医学英语:现病史
医学英语:现病史[History of present illness (HPI/PI)
▲尿痛[micturition pain]
▲少尿〔无尿、多尿〕[oliguria (anuria, polyuria)]
▲大便失禁[fecal incontinence]
▲小便失禁[incontinence of urine]
▲精神不振[lassitude]
▲精神紧张〔抑郁〕[mental stress (depression)]
▲精神混乱[confusion]
▲精神失常[amentia (mental state is bad)]
▲精神状态正常[orthophrenia (mental state is good)]
▲体力旺盛〔缺乏,正常〕[hypersthenia (hyposthenia, euthesia)]
,
现病史书写的重点包括:
一、主诉中病症的详细描述;
二、疾病的开展过程;
三、诊疗经过;
四、目前的一般情况。
1、诱因
·无诱因下[With no inducing factors]
·无明显诱因下[Under no obvious predisposing causes]
·感冒一周后[After getting (catching) common cold for 1 week]
2、病症出现的表达
·有……病症
▲suffer from
▲have an attack of
▲have(fell)
▲begin to fell
▲a feeling (sensation) of……
▲complain (of)
▲……sensation (feeling) in (of) ……
▲[发热]have a temperature (become feverish)
·在……情况下发生
▲活动时呼吸困难[dyspnea on exertion]
▲躺下后即出现咳嗽[Cough occurs soon after lying]
·与……有〔无〕关
▲与……有关[be associated with]
▲与……有关[have (make) relation to]
▲与……无关[have (make)no relation to]
·在……情况下加重〔减轻〕
▲餐后加重[become worse after taking meals]
▲站立后缓解[be relieved by standing up]
▲随呼吸和咳嗽而加重[become more severe with breathing and cough]
·伴有……
▲be accompanied by
3、起病方式
·急性腹痛[acute abdominal pain]
·慢性低热[chronic lower fever]
·爆发性发病[the onset was fulminating]
·骤起胸痛[an explosive onset of chest pain]
·突然起病伴高热[the onset was sudden with high fever]
·突发突止[attacks began and ended abruptly]
·因……而突然起病[the attack is precipitated by……]
·很快发生晕厥[syncope occured rapidly]
·逐渐出现咳嗽咳痰[gradual onset of cough and sputum]
·偶而[occasionally (sporadically, accidentally)]
·反复胸闷心悸[recurrent (bouts of) chest discomfort and palpitation]
·一过性发作[transitory attack]
·连续胸痛[chest pain continually]
·时重时轻[waned and waxed]
·时好时坏[hang in the balance]
·不停地咳嗽[have a fit of cough]
·发作性呼吸困难[paroxysmal short of breath]
·频繁咳嗽[cough frequently (very often)]
·持续性〔间歇性〕[persistent (intermittent)]
·频发胸痛[frequent episodes of chest pain]
·持续不变[be steady]
4、病情变
化描述
·[病症好转] ▲fell better than before
▲take a favorable turn
▲take a turn for the better
▲improve
▲make favorable progress
▲turn for the better
▲change for the better
▲be better
·[病症减轻] ▲alleviate
▲reduce
▲palliate
▲diminish
▲ease(lighten)
▲mitigate
·[病症消失] ▲disappear
▲subside
▲regress
▲clear up
▲vanish
▲dissolve
▲die (fade) away
▲relieve
·[病症加重] ▲be (make,become,get) worse
▲worsen
▲become more severe
▲take a turn for the worse
▲be aggravated
▲increase in severity
▲take a bad turn
▲make (become) more serious
▲make (become) heavier
·[无变化] ▲remain the same as……
▲continue without change
▲be identical
▲be alike
▲be similar
▲resemble
·[时好时坏] ▲wane and wax
▲hang in the balance
·[体温/血压升降]
▲升至[rise (go up) to ]
▲已升至[have risen (gone up) to ]
▲从……升至……[go up from …… to……]
▲升至[be elevated to]
▲迅速下降[fall (decline, abate) abruptly]
▲骤降〔升〕[sudden drop (elevation)]
▲渐降〔升〕[fall (elevate) gradually]
▲缓慢下降[slow crisis (lysis) of ]
▲一天天下降[be (become) lower day by day]
▲开始降低[begin to remit]
▲降至正常[drop (was reduced) to normal]
▲已降至[have gone down (dropped) to]
▲回复到正常[return (revert) to normal]
▲由……降〔升〕至……[fall (elevate) from……to……]
▲维持在……水平[maintain at a level of……]
▲稳定在……[stabilize at……]
▲热退了[fever disappeared]
▲不超过[do not go up over (exceed)……]
▲在……和……之间波动[fluctuate (vary) between……
and……]
▲在……至……范围内[range from……to……]
▲平均38.5℃[an average temperature of 38.5℃]
▲有39.2℃的体温[have fever (a temperature) of 39.2℃]
5、病症的时间表示
·持续 ▲lasted for 2 days
▲have gone on for 1 month
▲have continued for 10 hours
▲lasted on the average 3-5 hours
▲lasted a variable time from 5 minutes to several hours
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