问诊 History of the Present Illness

By the end of this module you can…

• Open with one question, then let the patient tell the story.
• Ask the eight questions about any symptom: when, where, how long, what kind, how bad, the pattern, triggers, and what else.
• Say a 0–10 score back, and turn the patient’s words into chart words.
• Ask what the patient thinks is wrong, what worries them, and what they hope for.
• Sum up the story, and know the red flags that can’t wait in the patient’s own words.

Key vocabulary

Fourteen words from this module. Tap the speaker to hear each one.

Symptoms

• 疼téngTo hurt; pain
• 头疼tóu téngHeadache
• 肚子疼dù zi téngStomachache, belly pain
• 胸口疼xiōng kǒu téngChest pain
• 发烧fā shāoFever
• 咳嗽ké souCough
• 头晕tóu yūnDizzy
• 恶心ě xinNausea

When and how

• 开始kāi shǐTo start
• 多久duō jiǔHow long
• 加重jiā zhòngTo get worse
• 缓解huǎn jiěTo ease, get better
• 一阵一阵的yí zhèn yí zhèn deComes and goes
• 严重yán zhòngSerious, severe

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 您今天哪里不舒服？您慢慢说。Nín jīn tiān nǎ lǐ bù shū fu? Nín màn màn shuō.What’s bothering you today? Take your time.
2. 是什么时候开始的？Shì shén me shí hou kāi shǐ de?When did it start?
3. 哪里疼？用一个手指指给我看。Nǎ lǐ téng? Yòng yí ge shǒu zhǐ zhǐ gěi wǒ kàn.Where does it hurt? Point with one finger.
4. 是什么样的疼？Shì shén me yàng de téng?What kind of pain is it?
5. 零分是不疼，十分是最疼，您现在有几分？Líng fēn shì bù téng, shí fēn shì zuì téng, nín xiàn zài yǒu jǐ fēn?Zero is no pain, ten the worst: what is it now?
6. 是一直疼，还是一阵一阵的？Shì yì zhí téng, hái shi yí zhèn yí zhèn de?Constant, or does it come and go?
7. 什么情况下会更厉害？怎么样会好一点？Shén me qíng kuàng xià huì gèng lì hai? Zěn me yàng huì hǎo yì diǎn?What makes it worse? What makes it better?
8. 还有别的不舒服吗？Hái yǒu bié de bù shū fu ma?Any other symptoms?
9. 您最担心的是什么？Nín zuì dān xīn de shì shén me?What worries you most?
10. 我总结一下，您看对不对。Wǒ zǒng jié yí xià, nín kàn duì bu duì.Let me sum up; tell me if it’s right.

What’s in Module 2

1. Part 1 · Warm-UpWarm-Up: How Do You Feel?
2. Part 2 · The Words for SymptomsReading the Pinyin · Saying 肚子疼 vs. Writing 腹痛 · Vocabulary · Flash Cards · How Bad Is It? Zero to Ten
3. Part 3 · Taking the HistoryThe History Script · Open First, Then Focused · Key Patterns · Eight Questions About Any Symptom · What Kind of Pain? · What the Patient Thinks, Fears and Hopes
4. Part 4 · Following the ThreadOther Symptoms and What They’ve Tried · Summing Up the Story · Red Flags in the Story
5. Part 5 · Concerns & Body WordsWhat Patients Say · Heat, Chills and Other Body Words · Three More Symptoms to Ask About
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 2 Knowledge Check
8. Part 8 · Wrap-UpModule 2 Homework · Take-Home Phrase Sheet · Module 2 Wrap-Up · 下次见