医疗英语会话16-20

《医生诊疗英语会话》每日一听第016期16、medical examination1 Now Mr Jacob, I'd like to examine you. I just want to check one or two things, your heart and your lungs and abdomen. Would you just take off your clothes/just/ down to your underwear 内衣and put on this gown with the opening at the back.2 Hop on/please get on/ the table for me, can you manage or shall I give you a hand?/ can you do it yourself or would you like me to help?3 Right, give me your wrist, will you. I am going to take your pulse. That is fine.4 Now let's take your blood pressure. Will you straighten your arm for me, please.5 Now let's have a look at your eyes. Look up for me. please.6 Let me check the reflexes in your arms and legs. Relax.7 Turn your head to the right to look at the wall. I want to check the pulse in your neck.8 Let me feel your windpipe… Let me just feel your glands. That’s fine.9 Stick your tongue out for me, please. Open your mouth and say “ahh“.10 Right, now I want to listen to your heart. Just breathe out quietly11 Now sit forward when I listen at the back, hold your breath. ... Good. Now let's listen to your lungs. Take deep breaths through your mouth-- in ....out ... keep going.12 I’d like to feel your abdomen. Put your arms down by your side and let yourtummy/stoma ch/ relax… that’s it. Are there any places that are tender or painful? Now I want to check your liver and spleen so take deep breath in, hold it...fine.13 I'd just like to examine your prostate and rectum. Now this will be slightly uncomfortable, but it shouldn't hurt. Lie down on your left side and bend your knees right up to your chest…fine. I am going to insert a finger into your rectum. Don’t worry, you won't lose any control.《医生诊疗英语会话》每日一听第017期17 isotope scanning同位素扫描1, you will receive an intravenous injection, make a tight fist, now open it, this injection contains the medicine which can be seen by the machine so that it is possible for us to scan your organ. you have to wait so the medicine can reach the organ. you must not move during the scan. we will sent the results to your doctor.2, have you drunk anything today? you must drink four glasses before the scan.we will give you a water tablet during the scan, after which you will have to urinate more often then usual.do you take anything to keep your blood presure down?3, a, before you get the injection you need lie on your back for ten minutes.b, now you have to inhale a vapour for the test.this has no taste or smell. you'll need to sit in front of an inhaler, you'll get a clip for your nose so that you breath through your mouth. 4, before the examination you need drink a litre of the fluid over the period of twehours.before we call you you should go to the toilet to empty your bladder.otherwise we cann't scan your hip correctly.5, you'll have to drink a sweetened solution which will contract your gallbladder, this tastes very sweet and in some people causes diarrhea6, my colleage the cardiologist will explain the procedure,after you are given the isotope injection you have to consume fatty food or drink, such as milk, cheese or sandwish. this isso that the medicine passes through your liver quickly for us to get correct picture of how the heart muscle are supplied with blood.7, you'll get four small injection where you have changes on your skin.we'll take three pitures. the last will be taken in 24 hours' time. we will mark the location of the lymph nodes. so please don't wash the marks off.before the injection, you will need to a lie in a dark place for forty-five minutes with your eyes closed, only after the injection can you open your eyes.B1.you will be given an intravenous injection, make a fist, then let it go.this injection contains a substance to make necessary organs visible on the machine.there'll be some waiting time before the actual examination. This is necessary so that the test substance can reach the appropriate organ..you must remain completely still during the examination. the results will be given to your regular physician.2. have you drunk any liquids today? you'll have to drink about 4 glasses of fluids before the examination , you ‘ll also be given the substance which will make you have to go to the bathroom frequently. What blood pressure medication are you taking ?3.A) before receiving the rejection, you should lie on your back for 10 minutes,Now you must inhale the spray.it resembles water vapour and has no taste or smell,in these cases you'll have to sit in front of inhaler. we’ll clip your nose shut and you will have to breathe through your mouth,4.the waiting time is about 2 hours, during which you should drink approximately a liter of fluid, please go to the bathroom before you are called ,so that your bladder will be empty, otherwise we will not be able to make a precise examination of the pelvic