MEDICAL ENGLISH Listening Activity 2

Patient Interview Notes


The hospital consultant made these notes of her interview with Mr Green. Complete as many of the gaps as you can with the help of the letter below. Then listen to the recording and complete the remaining gaps.







Notes for Abbreviations

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SURNAME: (1.) _________________ 
FIRST NAME: Peter
AGE:  (2.) ___________  
SEX: M
MARITAL STATUS: M
OCCUPATION: (3.) ________
PRESENT COMPLAINT
(4.) __________ chest pain radiating to L arm. 
Started with severe attack dyspnoea. 
Pain lasted (5.) __________relieved by rest. 
Has occurred since on exertion.

O/E General Condition 

ENT 

RS Chest (6.) _______ 

CVS (7.)__________ 70/min  (8.) ________ 130/80
(9.) _____________ normal

GIS 

GUS 

CNS 
...............................................
IMMEDIATE PAST HISTORY 

POINTS OF NOTE 

INVESTIGATIONS 

DIAGNOSIS

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notes

1 Green
2 42
3 salesman
4 central
5 10 mms
6 clear/normal
7 P (pulse)
8 BP (blood pressure)
9 HS (heart sounds)

DOCTOR: Come in. Mr Green. Come and sit down here. I've had a letter from your doctor and she tells me that you've been having pain, pain in your chest.
PATIENT: Yes, and in my arm... and also tingling in my fingers and ...
DOCTOR: Yes. now when did you first notice this pain?
PATIENT: Er, well, I suppose about six months ago.
DOCTOR: And can you remember when it first came on?
PATIENT: Yes, well l remember, I got a bad pain in my chest when I was shopping. It was so bad I couldn't breathe and ...
DOCTOR: And where, in which part of your chest did you feel the pain?
PATIENT: Well, right across my chest.
DOCTOR: And how long did it last?
PATIENT: Oh, about ten minutes.
DOCTOR: And what did you do when it happened?
PATIENT: I had to stop and wait for it to go away.
DOCTOR: So, have you had this, the pain, again since then?
PATIENT: Yes, I often get it when I overdo things. And when I ...
DOCTOR: Well, I think at this stage I'd like to examine you, your chest. So, if you could strip to your waist.
PATIENT: Right. There we go.
DOCTOR: That's fine. I'll just check your pulse first of all. Fine. That's fine. It's quite normal, seventy per minute.
PATIENT: Er, right.
DOCTOR: Now your blood pressure. Fine. That's quite normal too. 130 over 80.
PATIENT: Oh, I'm pleased to hear it.
DOCTOR: Now I'm going to listen to your heart ... so I want you to breathe normally ... Mm. Your heart sounds quite normal.
PATIENT: Well, that's a relief.
DOCTOR: Well now, I want you to take deep breaths in and out while I check your lungs. In. Out. In. Out. Fine... They're completely clear. Well, Mr Green, the pain you've been having sounds very much like the pain of what we call angina, and this... well, this occurs when not enough oxygen is getting to the heart. Now I'd like to check a few tests, and, following that I'll be able to advise some treatment for you ...

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