ฝึกพูดภาษาอังกฤษด้วยเทคนิค Shadowing จากวิดีโอ: Pelvic & Abdominal Pain History | OSCE Guide | UKMLA | CPSA | PLAB 2
เลือกโหมดฝึก
แต่ละโหมดจะเปิดห้องฝึกแบบเต็มจอ
178 ประโยค
หากประโยคสั้นหรือยาวเกินไป กดที่ Edit เพื่อปรับแก้
1
Hi, my name is Grace.
2
I'm one of the doctors working in A &E today.
3
Do you mind just confirming your name and date of birth?
4
It's Amy Brooks, 14th of the 10th of 96th.
5
Okay, nice to meet you, Amy.
6
And how can I help you today?
7
I've just been having
8
this really bad stomach pain the last few days okay sorry to hear it um before
9
we begin can i just check are you comfortable enough to answer some questions yeah
10
i was given some codeine i feel a bit better okay fine
11
if that changes just let me know
12
because i want you to be comfortable okay and
13
so amy do you want to start by telling me a bit more about the pain
14
that you've been experiencing as it started two days ago
15
and kind of went away after a little bit and then it came back and it's just been getting worse since then.
16
Okay and where abouts is the pain?
17
Like sort of lower abdomen like a little bit to the left as well.
18
Is it going anywhere else?
19
No. And what does it feel like?
20
Like a really sharp like stabbing pain.
21
Okay and I mean that sounds really uncomfortable and
22
if you were to grade on a severity out of ten
23
with ten out of ten being the worst pain how bad was it when it was at its worst?
24
About a nine out of ten this morning.
25
Okay and what's it like now?
26
It's probably about a sixth okay um
27
and the pain is it there all the time
28
or is it kind of coming in waves or coming
29
and going since this morning it's been there constantly
30
and has anything made it better or worse uh
31
so yesterday i had some paracetamol and i had like a hot water bottle
32
and that helped a little bit um
33
but it didn't really help at all this morning okay okay
34
and other than the pain have you been feeling unwell in any other ways
35
i've felt quite like dizzy since this morning as well okay tell me a bit more about
36
that just if I kind of stand up from sitting I feel quite faint
37
okay and how long does
38
that feeling last for not very long it goes away after a few seconds
39
and is that only happening when you're standing up
40
or is it happening when you're sitting down as well just
41
when I stand okay and have you fainted at all okay
42
and have you noticed any in any other ways
43
that you've been feeling unwell I've just been feeling quite sick as well okay
44
and have you been sick yeah i was sick
45
this morning okay okay well amy it sounds like you're feeling quite unwell um you've described to me pain
46
that started the day before yesterday
47
but it's gotten much worse today low down your tummy
48
and stabbing um i think what i'm going to do is
49
just ask you a few more questions about it generally okay
50
so you mentioned feeling quite sick
51
and being sick this morning can i check was there any blood in
52
that vomit no and have you had anything to eat today
53
and not this morning no no okay you've been kind of off your food i just since this morning okay
54
and when did you last have something to eat i had some dinner last night
55
and are you drinking okay
56
and any change to your bowels at all no that's been fine okay
57
and when did you last open your bowels uh just this morning any blood
58
or mucus no okay
59
and what about going for a wee any changes there no that's been normal no um burning
60
or stinging you're not going more often than usual no blood
61
when you're going for a wee okay have you had a fever or sweats at all no
62
and you mentioned that you've been feeling quite lightheaded
63
when you're standing up
64
so can i check any chest pain at all no any palpitations what about your breathing is
65
that all right that's all fine
66
and have you been unwell with any other illnesses recently uh no okay
67
and the pain is quite low down in your tummy
68
so can i check i'm thinking about vaginal discharge have been any changes
69
there any vaginal bleeding just a little bit of spotting this morning okay
70
and tell me a bit more about
71
that i mean are you someone who has regular periods what's normal for you uh they're quite irregular
72
and quite light okay
73
and have they always been a regular uh no i had the coil fitted about a year ago um
74
so they were regular before that they were just really heavy is
75
that the Mirena coil okay and when's the last time you had a bleed with
76
that apart from today about seven weeks ago I think okay and is
77
that sort of the normal amount of time between your bleeds with the Mirena not really
78
it's longer than normal yeah okay and you mentioned
79
that before you had the coil put in you had quite
80
heavy periods did you have a diagnosis of anything like fibroids
81
or cysts at all that you're aware of have you had any ultrasounds
82
or scans before okay any previous pregnancies no have you had anything like this before this kind of
83
pain with bleeding um not apart from periods okay can i check are your smears up to date yeah
84
and have they all been normal yeah they've all been fine okay
85
and i'm just going to check as well because it could be relevant are you sexually active at the moment
86
okay and is that with a regular partner
87
or casual partners uh with my boyfriend okay
88
and um when's the last time that you had a partner
89
that was different to your current boyfriend uh about three years ago okay
90
