has become infected.My right eardrum has become infected. IIMy stomach is upset.My stomach is upset. IIMy tooth is acting up again.My tooth is acting up again. IIMy weight fell from 60 kg. to 50 kg. My weight fell from 60 kg. to 50 kg. 18 IIMy whole body feels weak.My whole body feels weak. II One of my teeth troubles me.One of my teeth troubles me. II One of my upper teeth is loose and aching.One of my upper teeth is loose and aching. II The painThe pain’’s been keeping me awake.s been keeping me awake. II ThereThere’’s a bitter taste in my mouth.s a bitter taste in my mouth. II This tooth on the lower jaw is sensitive to This tooth on the lower jaw is sensitive to cold and hot.cold and hot. 19 3(. 3(. Examining a patientExamining a patient (A blood test is necessary.(A blood test is necessary. Any pain here?Any pain here? Breathe deeper, please.Breathe deeper, please. 20 II Cough. Now again.Cough. Now again. II Do you have any pain here?Do you have any pain here? II Does it hurt here?Does it hurt here? II Does it hurt when I press here?Does it hurt when I press here? II Does it hurt when I touch it here?Does it hurt when I touch it here? II Go and have your chest XGo and have your chest X--rayed.rayed. II How does it feel?How does it feel? II I think weI think we’’d better give you a few tests.d better give you a few tests. II II’’ll have your temperature taken.ll have your temperature taken. II II’’m going to take a throat culture so wem going to take a throat culture so we’’ll ll know for sure.know for sure. 21 II Let me check your lungs and heart.Let me check your lungs and heart. II Let me examine your stomach.Let me examine your stomach. II Let me feel you pulse.Let me feel you pulse. II Let me listen to your heart and lungs.Let me listen to your heart and lungs. II Let me sound your lungs.Let me sound your lungs. II Let me take your blood pressure.Let me take your blood pressure. IIMay I take your blood pressure?May I take your blood pressure?’’ II Lie down on the couch there. Let me Lie down on the couch there. Let me examine your belly.examine your belly. II Now breathe in. A deep breath.Now breathe in. A deep breath. 22 II Now let me just see.Now let me just see. II Now slip off your coat and shirt, please.Now slip off your coat and shirt, please. II Open your mouth and say Open your mouth and say ““AhAh””.. II Open your mouth please, and show me your Open your mouth please, and show me your tongue.tongue. II Please go and take a stool test.Please go and take a stool test. II Put this thermometer under your tongue.Put this thermometer under your tongue. II Roll your sleeves up.Roll your sleeves up. II Show me where it hurts.Show me where it hurts. II Slip your shoes off and hop up on the bed.Slip your shoes off and hop up on the bed. 23 II Strip to your waist, please.Strip to your waist, please. II Take a breath, please.Take a breath, please. II Take your blood count first, please.Take your blood count first, please. II The gums are swollen.The gums are swollen. II ThereThere’’s some respiratory murmur in your s some respiratory murmur in your heart.heart. II Unbutton your shirt and let me listen to Unbutton your shirt and let me listen to your lungs.your lungs. IIWell, IWell, I’’d better take your blood pressure.d better take your blood pressure. IIWell, letWell, let’’s see.s see. 24 IIWell, letWell, let’’s take an Xs take an X--ray of your chest.ray of your chest. II You must have an electrocardiograph You must have an electrocardiograph examination.examination. II Your blood pressure is normal.Your blood pressure is normal. II Your pulse is a bit fast.Your pulse is a bit fast. II Your tongueYour tongue’’s rather coated.s rather coated. II Your tongueYour tongue’’s thickly furred.s thickly furred. II YouYou’’re to have a blood test.re to have a blood test. II YouYou’’ve got a faint murmur of the heart.ve got a faint murmur of the heart. 25 A slight infection.A slight infection. An operation is needed to remove An operation is needed to remove your tonsils.your tonsils. 4. 