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Dr. Hello, Mrs. Hansen.
201 جمل
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Dr. Hello, Mrs. Hansen.
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I'm Dr. Hudson.
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Hello.
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I understand you're having some pain.
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Oh, yes.
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I have stomach pain.
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Yes.
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When did it start?
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Last night.
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Last night.
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About what time?
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Nine.
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Nine.
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Where was it when it first started?
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It was kind of generalized.
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All around?
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Okay.
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Did it change at all?
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Yeah.
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Where.. how did it change?
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No, this morning when I woke up it was more central and now it's more over here.
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On the right side.
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What kind of pain is it?
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It's really.. it's right there and it's constant.
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It's constant.
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Is it like a grabbing pain,
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a stabbing pain, a dull ache?
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A dull ache.
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A dull ache.
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Is it going around the back at all?
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No. Down in the groin area?
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No. It's just right there now.
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Yeah.
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But it started more generalized.
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Yeah.
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On a scale of one to ten,
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last night, how bad was the pain?
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I would say a two.
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A two.
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And now, what would you say?
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A seven.
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A seven.
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Okay.
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When it first started, were you doing anything in particular?
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Did you lift something heavy?
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No, I was just...
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Did you twist?
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Was there any trauma?
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I was just looking at the TV.
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Okay.
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Right.
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Through the night, did it wake you up?
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No, I slept.
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You were able to sleep?
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Okay.
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Do you feel nauseated?
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This morning, yeah.
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This morning.
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Did you throw up?
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Yeah, an hour ago.
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An hour ago.
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How's your appetite?
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Do you feel hungry?
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Do you want to eat?
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Oh, no. You don't, okay.
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Did you have any fever?
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I did not take it,
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but now I feel kind of feverish.
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You feel a bit fewish.
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Did you have any night sweats last night?
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No. No, chills where you were shaking?
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No, but this morning a few hours of food started, yeah.
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Okay.
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Tell me about your bowel movements.
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When was the last one?
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Yesterday morning.
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Okay, was it normal?
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Yeah.
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Yeah.
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Did you have a period of time in the last week or so where you were either constipated or had diarrhea?
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No. Have you recently noticed any blood in your stools?
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No. Or any black diarrhea stool?
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No. Are you having problems with bladder in terms of burning to urinate,
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having to get up at night to urinate?
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No. Have you seen any blood in your urine?
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No. Okay, tell me about your periods.
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Do you still menstruate?
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No, no, no. It stopped five years ago.
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Five years ago.
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Okay.
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Alright, and you haven't had any spotting, bleeding at all?
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No. And are you sexually active?
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Not for the last six months.
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No new partners then for the six months.
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Okay, all right.
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Have you ever had any problems with this kind of pain before?
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No, no. Similar pain?
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No, this is the first time.
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Tell me about your health.
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Do you have any other medical problems?
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No. High blood pressure, cholesterol problems, heart problems?
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No. Do you take medications?
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just the homeopathic one.
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Okay, which ones are those?
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Prime Rose, I'm sorry.
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I take selenium and I take vitamin C and A and Primrose tablets.
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Primrose tablets, okay.
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Do you take any aspirin at all?
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No. No?
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Any Advil, ibuprofen?
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No. No, okay.
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Do you have allergies to medications?
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No. No?
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Have you ever had surgery before?
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No. No?
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So you don't know if you have any issues regarding general anesthetic?
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No. Problems like that?
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Family history in particular of bleeding tendencies or blood clot problems?
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No. No. Okay.
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Have you ever had kidney infections or bladder infections?
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Never.
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No. All right.
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Okay.
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So I'm going to examine you.
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Okay.
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So if you want to bring your legs down here,
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just bring them gently.
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I know it's going to hurt a little bit.
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Yeah.
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Okay, and now I'm going to just have a look at your abdomen.
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Okay, so we're going to just expose here and I'm going to look to see if your abdomen is distended.
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Do you feel bloated at all with your belly all swollen up?
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No. Okay, so it looks good.
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I don't see any swelling of your abdomen or any bulging anywhere.
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So now I'm going to give little taps.
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Okay, So show me the area where you're sore.
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Here.
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Okay, so we're gonna save that spot for last.
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So I'm just gonna give little punches here.
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That hurts you a bit, eh?
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Okay.
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Now I'm just going to lightly palpate just on the top like that.
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That's all okay.
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How about down here?
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That hurts a bit, okay?
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Okay.
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Now I'm going to go deeper down, okay?
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That's okay there.
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And if I press here,
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do you feel it a bit?