and how long have you been with your boyfriend for my current boyfriend two years two years okay
91
and have you ever had a sexual health screening before yes i have okay
92
and when was the most recent time that you had
93
that about two years ago when we got together lovely
94
and was that normal yeah that was fine fine
95
and have you ever had a sexually transmitted infection before yeah about three years ago
96
and which infection was that I had chlamydia
97
and did you get antibiotics in that I did okay perfect
98
and and can I just check just to make sure
99
when was the last time
100
that you had sex with your partner about three days ago now okay
101
and I know you have the my arena room
102
which would protect you against pregnancy can I to use condoms as well
103
or just some irena no just coil okay okay thanks for answering those questions
104
so i think what i'm going to do is just summarize back to you to make sure
105
that we've not missed anything here so you've described a pain
106
that started a couple of days ago kind of low down in your tummy
107
and on the left hand side it went away
108
but then it's come back today
109
and it's stabbing it's been up to a nine out of ten severity it's very uncomfortable you vomited with it
110
and you felt quite lightheaded when you're standing up
111
and you've also noticed some sort of vaginal spotting as well
112
which is a bit out of sync with what's normal for you um
113
and you have a regular partner
114
that you've been with for a couple of years is
115
that right yeah okay
116
and can i just check amy you said you've not had something particularly like this before
117
but did you have any thoughts of what this could be um at first
118
i thought maybe just a period pain um i'm not sure
119
if it's maybe something worse like a cyst or something like
120
that okay yeah i mean that's a reasonable thought with the pain being done there
121
and on one side and sometimes people have something they're particularly worried about
122
when they come in is there anything that you want to tell me
123
or ask me about any worries you might have I've just had two days off work already
124
and I can't really afford to take any more time off
125
so I just really want to kind of get to the bottom of it
126
and find out what's what's wrong yeah of course
127
and obviously coming into A &E we're here to help you to figure out what's going on
128
and to make sure you're comfortable was there anything else you had in mind
129
that you wanted us to help you with today uh just to find out what it is okay
130
fine so amy i've not met you before
131
so you've given me a really good idea about what's been happening in the last few days um
132
but i just want to check things before that
133
and a bit about your background
134
so can i ask do you have any other medical conditions
135
at all no do you take any regular medications no
136
i don't are you allergic to anything are there any conditions
137
that run in your family at all i don't think so no and specifically any kind of gynecological conditions
138
uh no okay and your living situation
139
so who do you live with at the moment i just live with my boyfriend okay
140
and you mentioned you're a bit worried about having time off work what is it
141
that you do for work i'm an accountant okay
142
and can i ask um do you smoke at all uh yeah
143
i do yeah how many a day probably about 10 a day okay
144
and how old were you when you started smoking uh 19.
145
okay
146
and do you take any drugs at all any recreational drugs
147
do you drink alcohol a little bit not a lot usually just
148
if i go out with friends or something like that okay
149
and how much would you have if you went out with friends maybe like two
150
or three drinks like vodka tonics or something like that okay
151
so perfect do you give me a good idea there about what's going on amy
152
so what i'm going to do i'm just going to summarize back to you to make sure
153
that we've not missed anything
154
so you've described quite severe lower abdominal pain on the left -hand side
155
that started a couple of days ago
156
and got worse today you vomited you're feeling lightheaded
157
and you've also had some spotting bleeding otherwise you're generally in good health you don't take any regular medications is
158
that right yes is there anything else
159
that you'd like to add I don't think so okay
160
and do you have any questions for me no okay and that case
161
Amy that's all for today okay thank you your time thank you today
162
i spoke with amy brooks a 27 year old woman who's presented to the accident
163
and emergency department with a two -day history of progressive left lower quadrant pain this pain is sharp severe
164
and stabbing she's also been feeling nauseous and has vomited
165
and has been feeling lightheaded understanding amy has also experienced some vaginal bleeding for the last couple of days
166
which she describes as light spotting.
167
She has a Mirena IUD in situ and hasn't had a bleed for the last seven weeks which is unusual for her.
168
She has a regular male partner and last had a sexual health screen two years ago which was negative.
169
Amy has no other medical conditions and takes no regular medications.
170
She lives with her partner.
171
Her main concern is getting back to work and she worries that this could be something like an ovarian cyst.
172
The most important differentials to consider today would be an ectopic pregnancy
173
or ovarian pathology such as ovarian cyst rupture or ovarian torsion.
