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Hello, my name is Dr. Ni3 hao3, wo3 shi4 yi1 sheng1 (Fevers/ Chills/ Night sweats)? Fa1 shao1/ Han2 chan4/ Wan3 shang5 Sit down on the exam table. Qing3 zuo4 zai4 chuang2 shang4.
What is your name? Ni3 jiao4 shen2 me5 ming2 zi5? liu2 han4 Lie down. Sit up. Stand up. Tang4 xia4. Zuo4 qi3 lai2. Zhan4 qi3 lai2
Intro
Intro
How old are you? Ni3 ji3 sui4? Weight loss? Ni3 zui4 jin4 you3 mei2 you3 shou4 le5? Remove your clothes (except your (Chu2 le5) ni3 de5 nei4 yi1, qing3 tuo1
General
Why did you come in today? Jin1 tian1 ni3 wei4 shen2 me5 lai3 zhe4 Skin (rashes/ itching/ color Pi2 fu1 you3 (fa1 zhen3/ yang3/ bian4 underwear). xia4 ni3 de5 yi1 fu5.
li3? changes)? yan2 se4) ma5? I am going to take your (blood Wo3 yao4 bang1 ni3 liang2 (xie3 ya1/
Do you have any pain? Ni3 hui4 tong4 ma5? (Headaches/ dizziness)? (Tou2 tong4/ tou2 yun1)? pressure/ pulse). mai4 bo2).
Where does it hurt? Na3 li5 tong4? Loss of consciousness? Shi1 qu4 zhi1 jue2? Do this. (to mimic physical action) Gen1 zhe5 wo3 zuo4.
Can you show me where? Ni3 ke3 yi3 gao4 su4 wo3 shi4 zai4 na3 li3 Vision changes? Shi4 li1 you3 gai3 bian4 ma5? Follow my finger. Kan4 zhe5 wo3 de5 shou3 zhi3.
ma5? Do you hear as well as before? Ni3 ting1 dong1 xi5 shi4 fou3 gen1 yi3 Look at the light. Kan4 wo3 de5 deng1.
When did the pain start? Ni3 shi4 shen2 me5 shi2 hou5 kai1 shi3 (Vertigo/ Tinnitus)? qian2 yi2 yang4 hao3? (tou2 yun1/ er3 Raise your eyebrows. Tai2 qi3 ni3 de5 mei2 mao5.
HEENT
tong4 de5? ming2?) (Smile/ frown). (Xiao4 yi2 xia4/ Zhou4 mei2).
HEENT
Is the pain strong, moderate, or Shi4 hen3 tong4, you3 dian3 tong4, hai2 Nose bleeds? Liu2 bi2 xie3? I need to check your teeth. Wo3 yao4 jian3 cha2 ni3 de5 ya2 chi3.
mild? shi4 you3 yi1 dian3 dian3 tong4? Sore throat? Hou2 long2 tong4? Im going to examine your nose. Wo3 yao4 jian3 cha2 ni3 de5 bi2 zi5.
Pain
Is the pain sharp or dull? Shi4 ci4 tong4 hai2 shi4 yin3 yin3 zuo4 Bleeding gums? Ya2 chuang2 liu2 xie3? Push against my hand with your Yong4 ni3 de5 lian3 tui1 wo3 de5 shou3.
tong4? (Indigestion/ Heartburn/ Diarrhea/ (Xiao1 hua4 bu4 liang2/ wei4 suan1 guo4 face.
Is the pain constant or intermittent? Shi4 bu2 duan4 de5 tong4 hai2 shi4 jian4 Constipation)? duo1/ fu4 xie4/ bian4 mi4)? Raise your shoulders against my Wo3 yong4 shou3 an4 zhe5 ni1 de5 shi2
GI
xie1 de5 tong4? What color is your stool? Da4 bian4 shen2 me5 yan2 se4? hands. hou5, tai2 qi3 ni3 de5 jian1 bang3.
Does the pain move? Ni3 de5 tong4 hui4 man4 yan2 ma5? (Heat/ cold) intolerance? (Pa4 re4/pa4 leng3)? Open your mouth. Stick out your Zhang1 kai1 ni3 de5 zui3 ba5. shuo1
Is there something that (alleviates/ Zen3 yang4 cai2 hui4 ling4 ni3 (mei2 you3 Polydipsia? Polyuria? Te4 bie2 kou3 ke3 ma5? Xiao3 bian4 tongue. Say ahh. ahh.
Endo
aggravates) the pain? na4 me5/ geng4) tong4? you3 bi2 ping2 shi2 duo1 ma5? Swallow. Tun1 yi2 xia4.
Have you had this pain before? Ni3 yi3 qian2 hui4 zhe4 yang4 tong4 ma5? (Hair/ nail) changes? (Tou2 fa/ zhi1 jia5) you3 gai3 bian4 ma5? I am going to examine your (heart/ Wo3 yao4 jian3 cha2 ni3 de5 (xin1 zang4/
Do you suffer from any medical Ni3 you3 shen2 me5 bing4? lungs). fei2).
