單擊此處編輯母版標(biāo)題樣式,單擊此處編輯母版文本樣式,第二級(jí),第三級(jí),第四級(jí),第五級(jí),*,1.Asking a patient about his illness,Any vomiting?,Are you feeling all right?,Are you feeling well?,Are you feeling nausea?,1,Have you had this experience before?,Have you got any chronic diseases in the past?,Have you got any feeling of nausea?,Have you lost weight recently?,Have you taken anything for it?,2,Are your bowels acting properly?,Are your bowels regular?,Did you have pains here before?,Do you cough?,Do you feel short of breath sometimes?,Do you feel short-winded?,Do you feel tired?,Do you have any appetite?,Do you have difficulty breathing?,Does it hurt?,3,How about your appetite?,How bad is it?,How far pregnant are you?,How long has it been this way?,How long has this been going on?,How long have you been ill?,How long have you been like this?,How long have you had it?,How long have you had this trouble?,4,2.Telling a doctor how you feel,About a week now.,About five days running already.,I cant life my right arm.,5,I cough a great deal at night.,I dont feel like eating anything.,I feel a bit,off color,.,I feel a pain in my left leg.,I feel absolutely rotten.,I feel chilly.,I feel dizzy and Ive got no appetite.,I feel feverish.,I feel hot and cold.,I feel like Im burning up.,6,I feel like vomiting.,I feel sick.,I feel poorly.,I feel rather unwell.,I feel very bad.,I feel so ill.,I feel shivery and Ive got a sore throat.,I feel a dull pain in the stomach.,I just feel all,pooped out,.,I keep feeling dizzy.,7,I really feel terrible.,I have a headache.,I have a splitting headache.,I have a stomach-ache.,I have a stuffed-up nose.,I seem to have pain all over.,I think Im dying.,I tried some sleeping pills,but they have done nothing for me.,Im a bit stuffed up.,8,Im aching all over.,Im afraid Ive got a temperature.,Im feeling rather,out of sorts,these days.,Im having some trouble sleeping.,Im suffering from,insomnia,.,Im rather sick.,Im running a fever.,Im running a temperature.,Im,under the weather,.,9,It all began yesterday.,It came on last night.,It hurts terrible.,It keeps,hanging on,.,It,sort of,hung on.,It started two days ago.,Its a dull sort of pain,and I dont know whats causing it.,Its been,hanging about,for nearly a week.,Its not a sharp pain;just sort of a dull ache.,10,Ive been having pains in my chest recently.,Ive been losing sleep.,Ive been sneezing all day.,Ive been,throwing up,.,Ive got a bad appetite.,Ive got a humming.,Ive got a pain in my back.,Ive had two more movements this morning.,Ive taken some aspirin,but it didnt help much.,11,Just off and on.,My back is giving me a bit of trouble.,My eyesight is falling.,My eyes have been sore.,My left foot hurts.,My legs have not been right lately.,My right eardrum has become infected.,My stomach is upset.,My tooth is acting up again.,My weight fell from 60 kg.to 50 kg.,12,My whole body feels weak.,One of my teeth troubles me.,One of my upper teeth is loose and aching.,The pains been keeping me awake.,Theres a bitter taste in my mouth.,This tooth on the lower jaw is sensitive to cold and hot.,13,3.Examining a patient,A blood test is necessary.,Any pain here?,Breathe deeper,please.,14,Cough.Now again.,Do you have any pain here?,Does it hurt here?,Does it hurt when I press here?,Does it hurt when I touch it here?,Go and have your chest X-rayed.,How does it feel?,I think wed better give you a few tests.,Ill have your temperature taken.,Im going to take a throat culture so well know for sure.,15,Let me check your lungs and heart.,Let me examine your stomach.,Let me feel you pulse.,Let me listen to your heart and lungs.,Let me sound your lungs.,Let me take your blood pressure.,May I take your blood pressure?,Lie down on the couch there.Let me examine your belly.,Now breathe in.A deep breath.,16,Now let me just see.,Now slip off your coat and shirt,please.,Open your mouth and say“Ah”.,Open your mouth please,and show me your tongue.,Please go and take a stool test.,Put this thermometer under your tongue.,Roll your sleeves up.,Show me where it hurts.,Slip your shoes off and hop up on the bed.,17,Strip to your waist,please.,Take a breath,please.,Take your blood count first,please.,The gums are swollen.,Theres some respiratory murmur in your heart.,Unbutton your shirt and let me listen to your lungs.,Well,Id better take your blood pressure.,Well,lets see.,18,Well,lets take an X-ray of your chest.,You must have an electrocardiograph examination.,Your blood pressure is normal.,Your pulse is a bit fast.,Your tongues rather coated.,Your tongues thickly furred.,Youre to have a blood test.,Youve got a faint murmur of the heart.,19,A slight infection.,An operation is needed to remove your tonsils.,4.Diagnosing and treating,20,By the look of it,it should be a rash.,By the sound of it,its bronchitis.,I dont think its anything serious.,I should say youve caught cold.,I should think youve got the flu.,I think you need a shot to deaden the pain first.,If your recovery goes on like this,you can leave in three days.,Ill