医学英语口语表达

1. Asking a patient about his illness Any vomiting? Are you feeling all right? Are you feeling well? Are you feeling nausea? Have you had this experience before? Have you got any chronic diseases in the past? Have you got any feeling of nausea? Have you lost weight recently? Have you taken anything for it? Are your bowels acting properly? Are your bowels regular? Did you have pains here before? Do you cough? Do you feel short of breath sometimes? Do you feel short-winded? Do you feel tired? Do you have any appetite? Do you have difficulty breathing? Does it hurt? How about your appetite? How bad is it? How far pregnant are you? How long has it been this way? How long has this been going on? How long have you been ill? How long have you been like this? How long have you had it? How long have you had this trouble? 2. Telling a doctor how you feel About a week now. About five days running already. I cant life my right arm. I cough a great deal at night. I dont feel like eating anything. I feel a bit off color. I feel a pain in my left leg. I feel absolutely rotten. I feel chilly. I feel dizzy and Ive got no appetite. I feel feverish. I feel hot and cold. I feel like Im burning up. I feel like vomiting. I feel sick. I feel poorly. I feel rather unwell. I feel very bad. I feel so ill. I feel shivery and Ive got a sore throat. I feel a dull pain in the stomach. I just feel all pooped out. I keep feeling dizzy. I really feel terrible. I have a headache. I have a splitting headache. I have a stomach-ache. I have a stuffed-up nose. I seem to have pain all over. I think Im dying. I tried some sleeping pills, but they have done nothing for me. Im a bit stuffed up. Im aching all over. Im afraid Ive got a temperature. Im feeling rather out of sorts these days. Im having some trouble sleeping. Im suffering from insomnia. Im rather sick. Im running a fever. Im running a temperature. Im under the weather. It all began yesterday. It came on last night. It hurts terrible. It keeps hanging on. It sort of hung on. It started two days ago. Its a dull sort of pain, and I dont know whats causing it. Its been hanging about for nearly a week. Its not a sharp pain; just sort of a dull ache. Ive been having pains in my chest recently. Ive been losing sleep. Ive been sneezing all day. Ive been throwing up. Ive got a bad appetite. Ive got a humming. Ive got a pain in my back. Ive had two more movements this morning. Ive taken some aspirin, but it didnt help much. Just off and on. My back is giving me a bit of trouble. My eyesight is falling. My eyes have been sore. My left foot hurts. My legs have not been right lately. My right eardrum has become infected. My stomach is upset. My tooth is acting up again. My weight fell from 60 kg. to 50 kg. My whole body feels weak. One of my teeth troubles me. One of my upper teeth is loose and aching. The pains been keeping me awake. Theres a bitter taste in my mouth. This tooth on the lower jaw is sensitive to cold and hot. 3. Examining a patient A blood test is necessary. Any pain here? Breathe deeper, please. Cough. Now again. Do you have any pain here? Does it hurt here? Does it hurt when I press here? Does it hurt when I touch it here? Go and have your chest X-rayed. How does it feel? I think wed better give you a few tests. Ill have your temperature taken. Im going to take a throat culture so well know for sure. Let me check your lungs and heart. Let me examine your stomach. Let me feel you pulse. Let me listen to your heart and lungs. Let me sound your lungs. Let me take your blood pressure. May I take your blood pressure? Lie down on the couch there. Let me examine your belly. Now breathe in. A deep breath. Now let me just see. Now slip off your coat and shirt, please. Open your mouth and say “Ah”. Open your mouth please, and show me your tongue. Please go and take a stool test. Put this thermometer under your tongue. Roll your sleeves up. Show me where it hurts. Slip your shoes off and hop up on the bed. Strip to your waist, please. Take a breath, please. Take your blood count first, please. The gums are swollen. Theres some respiratory murmur in your heart. Unbutton your shirt and let me listen to your lungs. Well, Id better take your blood pressure. Well, lets see. Well, lets take an X-ray of your chest. You must have an electrocardiograph examination. Your blood pressure is normal. Your pulse is a bit fast. Your tongues rather coated. Your tongues thickly furred. Youre to have a blood test. Youve got a faint murmur of the heart. A slight infection. An operation is needed to remove your tonsils. 