236 2021 u4 physical exam LIS

A physical examination, medical examination, or clinical examination more popularly known as a check-up is the process by which a medical professional investigates the body of a patient

UNIT 4 – LISTENING & SPEAKING (2 hours) ENGLISH IN MEDICINE 2 – GENERAL PRACTITIONER Y2

PRESENTER: Nguyen Hoang Quynh Mai EDITOR: Nguyen Hoang Quynh Mai Email: 1004quynhmai@gmail.com

3 SPEAKING ACTIVITIES

1 PRONUNCIATION EXERCISES

2 LISTENING EXERCISES

1 PRONUNCIATION EXERCISES

check-up investigate sign technique

inspection palpation percussion auscultation

symmetry retraction benign malignant

edema ulcer distension seizure

tremor palsy paralysis extremity

measurement axilla genitalia rectum

mobility tongue depressor stethoscope sterile

A physical examination, medical examination, or clinical examination (more popularly known as a check-up) is the process

by which a medical professional investigates the body of

a patient for signs of disease It generally follows the taking of the medical history - an account of the symptoms as experienced

by the patient Together with the medical history, the physical examination aids in determining the correct diagnosis and devising

the treatment plan This data then becomes part of the medical record.

1 PRONUNCIATION EXERCISES

The routine physical examination, also known as periodic health evaluation, annual physical, comprehensive medical exam, general health check, preventive health examination, medical check-up, is a

physical examination performed on an asymptomatic patient for medical screening purposes.

These are normally performed by a pediatrician, family practice physician, physician assistant, a certified nurse practitioner or other primary care provider.

This routine physical exam usually includes the HEENT evaluation.

1 PRONUNCIATION EXERCISES

VIDEO: https://www.youtube.com/watch?v=D8ixnaY5XuQ&t=2638s

Listen to the video twice (13:44 & 15:26) and try to fill in the blanks.

2 LISTENING EXERCISES

2 LISTENING EXERCISE 1

Doctor: Would you slip off (1) , please? Now I just

want to see you standing (2) You are sticking that hip out a little bit, aren’t you?

Patient: Yes, well I cant straighten up easily

Doctor: Could you (3) as far as you can with your knees straight and stop when you’ve had enough?

Patient: Oh, that’s (4) _

Doctor: Not very far, is it? Stand up again Now I would like you to

(5) That’s not much either Now stand up straight again Now first of all, I would like you to slide your right hand (6) _

of your thigh See how far you can go That’s fine Now do the same

thing on the opposite side.

Fine now just come back to (7) Now keep your feet

together just as they are Keep (8) _ Now try and turn both shoulders round to the right Look right round Keep your knees and

feet steady.

2 LISTENING EXERCISE 1

Patient: Oh, that’s sore!

Doctor: Go back to the center again Now try the same thing and (9) _ to the left side Fine Now back to the center That’s fine!

Now would you like to get onto the couch and

(10) _? I’m just going to try and find out where the sore spot is

Doctor: Would you slip off your top things, please? Now I just want

to see you standing Hands by your side You are sticking that hip out a little bit, aren’t you?

Patient: Yes, well I cant straighten up easily

Doctor: Could you bend down as far as you can with your knees

straight and stop when you’ve had enough?

Patient: Oh, that’s the limit

2 LISTENING EXERCISE 1

Doctor: Not very far, is it? Stand up again Now I would like you to lean backwards That’s not much either Now stand up straight again.

Now first of all, I would like you to slide your right hand down the right side of your thigh See how far you can go That’s fine Now do the same thing on the opposite side.

Fine now just come back to standing straight Now keep your feet

together just as they are Keep your knees firm Now try and turn both shoulders round to the right Look right round Keep your knees and

feet steady.

2 LISTENING EXERCISE 1

Patient: Oh, that’s sore!

Doctor: Go back to the center again Now try the same thing and go round to the left side Fine Now back to the center That’s fine!

Now would you like to get onto the couch and lie on your face? I’m just going to try and find out where the sore spot is

Would you like to (1) here on the couch, on your

back? Ok

I’m going to (2) by tapping you with this little

hammer It won’t hurt you

Let me (3) _ Let it go quite relaxed Try not to

tighten up There Now the other one

Just let me have your wrist Let it go (4) _ That’s right

2 LISTENING EXERCISE 2

I’m going to (5) Fine Now the left one Ok?

Fine I’ll just give you a little tap here (6)

Now the other one Now let your legs go completely relaxed I’ll hold them up (7)

There I’m just going to turn your leg out to the side (8)

Just relax That’s it Now the other one Fine

2 LISTENING EXERCISE 2

3 SPEAKING ACTIVITIES

DESCRIBE THE PICTURE

3 SPEAKING ACTIVITIES

DESCRIBE THE PICTURE

CONVERSATION WITH A PATIENT

1 Introduce yourself - name & role

2 Confirm patient details - name & DoB

3 Explain the need to take history

4 Gain consent

5 Present complaint

6 Ask for details

7 Other symptoms

8 Previous health

9 Summary & next step

3 SPEAKING ACTIVITIES

Work in pairs to make your own story, start with a common symptom that you’ve learned.

CONVERSATION WITH A PATIENT

& ANSWERS