醫(yī)用英語(yǔ)PPT完整全套教學(xué)課件

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ZoomInTextUnitReviews

GrammarResource

PictureDictionaryMedicalEnglish250EnglishforHealthSciences

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wedidprofessionalwork

ServicesMakingadiagnosisUnit1WorkingunderpressureBreakingbadnewsCallingintheStrokeTeamAdditionalResourcesReferringapatientUnit2Unit3Unit4Unit5

WhendidtheproblembeginSowhatcanldoforyouI’dliketoexamineyouWhat’sthediagnosisLetmeexplainyourdietToputitmoresimplyLesson4Lesson3Lesson2Lesson1Lesson6Lesson5TeamProject1Unit1Makingadiagnosis

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wedidprofessionalworkUnitContentsLesson1SowhatcanIdoforyouVocabularyHighlights:Evaluatinghistorytaking

ElicitingchiefcomplaintMedicalhistorytermsMakingsmalltalkTakingnotes

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wedidprofessionalworkVocabularyBackContentsUnit

Whentakingamedicalhistory,youshould…trytoaskasmanyopen-endedquestionsaspossible.2.askquestionslike,“AndIassumeyoualsohaveheadaches,don’tyou?”3.takenotesasyouareinterviewingthepatient.AgreeDisagree

Doyouagreeordisagreewiththefollowingstatements.Compareyouranswerswiththoseofaclassmateanddiscussthereasonsforyourchoice.

a

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wedidprofessionalwork1.Studentswillverylikelydifferhere.Traditionally,healthcareprofessionalsaskclosed-endedquestionsthatallowthemtocontroltheinteraction.Thisisknownasthe“paternalisticapproach.”However,therearethosewhoadvocateusingmoreopen-endedquestions,thusmakingtheinteractionmoreparticipatory.3.Somestudentsmaysaythattakingnotescoulddistractyourconcentration.Othersmaysaythatyoucouldforgetdetailsifyoudon’twritethemdownimmediately.2.Moststudentswilldisagreewiththis.Thistypeofquestionissometimescalleda”leadingquestion”becauseitleadsthepatienttotheanswerthatthehealthcareprofessionalmaywanttohear.WordStudy-ache

加在表示人體器官的名詞后面，表示疼痛例如：Headache

頭痛Stomachache

肚子痛或胃痛Earache

耳朵痛WordstudyContentsUnitPutthesestepsfortakingapatient’shistoryintothecorrectpareyouranswerswiththoseofapartner.ChiefComplaintFamilyHistoryHistoryofPresentConditionIntroductory“smalltalk”MedicationPastMedicalHistoryPhysicalExaminationSocialHistory1.介紹性的“寒暄話”2.主訴3.現(xiàn)病史過(guò)去用藥史用藥，藥物處理個(gè)人史家族病史體檢

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wedidprofessionalworkUnitContents

b2683547127834561TranslationWhatisthepurposeofmaking“smalltalk”atthebeginningofaconsultation?2.Whattopicsmightbesuitableformaking“smalltalk”?Workingroups.Discussthefollowingquestions.

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wedidprofessionalworkUnitContents

c2.Answerswillvary,butusuallyaspectsofpersonallife,e.g.,work,school,hobbies,vacations,etc.1.Tobreakdowntheprofessional-patient”barrier”byshowinganinterestInthepatientasaperson,notjustasamedicalcase.Also,torelaxthepatient.Thisissometimescalled“breakingtheice.”Decideifthefollowingwaysofmaking“smalltalk”aregoodorbad.Compareyouranswerswiththoseofapartner.You’renotlookingverywell,Mrs.Gray.How’sthenewhouse,Mr.Roper?Areyoustillplayingbasketball,Mark?How’sworkgoing,Mrs.Gomez?Areyoustillwiththeinsurancecompany?5.

