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1、朱林 沈勇Medical ConversationD: Sit down, please. P: Thank you, doctor. D: Whats wrong with you? P: I noticed my stools have been black for 2 days and I felt a little bit tired. D: Has this ever happened before? P: Never. its the first time. D: How many times did you empty your bowels? P: Once yesterday
2、, and again today.D: Whats your other trouble? did you have a stomachache? P: I often suffer from a pain in my upper abdomen when I am hungry. D: Is it always here? P: Yes, that is right. D: What kind of pain do you have? P: A burning pain. D: How long have you had this pain?P: It has been off and o
3、n for more than 2 years, but it is the worst this time. D: Under what circumstances does the pain usually appear? P: It happens when I was excited and worried about something. D: Does it happen after a meal? P: Yes. D: Please tell me how long after a meal you feel the pain? P: About one and a half h
4、ours.D: How do you usually relieve the pain? P: Generally, it can be relieved after I drink one or two cups of milk or eat some food. D: Have you ever had nausea or vomiting? P: No, I havent. D: Then, let me examine you, shall I? P: All right, doctor. D: Please lie on the bed and raise your shirt. D
5、ont be nervous. Relax your muscles, please. P: Yes, doctor. P: what do you think of the reports, doctor?D: The blood regulation is normal, but occult blood test of your stool is positive. P: What kind of disease am I suffering? Is it serious? D: You seem to have picked up a peptic ulcer according to
6、 your disease history, clinical symptoms and the lab reports. I think youd better have a gastro copy to confirm it, if you like.P: Oh, no, doctor. Im afraid of that. Itll badly hurt me. Would you please prescribe me some medicine? D: Yes, of course. But be sure to return for further examination in time if you dont feel well after the medicine. P: Thank you, doctor. D: Youre welcome.Thank you
