Prática de Shadowing: How to Present a Patient: Inpatient Bedside Teaching Rounds (Group 12) - Aprenda a falar inglês com vídeo

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Jonathan, this is Dr. Jones and our internal medicine service team.
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Hi.
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Hi Jonathan.
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We're going to be, I'm going to be presenting your case to them.
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Is that alright if I do that in the presence of your girlfriend and co-worker here?
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Yes, this way.
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Thanks Jonathan.
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So this is the first UMC visit for Jonathan, who is a 24-year-old African-American
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with a history of sickle cell disease who presented to the emergency department with a two-day history of bilateral knee pain.
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He's ectomorphic and is in moderate distress.
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The pain began Tuesday at approximately 4 a.m while he was working a night shift at Walmart.
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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.
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The pain was exacerbated with walking and standing and was not significantly relieved with Percocet,
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which he received from another physician that we aren't sure who it was.
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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.
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He reports some chills and a mild shortness of breath, but he denied fever, nausea,
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vomiting, cough, chest pain, abdominal pain, or recent trauma to the knees.
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He has no other known medical illness and isn't on any chronic medication for sickle cell disease either.
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In the ED, he was given an IV bolus and received two doses of morphine at 6 mg and 8 mg doses.
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For past medical history, he was diagnosed with sickle cell disease at age six
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and has had six to eight previous hospitalizations for that.
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He has a history of lower extremity ulcers as well, but he has never had a pneumococcal vaccine which is interesting.
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His social history includes, he lives with his mother and four siblings.
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He works at Walmart as a stalker but denies any IV drug use or tobacco use.
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He does consume alcohol occasionally, and last time was this last weekend.
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He has two siblings that also have sickle cell disease.
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In the review of systems, it was negative except for lower extremity ulcers and intermittent left hand pain.
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In his vitals, he had a temperature of 36.3 degrees Celsius, heart rate of 96, a respiratory rate of 16,
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blood pressure of 108 over 70, and his O2 saturation was 89% on room air.
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For Hent, he's normocephalic, atraumatic, perle, and extraocular movements are intact.
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With lungs, they're clear to auscultation and percussion with no wheezes, rails, or bronchi.
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CV, his S1, S2 were normal.
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He is tachycardic with a soft flow murmur heard at the base.
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There was no S4, but he does have decreased pedal pulses.
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For abdominal exam, bowel sounds are normal the spleen tip was not palpable.
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GU, he didn't have any urethral discharge either.
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For skin, he had a silver scaly rash on the flexor surface of the right elbow,
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and there are non-healing bilateral ulcers of one centimeter diameter on both medial malleoli.
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For musculoskeletal, he has mild swelling of the right knee and small effusion.
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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.
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He did have full range of motion bilaterally with his knees.
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Now in the lab work we have a CBC, BMP and liver function test pending.
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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.
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He presented the emergency department with bilateral knee pain and minor right knee effusion.
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On the differential diagnosis, we have vaso-occlusive disease, periarticular infarct, septic arthritis, and gout.
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Vaso-occlusive disease is most likely due to the afebrile presentation of the patient.
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And the pending CBC results will likely rule out septic arthritis due to a gram-negative Neisseria, Staph, or Salmonella.
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Potential plans of treatment include knee pain.
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Well, for knee pain, we would consider NSAID treatment with morphine for breakthrough pain.
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For sickle cell disease, we should monitor closely for acute chest syndrome, splenic sequestration, and aplastic crisis,
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and consult a hemonch for a sickle cell referral after he is released from the hospital.
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And then we should also obtain a chest X-ray to rule out new infiltrates and consider oxygen therapy
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if he becomes symptomatic in his lungs again.
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All right, any questions?
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Would I also recommend adding two liters of oxygen via nasal cannula?
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I think that'd be a great idea.
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And great job, Bryce, you really were very thorough.
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Thank you for letting us present in front of you.
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That was really great.
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Thank you.
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Thank you.

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O Cenário: Apresentando um Paciente em Rondas Médicas

O vídeo mostra uma situação real de rounds médicos, onde um médico apresenta o caso de Jonathan, um paciente de 24 anos com doença falciforme. Essa conversa é perfeita para quem quer praticar inglês técnico e comunicação clara em contextos profissionais, mas também para melhorar a fluência em situações que exigem organização de ideias. É uma oportunidade de ver como se estrutura uma apresentação clínica, com detalhes sobre histórico, sintomas e exames – tudo em inglês coloquial, mas formal o suficiente para o ambiente de trabalho.

Trechos Úteis e Colocações para Memorizar

Aprender em "blocos" de palavras ajuda a falar mais naturalmente. Aqui estão 5 colocações do diálogo que valem a pena praticar:

  • "History of" + doença: "History of sickle cell disease" (histórico de doença falciforme) – usada para descrever antecedentes médicos.
  • "Presented to" + local: "Presented to the emergency department" (foi ao departamento de emergência) – como dizer que o paciente buscou atendimento.
  • "Exacerbated with" + ação: "Pain exacerbated with walking" (dor agravada ao andar) – para explicar o que piora os sintomas.
  • "Denied" + sintomas: "Denied fever, nausea" (negou febre, náusea) – como registrar que o paciente não tem certos sintomas.
  • "Pending" + exames: "CBC results pending" (resultados de hemograma pendentes) – para falar de exames que ainda não foram concluídos.

Seu Desafio de Shadowing: Repita e Imite!

O shadow speech é uma técnica incrível para melhorar a pronúncia em inglês e a fluência. Aqui está sua tarefa: reproduza o trecho onde o médico resume o caso de Jonathan ("In summary, Jonathan..."). Siga estes passos: 1) Ouça o vídeo uma vez para entender o fluxo. 2) Pause e repita cada frase imitando a entonação e o ritmo. 3) Faça isso 5 vezes seguidas. 4) Grave sua voz e compare com o original – você vai notar a diferença! Essa prática de conversação em inglês com shadowing ajuda a internalizar a estrutura das frases e a falar com mais confiança. Se quiser mais, procure um shadowing site para treinar diariamente – pequenos esforços trazem grandes resultados!

Gramática neste vídeo

As estruturas que o falante mais usa, com as palavras exatas do vídeo:

EstruturaNo vídeo
Present perfect have/has + particípio passado — uma ação passada que ainda importa agorahas never experienced · has had · has never had
Voz passiva be + particípio passado — o foco está no que acontece, não em quem fazwas exacerbated · was given · was diagnosed

O que é a Técnica de Shadowing?

Shadowing é uma técnica de aprendizado de idiomas com base científica, originalmente desenvolvida para o treinamento de intérpretes profissionais. O método é simples, mas poderoso: você ouve áudio em inglês nativo e repete imediatamente em voz alta — como uma sombra seguindo o falante com 1-2 segundos de atraso. Pesquisas mostram melhora significativa na precisão da pronúncia, entonação, ritmo, sons conectados, compreensão auditiva e fluência na fala.

Técnica de shadowing: leia o guia completo passo a passo →