Haveyoustoppedsmokingyet,Mrs.Ellingson?GoodBad5.Answersmayvary.Thismightbeabitthreateningforthepatient.However,thedoctormayfeelhehastoexerthispowertoreinforceanimportantmedicalconcernDiscussthiswiththewholeclass.

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dTextTip

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wedidprofessionalworkUnitContentsHaveyou

stoppedsmoking

yet,Mrs.Ellingson?你停止抽煙了嗎，愛(ài)琳森夫人？stopdoingsomething:（停止做某事）notcontinuewithanactivitystoptodosomething:（停下一件事，開(kāi)始去做另一件事）stoponeactivitysothatyoucandosomethingelse.Examples:-Westoppedworkingat12:00.-Didyoueverstoptothinkwhatmighthappen?-Suddenlyeveryonestoppedtalking.-Westoppedtolookatthemap.-Stoplaughing.It’snotsofunny.-Hestoppedtotalkwithme.Back1._______________________________________________________2._______________________________________________________3._______________________________________________________4._______________________________________________________5._______________________________________________________Writefivemore“smalltalk”questions.Walkaroundtheclassandmake“smalltalk”withtheotherstudents.

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wedidprofessionalworkUnitContents

e

fCirclethebestoption,aorbtoaskaboutthechiefcomplaint.Compareyouranswerswiththoseofapartner.

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1.a)So,whatbringsyouheretoday?

g2.a)OKthen,so,what’stheproblem?

3.a)OK,tellmewhattheproblemis.

4.a)Right,shoot!

5.a)Well,whatcanwedoforyou?

b)So,whatbringsyouheretoday,Mrs.Wright?b)What’stheproblem?b)OK,tellmeeverythingyoucanabouttheproblem.b)Right,let’sbegin.b)Well,whatcanIdoforyou?1.b)Thedoctorusesthepatient’sname.It’smorepersonal.2.a)The“OKthen,so,…”makesthequestionsofter,lessabrupt.3.b)Thisinvitesthepatienttobemoreopenandindicatesthedoctorhastimetolisten.4.b)Thefirstexpressionistooinformalforthesituation.5.Answersmayvary.Using“we”impliesthatateamisinvolved,andthismaycreateanimpressionthatthereareanumberofpeoplewhocanhelp,notjustone.Using“l(fā)”maystrengthenthepersonalbondbetweenthepatientandthedoctor.TextTip

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wedidprofessionalworkSo,

whatbringsyouheretoday?

嗯，今天你怎么到這里來(lái)了？So:

usedtogetsomeone‘sattentionwhenyouaregoingtoaskthemaquestionorwhenyouaregoingtostarttalking.Examples:-So,whenareyoutwogoingtogetmarried?-So,let?ˉsgetdowntobusiness.BackUnitContentsListentoDr.MurrayandRobert,themedicalintern,doingaconsultation.Evaluatethefirstpartoftheconsultation.

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hAudioScriptContentsUnitCommunicationTipVerygoodOKPoorSmalltalk2.Openingquestion3.AllowingpatienttospeakStudieshaveshownthatdoctorinterrupttheirpatients,onaverage,afteronly18secondsoftheinterview.Givepatientsachancetosaywhattheyhavetosay.Therewillbetimeforyourquestionslater.研究顯示，醫(yī)生平均在僅與患者交談18秒鐘后就打斷其陳述，應(yīng)該讓患者有機(jī)會(huì)說(shuō)出他們想說(shuō)的，醫(yī)生在聽(tīng)完之后再詢問(wèn)

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wedidprofessionalworkBackUnitContentsDr.Murray

:

Comein,please.It'sMrs.ThurstonandthisisMark,isn'tit?Mrs.Thurston

:

That'sright,Dr.Murray.Dr.Murray

:

CanIintroduceacolleague?ThisisRobertMitchell.He'sa

medicalstudent.Robert

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Nicetomeetyou.Mrs.Thurston

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Nicetomeetyou,too.Dr.Murray

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Now,howcanwehelpyou?Mrs.Thurston

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Yes,

well,theproblemisMark.Iknowhe'satadifficultageandall

teenagersjustwanttodrinksodaandeatjunkfood,buthedrinkslike

aboutthreebottlesofsodaaday.Thosebigbottles!Andthenof

course,he'salwaysgoingtothebathroom.YouknowsometimesIthink

Dr.Murray

:

OK,thankyou,Mrs.Thurston.CanIjustaskMarkafewquestions?

