医学专业英语课件_10

ClinicalDialoguesPart1.Womancomplainedoftightnessinabdomenassociatedwithbelching(嗳气)windwhichdidnotrelievefeeling.Symptomsusuallybeganbetween5and6p.m.lastingseveralhours.Relievedbywhitemixture.(D=Doctor,P=Patient)D:Doesthepaincomeoninthenight?[comeon:tostartIfacold,headache,orsomeothermedicalconditioniscomingon,itisjuststarting.e.g.Ifeltacoldcomingon.我觉得开始感冒了。]P:Notoften.D:Whenitcomeson,doyougetup?P:Yes,Igetupandwalkaroundanditrelieves.PainIhaveaheadache.Ihaveasplittingheadache.（我头痛得像要裂开了。）Ihaveastomach-ache.Ifeeladullpaininthestomach.Iseemtohavepainallover.（我似乎浑身都痛。）I’machingallover.（我浑身都痛。）It’sadullsortofpain,andIdon’tknowwhat’scausingit.It’snotasharppain;justsortofadullache.Itallbeganyesterday.Itstartedtwodaysago.Itcameonlastnight.Ithurtsterrible.（痛得很厉害。）It’sbeenhangingaboutfornearlyaweek.（这已经持续了将近一个星期了。）Itkeepshangingon.（这老是不好。）Itsortofhungon.（这似乎不见好。）Or:Justoffandon.（就是时断时续。）I’vegotapaininmyback.（背疼）Myeyeshavebeensore.（眼睛发痛）Myleftfoothurts.Mytoothisachingupagain.IfeelshiveryandI’vegotasorethroat.（我觉得怕冷发抖，而且喉咙疼痛。）Thepain’sbeenkeepingmeawake.D:Doesanythingbutthewhitemixturehelpit?P:I’vebeenonastrictdietforsixmonths.Inevertouchmilk.onadiet:Ifyouareonadiet,youareeatingspecialkindsoffoodbecauseyouwanttoloseweight.（为减肥）节食touch:Ifyoudonottouchaparticularkindoffoodordrink,younevereatitordrinkit.吃；喝e.g.Drink?No,shenevertouchesthestuff.喝酒？不，他从不喝这种东西。D:Doesanypositionhelpyou?P:No,Itcomesonaftertea,aboutfive.Ihavemymainmealmidday.D:Haveyoubeensick?（你呕吐过吗？）(=Anyvomiting?)P:OnlyatthebeginningIwasverysickthen.Asickpersonhasanillnessorsomeotherproblemwiththeirhealth.Tobesickmeanstobringupfoodthroughyourmouthfromyourstomach.e.g.IthinkI’mgoingtobesick.Notethat“Georgeisbeingsick”means“Georgeisbringingupfoodfromhisstomach”;“Georgeissick”means“Georgeisill”.However,“Georgewassick”canmeaneither“Georgebroughtupfoodfromhisstomach”or“Georgewasill”.Vomithasthesamemeaningas“besick”.Vomitisafairlyformalword.e.g.Shewasstrickenwith(被...折磨)painandbegantovomit.Throwup:Inconversation,somepeoplesaythrowupinsteadof“besick”.e.g.IthinkI’mgoingtothrowup.I’vebeenthrowingup.我一直呕吐。D:Doyoufeelsick?（恶心吗？）(=Haveyougotanyfeelingofnausea?)(=Areyoufeelingnausea?)P:Yes,IfeelsickbutIcan’tbesick.（我经常恶心，但不再呕吐。）Feelsick:Tofeelsickmeanstofeelthatyouwanttobesick.e.g.Flyingalwaysmakesmefeelsick.Note:ILLandsickarebothusedtosaythatthatsomeonehasadiseaseorsomeotherproblemwiththeirhealth.e.g.Davisisill.Youruncleisverysick.Asickchild…MostBritishspeakersdonotuseillinfrontofanoununlesstheyarealsousinganadverb(副词).Forexample,theydonottalkabout“anillwoman”,buttheymighttalkabout“aseriouslyillwoman”.