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Where do you feel that when I'm pressing here?
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So you feel it on that side, okay?
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Now I'm going to go deeper here, okay?
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So I do see that your muscles are tensing up when I'm doing that, okay?
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I'm going to do another test where I'm gonna press down and I'm gonna let go, okay?
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So you tell me if it hurts.
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So I'm gonna press down,
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I know it hurts here, I'm gonna let go.
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Okay, that does hurt, eh?
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Now I'm gonna do it on this side too.
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I'm gonna press down.
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Okay, I'm gonna let go.
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That really hurts.
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Okay, sorry about that.
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Now I'm going to listen for your bowel sounds.
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Okay, and I should have done this before palpating you,
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but let me have a listen here.
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Okay, so I'm just going to listen in all four quadrants,
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in all areas of the abdomen.
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Very good.
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So your bowel sounds are okay.
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So we see that the gas is flowing through,
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that there's no blockage there.
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So now I'm going to ask you to lift up your leg,
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and keep it up.
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So let's bring your leg out of the blanket,
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it'll make it easier for you.
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Just bring it up in the air like that and just don't let me push your leg down.
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You tell me if it hurts.
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Oh!
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That does hurt, eh?
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Okay, alright, so let's bring this down.
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Okay, and now I'm just going to be pressing a little bit on your kidneys back here.
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Does that hurt you?
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No. Okay, and how about on this side?
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Does that hurt you?
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And that's good.
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Very good.
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Now, I'm going to want to have a little bit of an examination to look at your tubes and your ovaries.
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what we call a gynecological examination.
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Exam is normal?
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Very good.
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And another thing that we need to do is do a rectal examination.
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That's to put a finger in and feel the area where the...
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That examination is normal as well.
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It is normal.
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Okay, very good. So that concludes...
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I have a question for you.
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What's your diagnosis?
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Well, my principal diagnosis is appendicitis at this point.
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you
تنزيل التطبيق
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لماذا يجب ممارسة التحدث مع هذا الفيديو؟
ممارسة التحدث باللغة الإنجليزية من خلال هذا الفيديو تعد وسيلة فعالة لتحسين مهارات الاتصال الخاصة بك، خاصة في سياقات الحياة اليومية مثل زيارة المستشفى. يتيح لك هذا الفيديو التفاعل مع محاور طبي حيث يسأل المريض حول أعراضه. من خلال تقليد هذه المحادثات باستخدام طريقة التظليل في الإنجليزية، يمكنك تحسين طلاقة حديثك وفهمك العام للغة الإنجليزية.
تتضمن فوائد ممارسة التحدث مع هذا الفيديو، التعرف على كيفية سؤال الأطباء عن الأعراض، التعامل مع الحالات الطبية بلغة دقيقة، وزيادة الثقة في استخدام اللغة في مواقف حقيقية. باستخدام تقنيات مثل تحسين النطق باللغة الإنجليزية، يمكنك فتح أبواب جديدة للتواصل الفعال مع الناطقين باللغة.
القواعد والتعبيرات في السياق
في هذا الفيديو، يمكننا تضمين بعض التعبيرات والقواعد المهمة التي استخدمها المتحدث. إليك بعض النقاط الرئيسية:
- الأسئلة المفتوحة: الأسئلة مثل "متى بدأت الألم؟" و"أين كان الألم؟" تعزز من التفاعل وتفتح المجال لمزيد من التفاصيل.
- وصف الألم: مصطلحات مثل "ألم مستمر" و"ألم باهت" تنقل مشاعر المريض بدقة، مما يسمح للأطباء بفهم الحالة بشكل أفضل.
- نطاق الألم: استخدام تراكيب مثل "على مقياس من واحد إلى عشرة" يوفر وسيلة لتقييم شدة الأعراض بشكل موضوعي.
فخاخ النطق الشائعة
تتضمن بعض الكلمات والعبارات في الفيديو تحديات نطق قد تواجه المتعلمين. على سبيل المثال، كلمات مثل "constant" و"dull ache" قد تكون صعبة. من السهل الخلط بين الأصوات في هذه الكلمات. يمكن أن يساعدك shadowspeaks في التركيز على هذه الكلمات أثناء ممارسة التحدث.
كذلك يمكن أن يبدو لهجة الطبيب محط اهتمام، حيث تستخدم لهجة معينة قد تكون غير معتادة للمتعلمين الجدد. تابع النطق واستمع جيدًا لتطوير مهاراتك. حاول دمج shadow speech في تمارينك لتحسين النطق والفهم.
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.
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