《医学英语情景会话训练范例-clinicaldialogues(1)》由会员分享，可在线阅读，更多相关《医学英语情景会话训练范例-clinicaldialogues(1)（104页珍藏版）》请在金锄头文库上搜索。
1、Clinical Dialogues,Part 1. Woman complained of tightness in abdomen associated with belching(嗳气) wind which did not relieve feeling. Symptoms usually began between 5 and 6 p.m. lasting several hours. Relieved by white mixture. (D=Doctor, P=Patient),D: Does the pain come on in the night? come on: to
2、start If a cold, headache, or some other medical condition is coming on, it is just starting. e.g. I felt a cold coming on. 我觉得开始感冒了。 P: Not often.,D: When it comes on, do you get up? P: Yes, I get up and walk around and it relieves.,Pain,I have a headache. I have a splitting headache. （我头痛得像要裂开了。）
3、I have a stomach-ache. I feel a dull pain in the stomach. I seem to have pain all over. （我似乎浑身都痛。） Im aching all over. （我浑身都痛。）,Its a dull sort of pain, and I dont know whats causing it. Its not a sharp pain; just sort of a dull ache. It all began yesterday. It started two days ago. It came on last
4、night. It hurts terrible. （痛得很厉害。）,Its been hanging about for nearly a week. （这已经持续了将近一个星期了。） It keeps hanging on. （这老是不好。） It sort of hung on. （这似乎不见好。） Or: Just off and on. （就是时断时续。） Ive got a pain in my back. （背疼）,My eyes have been sore. （眼睛发痛） My left foot hurts. My tooth is aching up again. I f
5、eel shivery and Ive got a sore throat. （我觉得怕冷发抖，而且喉咙疼痛。） The pains been keeping me awake.,D: Does anything but the white mixture help it? P: Ive been on a strict diet for six months. I never touch milk.,on a diet: If you are on a diet, you are eating special kinds of food because you want to lose we
6、ight. （为减肥）节食 touch: If you do not touch a particular kind of food or drink, you never eat it or drink it. 吃；喝 e.g. Drink? No, she never touches the stuff. 喝酒？不，他从不喝这种东西。,D: Does any position help you? P: No, It comes on after tea, about five. I have my main meal midday. D: Have you been sick? （你呕吐过
7、吗？） (=Any vomiting?) P: Only at the beginning I was very sick then.,A sick person has an illness or some other problem with their health. To be sick means to bring up food through your mouth from your stomach. e.g. I think Im going to be sick.,Note that “George is being sick” means “George is bringi
8、ng up food from his stomach”; “George is sick” means “George is ill”. However, “George was sick” can mean either “George brought up food from his stomach” or “George was ill”.,Vomit has the same meaning as “be sick”. Vomit is a fairly formal word. e.g. She was stricken with(被.折磨) pain and began to v
9、omit. Throw up: In conversation, some people say throw up instead of “be sick”. e.g. I think Im going to throw up. Ive been throwing up. 我一直呕吐。,D: Do you feel sick?（恶心吗？） (= Have you got any feeling of nausea?) (=Are you feeling nausea?),P: Yes, I feel sick but I cant be sick. （我经常恶心，但不再呕吐。） Feel si
10、ck: To feel sick means to feel that you want to be sick. e.g. Flying always makes me feel sick.,Note: ILL and sick are both used to say that that someone has a disease or some other problem with their health. e.g. Davis is ill. Your uncle is very sick. A sick child ,Most British speakers do not use
11、ill in front of a noun unless they are also using an adverb(副词). For example, they do not talk about “an ill woman”, but they might talk about “a seriously ill woman”. a terminally ill patient.,American and Scottish speakers sometimes use ill in front of a noun without using an adverb. We had to get
12、 medical help for our ill sisters.,D: Does the pain go through to the back? P: No, but it goes under my armpits. （腋下） D: Whats your weight been doing? （你的体重最近怎样？） (=Have you lost weight recently?) P: Ive lost one and half stone but Ive been on a fat-free diet for six months. (or: My weight fell from
13、 65kg. to 50 kg.),Stone: a unit of weight in Great Britain, 14 pounds (6.4 kilograms) 英石英国重量单位，等于14磅(6.4公斤）,D: Whats your appetite like?（你的胃口怎样？） (=How about your appetite?) (=Do you have any appetite?),Whats (your)/(the) ? / What seems to be the ? Whats your appetite like?,Whats your complaint? (你有
14、什么不舒服？) =Whats your trouble? =Whats the trouble? =Whats bothering you? =What seems to be bothering you?,=What do you complain of? =Whats the matter with you? =What seems to be the matter? =Whats wrong with you? =What hurts you? =What seems to be the problem? =What seems to be the trouble?,P: Poor as
15、 ever. (=Ive got a bad appetite.) D: What about your bowels? （大便如何？） (=Are your bowels acting properly?) (=Are your bowels regular?) P: I go twice a day, in the morning.,D: Is this a life-long habit? P: Yes. D: What do the motions look like? Well-formed, firm? （大便什么形状？成形，坚实吗？） P: Yes. D: What about
16、the color? Has it changed? P: No.,D: Are they dark? P: Yes. D: Any sign of blood? P: No. D: Do they float on the water when you flush the lavatory? （你冲洗厕所时，它漂浮在水面上吗？） P: No.,D: Have you noticed an unpleasant smell? P: No. D: Have you noticed any difference in your water?（你排尿有无异常？） P: No. D: Do you have to get up in the night?（你夜间起来上厕所吗？） P: Once.,D: Your water hasnt been darker? P: No. D: Do you smoke? P: 10 a day. D: Do you dri
