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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?第1页/共38页Are your bowels acting properly?Are your bowels regular?Did you have pains here before?Do you cough?Do you feel sh
2、ort 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?第2页/共38页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?Ho
3、w long have you been like this?How long have you had it?How long have you had this trouble?第3页/共38页2.Telling a doctor how you feelAbout a week now.About five days running already.I cant life my right arm.第4页/共38页I cough a great deal at night.I dont feel like eating anything.I feel a bit off color.I
4、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.第5页/共38页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
5、sore throat.I feel a dull pain in the stomach.I just feel all pooped out.I keep feeling dizzy.第6页/共38页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
6、 have done nothing for me.Im a bit stuffed up.第7页/共38页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.第8页/共38页It all
7、 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.第9页/共38页Ive been having pains in my
8、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.第10页/共38页Just off and on.My back is giving me a bit of trouble.
9、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.第11页/共38页My whole body feels weak.One of my teeth troubles me.One of my upper te
10、eth 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.第12页/共38页3.3.Examining a patientExamining a patientA blood test is necessary.Any pain here?Breathe deeper,please.第13页/共38页Cough.Now again.Do you have any
11、 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.第14页/共38页Let me check your lun
12、gs 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.第15页/共38页Now let me just see.
13、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.第16页/共38页Strip to your waist
14、,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.第17页/共38页Well,lets take an X-ray of your chest.You must have an
15、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.第18页/共38页A slight infection.An operation is needed to remove your tonsils.4.4.Diagnosing and t
16、reatingDiagnosing and treating第19页/共38页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
17、 leave in three days.Ill give you an injection first.Ill give you a shot,Im afraid.第20页/共38页Im afraid an urgent operation is necessary.Im afraid youll have to be operated on for appendicitis.It could be a case of TB.It looks as if its scarlet fever.It looks like measles.It sounds as if youve caught
18、cold.It sounds like bronchitis.Its an acute case.Its inflammation of the skin.第21页/共38页Its not so serious as it seems.Its nothing but a little infection in the finger tip.Its nothing serious,but youd better stay in bed.Let me give you a needle to numb the tooth.Nothing serious.The tooth will have to
19、 be taken out.The X-ray shows a fractured ankle.Theres a bad virus going around here and thats probably what it is.第22页/共38页Theres a marked improvement in your condition.Theres nothing to be alarmed about.The infection may lead to respiratory complications.Well,it could be a simple sprain.But I thin
20、k to be on the safe side,we ought to have it X-rayed.You must be hospitalized right now.You must have your appendix removed.第23页/共38页You must have your tooth extracted.You need an injection.You probably have contracted the flu.You seem to have picked up some kind of infection.Youll be all right soon
21、.Youll be treated for a fracture of the bone.Youll get over it soon.Youll have an immediate operation.Youll have to be operated on.第24页/共38页Youll have to have your decayed tooth pulled out.Youll have to stay in the hospital for observation for two days.Youll recover in two or three days.Your case is
22、 not very serious.Your left thumb suffers a comminuted fracture.Your rheumatism should take a course of treatment for about a month.第25页/共38页Youre suffering a heart disease,Im afraid.Youve got a drop of fever.Youre running a temperature.Youve got the flu,but not very serious.第26页/共38页5.5.Giving pres
23、cription and Giving prescription and adviceadviceA change of diet may do you good.A good sleep may help you pick up flesh.第27页/共38页Administer the ointment once everyday.Apply this tube of jelly three times a day.Are you allergic to any medication?Avoid greasy foods.Be careful to your diet.Be sure to
24、 keep warm and rest.Come back and see me in two weeks if youre not feeling better.Cut down on your drinking.Do not smoke.第28页/共38页Dont overdo things.Dont strain yourself too much.Drink more hot water.Drink more liquids and take the medicine I prescribed.Drink plenty of water.Drink this mixture four
25、times a day,one measure each time.Electrical treatments will be good for your rheumatism.第29页/共38页Fatty food will do you harm.Get plenty of exercise.Go home and rest for at least three or four days.Have a good rest.Heres a prescription for some medicine.Heres a prescription for you.Please take the m
26、edicine according to the instruction.Heres a prescription.Have someone to get it filled.第30页/共38页Here is a prescription.Id like you to take one of these pills three times a day.Heres a sick-leave certificate for three days.I can prescribe some pills which will relieve the pain,but youd be well advis
27、ed not to overwork yourself.I suggest you take Chinese traditional medicines.I think a month at a health resort will do you good.第31页/共38页I think this gargle will relieve your sore throat.If your fever lingers,come to me again.Ill give you a dose of streptomycin.Ill give you some tablets.Ill just gi
28、ve you a prescription.Ill make up a prescription for you.Ill prescribe a bottle of cough syrup for you.Itll keep the swelling down.第32页/共38页Keep away from the draught.Keep to your bed,and try to have more water.Keep warm and take a hot bath before going to bed.Let me prescribe some medicine for you.
29、One tablet each time,three times a day after meal.Put a plaster on the sore once a day.Put this lotion on every four hours.第33页/共38页Rub in this cream once a day.Stay away from work till Monday,and dont overdo things.Stay in bed and rest.Take a dose three times a day.Take curative baths once a day,an
30、d drink some mineral water.Take one capsule every four hours.Take ten c.c.each time,three times a day.Take the medicine I prescribed and come back in a week.第34页/共38页Take the medicine I prescribed and get plenty of rest.Take these tablets twice a day.Take this prescription to the chemists and then g
31、o straight to bed.Take this prescription to the dispensary for your medicine.These tablets are to keep the fever down.These tablets should clear up the trouble.These eye drops may improve your eyesight.第35页/共38页These vitamin B and C pills are to build up your resistance.This is for oral administrati
32、on.This is for reducing the fever.This medicine will give you quick relief.This medicine will relieve your pain.This ointment will subdue the inflammation.This solution is for external use only.第36页/共38页Try these pills.They will cure your insomnia.Use this cream once a day.You should go on a diet.You should have your leg bandaged.Your fractured leg should be plaster cast.第37页/共38页38谢谢您的观看！第38页/共38页