쉐도잉 연습: Renal Colic History | OSCE Guide | UKMLA | CPSA | PLAB 2 - 영상으로 영어 말하기 배우기
연습 모드 선택
각 모드는 전체 화면 연습실로 열립니다.
173 문장
문장이 너무 짧거나 길면 Edit를 눌러 조정하세요.
1
Hi my name is Grace, I'm one of the medical students in A &E today.
2
Hello.
3
Hi, could I just confirm your name and date of birth?
4
Yeah it's Imogen Mann, it's the 13th of August 91.
5
Okay nice to meet you Imogen, how can I help you today?
6
I've just been having this really severe pain in my lower back.
7
It's like nothing I've ever experienced before. So yeah.
8
Okay.
9
Just before we begin, are you comfortable enough for me to be asking you some questions or do you need some painkillers?
10
No, I've been given something.
11
I'm still uncomfortable if I'm honest, but yeah, I'm happy to chat to you.
12
Okay.
13
If that changes Imogen's, just let me know because I want you to be comfortable.
14
Okay.
15
Thank you.
16
Okay, Imogen.
17
So you mentioned you've been having this pain.
18
Do you want to tell me a bit more about your symptoms?
19
Yeah, it just came on suddenly this morning in my side of my back.
20
Yeah, just a really severe pain that I've never experienced before.
21
Okay, and what does that feel like?
22
It's like a cramping pain.
23
Yeah, it's really awful.
24
Okay, and I mean it sounds really uncomfortable.
25
If you had to grade it on severity where 10 out of 10 was the worst pain, how would you place it on that scale?
26
Definitely a 10 and I've got a pretty high pain threshold generally
27
but like I say this is nothing I've ever experienced before.
28
Okay and is it that all the time?
29
No it sort of comes on in in waves is the best way to describe it but yeah it's awful.
30
Yeah it sounds really uncomfortable.
31
You mentioned that the pain is on the right hand side, where's that exactly?
32
Like kind of my right lower back here.
33
Is it going anywhere else?
34
Yeah, it goes into the groin area.
35
Okay, and have you noticed anything that makes it better or worse?
36
No, I did take a couple of painkillers, but that didn't really do anything.
37
And what did you take painkiller -wise?
38
Cocodomol and ibuprofen.
39
Okay, and what time was that?
40
That was earlier this morning.
41
Okay, and with this pain that you're having, have you noticed any other symptoms alongside it?
42
It's so bad, it's making me feel sick when the pain comes on.
43
Okay and have you been sick?
44
I have yeah I've been sick twice this morning.
45
Was there any blood when you were vomiting?
46
I didn't know I didn't say anything like that no. Okay so it's definitely got you feeling quite unwell.
47
Have you noticed any other symptoms?
48
Um kind of my main worry is I think there's blood in my urine.
49
Okay can you describe that for me?
50
Um just the last two times I've been to the toilet for a week uh
51
it's been this like reddish color um which is obviously a worry okay
52
so let me find out a bit more about that
53
so the color of the urine you said it's reddish is it more in the pink kind of color
54
or more like a deep dark red no more more pinkish
55
yeah pinkish okay have there been any blood clots in the urine
56
so any kind of red dots no okay and
57
when you're going for a wee does that feel unusual at all no
58
that that all feels fine all normal yeah okay so no burning or stinging
59
No. Are you weeing more often than usual?
60
No. And when you're peeing the flow of it does that feel okay?
61
That's all normal yeah.
62
Okay and obviously you're quite worried about the blood in your urine have you had blood in your urine before?
63
No never.
64
Okay so something new.
65
Yeah.
66
Have you noticed any other symptoms at all?
67
No not that I can think of.
68
Okay so you've woken up today
69
and as you were getting ready you developed this severe pain that's coming in waves it's got you feeling sick
70
and you've been sick a couple of times
71
you've also had this probably blood in your urine a bit
72
pinkish urine yeah let me just check for any other symptoms
73
so specifically have you noticed a fever at all no okay
74
and you talked about vomiting can i just check your bowels are there any changes
75
there that's all been normal okay
76
when did you last open your bowels uh yesterday evening okay have you been unwell recently with anything
77
i've been absolutely fine until this came on this morning okay
78
and just to double check any injuries
79
you've not fallen onto this side at all no okay um
80
have you had anything like this before in terms of the
81
pain oh no never had anything like this before okay
82
and recently have you been feeling more tired than usual
83
or run down no have you lost any weight no
84
and you've not mentioned this
85
but just to double check any difficulty breathing any pains in your chest no it's all fine any feeling lightheaded
86
or dizzy no
87
and have you noticed any bleeding from anywhere else from your
88
back passage for example no can i ask do you have periods no i've got the marina coil
89
so i don't have periods fine and have you had any unscheduled bleeding with that no so
90
what are your thoughts about what's going on um my initial thoughts are
91
because where the pain is um possibly something to do with my kidneys my my worry is
92
that you know with the blood in my urine and my first thoughts is cancer really, but I know I'm quite young, so I don't know.