4. Diagnosing and treatingDiagnosing and treating 26 II By the look of it, it should be a rash.By the look of it, it should be a rash. II By the sound of it, itBy the sound of it, it’’s bronchitis.s bronchitis. II I donI don’’t think itt think it’’s anything serious.s anything serious. II I should say youI should say you’’ve caught cold.ve caught cold. II I should think youI should think you’’ve got the flu.ve got the flu. II I think you need a shot to deaden the pain I think you need a shot to deaden the pain first.first. II If your recovery goes on like this, you can If your recovery goes on like this, you can leave in three days.leave in three days. II II’’ll give you an injection first.ll give you an injection first. II II’’ll give you a shot, Ill give you a shot, I’’m afraid.m afraid. 27 II II’’m afraid an urgent operation is necessary.m afraid an urgent operation is necessary. II II’’m afraid youm afraid you’’ll have to be operated on for ll have to be operated on for appendicitis.appendicitis. II It could be a case of TB.It could be a case of TB. II It looks as if itIt looks as if it’’s scarlet fever.s scarlet fever. II It looks like measles.It looks like measles. II It sounds as if youIt sounds as if you’’ve caught cold.ve caught cold. II It sounds like bronchitis.It sounds like bronchitis. II ItIt’’s an acute case.s an acute case. II ItIt’’s inflammation of the skin.s inflammation of the skin. 28 II ItIt’’s not so serious as it seems.s not so serious as it seems. II ItIt’’s nothing but a little infection in the s nothing but a little infection in the finger tip.finger tip. II ItIt’’s nothing serious, but yous nothing serious, but you’’d better stay in d better stay in bed.bed. II Let me give you a needle to numb the tooth.Let me give you a needle to numb the tooth. II Nothing serious.Nothing serious. II The tooth will have to be taken out.The tooth will have to be taken out. II The XThe X--ray shows a fractured ankle.ray shows a fractured ankle. II ThereThere’’s a bad virus going around here and s a bad virus going around here and thatthat’’s probably what it is.s probably what it is. 29 II ThereThere’’s a marked improvement in your s a marked improvement in your condition.condition. II ThereThere’’s nothing to be alarmed about.s nothing to be alarmed about. II The infection may lead to respiratory The infection may lead to respiratory complications.complications. IIWell, it could be a simple sprain. But I think Well, it could be a simple sprain. But I think to be on the safe side, we ought to have it Xto be on the safe side, we ought to have it X-- rayed.rayed. II You must be hospitalized right now.You must be hospitalized right now. II You must have your appendix removed.You must have your appendix removed. 30 II You must have your tooth extracted.You must have your tooth extracted. II You need an injection.You need an injection. II You probably have contracted the flu.You probably have contracted the flu. II You seem to have picked up some kind of You seem to have picked up some kind of infection.infection. II YouYou’’ll be all right soon.ll be all right soon. II YouYou’’ll be treated for a fracture of the bone.ll be treated for a fracture of the bone. II YouYou’’ll get over it soon.ll get over it soon. II YouYou’’ll have an immediate operation.ll have an immediate operation. II YouYou’’ll have to be operated on.ll have to be operated on. 31 II YouYou’’ll have to have your decayed tooth ll have to have your decayed tooth pulled out.pulled out. II YouYou’’ll have to stay in the hospital for ll have to stay in the hospital for observation for two days.observation for two days. II YouYou’’ll recover in two or three days.ll recover in two or three days. II Your case is not very serious.Your case is not very serious. II Your left thumb suffers a Your left thumb suffers a comminuted comminuted fracturefracture.. II Your rheumatism should take a course of Your rheumatism should take a course of treatment for about a month.treatment for about a month. 32 II YouYou’’re suffering a heart disease, Ire suffering a heart disease, I’’m afraid.m afraid. II YouYou’’ve got a drop of fever.ve got a drop of fever. II YouYou’’re running a temperature.re running a temperature. II YouYou’’ve got the flu, but not very serious.ve got the flu, but not very serious. 33 5. 