ЭКЗ / диалоги 9-12

Doctor (D): Hello! What do you complain of?

Patient (P): Hello, doctor! I have a bad pain in my abdomen

D: Where does the pain radiate?

P: At first, I had pain in the stomach area, and a couple of hours ago pain began to return to the lower abdomen on the right side

D: When was the first symptom?

P: At this morning. I woke up in pain, it hurt me even to get out of bed

D: Do you take painkillers?

P: Yes, I do. My wife gave me a pill, I took it, but the pain didn’t go away

D: Let me examine your abdomen

P: Yes, of course

D: You should make ultrasound examination of your abdomen made and make a complete blood count made. Here is the referral. Maybe, you have appendicitis = (

D: Hello, what do you complain of?

P: Good afternoon, I have a bad cough, fatigue and shortness of breath

D: How long have you been ill? What was the first symptom?

P: I fell ill about a week ago, at first, I had a slight temperature and increased fatigue

D: Did you take your temperature?

P: No, I didn’t but I think it is normal

D: Have you ever had diseases of the cardiovascular system before?

P: Yes, I have. I have ischemic heart disease

D: What medications did you take?

P: I take medications against angina and aspirin daily

D: At first, you need to do some tests to exclude dangerous conditions. And you should take a blood count test made and urinalysis made

D: Hello. What do you complain of?

P: Good evening. I complain of weakness and fatigue. I have a loss of appetite and I lost 5 kilos in the past 4 months

D: Since when have you been ill?

P: I fell ill for six months

D: Do you take any medications?

P: No. I don’t take any medications

D: Have you consulted a physician?

P: No, I haven’t

D: What diseases of the gastrointestinal tract have you had before? Gastritis? Ulcer?

P: A few years ago, I had a stomach ulcer and I was treated in a hospital

D: You should take fibrocastroscopy and you should take a complete blood count made. I think you need a consulted with gastroenterologist, here referral

D: Good morning. What do you complain of?

P: Hello. I complain of bad pain in my right forearm

D: What was the onset of your disease?

P: I got injured. Yesterday in the evening me and my daughter were skating and I fell on my hand

D: Do you take any medications?

P: Yes, I do. I took the painkillers

D: Has the pain become less intense?

P: Yes. It has. The pain subsided, but for a short time

D: Let me examine you. I see you have a severe swelling in forearm

P: Yes, of course, doctor

D: Here is the referral for the X-ray examination. It is necessary to make sure that you don’t have a fracture