II.Taking Medical History

Choose the most suitable phrases for the situations below using the specialized Questionnaire and List of Commands (add your own variants if it is necessary):

1. You are questioning a patient on the state of his health. Find out:

1. the passport data, age, occupation, place of residence, marital status;

2. his complaints;

3. the onset of the disease.

2. You are taking the past history of your patient. You must know:

1. the diseases the patient had in his childhood;

2. if the patient was ill with TB (VD, AIDS);

3. if the patient has been operated on before;

4. if the patient consulted a doctor on his disease;

5. if a similar disease runs in the family.

3. You are questioning a patient on the signs and symptoms of the present illness. Try to find out:

1. the character of the onset of the pains (symptoms);

2. localization and character of the pain (symptom);

3. duration of the disease;

4. progress of the disease;

5. the factors aggravating the condition.

4. You are examining a patient with heart trouble. What do you say if:

1. you are listening to his heart;

2. you are listening to his lungs;

3. you are going to palpate (auscultate) him;

4. you are going to take his temperature;

5. you are going to measure his blood pressure.

5. You are examining a patient with an ulcer disease. Question him:

1. on the location of the pain;

2. on the character of the pain;

3. on the last fit of pains;

4. give your instructions to the patient how to prepare for the X-ray examination (roentgenoscopy) of the stomach.

Questionnaire

• What do you do?

• What’s your problem?

• Where do you feel the pain?

• Do the pains subside after applying a hot-water bottle?

• How long have you been ill?

• Have you ever been seriously ill?

• Do you have any belching? Is it of a sour or bitter taste?

• How old are you?

• What’s your job?

• Do you have any pains on an empty stomach?

• What diseases have you had in the past?

• When do the pains come on? Do they appear after meals?

• What’s your address, please?

• Have you been exposed to any industrial hazards at your place of work? Which ones?

• How long after meals do the pains begin?

• At what age did you begin working?

• Are you allergic to any drugs?

• Are there any night pains?

• What relieves the pains?

• Is your appetite good?

• Is there any burning sensation in the stomach? When do you feel it?

• Does nausea trouble you? How often? When?

• When did you vomit?

• When did the first symptoms appear?

• What’s your occupation?

• How many times a day do you have stools?

• Do you take laxatives? Are you given an enema?

• Do you have constipation or diarrhea?

• Has anybody in your family had tuberculosis (cancer, heart diseases, bronchial asthma, epilepsy, alcoholism)?

• What has brought you here?

• Do you have any pain in the heart region?

• Do you have a heart trouble?

• Have you ever been in hospital, if yes, for what reasons?

• Do you have a pain in the joints?

• Have you ever suffered from some heart trouble like this before?

• When and in what hospital were you treated?

• Did the disease recur from time to time?

• Have you consulted any doctor about this disease?

• Have you had your ECG made?

• Have you noticed any swelling?

• Have you ever been treated in a surgical department?

• When did this swelling appear?

• Do you always feel short of breath or does the breathlessness come from time to time, or at a certain time?

• What drugs relieve a fit of pain?

• Are you married or single?

• What diseases did you have in your childhood?

List of Commands

• Show where the pain is the most acute.

• Lie down flat on your back.

• Show me your tongue.

• Watch my finger.

• Let me look into your throat.

• Bend your body forward.

• Say ah.

• Undress, please.

• Strip to the waist.

• Turn your head and breathe.

• Breathe deeply.

• Breathe normally.

• Take a deep breath in and keep it.

• Dress up, please.

• Slip off your coat, please.