Shadowing Practice: How to Present a Patient: Inpatient Bedside Teaching Rounds (Group 12) - Learn English Speaking with Video
Elige un modo de práctica
Cada modo abre una sala de práctica a pantalla completa.
61 oraciones
Si las oraciones son demasiado cortas o largas, haz clic en Editar para ajustarlas.
1
Jonathan, this is Dr. Jones and our internal medicine service team.
2
Hi.
3
Hi Jonathan.
4
We're going to be, I'm going to be presenting your case to them.
5
Is that alright if I do that in the presence of your girlfriend and co-worker here?
6
Yes, this way.
7
Thanks Jonathan.
8
So this is the first UMC visit for Jonathan, who is a 24-year-old African-American
9
with a history of sickle cell disease who presented to the emergency department with a two-day history of bilateral knee pain.
10
He's ectomorphic and is in moderate distress.
11
The pain began Tuesday at approximately 4 a.m while he was working a night shift at Walmart.
12
He had difficulty sleeping because of the pain that night, that night and the pain gradually continued to increase due to a severity of 8 out of 10 today.
13
The pain was exacerbated with walking and standing and was not significantly relieved with Percocet,
14
which he received from another physician that we aren't sure who it was.
15
Jonathan has never experienced knee pain to this extent before, but he did say that he's had a few episodes in the distant past of knee pain.
16
He reports some chills and a mild shortness of breath, but he denied fever, nausea,
17
vomiting, cough, chest pain, abdominal pain, or recent trauma to the knees.
18
He has no other known medical illness and isn't on any chronic medication for sickle cell disease either.
19
In the ED, he was given an IV bolus and received two doses of morphine at 6 mg and 8 mg doses.
20
For past medical history, he was diagnosed with sickle cell disease at age six
21
and has had six to eight previous hospitalizations for that.
22
He has a history of lower extremity ulcers as well, but he has never had a pneumococcal vaccine which is interesting.
23
His social history includes, he lives with his mother and four siblings.
24
He works at Walmart as a stalker but denies any IV drug use or tobacco use.
25
He does consume alcohol occasionally, and last time was this last weekend.
26
He has two siblings that also have sickle cell disease.
27
In the review of systems, it was negative except for lower extremity ulcers and intermittent left hand pain.
28
In his vitals, he had a temperature of 36.3 degrees Celsius, heart rate of 96, a respiratory rate of 16,
29
blood pressure of 108 over 70, and his O2 saturation was 89% on room air.
30
For Hent, he's normocephalic, atraumatic, perle, and extraocular movements are intact.
31
With lungs, they're clear to auscultation and percussion with no wheezes, rails, or bronchi.
32
CV, his S1, S2 were normal.
33
He is tachycardic with a soft flow murmur heard at the base.
34
There was no S4, but he does have decreased pedal pulses.
35
For abdominal exam, bowel sounds are normal the spleen tip was not palpable.
36
GU, he didn't have any urethral discharge either.
37
For skin, he had a silver scaly rash on the flexor surface of the right elbow,
38
and there are non-healing bilateral ulcers of one centimeter diameter on both medial malleoli.
39
For musculoskeletal, he has mild swelling of the right knee and small effusion.
40
There's no erythema, and it's not tender to palpation, but there was pain on full extension his left knee didn't have any significant swelling or tenderness.
41
He did have full range of motion bilaterally with his knees.
42
Now in the lab work we have a CBC, BMP and liver function test pending.
43
And so in conclusion or in summary, Jonathan, he's a 24-year-old African-American man with a history of sickle cell disease and hypoxia.
44
He presented the emergency department with bilateral knee pain and minor right knee effusion.
45
On the differential diagnosis, we have vaso-occlusive disease, periarticular infarct, septic arthritis, and gout.
46
Vaso-occlusive disease is most likely due to the afebrile presentation of the patient.
47
And the pending CBC results will likely rule out septic arthritis due to a gram-negative Neisseria, Staph, or Salmonella.
48
Potential plans of treatment include knee pain.