174
In order to complete my assessment today, I would perform an abdominal examination, check vital signs and perform a urinary pregnancy test.
175
For this patient I would consider referring them urgently to the gynaecology team for their assessment
176
and management and their consideration of further imaging.
177
Check out the GeekyMedics collection of over 1 ,000 OSCE stations.
178
You can practice with friends using our group study mode or chat with our amazing AI -powered virtual patients.
ดาวน์โหลดแอป
ทุกอย่างที่ต้องใช้เพื่อพูดได้คล่อง
AI ให้คะแนนการออกเสียงให้คะแนนทุกประโยค
ฝึก IPAเชี่ยวชาญทุกเสียง
คำศัพท์สร้างคลังคำของคุณ
เกมคำศัพท์เล่นไปเรียนไป
ช่องเดียวกัน
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
C1Urinary Incontinence History | Lower Urinary Tract Symptoms | 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
Renal Colic History | 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
วิดีโอแนะนำ
B21
219 ประโยค
Chest Pain - OSCE history taking for Medical Students | Drs Manual
Daily ConversationUniversity Students
C121 ประโยค
Can You Guess the Diagnosis Before I Do? 👀
Daily ConversationUniversity Students
C11
406 ประโยค
Scoliosis: How to medically classify scoliosis (the Lenke System for AIS)
Daily ConversationUniversity Students
B22
268 ประโยค
Cambridge 18 Listening Test 4 with answer | Listening Test From Cambridge Book |
Daily ConversationUniversity Students
C11
53 ประโยค
FAST Scan (Focused Assessment with Sonography in Trauma) - STEP by STEP
Daily ConversationUniversity Students
C17
84 ประโยค
Gynaecological Examination
Daily ConversationUniversity Students
C12
442 ประโยค
Allergy Assessment for Nurses: True Allergy vs Sensitivity, and Safer Care with Dr. Sophia Thomas
Daily ConversationUniversity StudentsWorking Adults
B21
169 ประโยค
Clinical communication skills - verbal communication - version 2 of 2
Daily ConversationUniversity Students
C17
61 ประโยค
Why birth doesn't have to be painful || Hypnobirthing
Daily ConversationUniversity StudentsWorking Adults
B21
78 ประโยค
Day in the Life as a Doctor
Daily ConversationUniversity StudentsWorking Adults
คำศัพท์และข้อสังเกตด้านการพูดสำหรับบทเรียนนี้
บทเรียนฝึกพูดนี้ใช้วิดีโอ “Pelvic & Abdominal Pain History” เป็นสื่อ คำที่ถูกพูดซ้ำบ่อยที่สุด: pain, amy, feeling, regular วิดีโอนี้มี 178 ประโยค และ 2087 คำ สำหรับฝึกพูดตาม ช่วงที่มีเสียงพูดยาว 10:25 ผู้พูดพูดเร็ว ประมาณ 200 คำต่อนาที จึงมีการเชื่อมเสียงและลดเสียงค่อนข้างมาก 85% ของคำอยู่ใน 3,000 คำที่ใช้บ่อยที่สุดในภาษาอังกฤษ ส่วนที่เหลือควรดูไว้ก่อนเริ่มฝึก
คำศัพท์สำคัญในวิดีโอนี้
คำที่ควรเรียนรู้ 15 คำจากวิดีโอ พร้อมคำอ่านและความหมาย:
| คำศัพท์ | คำอ่าน | ความหมาย |
|---|---|---|
| bleed คำกริยา | /ˈbliːd/ | ตกเลือด |
| pregnancy คำนาม | /ˈpɹɛɡnənsi/ | การตั้งครรภ์ |
| stab คำกริยา | /stæb/ | แทง, เสียบ |
| vomit คำกริยา | /ˈvɑmɪt/ | อาเจียน, อ้วก |
| sharp คำคุณศัพท์ | /ʃɑɹp/ | คม, แหลม |
