L9 Flashcards

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1
Q

Quickly transfer the patient to the cardiology department

A

快把病人转到心血管内科。

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2
Q

Cardiology department

A

心血管内科

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3
Q

Transfer

A

转到

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4
Q

To draw/deduce

A

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5
Q

To draw a conclusion

A

下结论

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6
Q

Conclusion

A

结论

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7
Q

To take/record (temp,BP)

A

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8
Q

Pulse

A

脉搏

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9
Q

mmHg

A

毫米汞柱

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10
Q

Clear

A

清晰

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11
Q

Valve

A

瓣膜

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12
Q

Pathological

A

病理性

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13
Q

To palpate

A

触诊

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14
Q

To distend

A

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15
Q

Abdominal muscle

A

腹肌

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16
Q

Rebound tenderness

A

反跳痛

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17
Q

Obvious

A

明显

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18
Q

Suspect

A

怀疑

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19
Q

Myocardial infarction

A

心肌梗塞

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20
Q

Take order

A

下命令

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21
Q

Draw a conclusion

A

下结论

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22
Q

Don’t jump to conclusions about the patient.

A

不要随便给病人下结论

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23
Q

Don’t have a conclusion yet

A

还没有结论

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24
Q

What illness do you have? Right now, no conclusion yet.

A

你得的什么病? 现在还没有结论。

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25
Q

Measure (medicine)

A

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26
Q

Measure (spoken language)

A

测量

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27
Q

Measure Temp

A

测体温/量体温/测量体温

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28
Q

Measure BP

A

测血压,量血压,测量血压

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29
Q

Measure height

A

测身高,量身高,测量身高

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30
Q

Measure weight

A

测体重,量体重,测量体重

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31
Q

Pulse 60

A

脉搏60次

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32
Q

Clear sound

A

声音清晰

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33
Q

Bicuspid/mitral valve

A

二尖瓣

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34
Q

Tricuspid valve

A

三尖瓣

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35
Q

Pathology

A

病理学

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36
Q

Pathological murmur

A

病理性杂音

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37
Q

Abdominal palpation examination

A

腹部触诊检查

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38
Q

Recently, my digestion isn’t good, I always feel like my stomach is bloated/distended.

A

我最近消化不好,我总是觉得肚子胀胀的

39
Q

Abdominal muscle tension

A

腹肌紧张

40
Q

When doing palpation for the patient, it was found that he had rebound tenderness

A

给病人触诊的时候,发现套有反跳痛

41
Q

Pain is very obvious

A

疼痛很明显

42
Q

Patient has very obvious pain

A

病人有很明显的疼痛

43
Q

Effect very obvious

A

效果很明显

44
Q

I suspect you don’t have a cold, you first do a routine test.

A

我怀疑你得的不是感冒,你先去做一个检查吧。

45
Q

我怀疑你得的不是肠胃炎,我们要给你做进一步检查

A

I suspect that it’s not gastroenteritis, we will do another test

46
Q

心肌梗塞

A

Myocardial infarction

47
Q

急性心肌梗塞

A

Acute myocardial infarction

48
Q

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。

A

Mem

49
Q

I heard that she is a patient transferred from county hospital with gastroenteritis

A

他说是县医院来的急性肠胃炎病人

50
Q

We shouldn’t jump into conclusions first

A

我们先别下结论

51
Q

She still feels nauseous

A

他还觉得恶心

52
Q

Measure the temperature,pulse, breathing, and BP

A

测体温,脉搏,呼吸,和血压

53
Q

Did you give the patient heart and lung auscultation?

A

你给病人心肺听诊吗?

54
Q

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。

A

Both lungs auscultation breathing sounds are clear, heartbeat is regular, all valves area sound have no pathological murmur

55
Q

Give the patient an abdominal palpation again.

A

再给病人的腹部触诊

56
Q

Abdomen distended, but no abdominal tenderness

A

腹胀,但腹肌不紧张

57
Q

Abdominal severity and rebound tenderness are not obvious

A

腹部压痛和反跳痛都不明显

58
Q

Did the county hospital do an ECG?

A

在县医院有没有做过心电图

59
Q

The results of the ECG came back, it’s acute myocardial infarction.

A

心电图结果出来了,是心肌梗塞

60
Q

误诊

A

Misdiagnosed

61
Q

考虑

A

To consider

62
Q

表现

A

Manifestation

63
Q

Your previous doctor’s misdiagnosed you.

A

你以前的医生给你误诊了。

64
Q

I suspect that your previous diagnosis was a misdiagnosis

A

我怀疑你之前的诊断是误诊。

65
Q

I suspect you were misdiagnosed

A

我怀疑你被误诊了

66
Q

Consider patient’s condition

A

考虑病人的身体情况

67
Q

Consider patient’s working conditions

A

考虑病人的高能工作情况

68
Q

Consider the patient’s age

A

考虑病人的年龄。

69
Q

Clinical trials

A

临床试验

70
Q

Clinical research

A

临床研究

71
Q

MBBS

A

临床医学

72
Q

Clinical manifestation

A

临床表现

73
Q

医生告诉我,对病人诊断还要考虑病人的年龄。

A

Doctor told me that we must consider the patient’s age when making a diagnosis

74
Q

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%。

A

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.

75
Q

测脉搏

A

Measure the pulse

76
Q

下结论

A

Draw a conclusion

77
Q

考虑病人的年龄

A

Consider the patients age

78
Q

主要症状

A

Main symptoms

79
Q

腹胀

A

Distended abdomen

80
Q

放跳痛明显

A

Obvious rebound tenderness

81
Q

腹肌紧张

A

Abdominal muscle tenderness

82
Q

病理性杂音

A

Pathological murmur

83
Q

临床表现

A

Clinical manifestation

84
Q

百瑞迪,你刚才给病人做检查的时候,有没有发现他腹———。

A

85
Q

3 号床有明显的腹部痛,做腹部————了吗?

A

触诊

86
Q

在心电图检查结果以前,还不好下———。

A

结论

87
Q

在心肺听诊区可———病理性杂音。

A

听到

88
Q

病人的——— 是76次。

A

脉搏

89
Q

以胃肠道症状为主要临床表现的——— 容易被误诊。

A

心肌梗塞

90
Q

对病人诊断时还要———病人的年龄

A

考虑

91
Q

你给病人———脉搏了吗?

A

92
Q

病历上写着:肺部听诊,双肺呼吸音—-—。

A

清晰

93
Q

我觉得这位病人的反跳痛不太———。

A

明显