医学英语情景会话实战

1、一、一般问诊和检查What is your name? My name is Wang Ming.Where do you live? I live in Hong Kang.How old are you? I am 40 years old.What is your occupation? I am a worker.What trouble do you have? I have a cough and a sore throat. How long have you been sick? I have been sick since yesterday.Did you fall sic

2、k abruptly or gradually? I fell sick gradually.What diseases have you had before? I had T.B.at the age of thirty-three.Here, put this thermometer under your tongue.Let me feel your pulsea little fast.Give me the thermometer. Do I have a fever?Just a little.Unbutton your shirt and let me listen to yo

3、ur chest.Breathe deeply.Open your mouth and say “Ah”.Lie down on the bed, please.Lie on your back.Loosen your waistband.Bend both legs.Relax your muscles.Does it hurt when I press here? It hurts greatly.Point to the painful place.Well, up please. May I go now?No .You have to have a blood test and a

4、chest X-ray. When shall I come back?Come back tomorrow to see the X-ray film. Thank you, doctor. See you tomorrow.The next day According to the symptoms and findings inexaminations, your disease may be diagnosed as T.B.Are your parents in good health? No, my father died of T.B.20 years ago.And how i

5、s your mother? She has been sick for a long time.Dose your mother have the same disease as your? Yes, she dose. Doctor, can this disease be cured?Were determined to try our best to cure you.Here is your prescription.You may go over there for the medicine. Is there anything I should or shouldnt do?Yo

6、u should rest properly.You had better take a walk in the open air every day.Smoking should be avoided. Thank you very much for your advice.Not at all. Its my responsibility.二、医护常用会话What class of case is the patient? （这位病人是哪科的？）She is a gynecological patient and she should go to the gynecological war

7、d on the first floor.Whose service will this patient enter? （这病人该归哪位医生治疗？）He will go to Doctor Wangs service in the Department of Internal Medicine.（该归内科王医生）Send the patient to the hospital by ambulance.Bring this patient to the emergency room for first aid quickly.The patient has copious hemorrhage

8、. Please get the blood-transfusion equipment ready immediately. Ill give her a blood transfusion at once.All right. Ill bring it to you now. Is there anything else you want?Telephone to the blood bank to ask whether there is preserved blood available for this patient.Ive just telephoned to ask them,

9、 but they say there is no blood available for this patient. What shall we do now?Please tell the patients relatives to come to the hospital and donate blood to her.Ill talk over with them at once.Lets go to make the morning ward-round. (查房)The beds in this ward look untidy. Please charge the bedding

10、 today.Let us make up (铺好)Bed 2 now.The patient is in danger and its necessary to take his pulse, respiration and blood pressure.All right. Ill take them every hour.If the patients condition becomes worse, send for me immediately, please.Ill surely do so.There is oozing of blood (渗血) form the patien

11、ts wound and the dressing is soiled. Please change it for her today.The patient in Bed 1 suffered with a severe pain last night. His left buttock is inflamed. (发炎) It is swollen, red, hot and painful. An abscess has formed. We have to incise it.Well, Ill get the instruments and dressing ready for yo

12、u.The patient has been in a state of shock. Please the patient in the head-low position. Elevate the foot of the bed. Put hot water bottles around him. Give him some fluid by intravenous drip.I think his right femur is broken. Send him to the X-ray department to make sure if there is a fracture.Doct

13、or, the condition of that patient is very poor. What are the orders for her?Give her 100ml.of 50%glucose solution by intravenous injection at once.Doctor Li, that new patient is so excited. I cant quiet her.Here is an ampoule of Sodium Luminal. Give it intramuscularly（肌注）at once. It will quiet her.W

14、hen did that patient die?He died at midnight.When will this patient go home?Hell go home tomorrow or the day after tomorrow.Have those instruments been used?Yes, theyve been used, but I have cleaned and sterilized them.Is this medicine to be taken by mouth?The medicine in this bottle is poisonous. D

