語学学校授業~医療英語~

Day6 Examination of the abdomen and the faeces 便

Examination of the abdomen

patient
patient

My abdomen is distended (bloated).

【How to examine】

①Confirming shifting dullness(によって腹水の有無を確認する)

  1. percuss or tap with the patients lying supine(仰向けになった)
  2. ask patient to lie on one side and purcuss again
  3. the dull note are heard on percussion moves, if fluid is present

Palpate each region, feeling for tenderness

  1. guarding may be due to tenderness or anxiety and can be reduced if patient is persuaded to relax
  2. rigidily is consintant and due to peritoneal irritation
  3. rebound tendness is a sign of peritonitis

③Listen for bowel sounds

Examination of the faeces

Dr
Dr
  • How often do you open your bowel?(bowel habits)
  • Are you going to the toilet more often than normal?(change in bowel habits)
  • Are the motions hard or loose?(consistency:硬さ)
  • Do the motions have an unusual smell?(offensiveness)
  • What about the appearance of the stool?(colour)
  • Have you passed black stools?(blood)
  • Is the size or the amount of the stool normal?(bulk:大きさ、容積)
stooldescribe as…
Melaenatarry – like tar (black sticky substance)
a high fat contentclay-coloured, looks pale
large in volumebulky
bad smelloffensive/foul

Today’s new words/diseases

EnglishJapanese
distend膨張させる
palpate触診
auscultate スカルテェイト聴診
percuss パー打診
rigid硬直した、硬い
tenderness(痛みなどの)感じやすさ、圧痛
rebound tenderness反跳痛
(腹部を圧迫する手が解放されたときに感じられる痛み)
masses セス大きな塊 enlargement of tissue
gurding筋性防御
peritoneal ペリトニール腹膜の
peritonitis腹膜炎
irritation痛み/不快感 pain/disconfort
ascites アイティズ腹水
respiratory スピラァトリィ呼吸の
quadrant クドラント四分儀
(abdomen is divided into right/left upper quadrant, right/left lower quadrant)
otorhinolaryngology耳鼻咽喉科 oto-rhino-laryn-gology
coeliac disease コーリィアックセリアック病:腸粘膜消化吸収障害をもたらす (coeliac:腹腔の)
ulcerative colitis潰瘍性大腸炎
jaundice ジョンディス黄疸
cellulitis セルユライティス蜂巣炎(ほうそうえん)
tuberculosis テュバキュロウシス結核
tetanus テェタナス破傷風
anthrax アンソラックス炭疽病(たんそびょう)
strep throat ストレッ溶連菌感染症(streptococcus:溶結性連鎖球菌)
canker sore ンカァ口内炎

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