Taking about history
personal details
What do you do for a living?
I work in a facory.
I’m out of work.
I’m a pensioner.
Do you have a partner?
Yes, I’m married.
I live with my partner.
No, I’m single/divorced.
No, I’m a widow/widower.
- widow: a woman whose husband is no longer living
- widower: a man whose wife is no longer loving
talk about pain
| Patient’s description | explanation |
| aching | general pain(muscle,joints) |
| boring | like a drill |
| colicky | intermittent pain 断続的な |
| crampy | involuntary spasmodic muscle 非自発的な筋肉の痙攣 |
| crushing | feeling of pressure |
| dull | opposite of sharp |
| gnawing | biting |
| gripping | feeling of tightness |
| scalding | like boiling water |
| sharp | acute |
| stabbing | like a knife |
| stinging | like an insect sting |
| throbbing | with a pulse and beat |
| burnig | with heat |
drug history
Are you taking any medication at the moment?
Do you use any over-the-counter remedies(市販薬),
harbal(薬草) or homeopathic medications(ホメオパシー療法)?
homeopathic medication:本来体に備わっている自己治癒力に働きかけ、回復をもたらす療法
Do you always remember to take it? (compliance)
Do you get any side effects/allergic reactions?
family history
Do you have any siblings(brothers and sisters),spouse(husband or wife) and children?
Are your parents alive and well?
How old was he when he died?
Do you know the cause of death?
Does anyone in your family have a serious disease?
social and personal history
Occupation(仕事),Housing(住宅),Personal habites(趣味)
Do you have any problems at work?
What kind of house do you live?
Do you have any financial problems?
Do you smoke, drink alcohol or do exercise?
Asking questions
How can I help you today?
What can I do for you?
What seems to be the problem?
I’ve got a pain in my stomack.
How long has it been borthering you?
How long have you had it?
– time of onset 発症
Tow to three days.
Which partof your stomach is affected?
Where does it hurt/sore?
Just here.
Can you describe the pain?
What’s the pain like?
What kind of pain is it?
A gripping pain.
How bad is the pain (from 1/10)?
– severity
I sometimes can’t get up because of the pain.
I think it’s 9.
Does it go anywhere else? – radiation
Not particularly.
Does anything bring on the stomack?
Is there anything that starts pain?
– precipitatingfactor(triggering/starting)
They start before period.
Does anything make it better?
– relieving factor
Lying down on the bed is helps.
Do you feel anything else wrong?
– associated feature
I have a dizziness.
Note
- sex M – male
- marital status – status of marriage
- 3/12 – 3 months in 12 months
- 3/52 – 3 weeks in 52 weeks
- 1/7 – 1day in 7days
- a.m. – in the morning
- ” 〇〇〇〇〇” – patirnt’s own words
- c/o – complain of
- in nature – in charactor/type
Today’s new words
| English | Japanese |
| aggravate アグラヴェイト | 悪化させる |
| peptic ulcers | 消化性潰瘍 |
| migraine マイグレイン | 偏頭痛 |
| osteoarthritis オスティオアースライティス | 変形性関節症 |
| general practitioner(GP) プラクティショナァ | 開業医 |
| lethal リーthァル | 致死 |
| detached house | 一戸建て |
| mortgage | 住宅ローン |
| spit | ~を吐く |
コメント