…aterminallyillpatient.AmericanandScottishspeakerssometimesuseillinfrontofanounwithoutusinganadverb.Wehadtogetmedicalhelpforourillsisters.D:Doesthepaingothroughtotheback?P:No,butitgoesundermyarmpits.（腋下）D:What’syourweightbeendoing?（你的体重最近怎样？）(=Haveyoulostweightrecently?)P:I’velostoneandhalfstonebutI’vebeenonafat-freedietforsixmonths.(or:Myweightfellfrom65kg.to50kg.)Stone:aunitofweightinGreatBritain,14pounds(6.4kilograms)英石[英国重量单位，等于14磅(6.4公斤）]D:What’syourappetitelike?（你的胃口怎样？）(=Howaboutyourappetite?)(=Doyouhaveanyappetite?)What’s(your)/(the)…?/Whatseemstobethe…?What’syourappetitelike?What’syourcomplaint?(你有什么不舒服？)=What’syourtrouble?=What’sthetrouble?=What’sbotheringyou?=Whatseemstobebotheringyou?=Whatdoyoucomplainof?=What’sthematterwithyou?=Whatseemstobethematter?=What’swrongwithyou?=Whathurtsyou?=Whatseemstobetheproblem?=Whatseemstobethetrouble?P:Poorasever.(=I’vegotabadappetite.)D:Whataboutyourbowels?（大便如何？）(=Areyourbowelsactingproperly?)(=Areyourbowelsregular?)P:Igotwiceaday,inthemorning.D:Isthisalife-longhabit?P:Yes.D:Whatdothemotionslooklike?Well-formed,firm?（大便什么形状？成形，坚实吗？）P:Yes.D:Whataboutthecolor?Hasitchanged?P:No.D:Aretheydark?P:Yes.D:Anysignofblood?P:No.D:Dotheyfloatonthewaterwhenyouflushthelavatory?（你冲洗厕所时，它漂浮在水面上吗？）P:No.D:Haveyounoticedanunpleasantsmell?P:No.D:Haveyounoticedanydifferenceinyourwater?（你排尿有无异常？）P:No.D:Doyouhavetogetupinthenight?（你夜间起来上厕所吗？）P:Once.D:Yourwaterhasn’tbeendarker?P:No.D:Doyousmoke?P:10aday.D:Doyoudrink?P:Notmuch.D:Haveyouanyothertrouble?P:No,myangina’sbeenverygood.（我的心绞痛已经好了。）I’venothadmuchtroublewiththatfortwoyears.（这两年没大犯过。）--Or:Ifeelabsolutelyrotten.（我觉得身体很不舒服、非常虚弱。）[Ifyoufeelorlookrotten,youfeelorlookill]Ifeelabitoffcolor.（我觉得有点不舒服。）[Here,colormeansreddish-pinkcolorinone’sfacethatshowsthatone’shealthisgood.面色；血色]Ifeelsoill.Ifeelratherunwell.Ifeelverybad.Ireallyfeelterrible.IthinkI’mdying.（我难受极了。）I’mfeelingratheroutofsortsthesedays.（这些天我觉得身体很不舒服。）[Ifyoufeeloutofsorts,youfeelslightlyunwell,discontented,orannoyed.身体不适；心情不佳；烦恼]I’mundertheweather.（我不舒服。）[Ifyousaythatyouareundertheweather,youmeanthatyoufeelslightlyill.]Mywholebodyfeelsweak.Ijustfeelallpoopedout.（我只觉得精疲力竭。）[bepoopedout:tobeverytired;usedmainlyininformalAmericanEnglish.]D:You’vealsohadtroublewithyourleg?P:Yes,theythoughtitwasthrombosis(血栓).D:Whendidyoufirststartwithyourtummytrouble?（第一次胃病是什么时候发作的？）Tummy:thehumanstomachorbelly肚子，胃P:About14yearsago.D:Thesame,butmorebothersome