•associated with 与…有关系；与…相联系
•obstacles n. 障碍；障碍物（obstacle的复数形式）；阻碍
•injury to 损伤，伤害（某个部位）
•ex1：从昨晚饭后，病人一直感觉寒战。
•Patient has had chills after dinner since last evening.
2
Details
(Biographical[baɪə'græfɪk(ə)l] data)
• Name姓名 • Age年龄 • Sex性别 • Marital['mærɪt(ə)l] status婚否 • Nativity[nə'tɪvɪtɪ]籍贯 • Race民族 • Occupation职业 • Date of admission入院日期 • Informant [ɪn'fɔːmənt]病史叙述者 • History病史
•·症状+时间+in duration
•如： [Headache 1 month in duration] 头痛1月
•·时间+of+症状
•如： [Two-day history of fever] 发热2天
•4-hour traffic accident injury to the left leg pain associated with activities obstacles.
4
HPC
(history of presenting complaint[kəm'plent])
•现病史书写的重点包括： •一、主诉中症状的详细描述； •二、疾病的发展过程； •三、诊疗经过； •四、目前的一般情况
•Onset 起病特征，发病情况 •Duration：n. 持续 (persistent since onset 发病起持续至今) •Severe [sɪ'vɪr] 严重性 •Relieving[rɪ'liv]/exacerbating factors 缓解与恶化的因素 •Associated symptoms['sɪmptəm] 伴随症状 •Resk factors 危险因素 •{起病情况，主要症状的特点，病情的发展与演变，伴随症状（记载与 鉴别诊断有关的阴性症状），诊疗经过，一般情况}
• Since onset(起病特征，发病情况), her appetite was good, and both her spiritedness ['spɪrɪtɪdnɪs]有精神and physical energy（体力） are normal. Defecation大便 and urination小 便 are normal, too.
Medical english study
Bazhou people`s hospital orthopedic and trauma department
wangyanchao resident doctor
1
Clinical-Medical English
• part1:
• History collection病史采集 • Inquiry[ɪn'kwaɪrɪ]问诊 • Chief complaints[kəm'plent]主诉 • HPC(history of presenting complaint)
6
Trauma and ['trɔːmə] shock
现病史 • PMH(past medical history) • 既往史 • S/E(systems inquiry)系统回顾 • FH(family history)家族史 • SH(social history)社会史 • P/E(physical examination)体格检查 • A/E (assistant examination)辅助检查 • Summary 摘要
3
Chief complaints
(presenting complaint[kəm'plent])
•主诉的表示方法：
•症状+时间（Symptom+Time）
•·症状+for+时间
•如： [Chest pain for 2 hours] 胸痛2小时
•·症状+of+时间
•如： [Nausea and vomiting of three days` duration] 恶心呕吐3天
•可简写为Chills since last evening.
•ex2：主诉：胃肿胀已4个月。
•C.C.：“Swelling of the stomach“ for 4 months.
•ex3：2,3个月来，一做工就感觉呼吸困难和眩晕。
•For 2 or 3 months, dyspnea and dizziness on work.
5
HPC
• Chief complaint:
• Right breast mass found for more than half a month.
• Present illness:
• Half a month ago, the patient suddenly felt pain in her right chest when she put up her hand. After touching it, she found a mass(n. 块，团) in her right breast, but no tendness压痛, and the patient didn’t pay attention it. Then the pain became more and more serious, so the patient went to tumour hospital and received a pathology[pə'θɒlədʒɪ]n. 病理学 centesis ['sen:ti:sis]n. [临床] 穿刺术. Her diagnosis was breast cancer. Then she came to our hospital and asked for an operation.