93
Yeah and I can understand why you might think cancer because that is sort of a red flag isn't it?
94
There's lots of different causes for blood in the urine
95
so we'll be doing some tests today but I just want to reassure you
96
that there's lots of other things that could be the cause.
97
Okay yeah thank you.
98
Is there anything else specifically that you're worried about?
99
The pain really, I'd say it's such a severe pain and I'm really worried about
100
that coming back on
101
and to be honest
102
I really need to get back to work as quickly as I can okay what do you do for work Imogen?
103
I'm a police officer right okay
104
so I'm guessing you're quite busy on your feet a lot yeah okay um
105
you're here in A &E we're here to help you you've had some painkillers in terms of any specific things
106
that you wanted us to definitely do in A &E today did you have anything in mind
107
that I should know about um I guess just get the relevant tests um
108
and get this sorted so I can get back on my feet
109
and back to work as soon as I can yeah I think so especially with you being so uncomfortable.
110
Yeah.
111
Okay.
112
So Imogen, what I'm going to do now is ask you a few more questions about your background
113
because I've not met you before.
114
Do you have any other medical conditions?
115
Yeah, I've got hypothyroidism.
116
Okay.
117
Anything else?
118
No. Have you had any surgeries before?
119
No. And have you ever had any scans of your tummy?
120
No. Okay.
121
Do you take medication?
122
Yes, levothyroxine.
123
Do you know what dose you take?
124
150, I think it is.
125
Okay.
126
Do you take any other medications? um nothing more prescribed i occasionally take gaviscone
127
but that's it okay and are you allergic to anything no are there any medical conditions
128
that run in the family no and specifically in the family are there any bladder
129
or kidney problems no okay
130
and you mentioned already
131
you're a police officer what's your living situation uh just live
132
on my own okay do you smoke at all no do
133
you drink alcohol um a couple of glasses of wine in a week okay
134
and do you take any recreational drugs at all no okay
135
so I'm just going to summarize back to you Imogen to make sure we've not missed anything
136
so you've come to A &E today because you um you wake up
137
and you develop this severe pain on the right hand side going into the groin yeah um
138
it's coming in waves it makes you feel quite sick
139
when it comes on and you've been sick a couple of times
140
and you've also noticed some pinkishness to your urine and you're worried
141
that there's some blood there that's right you're worried
142
this is something to do with your kidneys
143
you were a bit worried about cancer although we know there's lots of different causes for blood in the urine
144
and your main concerns the pain
145
and getting back to work absolutely yeah okay is there anything you feel
146
that i've missed there no i think that's everything do you have any questions for me no okay in
147
that case that's all my questions
148
so thanks for your time imogen thank you today
149
i spoke to imogen mann a 32 year old police officer
150
who is presented to the a e department with right -sided
151
lower back pain Imogen describes sudden onset day of episodic right -sided loin to groin pain
152
which has a severity of up to 10 out of 10.
153
This pain is cramping and has been severe enough to cause vomiting.
154
Imogen has also noticed two episodes of pinkish hematuria without clots.
155
She doesn't have dysuria or fever.
156
Imogen has a past medical history of hypothyroidism for which she takes levothyroxine.
157
She has no other medical conditions and takes no other regular medications.
158
She has no known drug allergies.
159
Imogen lives alone.
160
She drinks up to 10 units of alcohol per week.
161
She doesn't smoke or take recreational drugs.
162
Imogen suspected that this could be a kidney problem.
163
She did have concerns that there could be a cancer given the blood in her urine.
164
Her other concerns are the level of pain and that she wants to get back to work.
165
Her expectations are analgesia and investigations in A &E.
166
Based on the information gathered so far the most likely differential diagnosis here is renal colic due to a ureteric stone.
167
Other possible diagnoses would be a palonephritis.
168
To complete my assessment today I would perform an abdominal examination and check vital signs.
169
I'd perform bedside tests including urinalysis and and urinary pregnancy test.
170
I will check bloods, including full blood count, user knees and CRP.
171
Based on the likely diagnosis, it would be appropriate to consider further imaging, such as a CTKUB.
172
Check out the GeekyMedics collection of over 1 ,000 OSCE stations.
