医务人员奥运英语内科学.ppt

医务人员奥运英语 内科学 (Internal Medicine),Outline,Asking about symptoms and medical history Physical examination Diagnosis Treatment Suggestions and instructions,症状提问常用语,: Hello! I am Doctor XXX. What seems to be troubling you? (What seems to be the problem)? (How are you doing today)? (What is troubling you)?,症状常用语,Have chest pains 胸痛 Have been spitting blood 咯血 Have heart palpitations 心悸 Feel nauseous 恶心 Have been vomiting blood 呕血 Have blood in my stool 便血 Have diarrhoea 腹泻 Have a fever 发热 Feel dizzy 头晕 Feel faint 晕厥,症状提问常用语,Q: How long have you had the symptoms? (How long have you been like this?) A: About.,症状提问常用语,Q: Anything else besides fever ?(chest pain, headache, stomachache) (Is there any other problem?),症状常用语,Have chest pains 胸痛 Have been spitting blood 咯血 Have heart palpitations 心悸 Feel nauseous 恶心 Have been vomiting blood 呕血 Have blood in my stool 便血 Have diarrhoea 腹泻 Have a fever 发热 Feel dizzy 头晕 Feel faint 晕厥,症状提问常用语,Q: Do you know any possible reasons for the symptom? A: Yes, I do. I had a cold. (I had a long trip) (I had eaten greasy food),症状提问常用语,Q: In what situation do the symptoms get worse? A: They get worse when I ,症状提问常用语,Q: When are the symptoms relieved? A: They are relieved when I ,症状提问常用语,Q: You used to be very healthy, didnt you? Have you had any special diseases in the past? (heart diseases; hypertension; diabetes),症状提问常用语,： What kind of medications do you regularly take? Medication for lowering blood pressure 降压药 Hypoglycemic drugs 降糖药 Anticoagulants 抗凝血药 Pain medication 止痛药 Sleeping pills 安眠药,症状提问常用语,Q: Do you suffer from any drug allergies?,Physical Examination,I need to perform a physical examination on you now. I need to take your blood pressure Do you mind if I examination your head (heart, lung) Please open your mouth and say “ah”. Let me examination your throat. Please breathe calmly, breathe deeply, hold your breath, breathe in, and breathe out the air,Physical Examination,Let me check your heart and lungs, so please unbutton your sweater (please pull up your shirt) Please lie on your back and bend your knees. Do you feel pain when I press here? If yes, please tell me.,Diagnosis,You need to have some tests. (chest X ray, electrocardiogram, B ultrasound) You have got . You will be all right if you take the medicine regularly. At present, we are not sure whats wrong with you. First we need to do some tests and then make a diagnosis after the results come back.,各种常见病,Bronchitis 支气管炎 Pneumonia 肺炎 Asthma 哮喘 Gastritis 胃炎 Enteritis 肠炎 Stomach/duodenum ulcer 胃十二指肠溃疡 Hepatitis 肝炎 Pancreatitis 炎,各种常见病,hypertension 高血压 Coronary heart disease 冠心病 Myocardial infarction 心肌梗死 myocarditis 心肌炎 Chronic nephritis 慢性肾炎 Diabetes 糖尿病 Gout 痛风 Epilepsy 癫痫,Treatment,This is your prescription. Please go to the pharmacy for your medicine. Be sure to take the medicine according to the doctors instruction. This medicine is taken orally, two pills each time, three times a day before (after) meals.,Suggestion and instruction,Dont worry, and everything will be OK. You need to rest. Dont do too much work and avoid catching a cold. You should drink more water. (stop smoking) You should see a doctor immediately if there is any discomfort.,Internal Medicine (new words),terrible 极度的、严重的 I have a terrible headache. I feel terrible . She has a terrible temper. headache 头痛 I have a bad headache suffer from headache runny 流鼻涕的 a runny nose sore 痛的 I have a sore throat. I have a sore eye. 近义词：tender painful aching Temperature 体温、温度 have (run) a temperature take ones temperature,Internal Medicine (new words),examine examination physical examination Breathe breath exhale breathe deeply; take deep breath; feel breathless Inflame使发炎 inflammation inflamed eyes Prescription Write out a prescription; a prescription for a cough Antibiotic Symptom,Internal Medicine (New words),Stomach; stomachache胃痛; 肚子痛 I have a stomachache Vomit呕吐 The unpleasant smell made her sick and she began to vomit. palpitation心悸 diarrhoea腹泻 Dizzy 头晕 Greasy 油腻的; 多脂的 Too much greasy food isnt good for you. Indigestion n. 消化不良,Neurology (new words),Insomnia 失眠症，失眠 Drepressed 抑郁的，沮丧的，精神不振的 Pressure 压力 Nervous 精神紧张的，不安的 Relax 放松,Insomnia,P: Doctor, I have been suffering from insomnia recently and it makes me feel depressed. D: How long has this been going on? P: Ever since the beginning of the Olympic Games. D: Then, you must be an athlete.,Insomnia,P: Yes, I am an athlete. I like everything about Beijing. But it is my first time in the Olympic Games and I am worried about my performance. D: I can understand. As an athlete, you are under a great deal of pressure to achieve the best results, and as a result, you are quite nervous and you can not fall asleep, right? P: Yes, what should I do?,Insomnia,D: Well, I can give you some medicine to help you sleep better, but I think i