تدريب Shadowing: Respiratory Examination | OSCE Guide | UKMLA | CPSA | PLAB 2 - تعلم التحدث بالإنجليزية عبر الفيديو

جارٍ إنشاء الدرس...
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Hello, my name is Hassan.
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I'm one of the final year medical students.
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Can I start by checking your name please?
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Ollie Walker.
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And what's your date of birth?
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6th of March 94th.
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Okay, Ollie.
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Today I've been asked to perform a respiratory examination on you.
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This involves having a look, listen and feel of your chest.
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Is that alright?
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Yes.
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Before we begin can I check do you have any pain?
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No, no one at all.
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Good.
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If you could take off your t-shirt for me and get onto the examination couch we'll make a start.
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Okay Oli, I'm just gonna have a look at you from the end of the bed.
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Now I'm going to have a look at your hands.
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If you could just hold them out in front of you like so.
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Turn them over.
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Hold your fingers together like that.
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That's good.
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And if you just extend your arms out like that, just hold it there.
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Cock your wrists back.
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Just keep them in that position.
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That's good.
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Pop your arms down.
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Just going to assess the temperature.
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All right, now I'm going to take your pulse.
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Alright, next I'll get you to rest your head back and turn away from me.
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I'm going to have a look at your neck.
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Okay Ollie, I'm just going to take a closer look at your face.
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I'm just going to pull your lower eyelid down here.
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Open your mouth for me and stick your tongue to the roof of your mouth.
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You can close close your mouth now it's going to take
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a closer look at your chest could you raise this arm up just
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so i can have a look at the side
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and the same with you there on please you can put
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that back down thank you now i'm going to feel for
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the position of your windpipe this might feel a bit uncomfortable Now I'm going to feel for your heartbeat.
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Now I'm going to assess the expansion of your chest.
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To do this I'm just going to have to squeeze a bit, okay?
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Take a deep breath for me. And out.
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Okay, that's good.
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Now I'm going to tap on your chest.
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Tap on the side there.
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Now I'm going to listen to your chest, so take some deep breaths in and out through your mouth.
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I'm just going to have a listen at the sides.
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Next I'm going to listen at all the same sides, but I'd like you to say 99 every time the stethoscope touches your chest.
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99. 99.
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99 99 99 99
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99 99 99 99 99 99
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99. Okay, Ollie, next can you sit forward for me?
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I'm just going to examine the glands in your neck just while standing behind you.
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Okay, now I'm just going to have a look at your back.
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Now take a deep breath in for me. And out.
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again and out.
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Okay, I'm going to tap on your back now.
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Before I do that, if you could cross your arms over your chest for me.
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Thank you.
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Okay, now I'm going to listen to your breathing again.
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So if you take some deep breaths in and out through your mouth.
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you Thank
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you.
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Next, I'm going to listen again, but this time, every time the stethoscope touches your back, I want you to say 99, please.
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99, 99, 99, 99, 99, 99, 99, 99, 99.
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Thank you.
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Now, I'm going to press firmly at the bottom of your back.
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okay Ollie you can uncross your arms and sit back now I'm going to examine your legs and ankles
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I'm just going to press firmly here on this side
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I'm going to squeeze your carbs, let me know if it's painful.
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Thank you. That concludes the examination.
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You can get addressed now.
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Today I performed a respiratory examination on Ollie Walker, a 30 year old man.
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He was comfortable at rest, his pulse was regular at 75 beats per minute and his respiratory rate was 15 breaths per minute.
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Chest expansion was equal throughout,
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the percussion note was resonant in all areas and on auscultation he had normal vesicular breathing throughout with no added sounds.
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In summary all of these findings are consistent with a normal respiratory examination.
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To complete my assessment, I would perform a full cardiovascular examination and I would check vital signs including oxygen saturations.
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المفردات وملاحظات التحدث لهذا الدرس

يحتوي هذا الفيديو على 76 جملة و738 كلمة للتدرب على الترديد. مدة الكلام 9:49. يتكلم المتحدث ببطء، بمعدل 75 كلمة في الدقيقة تقريبًا، فيكون لديك وقت لتقليد كل صوت. 81% فقط من الكلمات ضمن أكثر 3,000 كلمة شيوعًا في الإنجليزية، فالمفردات صعبة نسبيًا.