OK,Mark,soyou'vebeenfeelingverythirsty...Translation

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wedidprofessionalworkBackUnitContentsDr.Murray

:

Comein,please.It'sMrs.ThurstonandthisisMark,isn'tit?Mrs.Thurston

:

That'sright,Dr.Murray.Dr.Murray

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CanIintroduceacolleague?ThisisRobertMitchell.He'sa

medicalstudent.Robert

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Nicetomeetyou.Mrs.Thurston

:

Nicetomeetyou,too.Dr.Murray

:Now,howcanwehelpyou?Mrs.Thurston

:Yes,

well,theproblemisMark.Iknowhe'satadifficultageandallteenagers

justwanttodrinksodaandeatjunkfood,buthedrinkslikeabout

threebottles

ofsodaaday.Thosebigbottles!Andthenofcourse,he's

alwaysgoingtothebathroom.YouknowsometimesIthinkDr.Murray

:

OK,thankyou,Mrs.Thurston.CanIjustaskMarkafewquestions?

OK,Mark,soyou'vebeenfeelingverythirsty...

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wedidprofessionalworkUnitAnswersTheanswersareverysubjectiveandstudentsmaydisagreewiththemandwitheachother.Encouragestudentstojustifytheiropinions.1.ThisisOK.Therewasnorealsmalltalk,butbyintroducingRobert,theicewasbroken.2.ThisisOK.Theopeningquestionwas”Now,howcanwehelpyou?”ThisisOK.Dr.MurrayinterruptedMrs.Thurston,howeversheisnotthepatient.HegaveMarkplentyofopportunitytotalkabouthisproblem,forexample;Dr.Murray:OK,Mark.You’redoinggreat.Now,areyouhavinganyotherproblems?Mark:Likewhat?

Dr.Murray:Well.otherhealthproblems.school,youknow-anything?Thislastquestionelicitedthetirednessanimportantsymptom.BackContentsListentotherestoftheconversationandcompleteRobert’snotes.Whichstepsintakingamedicalhistoryarenotcoveredintheconsultation?Patient:MarkThurstonAqe:13Chiefcomplaint:(1)Historyofpresentcomditiononsetandtiming:(2)othersymptams:(3)

previousoccurrence:(4)Pastmedicalhistory:(5)Medication:(6)Socialhistory:(7)Familyhistory:(8)goingtobathroomaboutsixtimesperdayandalsoatnight,Possiblylosingweight.Gettingtiredeasily.

ExcessivethirstTwoorthreeweeksago,aftermeals/eatingNone.NeitherDr.MurraynorRobertasked.NeitherDr.MurraynorRobertasked.Havingproblemsatschool.Grandfatherhasheartandeyeproblems.