5. Giving prescription and adviceGiving prescription and advice A change of diet may do you good.A change of diet may do you good. A good sleep may help you pick up A good sleep may help you pick up flesh.flesh. 34 II Administer the ointment once everyday.Administer the ointment once everyday. II Apply this tube of jelly three times a day.Apply this tube of jelly three times a day. II Are you allergic to any medication?Are you allergic to any medication? II Avoid greasy foods.Avoid greasy foods. II Be careful to your diet.Be careful to your diet. II Be sure to keep warm and rest.Be sure to keep warm and rest. II Come back and see me in two weeks if Come back and see me in two weeks if youyou’’re not feeling better.re not feeling better. II Cut down on your drinking.Cut down on your drinking. II Do not smoke.Do not smoke. 35 II DonDon’’t overdo things.t overdo things. II DonDon’’t strain yourself too much.t strain yourself too much. II Drink more hot water.Drink more hot water. II Drink more liquids and take the medicine I Drink more liquids and take the medicine I prescribed.prescribed. II Drink plenty of water.Drink plenty of water. II Drink this mixture four times a day, one Drink this mixture four times a day, one measure each time.measure each time. II Electrical treatments will be good for your Electrical treatments will be good for your rheumatism.rheumatism. 36 II Fatty food will do you harm.Fatty food will do you harm. II Get plenty of exercise.Get plenty of exercise. II Go home and rest for at least three or four Go home and rest for at least three or four days.days. II Have a good rest.Have a good rest. II HereHere’’s a prescription for some medicine.s a prescription for some medicine. II HereHere’’s a prescription for you. Please take s a prescription for you. Please take the medicine according to the instruction.the medicine according to the instruction. II HereHere’’s a prescription. Have someone to get s a prescription. Have someone to get it filled.it filled. 37 II Here is a prescription. IHere is a prescription. I’’d like you to take d like you to take one of these pills three times a day.one of these pills three times a day. II HereHere’’s a sicks a sick--leave certificate for three leave certificate for three days.days. II I can prescribe some pills which will I can prescribe some pills which will relieve the pain, but yourelieve the pain, but you’’d be well advised d be well advised not to overwork yourself.not to overwork yourself. II I suggest you take Chinese traditional I suggest you take Chinese traditional medicines.medicines. II I think a month at a health resort will do you I think a month at a health resort will do you good.good. 38 II I think this gargle will relieve your sore I think this gargle will relieve your sore throat.throat. II If your fever lingers, come to me again.If your fever lingers, come to me again. II II’’ll give you a dose of streptomycin.ll give you a dose of streptomycin. II II’’ll give you some tablets.ll give you some tablets. II II’’ll just give you a prescription.ll just give you a prescription. II II’’ll make up a prescription for you.ll make up a prescription for you. II II’’ll prescribe a bottle of cough syrup for you.ll prescribe a bottle of cough syrup for you. II ItIt’’ll keep the swelling down.ll keep the swelling down. 39 II Keep away from the draught.Keep away from the draught. II Keep to your bed, and try to have more Keep to your bed, and try to have more water.water. II Keep warm and take a hot bath before Keep warm and take a hot bath before going to bed.going to bed. II Let me prescribe some medicine for you.Let me prescribe some medicine for you. II One tablet each time, three times a day One tablet each time, three times a day after meal.after meal. II Put a plaster on the sore once a day.Put a plaster on the sore once a day. II Put this lotion on every four hours.Put this lotion on every four hours. 40 II Rub in this cream once a day.Rub in this cream once a day. II Stay away from work till Monday, and donStay away from work till Monday, and don’’t t overdo things.overdo things. II Stay in bed and rest.Stay in bed and rest. II Take a dose three times a day.Take a dose three times a day. II Take curative