Consultation Unit 2: In the Surgical Clinic Nursing English Consultation Unit 2: In the Surgical Clinic

Mr Smith in the Surgical Clinic Mr Smith is in the surgical clinic 外科 because of pain in his stomach 肚子疼. Dr Steve examines 检查 the patient by listening to his heart and lungs 心肺, and feeling his abdomen 腹部. He finds that there is tenderness 压痛 over the stomach 胃脏.

Medical Vocabulary auscultation: to listen to the sounds of the body using a stethoscope 听诊 palpation: using your hands to feel the body during an examination 触诊

Medical Vocabulary rigidity: hardness 刚性 epigastria: the middle of the abdomen near the stomach 腹上部的

Dialogue 1 heartburn: a pain in the chest that comes from the stomach 胃灼热 also: indigestion 消化不良 usually from eating spicy food or from stress bitter: a sharp, unpleasant taste 苦的 also: sour

Dialogue 1 What are Mr Smith’s symptoms? What could they be related to? What is happening in his life lately? What did the doctor do to find which part of Mr Smith’s body is painful? Have you ever had a doctor auscultate (listen to) your chest or palpate (feel) your abdomen?

Auscultation: Listening

Palpation: Feeling

Dialogue 2 peptic ulcer: a sore in the lining of the stomach 胃溃疡 also: gastric ulcer, stomach ulcer

Dialogue 3 injection: a dose of medicine given by a needle using a syringe 注射，打针 also: “a shot” “I’m going to give you a shot now.” syringe: 注射器 buttocks: 屁股 tincture: 酊剂 also: antiseptic 防腐剂 sterilize: to clean so there are no bacteria 消毒，没有细菌

Dialogue 3 dressing: 包扎伤口 usually used as a noun 绷带 “I need to change your dressing.” NOT “I need to dress your wound.”

Dialogue 3 Why do you need to sterilize the skin before giving an injection? Why do you think the nurse checked the dressing? Why does the nurse need to call the doctor?

What words can we use to describe pain?

“On a scale of 1-10 with 1 being no pain, and 10 being terrible pain, how is your pain?”