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Medical expressions

This document is a guide for practitioners to assist with English medical terminology, focusing on patient interactions and history-taking. It includes general expressions for communication, inquiries about past medical and drug history, habits, family history, and specific questions related to gastrointestinal symptoms. The aim is to facilitate effective patient assessment and diagnosis.

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Toky Rahariniaina
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5 views

Medical expressions

This document is a guide for practitioners to assist with English medical terminology, focusing on patient interactions and history-taking. It includes general expressions for communication, inquiries about past medical and drug history, habits, family history, and specific questions related to gastrointestinal symptoms. The aim is to facilitate effective patient assessment and diagnosis.

Uploaded by

Toky Rahariniaina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Date: Monday 12 August 2024

Medical Expressions
DR RAHANTASOA FINARITRA CFP

PR SAMISON LH

Introduction
•aim: help the practitioner with English term technology

General expressions
 Hello, what is your name? (Surname, first name)
 How old are you?
 Where do you feel the pain?
 How much do you weigh?
o Has it increased?
o Has it decreased?
 Do you feel a lack of energy? /since when?
o -Do you have any fever? / Since when?
o -Do you have sweats? Attacks of shivering?
o -How long have you been fasting

Past medical history


 Have you ever been hospitalized? Where? When? Why?
o Have you had all the childhood diseases?
o Have you had any surgery? (Appendix? Tonsils? Hernia? Tumor? Other?
o Did you ever have?
 Did you ever have
o High blood pressure?
o Diabetes?
o Asthma
o COPD
 If you have this complain, has something changed?

Drug history
 Do you take any prescribed medication?
 Do you remember their names?
 What dose are you taking?
 How many times a day?
 Do you have them with you?
 Can you show me you last prescription?
Are you allergic to any drug? What happens when you take them?

-aspirin -anaphylaxis (mouth swelling, difficult


-penicillin breathing)
-other antibiotics -Rash
-other medicine -abdominal discomfort

Habits:
 Do you smoke cigarettes? How many a day?
o One pack year history (one pack = 20 cigarettes)
 Have you ever tried to quit?
 If you don(y smoke now, have you ever smoked? (Date of start and end of habit)
 Do you drink alcohol?
 How many glasses (wines)/ cans (beer) / shots (whiskey) a day?
 Have you ever tried to quit?
 If you don’ drink no, have you ever drunk? (Date of start and end of habit)

Family history
 Are your parents alive? If not, at what age did they die?
 What was the cause of their death? (Accident, heart problem, cancer, infectious disease,
hereditary disease)
 Do you have any brothers and sisters (siblings)?
 Do you have any children? (How many? Are they in good health?)

History of the disease


Gastrointestinal system
 abdominal pain
o Do you feel pain?
 Radiation: does the pain move: to the back? To the groin? To the back passage?
 Associated factors
 Does anything ease the pain?
o -rest
o -position (sitting, bending forward, crouched, lying still)
 Does any medication ease the pain?
 Which one?
 aggravating factors
o -what brings on the pain or makes it worse? Defecation? Stress? Eating? Change in
position? Breathing?
 What type of food do you eat?
o -meat? Fish? Dairy products? Vegetables? Cereals? Sweets?
 Associated factors
o -at the same time of the pain, do you feel sick? Get sick? Sweat?
o -do you get a fainting sensation?
o -do you have fever?
o -do you get short of breath
 Appetite
o -have you a good appetite?
o -has your appetite increased?
o -has your appetite decreased? Is this due to lack of desire to eat? To apprehension
because eating always cause pain?
o -do you fell full after eating a small amount
 Weigh:
o -how much do you weigh?
o -has you gained weight?
o -has you lost weight? Is this due to slimming diet? Or is it unintentional?
 Nausea and vomiting
o -do you fell nausea?
o -have you tried anti-emetic?
o -do you vomit only after eating?
o -do you vomit large quantities?

Hematemesis
-was there any blood in your vomit?

-did the vomit appear form the start or did you only notice blood after having vomited several times?

Gastro-esophageal reflux disease


-do you get acid regurgitation (sour or bitter taste in your mouth)?

-do you belch frequently?

Swallowing
-do you gave difficulty in swallowing? Initiating swallowing?

-what type of food cause difficulty? Solids? Liquids?)

-at which level does the food stick?

-for how long have you been complaining of this?

Bowel habit: diarrhea/ constipation/ rectal


bleeding
A) Diarrhea
 Are you passing stools more often?
 How many time a day?
 Is there a change inconsistency of your stool?
 How long have you had the diarrhea?
 What do your stool look like?
o -color (pale, brow, black and tarry: maelena)
o -smell (offensive)
o -consistency (hard, soft, watery, frothy)
o -quantity (bulky, moderate)
 Have you noticed any blood? Mucus? Pus?
 How many times do you go to pass ab bowel motion?
 Have you been in contact with anyone who has diarrhea?
 Do you work in the catering business?
B) Constipation
 Do you have difficulty in emptying your bowels?
 Do you have any diet restriction?
 Have you tried any laxatives?
 Have they helped?
C) Rectal bleeding
 Did you ever pass any blood in your stools? When? How much?
 Do you have hemorrhoids
 Are you on any blood thinners?
 Is defecation painful?
D) Jaundice
 How long have you been yellow?
 Have you ever had this before?
 Have you been in contacts with someone with jaundice
 Have you ever had a blood transfusion?
 Have you ever infected drugs intravenously?
 Do you have any body piercing? Tattoos?
 Have you recently start new medications?
 Have you recently chanted your sexual activity?
 Are your stools pale?
 Do you have dark urine?
 Is your skin itchy?
 Do you have gallstones?

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