医学英语情景会话实战

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 sick 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 pulse…a little fast.

Give me the thermometer. Do I have a fever? Just a little.

Unbutton your shirt and let me listen to your 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 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 in

examinations, 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 is 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?

We’re 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 shouldn’t do?

You 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. It’s 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 ward 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 Wang’s service in the Department of Inte rnal 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. Please get the blood-transfusion equipment ready immediately. I’ll give her a blood t ransfusion at once.

All right. I’ll 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.

I’ve just telephoned to ask them, but they say there is no blood avail able for

this patient. What shall we do now?

Please tell the patient’s relatives to come to the hospital and donate blood to her.

I’ll talk over with them at once.

Let’s go to make the morning ward-round. (查房)

The beds in this ward look untidy. Please charge the bedding today.

Let us make up (铺好)Bed 2 now.

The patient is in danger and it’s necessary to take his pulse, respiration and blood pressure.

All right. I’ll take them every hour.

If the patient’s cond ition becomes worse, send for me immediately, please.

I’ll surely do so.

There is oozing of blood (渗血) form the patient’s 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, I’ll get the instruments and dressing ready for you.

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.

Doctor, 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 can’t quiet her.

Here is an ampoule of Sodium Luminal. Give it intramuscularly（肌注）at once. It will quiet her.

When did that patient die?

He died at midnight.

When will this patient go home?

He’ll go home tomorrow or the day after tomorrow.

Have those instruments been used?

Yes, they’ve been used, but I have cleaned and sterilized th em.

Is this medicine to be taken by mouth?

The medicine in this bottle is poisonous. Don’t drink it. It’s 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 patient’s bowels haven’t moved (未排大便)for three days.

I’ll 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 patient’s condition is very critical and he has been in a state of coma.

I’ll let his relatives know by telephone.

The patient’s life is in danger, but we’ll do everything possible to save him. Head nurse, please get the emergency drugs ready before you go off duty.

All right. I’ll 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, I’ve no appetite. 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.

How 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? It’s like burning. When dose it feel most painful? At midnight.

Did you vomit? Yes.

What 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 day.

You should avoid tobacco, alcohol, excessive coffee

and irritant foods. They’ll 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 shouldn’t take meat and greasy foods.

You should take easily digestible foods.

Here is your prescription.

I suggest you a week’s 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 don’t know.

How did you feel before the appearance of jaundice? I had no appetite 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, it’s very painful. You should be admitted to hospital. (住院治疗)

2．呼吸系统疾病

What trouble do you have? I have trouble with my chest.

Is it v ery long since you had trouble with your chest? No, it’s not very long. It’s 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, I’ve become m uch thinner in these two days

Do 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 yellow.

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 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 become more intensive at

the 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 you 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

when it is cold.

Do you have night sweats? No, I don’t.

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 same 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 fit

of 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 fainting? 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 have 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 h ave swollen ankles? Yes, I have. I’ve

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 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 crawling feeling (蚁走感) here? No, I don’t 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 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 don’t.

Do you sense the prick? No, I don’t 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, 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 much after being wounded? Yes, I swooned, but not

very long.

Could you walk along after that? No, I couldn’t. 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

porridge.

What colour was the vomited matter? It was white with a

little red.

Did your nose bleed? No, it didn’t 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 there any blood in your stool? No, I didn’t 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 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 have become much

thinner in the last few

weeks.

Move your fingers.

Bend your back

Point 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 won’t amputate your arm.

I’ll just make an incision on your 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 for

treatment every other day at 2 o’clock in the afternoon.

You have recovered.

You may resume your work now.

五、在药房

Is this the pharmacy? Yes, 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 shouldn’t be taken with

this medicine? No, ther e isn’t any. How should I take those tablets? Take one tablet when

necessary.

The next, please.

Here is the prescription. I’m sorry, but we don’t

have this medicine.

Please ask the doctor

whether it can be

replaced by another

medicine.

Or you may buy it

from a drug store.

I’ll ask the doctor.This is a liquid

medicine.

One teaspoonful every

four hours.

Shake it before use. I’m 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.

Let’s put the medicaments newly received in order.

Medicaments in large quantities should be kept separately.

It is better to keep these medicaments accordin g to classification. Don’t 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’s not much stock of this medicine. We should use it with reserve. (省着

用) We’d better prepare some right now.

You’re right.

I’ll clean the apparatus.

Should we sterilize them with an autoclave?

I think so.

Pay attention to the exact dosage.

Let’s begin…well, we’ve 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 near this plate.

Fix your chest against the cassette.

Put your hands on the hips like me.

Put your elbows forward.

Now, raise your hands.

Take a breath. Breathe out.

You didn’t take anything before you came here, did you?

You have to swallow this liquid material.

Take a mouthful first.

Swallow it please.

Go to the lavatory and come back.

Take off your trousers.

Lie down on this table.

Lie on your back.

Point to the painful place.

Do you feel a pain at the place where I press you?

If I hurt you, let me know.

Hold your breath for a few seconds when I make a sign to you. That’s all.

Come back tomorrow for your film.

※厕所：Rest room （美国）

Washroom （加拿大）

Toilet （欧洲）

Lavatory （英国）

七、在检验科

I am going to take a little blood from your arm.

I’m going to prick your ear.