Cough? Sputum? What color is it? Ke2 sou4? Tan2? Shen2 me5 yan2 se4?
Chest, Abdomen, GI
problems? Breathe deeply. Shen1 hu1 xi1.
Shortness of breath? Hu1 xi1 kun4 nan5?
High blood pressure? Gao1 xie3 ya1? Breathe out. Tu4 qi4.
Past Medical History
Chest
Heart disease? Stroke? Xin1 zang4 bing4? Zhong4 feng1? abdomen.
How many pillows do you use to Ni3 yong4 ji3 ge4 zhen3 tou5 shui4 jiao4?
Hepatitis? Cancer? Gan1 yan2? Ai2 zheng4? Tell me whether this hurts, when I Dang4 wo3 (an4 xia4 qu4/ fang4 kai1) de5
sleep?
Asthma? Emphysema? Xiao1 chuan3? Fei4 qi4 zhong3? (press/ let go). shi2 hou5, gao4 su4 wo3 tong4 bu2 tong4.
How many blocks can you walk Ni3 zou3 duo1 shao3 tiao2 jie1 cai2 hui4
HIV? AIDS? Ai4 zi1 bing4? I am going to do a rectal exam. Wo3 yao4 zuo4 da4 chang2 jian3 cha2.
before you get tired? gan3 dao4 lei4?
Do any of your family members have Ni3 de5 jia1 ren2 you3 jian4 kang1 wen4 Roll over onto your (left/ right) side. Xiang4 (zuo3/ you4) tang3.
Anemia? Pin2 xie3?
medical problems? ti2 ma5? Tell me as soon as you see my Kan4 dao4 wo3 de5 shou3 zhi3 niu3
Heme
Have you ever been hospitalized? Ni3 yi3 qian2 qu4 guo4 yi1 yuan4 ma5? Do you bruise easily? Ni3 shi4 fou3 hen3 rong2 yi4 peng4 yu1? finger wiggling. dong4 de5 shi2 hou5, qing3 gao4 su4 wo3.
Are you taking any medications? Ni3 xian4 zai4 you3 mei2 you3 chi1 yao4? Fatigue? Hen3 lei4? Do you hear this? Ni3 ting1 jian4 ma5?
Prescription? OTC? Herbal? Yao4 fang1? Chu3 fang1 yao4? Zhong1 Dysuria? Xiao3 bian4 bu4 tong1 Is it louder in your right ear or your Ni3 de5 you4 er3 ting1 dao4 da4 sheng1
Meds
yao4? Urgency? Jin3 ji2? left? yi1 dian3 hai2 shi4 zuo3 er3 ting1 dao4
da4 sheng1 yi1 dian3?
GU
Are you allergic to any medications? Ni3 hui4 dui4 yao4 wu4 guo4 min3 ma5? Daily frequency? Ni3 yi1 tian1 xiao3 bian4 ji3 ci4?
Are you married or single? Ni3 jie2 hun1 le5 ma5? Nocturia? Ye4 niao4 duo1? Walk on your (toes/ heels). Yong4 ni3 de5 (jiao3 zhi3 tou5/ jiao3 gen1)
Do you have any children? Ni3 you3 xiao3 hai2 ma5? Hematuria? Xie3 niao4? zou3 lu4.
Where do you live? Ni3 zhu4 zai4 nar3? Joint pain? Guan1 jie2 teng2 tong4? Walk like this. Xiang4 zhe4 yang4 de5 zou3.
Weakness? Xu1 ruo4? Stand like this with your feet Shuang1 tui3 yi1 qi3 zhe4 yang4 zhan4 qi3
Limbs
Do you live alone? Ni3 xian4 zai4 zi4 ji3 yi2 ge4 ren2 zhu4
ma5? Osteoporosis? Gu2 zhi2 shu1 song1 zheng4 together. lai2.
Do you work? Ni3 you3 gong1 zuo4 ma5? Rheumatoid arthritis? Feng1 shi1 bing4 Close your eyes. Bi4 shang4 ni3 de5 yan3 jing5.
Neurological
Do you (smoke/ drink)? Ni3 (chou1 yan1/ he1 jiu3) ma5? Problems with concentration? Ji2 zhong1 jing1 shen5 you3 kun4 nan2? I am going to test your balance. Wo3 yao4 jian3 cha2 ni3 de5 ping2 heng2.
Mental
How many (packs do you smoke/ Ni3 yi4 tian1 (chou1 ji3 bao1/ he1 ji3 bei1 Touch my finger. Touch your nose. Peng4 wo3 de5 shou3 zhi3. Peng4 ni3 de5
Mood changes? Qing2 xu4 bian4 dong4?
Do it again. Faster. bi2 zi5. Zai4 zuo4 yi2 ci4. Kuai4 yi1 dian3.
Social History