At the Surgical Department.ppt

At the Surgical Department 在外科 Surgical diseases include fracture, disjoint, cramp, trauma, osteomyelitis, appendicitis, ulcer and so on. Fracture includes incomplete fracture, comminuted fracture, impacted fracture, complete fracture and the like. Trauma includes puncture wound, contusion, bruise, open fracture, bite and etc.. We will talk about three common surgical diseases — acute appendicitis, laceration, and sprain in this unit. Sentence Pattern I feel like…/ I feel… Are you still…? Are you going to…? Where’s your…? Related Expression: acute appendicitis What brought you to the emergency room? How long have you had this pain? Is it there all the time? Have you had any diarrhea? Is this regular for you? How about all this nausea and vomiting? Have ou had a temperature? Show me where it hearts most right now. Do you feel any pain when I press here? Situation A 你好，你来急诊室(emergency room)看什么病？ 我肚子疼，总想吐(vomit)．觉得很难受． 你腹痛多长时间了？ 昨晚开始的，在这边，不过今天早晨又到这边来了，痛得厉害． 现在又转到别的地方痛了吗？ 没，在这痛了大概两个小时了． 一直疼吗？ 不，一阵一阵的(come and go)，现在又痛死(kill me)了． 腹泻吗(diarrhea)？ 没有，我已经两天没大便了(bowel movement)． 你平时经常这样吗？ 不，我通常每天大便一次． 说说恶心和呕吐(nausea/vomit)的情况． 现在好点了．昨晚大约每两小时就吐一次，一疼就吐． 你发烧吗？ 今天一早我量过体温，是38.5゜C. 给我指指现在哪最痛？ 就在这，右下腹． 请躺到床上，我给你检查一下腹部(abdomen)．我按这你疼吗？我突然松开手时疼吗？你得的是急性阑尾炎，需要马上手术． Hello. What brought you to the emergency room? I’ve got awful pains in my belly. And I feel like I’m going to throw up all the time. I feel awful. How long have you had this pain? It started last night, up here, but this morning it’s here, and it really hurts. Has it moved again? No. I’s been steady for almost two hours. Is it there all the time? No, it just comes and goes, but now it’s really killing me. Have you had any diarrhea? No, I haven’t had a bowel movement for two days. Is this regular for you? No, I usually have one every day. How about all this nausea and vomiting? Well, it’s gotten better. Last night I was vomiting about every two hours soon after the pain began. Have you had a temperature? Early this mornin