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iAudioScriptContentsUnit

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wedidprofessionalworkBackContentsUnitDr.Murray:Whendidthisthirstinessbegin?Mark:I?’dsayabouttwoorthreeweeksago.Dr.Murray:Andareyouthirstyallthetime?Mark:Yes.ButespeciallyafterIhaveeaten.Dr.Murray:Andhowoftendoyouhavetogotothebathroom?Mark:Oh,Idon?’tknow.Aboutsixtimesaday.Maybemore.Dr.Murray:Whataboutatnight?Mark:Yeah,Ihavetogetupinthenightaswell.Dr.Murray:Haveyouhadanyproblemslikethisbefore,Mark?Mark:No,Idon?’tthinkso.Dr.Murray:OK,Mark.You?’redoinggreat.Now,areyouhavinganyotherproblems?Mark:Likewhat?Dr.Murray:Well,otherhealthproblems,school,youknowanything?Mrs.Thurston:Histeacherssayhe?’slazy.Justwon?’twork.Dr.Murray:Mark?Mark:Well,I?’malwaystired.Iusedtoplayalotofbasketball,butnowIgettiredinnotime.Dr.Murray:Andwhendidthisstart?Mark:Aboutamonthago,Iguess.Dr.Murray:Anythingelse?Mark:No,Idon?’tthinkso.Dr.Murray:Robert,arethereanyquestionsthatyouwouldliketoaskMark?Robert:Thankyou,Doctor.Yes,thereare.Mark,haveyoubeenlosingweightrecently?Mark:No,Idon?’tthinkso.Don?’treallyknow.Mrs.Thurston:Actuallydoctor,it?’sfunnyyoushouldsaythat,butIwassayingtohisdadtheotherdaythatMark?’slookingthin.Buthisdadsaidthatitwasjustastagehewasgoingthroughandthathewouldfilloutlater.Robert:Thankyou.Justonemorequestion,Mrs.Thurston.Hasanyoneelseinyourfamilyhadasimilarproblem?Mrs.Thurston:No,Idon?’tthinkso.Mymotherdiedofastrokeandmyfatherisstillalive,buthe?’snotwell.Youknow,hehasproblemswithhisheart.AndhehasproblemswithhiseyesaswellnothinglikeMarkhas.Robert:Thankyouverymuch,Mrs.Thurston.Translation

TextTip

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wedidprofessionalworkBackContentsUnit1.Whataboutatnight?夜里怎么樣？

Whatabout:usedtosuggestsomething.用于征求意見(jiàn)，表示“……怎么樣？”

Howabout:usedtomakeasuggestion.用于征求意見(jiàn)，表示“……怎么樣？”

Examples:-Whataboutatnight?-Howaboutadrink?-WhataboutaskingMartintohelp?-Howaboutgoingtothecinema?-Whataboutaquickcupofcoffee?-Howaboutjoiningusforagameofbridge?2.Iusedtoplayalotlfbasketball,butnowIgettiredinnotime.

我過(guò)去常打籃球（現(xiàn)在不打了），現(xiàn)在總是覺(jué)得累。

usedto:usedforsayingwhatwastrueorwhathappenedregularlyinthepast,esp.whenyouwanttoemphasizethatthisisnottrueordoesnothappennow.

用于強(qiáng)調(diào)現(xiàn)在不再做某事，表示“過(guò)去常?！眀eusedtosomething/beusedtodoingsomething:Ifyouareusedtosomething,youhavedoneitorexperienceditmanytimesbefore.用于強(qiáng)調(diào)現(xiàn)在仍做某事，表示“習(xí)慣于做……”

Examples:-Iusedtoplayalotofbasketball,butnowIgettiredinnotime.Soldiersareusedtodanger.-Iusedtoenjoygardening,butIdon’thavetimeforitnow.He’susedtoworkinglonghours.-Ididn’tusetolikehim.butnowwearegoodfriends.I’mnotusedtogettingupsoeary.

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wedidprofessionalworkBackContentsUnitLesson2Whendidtheproblembegin

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wedidprofessionalworkHighlights:Stepsoftakingapatient’shistoryMakingquestionsintheinterviewWritingleadingquestionsTakingmedlicalhistoriesContentsUnit

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wedidprofessionalworkMatchthequestionswiththestepsfortakingapatient’shistory.