49
Well, for knee pain, we would consider NSAID treatment with morphine for breakthrough pain.
50
For sickle cell disease, we should monitor closely for acute chest syndrome, splenic sequestration, and aplastic crisis,
51
and consult a hemonch for a sickle cell referral after he is released from the hospital.
52
And then we should also obtain a chest X-ray to rule out new infiltrates and consider oxygen therapy
53
if he becomes symptomatic in his lungs again.
54
All right, any questions?
55
Would I also recommend adding two liters of oxygen via nasal cannula?
56
I think that'd be a great idea.
57
And great job, Bryce, you really were very thorough.
58
Thank you for letting us present in front of you.
59
That was really great.
60
Thank you.
61
Thank you.
Descargar app
Todo lo que necesitas para hablar con fluidez
Pronunciación con IAEvalúa cada oración
Práctica de IPADomina cada sonido
VocabularioConstruye tu banco de palabras
Juego de vocabularioAprende mientras juegas
FOR YOU
Recomendar Video
C12
249 oraciones
How to Present a Patient Case: The Signpost Method
Daily ConversationUniversity Students
C12
173 oraciones
Renal Colic History | OSCE Guide | UKMLA | CPSA | PLAB 2
Daily ConversationUniversity Students
C11
8 oraciones
Clinical Cuts - Chronic obstructive pulmonary disease (COPD)
Daily ConversationUniversity Students
C121 oraciones
Can You Guess the Diagnosis Before I Do? 👀
Daily ConversationUniversity Students
C23
56 oraciones
(English) Idiopathic Intracranial Hypertension with Sinus Stenosis: PTA and Stenting.
Daily ConversationUniversity Students
C11
346 oraciones
Presentation - Copy Number Variant Interpretation/Dosage Sensitivity Curation (Erica Andersen)
Daily ConversationUniversity Students
C11
214 oraciones
2026 ESC Guidelines for the Management of Cardiovascular Disease and Chronic Kidney Disease
Daily ConversationUniversity Students
C11
406 oraciones
Scoliosis: How to medically classify scoliosis (the Lenke System for AIS)
Daily ConversationUniversity Students
C11
380 oraciones
A man hiked in the woods. Every brain cell got cooked.
Daily ConversationUniversity StudentsWorking Adults
C11
401 oraciones
The Most Accurate Medical Drama Of All Time? | The Pitt
American AccentDaily ConversationUniversity Students
C24
148 oraciones
What is it? A young boy with deafness and twisting limb movements
Daily ConversationUniversity Students
C11
653 oraciones
How We Incorporate Patient Priorities Care into Our Clinical Pharmacy Practices
Daily ConversationUniversity StudentsWorking Adults
Vocabulario y notas de pronunciación para esta lección
Este vídeo tiene 61 frases y 789 palabras para practicar shadowing. La parte hablada dura 5:50. El hablante mantiene un ritmo constante de unas 135 palabras por minuto, cómodo para el shadowing. Solo el 71 % de las palabras está entre las 3.000 más comunes del inglés, por lo que el vocabulario es exigente.
Vocabulario clave de este vídeo
15 palabras menos comunes del vídeo, con su pronunciación y significado:
- knee /ni/ (sustantivo) — rodilla, hinojo. In humans, the joint or the region of the joint in the middle part of the leg between the thigh and the shank.
- bilateral /baɪˈlætəɹəl/ (adjetivo) — bilateral. Having two sides.
- deny /dəˈnaɪ/ (verbo) — negar, impugnar. To disallow or reject.
- oxygen /ˈɑksɪd͡ʒən/ (sustantivo) — oxígeno. 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…
- dose /ˈdəʊ̯s/ (sustantivo) — dosis. A measured portion of medicine taken at any one time.
- mild /ˈmaɪld/ (adjetivo) — suave, leve. Gentle and not easily angered
- lung /ˈlʌŋ/ (sustantivo) — pulmón. A biological organ of vertebrates that controls breathing and oxygenates the blood.
