General Vocabulary
English
Medical Environment | Taking the medical history | Physical Examination | Tests & Medication
- General
Introductions - Personal
Information - Pain &
Symptoms - Principle
Complaint - Past Medical
History - Downloads
| Good morning/good afternoon/good evening/hello.... | |
| My name is ... | |
| I’m a doctor working in ... | |
| I’m a medical student from ... | |
| I’d like to ask you some questions and examine you – is that all right? | |
| Please tell me if you don’t understand something or would like to ask a question. | |
| Could you please repeat that? I’m sorry, I missed what you said. |
| What’s your name? What are you called? | |
| How old are you? | |
| Where were you born? | |
| Are you married or single? | |
| Do you have children? | |
| Where do you live? In a house or a flat? | |
| Which floor? Is there a lift? | |
| Do you live alone? Who lives at home with you? | |
| What is your work/job? What do you do for a living? | |
| Does that involve any hazards? | |
| Do you travel much? Have you been abroad recently? |
| Pain | |
| Do you have any pain? | |
| Can you describe it for me? | |
| Descriptors | |
| Time of onset: | |
| When did it start? | |
| How long has it been there? | |
| Precipitating factors: | |
| Did anything bring it on? | |
| Site and radiation: | |
| Where exactly do you feel pain? | |
| Show me with your finger. | |
| Is it painful if I press here? | |
| Where does it spread? | |
| Intensity/severity: | |
| How bad is it? | |
| Is it the worst pain you’ve ever had? | |
| Tell me how bad it is on a scale of one to ten, with 1 being no pain and 10 the worst pain you've ever had | |
| Nature: | |
| What does it feel like? | |
| - sharp? | |
| - stabbing? | |
| - shooting? | |
| - dull? | |
| - crushing? | |
| - aching? | |
| - throbbing? | |
| - cramping? | |
| - gnawing? | |
| Associated features | |
| Have you noticed anything with it? | |
| Feeling sick? | |
| Feeling faint? | |
| Feeling full all the time? | |
| Sweating? | |
| Alleviating and aggravating factors | |
| Does anything make it better/go away? | |
| Does anything make it worse? | |
| Standing/sitting? | |
| Taking a deep breath? | |
| While Swallowing? | |
| While walking? | |
| Time-course | |
| Is it continuous or does it come and go? | |
| How long did it last? | |
| Previous episodes: | |
| Have you had this pain before? | |
| What was it due to then? | |
| Other Symptoms | |
| Use the same framework as above to determine precipitating factors, time course, severity, etc. |
| What brings you here today? | |
| What can I do for you? | |
| Tell me what’s wrong / what the matter is. | |
| What’s your main problem/complaint? | |
| General Questions | |
| How have you been feeling in general? | |
| Have you been generally unwell? | |
| Do you feel tired? | |
| Do you sleep well? | |
| Do you have a fever/temperature? | |
| Have you been sweating? | |
| Do you sweat at night? | |
| How is your appetite? | |
| What are your eating habits? | |
| Have you lost your appetite? | |
| Is your weight steady? Did you gain weight? Did you lose weight? |
| Past medical history (PMH) | |
| Have you any illnesses/medical conditions/diseases? | |
| Are you under the care of a doctor? | |
| Have you been in hospital before? | |
| - diabetes | |
| - high blood pressure | |
| - heart disease | |
| - jaundice | |
| - tuberculosis | |
| - epilepsy | |
| Family history (FH) | |
| Are your parents still alive? What did they die of? How old were they? | |
| Are there any diseases in your family/that run in your family? | |
| For example: heart disease, diabetes, epilepsy, asthma or other lung diseases? | |
| Are your children healthy? | |
| Drug history (medications) | |
| Do you take any regular medications? | |
| What are they for? How long have you taken them? | |
| Do you take the contraceptive pill? | |
| Do you take any over-the-counter or alternative medicines? | |
| Do you take any natural medicine? | |
| Do you drink alcohol? | |
| How many per day? | |
| Have you ever been told to cut your alcohol intake/drink less? | |
| Have you had any problems at work or home because of drinking alcohol? | |
| Do you smoke? How many cigarettes/cigars/pipefuls per day? | |
| How many years have you smoked? | |
| One pack-year = 20 cigarettes per day for 1 year (so 60 cigarettes/day for 10 years = 30 pack-years) | |
| Have you tried to stop? | |
| Do you use or have you used any ‘recreational’ drugs, not prescribed by the doctor? For example cannabis, heroin, cocaine ... | |
| Allergies | |
| Are you allergic to any tablets or medications, such as penicillin? | |
| Have you ever had a bad allergic reaction? | |
| Are you allergic to anything else, such as: | |
| - animals | |
| - house dust | |
| - pollen | |
| - insect stings or bites | |
| - foods | |
| Does anyone in your family have allergies? | |
| And don’t forget! | |
| Thanks for all that. | |
| Is there anything I forgot to ask you? | |
| Is there anything else you’d like to tell me? |
Note: The vocabulary tables are provided as
Excel files. Each of them contains several spreadsheets according to the structure used on the website.
| Download tables "Taking the medical history": | |
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