a

QuestionsHaveyouhadsimilarproblemsbefore?Whendidtheproblembegin?Areyouhavinganyotherpainorproblems?Areyoutakinganymedication?Areyouasmoker?So,howcanwehelpyoutoday?Hasanyoneinyourfamilyhadasimilarproblem?Areyouallergictoanymedication?Haveyoueverhadanyothermedicalproblems?Doyouhaveajobthatinvolvesalotofexercise?How’stherestofthefamily?3c3b624713a7541.Introductory“SmallTalk”2.ChiefComplaint3.HistoryofPresentConditiona)onsetandtimingb)othersymptomsc)previousoccurrence4.PastMedicalHistory5.FamilyHistory6.Medication7.SocialHistoryabcdefghijkStepsSteps1.介紹性的“寒暄”2.主訴3.目前狀況（病狀）

a)開(kāi)始時(shí)間

b)其他癥狀

c)以往發(fā)病情況4.過(guò)去用藥史5.家庭病史6.過(guò)敏史7.個(gè)人史ContentsUnitLanguageNoteTextTip

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wedidprofessionalworkAreyou

allergicto

anymedication?

你對(duì)藥物過(guò)敏嗎？Allergicto

(對(duì)……過(guò)敏)

affectedbyanallergyExamples:-Heisallergictothefurofcats.-Areyouallergictopenicillin?UnitContentsBack定語(yǔ)從句的概念和用法（一）Doyouhaveajobthatinvolvesalotofexercise?你的工作是否需要很多運(yùn)動(dòng)？這是一個(gè)定語(yǔ)從句，由關(guān)系代詞that引導(dǎo)，that在從句中充當(dāng)主語(yǔ)，因此不能省略。這里的先行詞是ajob。Examples-Tinglingoffirstthreefingersandthumbthatgetsworseatnight.ADApublishedapaperthatindicatedlittleexperimentalevidencesupportedtheposition.A1Cvaluesarenotsubjecttothefluctuationsthatareseenwithdailybloodglucosemonitoring.

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wedidprofessionalworkLanguageNoteContentsUnitBack

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wedidprofessionalworkRewritethefollowingleadingquestionssotheyaremoreopen-ended.1.Iimaginethepainstopsyoufromworkingdoesn’tit?

b2.Andlsupposeyougetterridledackpainsaswell?3.Idon’tsupposeyougetindigestionafteryoueatbread,doyou?4.Iexpectyoudon’tknowmuchaboutceliacdisease,doyou?5.Ipresumeyouhaveahealthybalanceddiet.6.So,Iassumeyougetstabbingpainsinyourchestafterexercise,don’tyou?7.I’msureyou’vebeenlosingweightaswell.Doesthepaininterferewithyourdailylife?Doyougetpainsinanyotherpartofyourbodyaswell?Doesanyparticulartypeoffoodcauseyouproblems?Haveyoueverheardofceliacdisease?Canyoutellmeabitaboutyourdiet?Whattypeoffooddoyoueat?Doyouhaveanyproblemsifyouexercise?Haveyounoticedanydifferenceinyourweigt?UnitContentsCommunicationTipWordstudyLanguageNoteAvoidleadingquestions.Leadingquestionsdirectthepatienttotheanswerthatthedoctor,maybesubconsciously,wantstohear.Alwaystrytoaskopen-endedquestionssothatthepatientexpressestheproblemintheirownwords.Avoidwordslike:assume,presume,suppose,expect,imagine,sure醫(yī)生應(yīng)盡量避免使用引導(dǎo)性提問(wèn)。引導(dǎo)性提問(wèn)是指醫(yī)生引導(dǎo)病人回答出也許是醫(yī)生本人下意識(shí)想聽(tīng)到的答復(fù)。最好問(wèn)一些靈活的問(wèn)題，使病人能自如表達(dá)。避免使用類似assume,presume,suppose,expect,imagine,sure.這樣的詞匯。WordStudy-y加在名詞后面，構(gòu)成形容詞。例如：

healthy健康的

salty咸的

oily油膩的

lucky幸運(yùn)的

skinny極瘦的、皮包骨的反意問(wèn)句(TagQuestions)的提問(wèn)結(jié)構(gòu)