173
You can practice with friends using our group study mode or chat with our amazing AI -powered virtual patients. so
앱 다운로드
유창하게 말하는 데 필요한 모든 것
AI 발음 평가문장마다 점수 확인
IPA 발음 연습모든 소리 마스터
단어 학습나만의 단어장 만들기
단어 게임놀면서 외우기
같은 채널
C11
Pelvic & Abdominal Pain History | OSCE Guide | UKMLA | CPSA | PLAB 2
Daily ConversationUniversity Students
C11
Vaginal Swabs | STI Screening | OSCE Guide | UKMLA | CPSA | PLAB 2
Daily ConversationUniversity Students
C11
Obstetric History | Headache in Pregnancy | OSCE Guide | UKMLA | CPSA | PLAB 2
Daily ConversationUniversity Students
C12
Abdominal Examination - OSCE Guide (Latest) | UKMLA | CPSA | PLAB 2
Daily ConversationUniversity Students
C12
Shortness of Breath History | OSCE Guide | UKMLA | CPSA | PLAB 2
Daily ConversationUniversity Students
C12
Cough & Shortness of Breath History | Lung cancer | OSCE Guide | UKMLA | CPSA | PLAB 2
Daily ConversationUniversity Students
C12
Respiratory Examination | OSCE Guide | UKMLA | CPSA | PLAB 2
TOEFL PrepCambridge Exam PrepUniversity Students
C1Headache History | OSCE Guide | UKMLA | CPSA | PLAB 2
Daily ConversationUniversity StudentsWorking Adults
FOR YOU
추천 영상
C11
77 문장
Retinal Artery Occlusion vs. Retinal Vein Occlusion
Daily ConversationUniversity Students
C11
53 문장
FAST Scan (Focused Assessment with Sonography in Trauma) - STEP by STEP
Daily ConversationUniversity Students
C11
439 문장
How Doctors Think (And Students Don't)
Daily ConversationUniversity Students
C11
406 문장
Scoliosis: How to medically classify scoliosis (the Lenke System for AIS)
Daily ConversationUniversity Students
B2291 문장
Cambridge 20 test 1 with answers full test | Latest tests by Cambridge assessment |
Daily ConversationUniversity Students
C172 문장
MRI-Negative Epilepsy
Daily ConversationUniversity Students
B21
169 문장
Clinical communication skills - verbal communication - version 2 of 2
Daily ConversationUniversity Students
C22
61 문장
How to Present a Patient: Inpatient Bedside Teaching Rounds (Group 12)
Daily ConversationUniversity Students
B244 문장
Dr. Halstead’s Patient Want More Tests Than Halstead Thinks Are Necessary | Chicago Med | NBC
Daily ConversationUniversity StudentsWorking Adults
B21
104 문장
PEBC OSCE Practice Station from PharmAchieve - Patient picking up new prescription
Daily ConversationUniversity StudentsWorking Adults
이 레슨의 어휘와 말하기 포인트
이 말하기 레슨은 영상 “Renal Colic History”을(를) 바탕으로 합니다. 가장 자주 반복되는 단어는 다음과 같습니다: pain, imogen, blood, urine, noticed. 이 영상에는 섀도잉할 문장 173개와 단어 1799개가 있습니다. 말하는 구간의 길이는 9:25입니다. 화자는 분당 약 191단어로 빠르게 말하므로 연음과 약하게 발음되는 소리가 많습니다. 단어의 84%가 영어에서 가장 많이 쓰이는 3,000단어에 속합니다. 나머지는 연습 전에 미리 확인해 두세요. 전체 173문장 중 31문장이 질문이어서 의문문 억양과 짧은 대답을 연습하기에 좋습니다.
이 영상의 핵심 어휘
영상에 나오는 익혀 둘 만한 단어 15개를 발음, 뜻과 함께 정리했습니다.
| 단어 | 발음 | 뜻 |
|---|---|---|
| urine 명사 | /ˈjʊɹɪn/ | 오줌, 소변 |
| symptom 명사 | /ˈsɪm(p)təm/ | 증상, 증후 |
| uncomfortable 형용사 | /ʌnˈkʌm.fɚ.tə.bl̩/ | 불편하다 |
| kidney 명사 | /ˈkɪdni/ | 콩팥, 신장 |
| diagnosis 명사 | /daɪəɡˈnəʊsɪs/ | 진단 |
| vomit 동사 | /ˈvɑmɪt/ | 게우다, 토하다 |
| fever 명사 | /ˈfivɚ/ | 열, 열병 |
| bleed 동사 | /ˈbliːd/ | 피를 흘리다 |
| severity 명사 | /səˈvɛɹ.ə.ti/ | 엄격함, 심각함 |
| bowel 명사 | /ˈbaʊ.əl/ | 대장, 큰창자 |
| assessment 명사 | /əˈsɛsmənt/ | 평가 |
| confirm 동사 | /kənˈfɝm/ | 확인하다 |
| sudden 형용사 | /ˈsʌd.ən/ | 급격한 |
| occasionally 부사 | /əˈkeɪʒənəli/ | 가끔 |
| vital 형용사 | /ˈvaɪtəl/ | 생명의 |
영상에 나오는 구동사
| 단어 | 발음 | 뜻 |
|---|---|---|
| wake up 동사 | /ˌweɪk ˈʌp/ | 눈뜨다, 일어나다 |
따라 말해 볼 만한 문장
영상에 나오는 짧고 완결된 문장으로, 일상 대화에서 그대로 쓸 수 있습니다:
- Was there any blood when you were vomiting?
