甲亢医患对话英文版.pdfVIP

甲亢 D: Hello, how can I helo you. P: em …. D: What bothers you? P: Mr.XXX, 我最近总是睡不着觉，体重也减轻了 3KG 了，您能帮我看看吗 Recently, I can ’t sleep well. It ’s been a long time. Also, I lost over 3KG weight. I need your help. D：When did the symptom begin ？ P：上个月就有感觉了。我一直以为是我实验室比较忙，后来发现怎么休息也不行，而且我 最近很容易跟人争吵，为了一点点小事就跟舍友吵了起来。 It seems that this happened last month. I thought I just had a busy week and need more rest. However, things became worse. Gradually I became grumpy easily. My roommate and I often had a little fight just because of some nonsense. D： OK, how about your appetite? P：还行吧，容易肚子饿，我经常吃肉的。 So so. I get hungry easily in spite of having a lot of meat. D：那你出汗量多吗？小便情况怎么样？？ How about sweat and urine? Do you sweat a lot? P：对的，我一直比较怕热，这段时间又是夏天，更难受了。小便还好。 Yes. I sweat a lot. I hate summer, especially the heat. I feel worse in summer. My urine is just fine. D：All right. Let me check for you. Would you take off your shirt? 30s later 。。。 D：我测得你的心率 108 次/ 分，你刚刚不是跑到我的诊室的吧？ Your heart rate is 108 per minute. Did you run to my clinic? P：不是，我在外面排队等了一段时间的。 No, I ’ve been waiting in queue for a short time. D：你坐在这，我检查下您的颈部。 (ok, please sit here ,I will check your neck) 30s later 。。。 P：我脖子有什么问题吗？ (what ’s wrong with my neck?) D：我刚刚触诊了下，您的甲状腺附件有些肿大，但是没摸到结节和肿块。我初步判断 您可能得了甲状腺功能亢进症，但根据您的症状表现，也可能有糖尿病的可能， I think you need some examinations first ，我看看一些激素和血糖指标有没有异常。 I think you get a goiter, but there isn t any nodule and lump jet.’ The initial diagnose is Hyperthyroidism. According the date of your lab result, you might also get diabetic. Let me see if there ’s abnormal index in your Blood sugar and hormone. P: 好的，谢谢您， Doctor XXX 。假如我得了甲亢，是不是