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AttheInternalMedicalDepartment在内科Internalmedicinediseaseshavealargefamily,includingtherespiratorysystem,thecirculatorysystem,thedigestivesystem,theurinarysystem,thehematologicalsystem,theendocrinalsystem,theconnectivetissuediseases,theneurologicsystem,thepsychiatricdiseases,theinfectiousdiseases.Wewilltalkaboutfourcommoninternalmedicinediseases—osteoarthritis,commoncold,pneumonia,insomniainthisunit.SentencePattern•Good…•What’swrong(withyou)?/What’strouble(withyou)?/Isthereanythingwrongwithyou?/…•Howlong…?•Howdoyou…?RelatedExpression:osteoarthritis•Howoftendoyougetthepain?•Isometimeshaveapaininmyknees/hipjoints.•IdoabitofhouseworkandIgetpain.•Allmyjointsarestiffandaching.•I’mjustgoingtorapyourbackabit.•I’mgoingtogetsomebloodtestsdonetoseewhatiscausingthepaininyourjoints.SituationA•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(twolotsofphysiotherapy)，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(abitof)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(feelsick)，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．•How’veyoubeen,Mrs.Wang?•Terrible,terrible.•I’msorry.Letmesee.HowlongisitsinceIsawyou?•It’sfourmonths.Ihadtwolotsofphysiotherapybutitgavemeterriblepain.•DidwedoandX-ray?•Yes,ofmyneck.•Yes,hereitis.You’vegotabitofarthritis.Howdidyougetonwiththetablets?•Oh,Ican’ttakethem.Theymademefeelsick.TheonlyonesIcantakeareparacetamol.•Well,takeoffyourclothessoIcanseeyourshoulderandneck.RelatedExpression:commoncold•I’vegotthispaininmyear,asorethroatandkeeplosingmyvoice.•Ican’tgetridofthiscold.•Ihaveahoarsecough…•Ihaveaviolentfitofcroupycoughing…•Isneezealotduetomycold.SituationB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(runningnose)。现在有点鼻塞(stuffedup)。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(takeadeepbreath)，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，从来没有。医生：听着，你的喉咙发炎了(inflamed)。舌苔很厚(thicklycoated)。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！•Doctor:Goodmorning.What'stroublingyou?•Patient:Goodmorning,doctor.Ihaveaterribleheadache.•Doctor:Allright,youngman.Tellmehowitgotstarted.•Patient:YesterdayIhadarunningnose.Nowmynoseisstuffedup.Ihaveasorethroat.AndI'mafraidI'vegotatemperature.Ifeelterrible.•Doctor:Don’tworry,youngman.Letmegiveyouanexamination.Firstletmetakealookatyourthroat.Openyourmouthandsayah.•Patient:Ah.•Doctor:Good.Nowputyourtongueout.Allright,letmeexamineyourchest.Pleaseunbuttonyourshirt.Letmecheckyourheartandlungs.Takeadeepbreathandholdit.Breathein,andout.Bytheway,doyouhaveahistoryoftuberculosis?•Patient:No,definitelynot.•Doctor:Look,yourthroatisinflamed.Andyourtongueisthicklycoated.Youhaveallthesymptomsofinfluenza.•Patient:WhatamIsupposedtodothen?•Doctor:Agoodrestisallyouneed,anddrinkmorewater.I'llwriteyouaprescription。•Patient:Thankyouverymuch.•Doctor:That'sallright.Remembertotakeagoodrest.•Patient:Iwill.Goodbye,doctor.•Doctor:Bye!RelatedExpression:pneumonia•Whendidthecoughbegin?•Doyoucoughupanyphlegm?•Ifeelapressureinmychest.•Takeyourshoesoffandunbuttonyourshirtplease.•I’lltakeawhitebloodcellcountfirst.•Pleasegotothecashiertopaythefee.•Youshouldbeadmittedtohospitalandtreatedwitpenicillinandstreptomycin.SituationC•Thepatient,whoisaheavysmoker,startedcoughingthreedaysagoandithasbeengettingworsesinceyesterday.Hecoughsupyellowphlegm,andfeelsfeverishandsometimesshivery.Thedoctorexamineshisheartandlungsandaskshimtogotothecashiertopaythefee,thengothelaboratoryforbloodtestandX-rayroomforthefluoroscopicexamination.Accordingtothereports,thedoctorissureit’spneunomiaandasksthepatienttostayinhospitalforaboutoneweek.•What’swrongwithyou,Madam?•Ican’tstopcoughing,doctor.•Whendidthecoughbegin?•Itstartedthreedaysago,butithasbeengettingworsesinceyesterday.•Doyoucoughupanyphlegm?•Yes.•Whatcolorisit?•Yellow.•Doyouhaveafever?•Yes,Ifeelfeverish.•Haveyoufeltshivery?•Yes.Sometimes.•Doyousmoke?•Yes,Ido.I’maheavysmoker.•Letmeexamineyou.Liedownonthebedplease.Takeyourshoesoffandunbuttonyourshirtplease.Yourheartseemstobenormal.Yourbreathingislow.Icanhearmoistralesovertheleftlungbase.I’lltakeawhitebloodcellcountandgiveyouafluoroscopicexaminationimmediately.Herearetheslipsforbloodtestandfluoroscopicexamination.First,pleasegotothecashiertopaythefee,thengotothelaboratoryforbloodtestandX-rayroomforthefluoroscopicexamination.I’llwaithereforthereports.•Herearethereports;isthereanythingwrong?•I’msureit’spneumonia.Don’tbealarmed,butyoushouldbeadmittedtohospitalandtreatedwithpenicillinandstreptomycin.Forthetimebeingyoushouldstopsmoking.Afterseveraldaysyou’llfeelmuchbetter.•HowongwillIhavetostayinhospital?•Aboutoneweek.RelatedExpression:insomnia•I’malightersleeper.•Ifrequentlywakeupinthemiddleofthenight.•I’vebeensufferingfrominsomnia.•Canyougivemesomemedicinetohelpmetosleep?•MynervesgetsoexcitedthatIcan’tsleepwell.SituationD•Thepatienthasbeensufferingfrominsomniaforthreemonths.Hehastriedsomesleepingpillsbuttheyseemtohavedonelittlehelpforhim.What’smore,hehasheadaches,noappetite,andisalwaysontheedge.Thedoctorfindsthathelooksanemicandtak