反意問(wèn)句的提問(wèn)結(jié)構(gòu)用于檢查所說(shuō)內(nèi)容是否屬實(shí)。反意問(wèn)句的提問(wèn)結(jié)構(gòu)由“助動(dòng)詞+代詞”構(gòu)成。反意問(wèn)句的提問(wèn)結(jié)構(gòu)與前面主句在時(shí)態(tài)、人稱和數(shù)上應(yīng)保持一致。反意問(wèn)句的提問(wèn)結(jié)構(gòu)可以使用肯定或否定形式，依前面主句而定。通常前句為肯定，則提問(wèn)結(jié)構(gòu)用否定；前句為否定，則提問(wèn)結(jié)構(gòu)用肯定。Examples:Iimaginethenoisestopsyoufromsleepingwell,doesn?’tit?-Iassumeyougetintermittentpainsinyourbackafterexercise,don?ˉtyou?-Iexpectyoudon?ˉtknowmuchaboutchilddisease,doyou?-Idon?ˉtsupposeyouarefromtheSouth,areyou?LanguageNote

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wedidprofessionalworkBackUnitContents

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cUnitContentsPatient:Ihaveareallybadearache.Patient:No,itisonlyinmyleftear.Patient:Itstartedabouttwoweeksago.Patient:No,somedaysit’snotsobad.Patient:Yes,sometimeslgetheadachesaswell.Patient:No,Ihaveneverhadanearachelikethisbefore.Doctor(1)So,howcanIhelpyou?Writethedoctor’squestionsinthedialogue.Thenpracticetheinterviewwithapartner.Doctor

(2)Doctor(3)Isitinbothears?Whendiditstart?Doesithutrallthetime?Areyouhavinganyotherproblems?Haveyoueverhadearachebefore?Doctor

(4)Doctor(5)Doctor(6)

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dUnitContentsRole-playtakingmedicalhistoriesofthefollowingcases.Case1Name:CharminePlantzOccupation:SalesmanagerAge:31Medication:NoneChiefComplaint:PainlesslumponthefrontoftheneckforonemonthOthersymptoms:Losingweight,alwayshungry,rapidheartbeat,hotflushes,diarrheaCase2Name:SelinaBurtonOccupation:TypistAge:37ChiefComplaint:TinglingoffirstthreefingersandthumbthatgetsworseatnightOthersymptoms:Weaknessoffingers(hasdifficultybuttoningclothes),sometimespaininforearmCase3Name:BobSmithsonOccupation:ConstructionworkerAge:50ChiefComplaint:Attacksofdizzinesswithnauseaandvomiting.Duringattack,highpulserateandrapidbreathing;NopatterntoattacksOthersymptoms:Hissinginears(onbothsides),lossofhearing.Case4Name:ChuckTalaveraOccupation:FarmerAge:38ChiefComplaint:CoughwithbadtastingphlegmOthersymptoms:Lowfever,nightsweats,weightlossSocialHistory:Long-termsmokerTextTipADDITIONALACTIVITY1.1ADDITIONALACTIVITY1.2Translation

