II.Taking Medical History

Choose the most suitable phrases for the situations below using the specialized Questionnaire and List of Commands (add your own variants if it is necessary):

1) You are questioning a patient on the state of his health. Find out:

A) the passport data, age, occupation, place of residence, marital status;

B) his complaints;

C) the onset of the disease.

2) You are taking the past history of your patient. You must know:

A) the diseases the patient had in his childhood;

B) if the patient was ill with TB (VD, AIDS);

C) if the patient has been operated on before;

D) if the patient consulted a doctor on his disease;

E) if a similar disease runs in the family.

3) You are questioning a patient on the signs and symptoms of the present illness. Try to find out:

A) the character of the onset of the pains (symptoms);

B) localization and character of the pain (symptom);

C) duration of the disease;

D) progress of the disease;

E) the factors aggravating the condition.

4) You are examining a patient with heart trouble. What do you say if:

A) you are listening to his heart;

B) you are listening to his lungs;

C) you are going to palpate (auscultate) him;

D) you are going to take his temperature;

E) you are going to measure his blood pressure.

5) You are examining a patient with an ulcer disease. Question him:

A) on the location of the pain;

B) on the character of the pain;

C) on the last fit of pains;

D) give your instructions to the patient how to prepare for the X-ray examination (roentgenoscopy) of the stomach.

Questionnaire

- What do you do?

- What’s your problem?

- Where do you feel the pain?

- Do the pains subside after applying a hot-water bottle?

- How long have you been ill?

- Have you ever been seriously ill?

- Do you have any belching? Is it of a sour or bitter taste?

- How old are you?

- What’s your job?

- Do you have any pains on an empty stomach?

- What diseases have you had in the past?

- When do the pains come on? Do they appear after meals?

- What’s your address, please?

- Have you been exposed to any industrial hazards at your place of work? Which ones?

- How long after meals do the pains begin?

- At what age did you begin working?

- Are you allergic to any drugs?

- Are there any night pains?

- What relieves the pains?

- Is your appetite good?

- Is there any burning sensation in the stomach? When do you feel it?

- Does nausea trouble you? How often? When?

- When did you vomit?

- When did the first symptoms appear?

- What’s your occupation?

- How many times a day do you have stools?

- Do you take laxatives? Are you given an enema?

- Do you have constipation or diarrhea?

- Has anybody in your family had tuberculosis (cancer, heart diseases, bronchial asthma, epilepsy, alcoholism)?

- What has brought you here?

- Do you have any pain in the heart region?

- Do you have a heart trouble?

- Have you ever been in hospital, if yes, for what reasons?

- Do you have a pain in the joints?

- Have you ever suffered from some heart trouble like this before?

- When and in what hospital were you treated?

- Did the disease recur from time to time?

- Have you consulted any doctor about this disease?

- Have you had your ECG made?

- Have you noticed any swelling?

- Have you ever been treated in a surgical department?

- When did this swelling appear?

- Do you always feel short of breath or does the breathlessness come from time to time, or at a certain time?

- What drugs relieve a fit of pain?

- Are you married or single?

- What diseases did you have in your childhood?

List of Commands

- Show where the pain is the most acute.

- Lie down flat on your back.

- Show me your tongue.

- Watch my finger.

- Let me look into your throat.

- Bend your body forward.

- Say ah.

- Undress, please.

- Strip to the waist.

- Turn your head and breathe.

- Breathe deeply.

- Breathe normally.

- Take a deep breath in and keep it.

- Dress up, please.

- Slip off your coat, please.

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