| infection คำนาม | /ɪnˈfɛkʃən/ | การติดเชื้อ |
| uncomfortable คำคุณศัพท์ | /ʌnˈkʌm.fɚ.tə.bl̩/ | ไม่สะดวก |
| bowel คำนาม | /ˈbaʊ.əl/ | ลำไส้ใหญ่ |
| stomach คำนาม | /ˈstʌmək/ | ท้อง, กระเพาะ |
| illness คำนาม | /ˈɪl.nəs/ | โรค, โรคา |
| confirm คำกริยา | /kənˈfɝm/ | ยืนยัน |
| sixth คำคุณศัพท์ | /sɪksθ/ | ที่หก |
| arena คำนาม | /əˈɹiːnə/ | เวที, สนาม |
| breathe คำกริยา | /bɹiːð/ | หายใจ |
| examination คำนาม | /ɪɡˌzæm.ɪˈneɪ.ʃən/ | ไต่สวน |
กริยาวลีที่คุณจะได้ยิน
| คำศัพท์ | ความหมาย |
|---|---|
| come back คำกริยา | กลับมา |
| sit down คำกริยา | นั่ง |
ไวยากรณ์ในวิดีโอนี้
โครงสร้างที่ผู้พูดใช้บ่อยที่สุด พร้อมคำพูดจริงจากวิดีโอ:
| โครงสร้าง | ในวิดีโอ |
|---|---|
| Present perfect continuous have/has been + -ing — การกระทำที่เริ่มก่อนหน้านี้และยังดำเนินอยู่ | I've just been having · you've been experiencing · it's just been getting |
| Present perfect have/has + กริยาช่อง 3 — เหตุการณ์ในอดีตที่ยังเกี่ยวข้องกับปัจจุบัน | it's been · i've felt · have you fainted |
| Relative clauses who / which + อนุประโยค — ข้อมูลเพิ่มเติมเกี่ยวกับคนหรือสิ่งของ | someone who has · weeks which is · ago which was |
| Passive voice be + กริยาช่อง 3 — เน้นสิ่งที่เกิดขึ้น ไม่ใช่ผู้กระทำ | was given · being done |
การออกเสียงที่ควรระวัง
ผู้พูดใช้รูปย่อและรูปลดเสียง 52 ครั้ง เช่น you're, you've, I'm ให้พูดแบบสั้นตามที่ได้ยิน
- เสียง “th”: sixth /sɪksθ/, breathe /bɹiːð/, pathology /pəˈθɒləd͡ʒi/
- เสียง “sh” และ “zh”: medication /mɛdɪˈkeɪʃən/, sharp /ʃɑɹp/, infection /ɪnˈfɛkʃən/, unusual /ʌnˈjuːʒ(u)əl/, consideration /kənˌsɪd.əˈɹeɪ.ʃən/
- คำยาว — ลงเสียงหนักให้ถูกพยางค์: medication /mɛdɪˈkeɪʃən/, uncomfortable /ʌnˈkʌm.fɚ.tə.bl̩/, severity /səˈvɛɹ.ə.ti/, unusual /ʌnˈjuːʒ(u)əl/, consideration /kənˌsɪd.əˈɹeɪ.ʃən/
เสียงที่คนไทยมักออกเสียงยาก:
- เสียงท้ายคำ — ออกเสียงให้ครบ ไม่เปลี่ยนเป็นตัวสะกดแบบไทย: coil /kɔɪl/, bowel /ˈbaʊ.əl/, unusual /ʌnˈjuːʒ(u)əl/, illness /ˈɪl.nəs/, sixth /sɪksθ/
- /v/ — ไม่ใช่ /w/ ให้ฟันบนแตะริมฝีปากล่าง: vomit /ˈvɑmɪt/, severity /səˈvɛɹ.ə.ti/, vital /ˈvaɪtəl/, progressive /pɹəˈɡɹɛsɪv/, virtual /ˈvɜɹt͡ʃuəl/
- /z/ — เสียงก้อง ไม่ใช่ /s/: examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, summarize /ˈsʌməˌɹaɪz/, dizzy /ˈdɪzi/
วิธีฝึกกับวิดีโอนี้
- ฟังวิดีโอให้จบหนึ่งรอบโดยยังไม่ต้องพูด แล้วจดคำที่ยังไม่รู้จัก
- เริ่มที่ความเร็ว 0.75× พูดตามทีละประโยค แล้วกลับไปใช้ความเร็วปกติเมื่อเริ่มคล่อง
- อัดเสียงตัวเองแล้วเทียบกับต้นฉบับ โดยสังเกตคำอย่าง bleed, pregnancy, stab เป็นพิเศษ
เทคนิค Shadowing คืออะไร?
Shadowing เป็นเทคนิคการเรียนรู้ภาษาที่ได้รับการรับรองทางวิทยาศาสตร์ พัฒนาขึ้นสำหรับการฝึกนักแปลมืออาชีพ วิธีการนี้เรียบง่ายแต่ทรงพลัง: คุณฟังเสียงภาษาอังกฤษจากเจ้าของภาษาและพูดตามทันที — เหมือนเงาที่ตามผู้พูดด้วยช่วงเวลาห่าง 1-2 วินาที การวิจัยแสดงว่าเทคนิคนี้ปรับปรุงความแม่นยำในการออกเสียง ทำนองเสียง จังหวะ การเชื่อมเสียง การฟังเข้าใจ และความคล่องแคล่วในการพูดได้อย่างมีนัยสำคัญ