教你用英语查房 交接班 原创（Teach you English rounds）.doc

教你用英语查房 交接班 原创（Teach you English rounds） Medical English reading: preparation for rounds (Chinese and English) Preparation for Patient RoundsIts 8: 30 AM time to, begin patient rounds. Today well make patient rounds with the pulmonary team. In room 1107 we find 65yr. old, Mr. Smith who was admitted yesterday afternoon. The pulmonary team includes the attending physician, senior pulmonary fellow, junior resident, and students. The admitting Junior 3 medical resident who admitted the patient the previous day begins the case presentation. Mr. Smith presents with a sore throat, productive cough and shortness of breath hes been febrile for; 5 days; his illness failed to respond to IV Annkacin given during his hospitalization at a small local hospital so he was transferred to our hospital with the diagnosis of pneumonia. His family brought his medical Records including a Chest X- ray and lab reports performed in the local hospital, but the junior resident left them in his on-call sleeping room. One of the medical students quickly retrieves the nursing chart from the nursing station. Review of the vitals is noteworthy for a progressive increasing pulse and respiratory rate during the night. The junior resident now briefly reexamines the patient, lung auscultation, and then the pharynx. After completing the physical exam, he notes the patient has crackles in the right lung base and purulent pharyngeal exudate. No results of yesterdays Chest X-ray, CBC and, ABG were provided. An ABG or pulse oximetry forgotten. Further examination notes bilateral diffuse crackles, BP 90/60, pulse 120. R Esp.32/min. He orders a stat ABG and Chest X- ray and while waiting we request the nurse check the patients O2 saturation using pulse oximetry and discover the O2 saturation is only 80%. Urgent arrangements are made to transfer the patient to ICU. Ward preparation, 8:30 in the morning, the beginning of the ward round. Today, were taking a ward round with the respiratory medicine doctor. Ward