15、ont drink it. Its only for external use.The new patient has a high fever.Examine her blood for malaria parasites. (疟原虫)What shall I do with the patient who has taken poison?Give him a gastric lavage immediately and then give him the antidote.The patients bowels havent moved (未排大便)for three days.Ill

16、give him a cathartic now.I am going to operate on the patient in Bed 6 tomorrow. Please shave his abdominal area and clean the skin with soap and water.The patients condition is very critical and he has been in a state of coma.Ill let his relatives know by telephone.The patients life is in danger, b

17、ut well do everything possible to save him.Head nurse, please get the emergency drugs ready before you go off duty.All right. Ill do so.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, Ive no appetite.

18、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.Ho

19、w 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? Its like burning.When dose it feel most painful? At midnight.Did you vomit? Yes.W

20、hat 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

21、day.You should avoid tobacco, alcohol, excessive coffeeand irritant foods. Theyll 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 shouldnt take meat and greasy foods.You should take easily digestible foods.Here is your pres

22、cription.I suggest you a weeks 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 dont know.How did you feel before the appearance of jaundice? I had no appet

23、ite 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, its very painful.You should be admitted to hospital. (住院治疗)2 呼吸

24、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, its not very long. Its 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, Ive become much t

25、hinner in these two daysDo 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 yello

26、w.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

27、 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 beco

28、me more intensive atthe 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 yo

29、u 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 whe

30、n it is cold.Do you have night sweats? No, I dont.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 sam

31、e 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 fitof 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 faint

32、ing? 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 hav

33、e 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. Ive 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

34、 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 cra

35、wling feeling (蚁走感) here? No, I dont 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

36、 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 dont.Do you sense the prick? No, I dont 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,

37、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

38、 much after being wounded? Yes, I swooned, but not very long.Could you walk along after that? No, I couldnt. 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

39、 porridge.What colour was the vomited matter? It was white with a little red.Did your nose bleed? No, it didnt 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 t

40、here any blood in your stool? No, I didnt 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

41、 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 hav

42、e become much thinner in the last few weeks.Move your fingers.Bend your backPoint 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 wont amputate your arm.Ill just make an incision on you

43、r 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 fortreatment every other day at 2 oclock in the afternoon.You have recovered.You may resume your work now.五、 在药房Is this the pharmacy? Yes,

44、 it is. Do you want to get some drugs?Yes, I want to buy some tablets. Please give me your prescription.Here it is. This is for oral administration. (口服药)One tablet three times daily after meals.Is there anything that shouldnt be taken withthis medicine? No, there isnt any.How should I take those ta

45、blets? Take one tablet when necessary. The next, please. Here is the prescription. Im sorry, but we dont have this medicine.Please ask the doctor whether it can be replaced by another medicine.Or you may buy it from a drug store.Ill ask the doctor.This is a liquid medicine.One teaspoonful every four

46、 hours.Shake it before use.Im told there is still a medicine for external use.Yes, here it is. Wait a minute, there are two tablets to be taken at bedtime, too.Lets put the medicaments newly received in order.Medicaments in large quantities should be kept separately.It is better to keep these medica

47、ments according to classification. Dont mix them up.Where shall I keep those toxic drugs?Lock them up in the special medicine cupboard.These are the drugs to be kept in refrigeration.Put them in the refrigerator.Give me the drugs that should be protected from moisture.Please add some desiccant.There

48、s not much stock of this medicine. We should use it with reserve. (省着用)Wed better prepare some right now.Youre right.Ill clean the apparatus.Should we sterilize them with an autoclave?I think so.Pay attention to the exact dosage.Lets beginwell, weve finished it.Seal the bottle.Write a label and stick it on the bottle.六、在放射科Let me have your case record.Take off your clothes above the waist.Stand behind the machine.Take one step forward, take another step forward.Draw n