bones.5.you will have to drink a sucrose solutions to constrict your gallbladder,it is very sweet.for many people it may cause diarrhea.6.the cardiologist will inform you about the procedure. after you have received the isotope injection. you should eat or drink something containing fat, such as cheese ,milk or sandwich,this is necessary in order to stimulate the substance being past through the liver,so that we can make an accurate image of blood supply of your heart muscle.7 you will be given four small injections around the affected areas of your skin,u we will take scans 3 times, the last of which will be 24 hours later. we will mark the location of indicated lymph gland with a stain. please do not wash this off.8,before receiving injection,you will have to lie in a dark room with your eyes shut for about 45 minutes,please do not open ur eyes until after the injection----------UNIT 2 MEDICATION--------《医生诊疗英语会话》每日一听第018期18 PRESCRIPTIONSyou seem to have a localized skin rash caused by a bacterial infection.this means u have to take some antibiotics.are you allergic to any medicine?Yes ,actually I had *quite**bad*/caught by reaction once when I took penicillin.i felt thechoking sensasion,and my tongue was badly swollen.Ok,then I’ll prescribe an antibiotics w/o penicillin.you’ll have to take one tablet 3 times a day,preferablyimmedially after eating,Is there some kinda lotion that I can use on my skin?Yes,I can also prescribe an anti-inflammtory ointment or some talcum powder,both should help reducing the burnig and itching sensation,I recommend u an ointment,but I;'ll prescribe whichever u prefer.Which you would rather use?Then I ‘ll take the ointment,as u suggested.You should apply whenver u need to,,do u feel that u need some painkillers?Yes,that would be quite helpful,ihavn't been able to anything since this started.it hurts so badly,well,that should clear it up,ifeverthing looks good,you won't have to come back again.however if the symptoms don't go away after a week,make sure you 'll come back and see me again.《医生诊疗英语会话》每日一听第019期therapeutic effects of drugsantiemetics,to stop or prevent vomiting.anthelmintics,to eliminate wormsanti-inflammatory drugs,to decrease inflammation,antitussives, to stop coughing,bronchodilators, to reduce bronchial spasmsdiuretic, to help the patient to preduce the urinemucolytics, to liquefy viscid bronchial mucussedative/ tranquilizers , to induce tranquility or sleepspasmolytics, to relax smooth muscles and relieve crampsanalgesic, to relieve painantibiotics, to eliminate infectionsantacids, to neutralise acid in the stomachantipyretics, to bring the temperature downantihypertensives,to bring the blood pressure downemetics, to help the patients to vomitantiasthmatics, to treat the bronchial asthmaavessel dilates ,to dilate blood vessels and improve circulationi can't sleep at night and i'm tired when i get up in the morningmy little girl is always scratching her bottom, and i have noticed small worms in her stool. my ankles are swollen, i'm bloated around my stomach in the eveningi cough a lot but i can't seem to cough up phlegmi often feel dizzy and i have headaches, my vision is getting worse, my blood presure usually high when it's checked《医生诊疗英语会话》每日一听第020期3 side effects of drugs2 3 21 . You prescribed some tablets/pills/for my pneumonia, By the evening my face was flushed and itching. And I had come/broke/ out in a rash.2. I came down with the flu so I took the aspirin as you suggested, however, by the next morning I had an upset stomach, I’m afraid to continue with it, but I am still running a fever.3. I've been feeling dizzy since I started taking the new blood pressure medicine. When I bend down, I’m afraid I’ll fall over4. I've been feeling sick since I started taking this new medicine, I've had an upset stomach since then.2 3 31 .you prescribed some tablets for my pneumonia, by the evening my face was flushed and itching. And I had come out in a rash.Oh I’m afraid you must be allergic to that medicine, I’ll prescribe something else that shouldn't affect you.2. I came down with the flu so I took the aspirin you suggested, however, by the next morning I had an upset stomach, I’m afraid to continue with it but I’m still running a fever. Aspirin sometimes affects the stomach, I think you should take paracetamol instead, it doesn't cause stomach problems.3. I’ve been feeling dizzy since I started taking the new blood pressure medicine. When I bend down, I’m afraid I’ll fall over. Your pressure has come down a little low, and that’s causing the dizziness, so we'll adjust the dosage of your tablets.4. I’ve been feeling sick since I started taking this new medicine for my headache. I’ve had an upset stomach since then.Oh dear! I’m sorry. We’ll have to change the tablets/pills/ to put a /stop /to t he nausea.。