学生用实用医学英语会话unit 1--8

1、1Unit1QuestionsforDiagnosisandtreatment----cough---possiblediseases:Viralinfection病毒感染Chestinfection胸部感染TB(pulmonarytuberculosis)结核病，肺结核Pneumonia肺炎Bronchitis支气管炎Secondarychestinfection胸部既发性感染Emphysema肺气肿Upperrespiratorytractinfection上呼吸道感染Pleurisy胸膜炎Chronicobstructivepulmonarydisease(COPD)慢性阻塞性肺病Lungcancer---descriptivewordsforbreathing:Regular呼吸正常Noisy有杂音Irregular失调Deep深深Shallow微弱Laboured吃力的Troubled杂乱无章Wheezing喘息2Breathless气短，喘不过气来Chesty呼吸音粗糙的Drycough干咳的Rapid急速的----descriptivewordsforsputum(ph。

2、legm)spit:Frothy多泡沫的Thick稠的Mucousy粘液的Watery稀薄的Yellow黄色的NormalBloody带血的Bloodstained带血污的Brownstained褐变的---doctors’questions:1.howlonghadthiscough?2.whatdoesyourcoughsoundlike(e.g.chesty,dry)?3.doesithurtyourchestwhenyoucough?4.doesyourchesthurtwhenyoubreatheinandout(inspire,expire)?5.doyoucoughifyoudoanyexercise?6.howmanystairscanyouwalkupbeforeyoustarttocough?37.doyouhaveanysputumwhenyoucough?8.whatisitlike?whatcolourisit?9.doyouhaveaweaknessinyourchestnormally(肺部脆弱吗)?10.doyousufferfromasthma哮喘?1。

3、1.doyouuseinhalers吸入器orothermedication?12.whatmedicationsareyoutaking?13.haveyouusedthem?Havetheyhelped?14.Ineedtolistentoyourchest---pleaseundoyourshirt//pleaseliftupyourtop(把衣服卷起来).15.Ineedtotakeyourtemperature,pulseandB/P.16.youneedtohaveanx-rayandsomebloodtests.17.whenyouhavehadyourx-ray,comebacktothisdepartmenttoseeme.18.yourx-rayshows:19.yourbloodtestsshow:20.youwillneedsomemedication.I’mgoingtoprescribeyousome…21.youneedtotakethismedicationfor…days.22.ifyoudon'tfeelbetterin3days,pleasecom。

4、ebacktoseeme,butyouneedtoregisterfirst.Situationaldialogues:41.chestinfectionD:howlonghadthiscough?P:Ihavehaditfor3days.D:whatdoesyourcoughsoundlike(e.g.chesty,dry)?P:itsoundschesty.D:doesithurtyourchestwhenyoucough?P:yes,itdoes.D:doesyourchesthurtwhenyoubreatheinandout(inspire,expire)?P:ithurtswhenIbreathein.D:doyouhaveanysputumwhenyoucough?P:no,notreally.Justalittlebit.D:whatisitlike?whatcolorisit?P:it’snormal.D:doyouhaveaweaknessinyourchestnormally(肺部脆弱吗)?P:yes,IguessIdo.,ifIhaveacold,Ialways。

5、getacough.D:doyousufferfromasthma哮喘?P:noD:doyouuseinhalers吸入器orothermedication?P:no.D:Ineedtolistentoyourchest---pleaseundoyourshirt//pleaseliftupyourtop(把衣服卷起来).Ineedtotakeyourtemperature,pulseandB/P.5youneedtohaveanx-rayandsomebloodtests.whenyouhavehadyourx-ray,comebacktothisdepartmenttoseeme.Thenursewillshowyouwheretogo.P:ok,thanks.D:yourx-rayshowsyourlungsarenormal.P:ok,that’sgreat.D:yourbloodtestshowsyouhaveamildchestinfection.P:oh,ok,doIneedanymedication?D:youwillneedmedication.i’mgoingtop。

6、rescribeyousomeantibiotics.youneedtotakethismedicationfor7days.P:thanksverymuch.D:ifyoudon'tfeelbetterin3days,pleasecomebacktoseeme,butyouneedtoregisterfirst.P:thankyouverymuch,doctor.2,TB(tuberculosis)D:hello,pleasesitdown,canyoutellmewhattheproblemis?P:hello.Doctor,IhavecometoseeyoubecauseIhaveacoughandit’snotgettinganybetter.D:howlonghadthiscough?P:I’vehadthiscoughforquitealongtimenow,Ithoughtitwould6getawaybutithasn’t.D:andhowlonghasthisbeennow?P:ithasbeenfor2monthsnow.D:whatdoesyourcoughsou。

7、ndlike(e.g.chesty,dry)?P:itisadrycoughmostly,butinthemorning,Icancoughupalotofsputum.D:whatdoesthesputumlooklike?P:normalcolourIthink.D:isthereanybloodinyoursputum?doesyoursputumhaveanyspecksofred血丝init?P:,no,notthatIhavenoticed.D:doesithurtyourchestwhenyoucough?P:itdidnotatfirst,butforthelast3weeksorsomychesthasstartedtohurtwhenIcough.D:doesyourchesthurtwhenyoubreatheinandout(inspire,expire)?P:no,Ihaven’tnoticed.D:doyoucoughifyoudoanyexercise?P:yes,IhavenoticedthatIfI’mrushingIwillstarttocoughw。

8、henIhavestopped.D:howmanystairscanyouwalkupbeforeyoustarttocough?P:I’mnotsure,Ihadtowalkup3flightstheotherday,andIdidstarttocoughwhenIstopped.7D:doyouhaveaweaknessinyourchestnormally(肺部脆弱吗)?P:no,I’musuallyveryhealthy.D:doyousufferfromasthma哮喘?P:no.D:doyouthinkyouhavelostanyweightinthelast2months?P:Ihaven’treallynoticed,butthinkingaboutit,maybeIhavelostalittleweight.D:doyouhavenightsweats?P:yes,Idosometimes.D:doyoufeelmoretiredthesedays,notasquitewellasyouusedto?P:no,notreally,Ifeelokexceptforthe。

9、cough;sometimes,Icanfeelverytiredattheendoftheday,butnotallthetime.D:Ineedtolistentoyourchest---pleaseundoyourshirt//pleaseliftupyourtop(把衣服卷起来).Ineedtotakeyourtemperature,pulseandB/P.Ok,youneedtohaveanx-rayofyourchest,asputumandbloodtest,herearetheforms.Thenursewillshowwheretogo.P:ok,willIhavethex-raytoday?D:yes,andwhenyouhavehadyourx-rayandbloodtests,comebackherewiththeresultstoseeme.P:ok,doctor,thankyou.D:I’mafraidthatyourresultsshowthatyouhaveTBandyouare8goingtoneedsomespecialantibioticmedic。

10、ation.P:TB?That’sreallyserious,isn’tit?Don’tIhavetobeinquarantine?D:afteryouhavetakentheantibioticsfor17-21days,youcancarryonwithyournormallifewithotherpeople.P:oh,great.Thatisnottoobad,doIneedtogivealistofpeopleIhavebeenincontactwith?D:TBisacommunicablediseaseandhastobereported,youneedtotellpeoplethatyouhavehadcontactwiththatyouhaveTB,sotheycanbetested.AndIwillreportittotheproperauthorities(相关部门).P:ok,thanks.Doctor,isthereanythingelseihavetodo?D:youneedtotakecare,eatwell,sleepwellandlookafteryou。