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wedidprofessionalworkUnitContents病歷1姓名：查明‘普拉茲職業(yè)：銷售經(jīng)理年齡：31歲過(guò)敏史：無(wú)主要病狀：前頸部長(zhǎng)有一腫塊，無(wú)疼痛，已有一個(gè)月其他癥狀：體重下降，總有饑餓感，心跳加快，面部潮熱，且有腹瀉病歷2姓名：塞琳娜’伯頓職業(yè)：打字員年齡：37歲主要病狀：除食指外，其他手指發(fā)麻，夜間加劇其他癥狀：手指無(wú)力（系扣及解扣均困難），有時(shí)前小臂疼痛病歷3姓名：鮑勃‘史密森職業(yè)：建筑工人年齡：50歲主要病狀：突如其來(lái)的頭暈，惡心，想吐，頭暈時(shí)，脈搏加快，呼吸急促。頭暈無(wú)固定的時(shí)間其它癥狀：雙耳耳鳴，聽(tīng)力下降病歷4姓名：查克’塔拉維拉職業(yè)：農(nóng)民年齡：38歲主要病狀：咳嗽，口發(fā)苦，帶痰其它癥狀：低燒，倒汗，體重下降個(gè)人史：長(zhǎng)期吸煙BackTranslate病歷樣本的要求：1.病歷樣本的語(yǔ)言特點(diǎn)是省略助動(dòng)詞，通常用名詞、動(dòng)詞或形容詞表述癥狀。2.病歷通常包括：Name(姓名)，Age(年齡),Medication(過(guò)敏史),ChiefComplaint(主訴),Othersymptoms(其他癥狀)

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wedidprofessionalworkUnitContentsBackHaveyoueverhadanyotherproblemsWithyourears?Writethefollowingsentencesinthecorrecttenseusingtheverbsinparentheses.ACTIVITY1.1Doctor:Howlong(get)thesedizzyspells?Patient:I(get)themforabout2months.(1)Doctor:Howlong(last)?(2)Patient:Oh,sometimesthey(last)for2or3days.(3)Doctor:Youever(have)anyotherproblemswithyourears?(4)Patient:NO,I(notthink)so.(5)Howlonghaveyoubeengettingthesedizzyspells?

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wedidprofessionalworkUnitContentsBackI’vebeengettingthemforabout2months.Howlongdotheylast?Oh,sometimestheylastfor2or3days.No,Idon’tthinkso.Readthepatient’snotesandwritethequestionsthatthequestionsthatthedoctoraskedtoelicittheinformation.ACTIVITY1.2

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wedidprofessionalworkUnitContentsBackLastname:RombergFirstname:MoiraAge:43Occupation:TeacherChiefcomplaint(1)“brownmarksonelbowsandknees”Historyofpresentcondition(2)Startedabout3weeksago(3)Painless(4)Othersymptoms:Weaknessandfatigue,dizziness(5)Previousoccurrence:None12345So,howcanwehelpyou,Mrs.Romberg?Whendidthisstart?Arethemarkspainful?Areyouhavinganyotherproblems?Haveyouhadthisproblembefore?

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wedidprofessionalworkUnitContentsLesson3I’dliketoexamineyouHighlights:MakingrequestsGivingexplanationsReviewingacaseTakingnotes

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wedidprofessionalworkUnitContentsAddmorewordsorexpressionstothecharts.

aCouldyoustandup,please?Iamjustgoingtotakeyourtemperature.RequestingWouldyouCouldyouIfyoucouldstandup,standhere,liedown,situp,breathein,breatheout,takeoffyourshirt,relax,rollupyourshirtsleeve,gotothebathroomandfillthisjar,Please?ExplainingproceduresIam(just)goingtoI’d(just)liketotakeyourtemperature.weighyou.takesomebloodfortesting.Turnontoyourback/front.raiseyourhandsaboveyourhead.Touchyourtoes,etc.takeyourbloodpressure.checkyoureyes,havealookinyourears,etc.TextTipWouldyou…Couldyou…

這些結(jié)構(gòu)的功用是提出請(qǐng)求,即makingarequest,表示”你能……嗎?”Examples:-Couldyouhelpwithmywork?-Wouldyoumindchangingthenote,please?

在有些情況下,用肯定句的形式,同樣可以表達(dá)提出請(qǐng)求。Examples:-I’dbeverygratefulifyou’dremindmeofit.-I’dappreciateitifyoucouldlendme100dollars.

