ClinicalDialogues.ppt

Clinical Dialogues Part 1. Woman complained of tightness in abdomen associated with belching(嗳气) wind which did not relieve feeling. Symptoms usually began between 5 and 6 p.m. lasting several hours. Relieved by white mixture.(D=Doctor, P=Patient) D: Does the pain come on in the night?[come on: to startIf a cold, headache, or some other medical condition is coming on, it is just starting.e.g. I felt a cold coming on. 我觉得开始感冒了。]P: Not often. D: When it comes on, do you get up?P: Yes, I get up and walk around and it relieves. Pain I have a headache. I have a splitting headache. （我头痛得像要裂开了。）I have a stomach-ache.I feel a dull pain in the stomach.I seem to have pain all over. （我似乎浑身都痛。）I’m aching all over. （我浑身都痛。） It’s a dull sort of pain, and I don’t know what’s causing it.It’s not a sharp pain; just sort of a dull ache.It all began yesterday.It started two days ago.It came on last night.It hurts terrible. （痛得很厉害。） It’s been hanging about for nearly a week. （这已经持续了将近一个星期了。）It keeps hanging on. （这老是不好。）It sort of hung on. （这似乎不见好。）Or: Just off and on. （就是时断时续。）I’ve got a pain in my back. （背疼） My eyes have been sore. （眼睛发痛）My left foot hurts. My tooth is aching up again. I feel shivery and I’ve got a sore throat. （我觉得怕冷发抖，而且喉咙疼痛。）The pain’s been keeping me awake. D: Does anything but the white mixture help it?P: I’ve been on a strict diet for six months. I never touch milk. on a diet: If you are on a diet, you are eating special kinds of food because you want to lose weight. （为减肥）节食touch: If you do not touch a particular kind of food or drink, you never eat it or drink it. 吃；喝e.g. Drink?No, she never touches the stuff. 喝酒？不，他从不喝这种东西。 D: Does any position help you?P: No, It comes on after tea, about five. I have my main meal midday.D: Have you been sick? （你呕吐过吗？）(=Any vomiting?)P: Only at the beginning I was very sick then. A sick person has an illness or some other problem with their health.To be sick means to bring up food through yo