4. Diagnosing and treating By the look of it, it should be a rash. By the sound of it, its bronchitis. I dont think its anything serious. I should say youve caught cold. I should think youve got the flu. I think you need a shot to deaden the pain first. If your recovery goes on like this, you can leave in three days. Ill give you an injection first. Ill give you a shot, Im afraid. Im afraid an urgent operation is necessary. Im afraid youll have to be operated on for appendicitis. It could be a case of TB. It looks as if its scarlet fever. It looks like measles. It sounds as if youve caught cold. It sounds like bronchitis. Its an acute case. Its inflammation of the skin. Its not so serious as it seems. Its nothing but a little infection in the finger tip. Its nothing serious, but youd better stay in bed. Let me give you a needle to numb the tooth. Nothing serious. The tooth will have to be taken out. The X-ray shows a fractured ankle. Theres a bad virus going around here and thats probably what it is. Theres a marked improvement in your condition. Theres nothing to be alarmed about. The infection may lead to respiratory complications. Well, it could be a simple sprain. But I think to be on the safe side, we ought to have it X-rayed. You must be hospitalized right now. You must have your appendix removed. You must have your tooth extracted. You need an injection. You probably have contracted the flu. You seem to have picked up some kind of infection. Youll be all right soon. Youll be treated for a fracture of the bone. Youll get over it soon. Youll have an immediate operation. Youll have to be operated on. Youll have to have your decayed tooth pulled out. Youll have to stay in the hospital for observation for two days. Youll recover in two or three days. Your case is not very serious. Your left thumb suffers a comminuted fracture. Your rheumatism should take a course of treatment for about a month. Youre suffering a heart disease, Im afraid. Youve got a drop of fever. Youre running a temperature. Youve got the flu, but not very serious. 5. Giving prescription and advice A change of diet may do you good. A good sleep may help you pick up flesh. Administer the ointment once everyday. Apply this tube of jelly three times a day. Are you allergic to any medication? Avoid greasy foods. Be careful to your diet. Be sure to keep warm and rest. Come back and see me in two weeks if youre not feeling better. Cut down on your drinking. Do not smoke. Dont overdo things. Dont strain yourself too much. Drink more hot water. Drink more liquids and take the medicine I prescribed. Drink plenty of water. Drink this mixture four times a day, one measure each time. Electrical treatments will be good for your rheumatism. Fatty food will do you harm. Get plenty of exercise. Go home and rest for at least three or four days. Have a good rest. Heres a prescription for some medicine. Heres a prescription for you. Please take the medicine according to the instruction. Heres a prescription. Have someone to get it filled. Here is a prescription. Id like you to take one of these pills three times a day. Heres a sick-leave certificate for three days. I can prescribe some pills which will relieve the pain, but youd be well advised not to overwork yourself. I suggest you take Chinese traditional medicines. I think a month at a health resort will do you good. I think this gargle will relieve your sore throat. If your fever lingers, come to me again. Ill give you a dose of streptomycin. Ill give you some tablets. Ill just give you a prescription. Ill make up a prescription for you. Ill prescribe a bottle of cough syrup for you. Itll keep the swelling down. Keep away from the draught. Keep to your bed, and try to have more water. Keep warm and take a hot bath before going to bed. Let me prescribe some medicine for you. One tablet each time, three times a day after meal. Put a plaster on the sore once a day. Put this lotion on every four hours. Rub in this cream once a day. Stay away from work till Monday, and dont overdo things. Stay in bed and rest. Take a dose three times a day. Take curative baths once a day, and drink some mineral water. Take one capsule every four hours. Take ten c.c. each time, three times a day. Take the medicine I prescribed and come back in a week. Take the medicine I prescribed and get plenty of rest. Take these tablets twice a day. Take this prescription to the chemists and then go straight to bed. Take this prescription to the dispensary for your medicine. These tablets are to keep the fever down. These tablets should clear up the trouble. These eye drops may improve your eyesight. These vitamin B and C pills are to build up your resistance. This is for oral administration. This is for reducing the fever. This medicine will give you quick relief. This medicine will relieve your pain. This ointment will subdue the inflammation. This solution is for external use only. Try these pills. They will cure your insomnia. Use this cream once a day. You should go on a diet. You should have your leg bandaged. Your fractured leg should be plaster cast.