文档介绍：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(不足,正常)[hypersthenia (hyposthenia, euthesia)]
,
现病史书写的重点包括:
一、主诉中症状的详细描述;
二、疾病的发展过程;
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、症状出现的叙述
·有……症状
▲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 (e 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[e worse after taking meals]
▲站立后缓解[be relieved by standing up]
▲随呼吸和咳嗽而加重[e more severe with breathing and cough]
·伴有……
▲be panied by
3、起病方式
·急性腹痛[acute abdominal pain]
·慢性低热[chronic lower fever]
·暴发性发病[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 at