1、At the Internal Medical Department,在内科,江西教育网,Internal medicine diseases have a large family, including the respiratory system, the circulatory system, the digestive system, the urinary system, the hematological system, the endocrinal system, the connective tissue diseases, the neurologic system, the
2、 psychiatric diseases, the infectious diseases.,We will talk about four common internal medicine diseases osteoarthritis, common cold, pneumonia, insomnia in this unit.,江西教育网,Sentence Pattern,GoodWhats wrong (with you)? / Whats trouble (with you)? / Is there anything wrong with you? / How long?How d
3、o you?,Related Expression:osteoarthritis,How often do you get the pain?I sometimes have a pain in my knees / hip joints.I do a bit of housework and I get pain.All my joints are stiff and aching.Im just going to rap your back a bit.Im going to get some blood tests done to see what is causing the pain
4、 in your joints.,江西教育网,Situation A,王太太，你怎么样？很糟！是吗让我看一下上次是什么时候来看的？四个月了，我已经做了两个疗程的理疗(two lots of physiotherapy)，但还是疼的厉害照了X光片了吗？照了，是颈部的对了，X光片在这你患轻微(a bit of)关节炎，吃这种药(tablets)觉得怎么样？哦，我不能吃这种药，吃了就恶心(feel sick)，只有扑热息痛(paracetamol)还可以吃好吧，脱掉上衣，我看看你的肩部和颈部,Howve you been, Mrs. Wang?Terrible, terrible.Im sorry.
5、 Let me see. How long is it since I saw you?Its four months. I had two lots of physiotherapy but it gave me terrible pain.Did we do and X-ray?Yes, of my neck.Yes, here it is. Youve got a bit of arthritis. How did you get on with the tablets?Oh, I cant take them.They made me feel sick. The only ones
6、I can take are paracetamol.Well, take off your clothes so I can see your shoulder and neck.,江西教育网,Related Expression: common cold,Ive got this pain in my ear, a sore throat and keep losing my voice.I cant get rid of this cold.I have a hoarse coughI have a violent fit of croupy coughingI sneeze a lot
7、 due to my cold.,江西教育网,Situation B,病人：你好，大夫。我头疼得厉害。医生：别着急，小伙子，告诉我怎么回事。病人：昨天我老流鼻涕(running nose)。现在有点鼻塞(stuffed up)。喉咙很痛。恐怕还伴有高烧。感觉糟透了。医生：小伙子，别担心。让我给你检查一下。我先看看你的喉咙。张开嘴说“啊”。病人：啊。医生：很好。把你的舌头伸出来。好的。接下来让我检查一下你的胸腔。把衬衫的扣子解开。让我检查你的心和肺。深呼吸(take a deep breath)，屏住气。吸气，呼气。顺便问一下，你曾经患过肺结核(TB: tuberculosis)吗？病人：没有，
8、从来没有。医生：听着，你的喉咙发炎了(inflamed)。舌苔很厚(thickly coated)。这些都是感冒的症状。病人：那我该怎么做呢？医生：你需要好好休息。多喝水。我马上给你开药方。病人：医生谢谢。医生：不客气。记住好好休息。病人：我会的。再见，大夫。医生：再见！,江西教育网,江西教育网,Doctor: Good morning. Whats troubling you? Patient: Good morning, doctor. I have a terrible headache. Doctor: All right, young man. Tell me how it got
9、started.Patient: Yesterday I had a running nose. Now my nose is stuffed up. I have a sore throat. And Im afraid Ive got a temperature. I feel terrible.Doctor: Dont worry, young man. Let me give you an examination. First let me take a look at your throat. Open your mouth and say ah. Patient: Ah.Docto
10、r: Good. Now put your tongue out. All right, let me examine your chest. Please unbutton your shirt. Let me check your heart and lungs. Take a deep breath and hold it. Breathe in, and out. By the way, do you have a history of tuberculosis?Patient: No, definitely not.Doctor: Look, your throat is infla
11、med. And your tongue is thickly coated. You have all the symptoms of influenza. Patient: What am I supposed to do then?Doctor: A good rest is all you need, and drink more water. Ill write you a prescription。Patient: Thank you very much. Doctor: Thats all right. Remember to take a good rest.Patient:
12、I will. Goodbye, doctor.Doctor: Bye!,江西教育网,Related Expression: pneumonia,When did the cough begin?Do you cough up any phlegm?I feel a pressure in my chest.Take your shoes off and unbutton your shirt please.Ill take a white blood cell count first.Please go to the cashier to pay the fee.You should be
13、admitted to hospital and treated wit penicillin and streptomycin.,Situation C,The patient, who is a heavy smoker, started coughing three days ago and it has been getting worse since yesterday. He coughs up yellow phlegm, and feels feverish and sometimes shivery. The doctor examines his heart and lun
14、gs and asks him to go to the cashier to pay the fee, then go the laboratory for blood test and X-ray room for the fluoroscopic examination. According to the reports, the doctor is sure its pneunomia and asks the patient to stay in hospital for about one week.,江西教育网,Whats wrong with you, Madam?I cant
15、 stop coughing, doctor.When did the cough begin?It started three days ago, but it has been getting worse since yesterday.Do you cough up any phlegm?Yes.What color is it?Yellow.Do you have a fever?Yes, I feel feverish.Have you felt shivery?Yes. Sometimes.Do you smoke?Yes, I do. Im a heavy smoker.,Let
16、 me examine you. Lie down on the bed please. Take your shoes off and unbutton your shirt please. Your heart seems to be normal. Your breathing is low. I can hear moist rales over the left lung base. Ill take a white blood cell count and give you a fluoroscopic examination immediately. Here are the s
17、lips for blood test and fluoroscopic examination. First, please go to the cashier to pay the fee, then go to the laboratory for blood test and X-ray room for the fluoroscopic examination. Ill wait here for the reports.,Here are the reports; is there anything wrong?Im sure its pneumonia. Dont be alar
18、med, but you should be admitted to hospital and treated with penicillin and streptomycin. For the time being you should stop smoking. After several days youll feel much better.How ong will I have to stay in hospital?About one week.,江西教育网,Related Expression: insomnia,Im a lighter sleeper.I frequently
19、 wake up in the middle of the night.Ive been suffering from insomnia.Can you give me some medicine to help me to sleep?My nerves get so excited that I cant sleep well.,Situation D,The patient has been suffering from insomnia for three months. He has tried some sleeping pills but they seem to have do
20、ne little help for him. Whats more, he has headaches, no appetite, and is always on the edge. The doctor finds that he looks anemic and takes his blood pressure. Then the doctor advises the patient to have more rests and get outdoors more and prescribes him some medicines.,Patient: Good morning, doc
21、tor. Doctor: Good morning. What seems to be the trouble?Patient: Im suffering from insomnia.Doctor: How long have you had this problem?Patient: Three months.Doctor: Have you take any medicine?Patient: I tried some sleeping pills, but they have done nothing for me.Doctor: Do you have headaches?Patien
22、t: Sometimes. I have no appetite and always on the edge.Doctor: Let me take your blood pressure. You look anemic. (Taking the patients blood pressure.) Doctor: Well, there is nothing to be alarmed about. You are just a little exhausted from overwork.Patient: What should I do then?Doctor:I think you need more rest. Try to get outdoors more. Dont strain yourself too much.Patient:Thank you. Doctor. Ill do as you say.Doctor:Here is the prescription for you. Im sure the medicine will cure your insomnia.Patient:Thanks a lot. Bye-bye!Doctor:Bye!,江西教育网,