- Have you noticed any other symptoms?
- Are you weeing more often than usual?
- Have you noticed any other symptoms at all?
- Is there anything else specifically that you're worried about?
이 영상의 문법
화자가 가장 많이 쓰는 문형을 영상 속 실제 표현과 함께 정리했습니다.
| 문형 | 영상 속 표현 |
|---|---|
| 현재완료진행 have/has been + -ing — 전에 시작해 지금도 계속되는 동작 | I've just been having · you've been having |
| 현재완료 have/has + 과거분사 — 과거의 일이 지금도 관련이 있을 때 | I've ever experienced · I've been given · I've never experienced |
| 수동태 be + 과거분사 — 누가 하는지보다 무슨 일이 일어나는지에 초점 | I've been given · is presented |
주의할 발음
화자는 I've, I'm, you're 같은 축약형과 약화된 형태를 56번 사용합니다. 들리는 대로 짧게 발음하세요.
- “th” 소리: breathe /bɹiːð/, gather /ˈɡæðɚ/, threshold /ˈθɹɛʃ(h)oʊld/, hypothyroidism /ˌhaɪpəˈθaɪɹɔɪˌdɪzəm/, levothyroxine /ˌli.voʊ.θaɪˈɹɑkˌsin/
- “sh”와 “zh” 소리: medication /mɛdɪˈkeɪʃən/, unusual /ʌnˈjuːʒ(u)əl/, occasionally /əˈkeɪʒənəli/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, threshold /ˈθɹɛʃ(h)oʊld/
- 긴 단어 — 강세 위치에 주의: uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, medication /mɛdɪˈkeɪʃən/, severity /səˈvɛɹ.ə.ti/, unusual /ʌnˈjuːʒ(u)əl/, occasionally /əˈkeɪʒənəli/
한국어 화자가 어려워하는 소리:
- /f/ — ㅍ(/p/)으로 바꾸지 말고 윗니를 아랫입술에 대기: uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, awful /ˈɔːfʊl/, fever /ˈfivɚ/, confirm /kənˈfɝm/, difficulty /ˈdɪfɪkəlti/
- /v/ — ㅂ(/b/)과 구별하기: vomit /ˈvɑmɪt/, fever /ˈfivɚ/, severity /səˈvɛɹ.ə.ti/, vital /ˈvaɪtəl/, virtual /ˈvɜɹt͡ʃuəl/
- /z/ — ㅈ이 아니라 성대를 울리는 /s/: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, hypothyroidism /ˌhaɪpəˈθaɪɹɔɪˌdɪzəm/, dizzy /ˈdɪzi/, summarize /ˈsʌməˌɹaɪz/
이 영상으로 연습하는 방법
- 먼저 말하지 않고 영상을 끝까지 듣고 모르는 단어를 적어 둡니다.
- 0.75배속으로 한 문장씩 섀도잉을 시작하고, 익숙해지면 보통 속도로 돌아갑니다.
- 자신의 목소리를 녹음해 원본과 비교하고, urine, symptom, uncomfortable 같은 단어에 특히 주의합니다.
쉐도잉이란? 영어 실력을 빠르게 키우는 과학적 방법
쉐도잉(Shadowing)은 원래 전문 통역사 훈련을 위해 개발된 언어 학습 기법으로, 다언어 학자인 Dr. Alexander Arguelles에 의해 대중화된 방법입니다. 핵심 원리는 간단하지만 매우 강력합니다: 원어민의 영어를 들으면서 1~2초의 짧은 지연으로 즉시 소리 내어 따라 말하는 것——마치 '그림자(shadow)'처럼 화자를 따라가는 것입니다. 문법 공부나 수동적인 청취와 달리, 쉐도잉은 뇌와 입 근육이 동시에 실시간으로 영어를 처리하고 재현하도록 훈련합니다. 연구에 따르면 이 방법은 발음 정확도, 억양, 리듬, 연음, 청취력, 말하기 유창성을 크게 향상시킵니다. IELTS 스피킹 준비와 자연스러운 영어 소통을 원하는 분들에게 특히 효과적입니다.