- pending /ˈpɛndɪŋ/ (adjetivo) — pendiente. Awaiting a conclusion or a confirmation.
- swell /swɛl/ (verbo) — hincharse, inflarse. To become larger, fuller, or rounder, or expand in size or shape, usually as a result of pressure from within.
- arthritis /ɑːˈθɹ(a)ɪtɪs/ (sustantivo) — artritis. Inflammation of a joint or joints causing pain and/or disability, swelling and stiffness, and due to various causes such as infection, trauma, degenerative…
- sibling /ˈsɪb.lɪŋ/ (sustantivo) — hermano, hermana. A person who shares a parent; one's brother or sister who one shares a parent with.
- abdominal /æbˈdɑm.ə.nl̩/ (adjetivo) — abdominal. Of or pertaining to the abdomen; ventral.
- extent /ɪkˈstɛnt/ (sustantivo) — extensión. A range of values or locations.
- extension /ɪkˈstɛnʃən/ (sustantivo) — extensión, extendimiento. The act of extending; a stretching out; enlargement in length, breadth, or time; an increase.
- worker /ˈwɝ.kɚ/ (sustantivo) — trabajador, obrero. One who works: a person who performs labor for a living; traditionally, especially, manual labor.
Phrasal verbs que vas a escuchar
- rule out (verbo) — descartar. To cross an item out by drawing a straight line through it, as with a ruler.
Pronunciación a tener en cuenta
El hablante usa 8 contracciones y formas reducidas, como didn't, aren't, I'm. Dilas en su forma corta, tal como las oyes.
- Los sonidos de “th”: arthritis /ɑːˈθɹ(a)ɪtɪs/, breathe /bɹiːð/, thorough /ˈθʌɹoʊ/, breakthrough /ˈbɹeɪk.θɹuː/, erythema /ˌɛɹɪˈθiːmə/
- Los sonidos de “sh” y “zh”: extension /ɪkˈstɛnʃən/, conclusion /kənˈkluːʒən/, occasionally /əˈkeɪʒənəli/, presentation /ˌpɹɛzn̩ˈteɪʃn̩/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/
- Palabras largas — cuida el acento: bilateral /baɪˈlætəɹəl/, arthritis /ɑːˈθɹ(a)ɪtɪs/, occasionally /əˈkeɪʒənəli/, difficulty /ˈdɪfɪkəlti/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/
Cómo practicar con este vídeo
- Escucha el vídeo entero una vez sin hablar y anota las palabras que no conoces.
- Haz shadowing frase por frase a velocidad normal, repitiendo cada una hasta que tu ritmo coincida con el del hablante.
- Grábate y compara con el original, prestando atención a palabras como knee, bilateral, deny.
Gramática en este vídeo
Las estructuras que más usa el hablante, con las palabras exactas del vídeo:
| Estructura | En el vídeo |
|---|---|
| Present perfect have/has + participio pasado — una acción pasada que sigue importando ahora | has never experienced · has had · has never had |
| Voz pasiva be + participio pasado — importa lo que ocurre, no quién lo hace | was exacerbated · was given · was diagnosed |
¿Qué es la Técnica de Shadowing?
Shadowing es una técnica de aprendizaje de idiomas respaldada por la ciencia, desarrollada originalmente para la formación de intérpretes profesionales y popularizada por el políglota Dr. Alexander Arguelles. El método es simple pero poderoso: escuchas audio en inglés nativo y lo repites en voz alta de inmediato, como una sombra que sigue al hablante con solo 1-2 segundos de retraso. A diferencia de la escucha pasiva o los ejercicios de gramática, el shadowing obliga a tu cerebro y músculos de la boca a procesar y reproducir simultáneamente patrones de habla reales. Las investigaciones muestran que mejora significativamente la precisión de la pronunciación, la entonación, el ritmo, el habla conectada, la comprensión auditiva y la fluidez al hablar, convirtiéndola en una de las metodologías más efectivas para la preparación del IELTS Speaking y la comunicación en inglés en el mundo real.