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wedidprofessionalworkUnitContentsBack

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wedidprofessionalworkUnitContentsListentotheconversationandfillinRobert’snotes.

bPatient:MarkThurstonAqe:13Heiqht:Weiqht:Temperature:Bloodpressure:Pulse:Respirationrate:HeadandNeckEyes:Ears:Mouth:Neck:5ft6inches110lbs98.6°F120over706015OKOKOKSlightswellingofthethyroidglandAudioScriptDr.Murray:Now,Mark,I’djustliketocheckoutafewthings.Couldyoutakeoffyourshoes,socks,andshirt,please?OK,that’sfine.Andnowcouldyoustandonthescalesandwe’llmeasureyourheightandweight.OK,Robert,soMarkweighs110lbsandis5feet6inchestall.OK,Mark,nowI’mjustgoingtotakeyourtemperature.Openwide.Fine.Whilewe’rewaitingforthat,I’lltakeyourbloodpressureOK,soyourtemperatureis98.6degreesandyourbloodpressureis120over70.Noproblemthere.Let’scheckyourpulse.OK,Robert.Heartrateof60andrespirationrateof15.Fine,Mark.You’redoinggreat.Now,ifyoucouldjuststandupandI’llhavealookatyoureyesandears.Openyourmouth,please.Sayaaah.OK,Robert.EverythingOKthere.Now,ifyoucouldjustturnaroundandlookuptotheceiling,I’dliketocheckyourneck.Robert,wouldyoumakeanotethatthereisaslightswellingofthethyroidgland.Now,...Translation

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wedidprofessionalworkBackUnitContentsDr.Murray:Now,Mark,I’djustliketocheckoutafewthings.Couldyoutakeoffyourshoes,socks,andshirt,please?OK,that’sfine.Andnowcouldyoustandonthescalesandwe’llmeasureyourheightandweight.OK,Robert,soMarkweighs110lbsandis5feet6inchestall.OK,Mark,nowI’mjustgoingtotakeyourtemperature.Openwide.Fine.Whilewe’rewaitingforthat,I’lltakeyourbloodpressureOK,soyourtemperatureis98.6degreesandyourbloodpressureis120over70.Noproblemthere.Let’scheckyourpulse.OK,Robert.Heartrateof60andrespirationrateof15.Fine,Mark.You’redoinggreat.Now,ifyoucouldjuststandupandI’llhavealookatyoureyesandears.Openyourmouth,please.Sayaaah.OK,Robert.EverythingOKthere.Now,ifyoucouldjustturnaroundandlookuptotheceiling,I’dliketocheckyourneck.Robert,wouldyoumakeanotethatthereisaslightswellingofthethyroidgland.Now,...

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cUnitContentsDr.MurrayistalkingtoRobertaboutMark’scase.Fillintheblanksintheirdialogueusingwordsfromthebox.Dr.Murray:So,Robert,let’srunthroughthecase.Canyousummarizeitforme?Robert:OK.Wehaveathirteen-year-oldmale(1)_________ofexcessivethirstwithpolyuria*,especiallyaftermeals.Healso(2)_________thathefeelslethargic.Theremightbeafamily(3)_________ofdiabetesmellitus.ThepatienthasaBodyMassIndexof17.5,whichindicatesthatheisunderweight.Onexamination,pulse,temperature,bloodpressure,andrespirationratewerenormal.Therewasa(n)(4)_________ofthethyroidgland.Iwouldmakeaninitial(5)_________ofType1DiabetesMellitus.Dr.Murray:Verygood.Iwouldagreewithyou.Sowhatlabtestswouldyourun?Robert:Ithinkweneedaurineglucosetestandafasting*(6)_________glucosetest.Inaddition,Ithinkweoughttodoa(7)_________functiontest,andaurineketone*test.Wecouldalsodoanoralglucosetolerancetest.diagnosiscomplainingbloodreportshistoryenlargementthyroidcomplainingreportshistoryenlargementdiagnosisbloodthyroidWordBanklethargic嗜睡的thyroidgland甲狀腺diabetesmellitus糖尿病urineglucosetest尿葡萄糖試驗(yàn)BodyMassl