L9 Flashcards
Quickly transfer the patient to the cardiology department
快把病人转到心血管内科。
Cardiology department
心血管内科
Transfer
转到
To draw/deduce
下
To draw a conclusion
下结论
Conclusion
结论
To take/record (temp,BP)
测
Pulse
脉搏
mmHg
毫米汞柱
Clear
清晰
Valve
瓣膜
Pathological
病理性
To palpate
触诊
To distend
胀
Abdominal muscle
腹肌
Rebound tenderness
反跳痛
Obvious
明显
Suspect
怀疑
Myocardial infarction
心肌梗塞
Take order
下命令
Draw a conclusion
下结论
Don’t jump to conclusions about the patient.
不要随便给病人下结论
Don’t have a conclusion yet
还没有结论
What illness do you have? Right now, no conclusion yet.
你得的什么病? 现在还没有结论。
Measure (medicine)
测
Measure (spoken language)
测量
Measure Temp
测体温/量体温/测量体温
Measure BP
测血压,量血压,测量血压
Measure height
测身高,量身高,测量身高
Measure weight
测体重,量体重,测量体重
Pulse 60
脉搏60次
Clear sound
声音清晰
Bicuspid/mitral valve
二尖瓣
Tricuspid valve
三尖瓣
Pathology
病理学
Pathological murmur
病理性杂音
Abdominal palpation examination
腹部触诊检查
Recently, my digestion isn’t good, I always feel like my stomach is bloated/distended.
我最近消化不好,我总是觉得肚子胀胀的
Abdominal muscle tension
腹肌紧张
When doing palpation for the patient, it was found that he had rebound tenderness
给病人触诊的时候,发现套有反跳痛
Pain is very obvious
疼痛很明显
Patient has very obvious pain
病人有很明显的疼痛
Effect very obvious
效果很明显
I suspect you don’t have a cold, you first do a routine test.
我怀疑你得的不是感冒,你先去做一个检查吧。
我怀疑你得的不是肠胃炎,我们要给你做进一步检查
I suspect that it’s not gastroenteritis, we will do another test
心肌梗塞
Myocardial infarction
急性心肌梗塞
Acute myocardial infarction
李英:白瑞蒂,新来了一个病人,你看了没有?她怎么样?
白瑞蒂:我刚才在忙,还没去看她。听说是县医院转来的
急性肠胃炎病人。
李英:我们先别下结论。去看看再说吧。
吴雪:大夫,我妈妈肚子又疼了。
李英:呕吐没有?
吴雪:吐了,她还觉得恶心。 李英:(对白瑞蒂)测过体温、脉搏、呼吸、血压了吗? 白瑞蒂:护士测过了。(看病历)体温36.5度,脉搏每分
钟80次,呼吸每分钟24次,血压 120/90毫米汞柱。
李英:白瑞蒂,你给她做心肺听诊吧。 白瑞蒂:双肺听诊呼吸音清晰,心律整齐,各瓣膜听诊
区没听到病理性杂音。
李英:再给她的腹部做触诊。 白瑞蒂:好。腹胀,但腹肌不紧张。 吴心:这儿还有点儿疼。 白瑞蒂:腹部压痛和反跳痛都不明显。 李英:在县医院有没有做过心电图? 吴雪:没做过。
李英:(对白瑞蒂)我怀疑不是急性肠胃炎,给她做
做心电图吧。
(半个小时后)
白瑞蒂:心电图结果出来了,是心肌梗塞。
李英:快把病人转到心血管内科吧。
白瑞蒂:好。
Mem
I heard that she is a patient transferred from county hospital with gastroenteritis
他说是县医院来的急性肠胃炎病人
We shouldn’t jump into conclusions first
我们先别下结论
She still feels nauseous
他还觉得恶心
Measure the temperature,pulse, breathing, and BP
测体温,脉搏,呼吸,和血压
Did you give the patient heart and lung auscultation?
你给病人心肺听诊吗?
双肺听诊呼吸音清晰,辛苦整齐,各瓣膜听诊去没听到病理性杂音。
Both lungs auscultation breathing sounds are clear, heartbeat is regular, all valves area sound have no pathological murmur
Give the patient an abdominal palpation again.
再给病人的腹部触诊
Abdomen distended, but no abdominal tenderness
腹胀,但腹肌不紧张
Abdominal severity and rebound tenderness are not obvious
腹部压痛和反跳痛都不明显
Did the county hospital do an ECG?
在县医院有没有做过心电图
The results of the ECG came back, it’s acute myocardial infarction.
心电图结果出来了,是心肌梗塞
误诊
Misdiagnosed
考虑
To consider
表现
Manifestation
Your previous doctor’s misdiagnosed you.
你以前的医生给你误诊了。
I suspect that your previous diagnosis was a misdiagnosis
我怀疑你之前的诊断是误诊。
I suspect you were misdiagnosed
我怀疑你被误诊了
Consider patient’s condition
考虑病人的身体情况
Consider patient’s working conditions
考虑病人的高能工作情况
Consider the patient’s age
考虑病人的年龄。
Clinical trials
临床试验
Clinical research
临床研究
MBBS
临床医学
Clinical manifestation
临床表现
医生告诉我,对病人诊断还要考虑病人的年龄。
Doctor told me that we must consider the patient’s age when making a diagnosis
老 年急性心肌梗塞的临床表现与中青年有明显不同, 中青年常常是心绞痛,老年人心梗有时候的主要 表现是上腹部疼痛、恶心、呕吐、腹胀等,这容 易被误诊为急性肠胃炎。这种情况占老年心肌梗 塞的30%。
The clinical manifestations of acute myocardial infarction in the elderly are significantly different from those in the young and middle aged people. Young and middle aged people often have angina, when older people suffer from myocardial infarction, the main manifestation are upper abdominal pain, nausea, vomiting, abdominal distinction, etc. This is easily misdiagnosed with acute gastroenteritis. This type of condition accounts for 30% of elderly with myocardial infarction.
测脉搏
Measure the pulse
下结论
Draw a conclusion
考虑病人的年龄
Consider the patients age
主要症状
Main symptoms
腹胀
Distended abdomen
放跳痛明显
Obvious rebound tenderness
腹肌紧张
Abdominal muscle tenderness
病理性杂音
Pathological murmur
临床表现
Clinical manifestation
百瑞迪,你刚才给病人做检查的时候,有没有发现他腹———。
胀
3 号床有明显的腹部痛,做腹部————了吗?
触诊
在心电图检查结果以前,还不好下———。
结论
在心肺听诊区可———病理性杂音。
听到
病人的——— 是76次。
脉搏
以胃肠道症状为主要临床表现的——— 容易被误诊。
心肌梗塞
对病人诊断时还要———病人的年龄
考虑
你给病人———脉搏了吗?
测
病历上写着:肺部听诊,双肺呼吸音—-—。
清晰
我觉得这位病人的反跳痛不太———。
明显