1、循环系统会话,刘宇东 李科熠 都业弘 卡门 穆拉迪力,心肌梗塞,Myocardial Infarction,人员介绍,I = Inter 实习医生 P = Patient病人,I：Hello,Mr.Smith.Im Dr.David P: Hello,Dr.David I: How are you feeling now? P:Well,Im feeling a little better than I did this moring. I：What happened this moring？ P: Well,to start at the beginning, I was going to
2、my car,when all of a suddden I got a terrible pain in my chest, which went down my right arm. After that I broke into a cold sweat and became real nauseated.,I had to lean aginst the car, because I felt I might faint any minute . My wife saw this and came outside immediately. I told her what had hap
3、pened, She then went inside and called our family doctor.He sent an ambulance over for me and met me in the emerdency room and, well.Here I am. I: Did the pain feel as though there was somthing heavy pressing on your chest? P; Yes I did I: Did the pain last for the entire period of time before you c
4、ame to the hospital and were you treated by your private physician?,P; Yes, I did. I; Do you recall being short of breath? P: I Honedtly cant remember. I: Have you ever had this happen before? P: No. I: Have you ever had any heart trouble that you know about? P: None I: Did you ever have rheumatic o
5、r scarlet fever as a child? P: No.,I: I see here in your previous history that youre never been short of breath on exertion,have slept on one pillow all of your life. never had swelling of the ankles,nor had to get up during the night topass your water . Is that all correct? P: Yes. I: Have you noti
6、ced any of these symptoms recently? P: No, I havent. I:Have you ever had any chest pain before?,P:No , this is the first time . I: Is there any history of heart disease in your family? P: Yes , my father died of a heart attack, and so did my uncle. I: You said you left light-headed,is that right? P: Yes , it is . I: Then you didnt actually experience unconsciousness? P:Thats correct.what do you think I had? I:A myocardial infarction.,Any questions ?,Thank you!,