أهم المفردات في هذا الفيديو

15 كلمة أقل شيوعًا من الفيديو، مع النطق والمعنى:

  • examination /ɪɡˌzæm.ɪˈneɪ.ʃən/ (اسم) — اِخْتِبَار, اِمْتِحَان. The act of examining.
  • breathe /bɹiːð/ (فعل) — تَنَفَّسَ. To draw air into (inhale), and expel air from (exhale), the lungs in order to extract oxygen and excrete waste gases.
  • respiratory /ɹɪˈspɪ.ɹət.ə.ɹi/ (صفة) — جِهَاز تَنَفُّسِيّ, تَنَفُّسِيّ. Relating to respiration or the organs of respiration; breathing.
  • examine /ɪɡˈzæmɪn/ (فعل) — فَحَصَ, اِمْتَحَنَ. To observe carefully or critically to learn about someone or something.
  • assess /əˈsɛs/ (فعل) — يُقَدِّر. To determine, estimate or judge the value of; to evaluate; to estimate.
  • pulse /pʌls/ (اسم) — نَبْض, نَبْضَة. A normally regular beat felt when arteries near the skin (for example, at the neck or wrist) are depressed, caused by the heart pumping blood through them; the…
  • squeeze /skwiːz/ (فعل) — عَصَرَ. To apply pressure (to something) from two or more sides at once.
  • consistent /kənˈsɪs.tənt/ (صفة) — مُتَّسِق. Of a regularly occurring, dependable nature.
  • finger /ˈfɪŋɡɚ/ (اسم) — إِصْبَع, بَنَان. A slender jointed extremity of the human hand, (often) exclusive of the thumb, and the corresponding part, irrespective of including a thumb, in many other…
  • assessment /əˈsɛsmənt/ (اسم) — تَقْيِيم. The act of assessing or an amount (of tax, levy or duty etc) assessed.
  • vital /ˈvaɪtəl/ (صفة) — حَيَوِيّ. Relating to or characteristic of life.
  • summary /ˈsʌm.ə.ɹi/ (اسم) — خُلَاصَة, مُلَخَّص. An abstract or a condensed presentation of the substance of a body of material.
  • painful /ˈpeɪn.fl̩/ (صفة) — أَلِيم, مُؤْلِم. Causing pain or distress, either physical or mental.
  • oxygen /ˈɑksɪd͡ʒən/ (اسم) — أُكْسِجِين. The chemical element (symbol O) with an atomic number of 8 and relative atomic mass of 15.9994. It is a colorless and odorless gas. Sometimes called elemental…
  • uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/ (صفة) — غَيْر مُرِيح. Not comfortable; causing discomfort.

الأفعال المركبة التي ستسمعها

  • look at (فعل) — نَظَرَ. To observe or watch.
  • take off (فعل) — خَلَعَ. To remove.

نطق يحتاج إلى انتباه

يستخدم المتحدث 29 من الصيغ المختصرة، مثل I'm, gonna, I'd. انطقها بصيغتها القصيرة كما تسمعها.

  • أصوات “th”: breathe /bɹiːð/, stethoscope /ˈstɛθəsˌkoʊp/
  • أصوات “sh” و“zh”: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, auscultation /ˌɔːskəlˈteɪʃən/, percussion /pɚˈkʌʃən/
  • الكلمات الطويلة — انتبه لموضع النبر: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, respiratory /ɹɪˈspɪ.ɹət.ə.ɹi/, uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, cardiovascular /ˌkɑːdi.əʊˈvæskjʊlə(ɹ)/, auscultation /ˌɔːskəlˈteɪʃən/

كيف تتدرب بهذا الفيديو

  1. استمع إلى الفيديو كاملًا مرة واحدة دون أن تتكلم، ودوّن الكلمات التي لا تعرفها.
  2. ردّد جملة جملة بالسرعة العادية، وكرّر كل جملة حتى يتطابق إيقاعك مع المتحدث.
  3. سجّل صوتك وقارنه بالأصل، مع الانتباه إلى كلمات مثل examination, breathe, respiratory.

ما هي تقنية التظليل الصوتي؟

التظليل الصوتي (Shadowing) تقنية تعلم لغة مدعومة علمياً، طُورت أصلاً لتدريب المترجمين الفوريين المحترفين. الطريقة بسيطة لكنها قوية: تستمع لصوت إنجليزي أصلي وتكرره فوراً بصوت عالٍ — كظل يتبع المتحدث بتأخير 1-2 ثانية. تُظهر الأبحاث تحسناً كبيراً في دقة النطق والتنغيم والإيقاع وربط الأصوات والاستماع والطلاقة.

تقنية الشادوينغ: اقرأ الدليل الكامل خطوة بخطوة →