问病史 Symptoms, Health and Family History

By the end of this module you can…

• Ask about a lump, weight loss, tiredness, cough, bleeding, night sweats and pain in the patient’s own words.
• Pin down since when and whether it is getting worse, then say it back before you chart it.
• Ask about daily life, past illness and surgery, and cancer in the family with the relation and the age.
• Take a smoking, alcohol and betel nut history, and ask about medicines, herbs, supplements and allergies without judgment.
• Ask about the red flags that need the doctor now or 911, and answer worries without promises.

Key vocabulary

Fifteen words from this module. Tap the speaker to hear each one.

Symptoms

• 肿块zhǒng kuàiLump, mass
• 体重下降tǐ zhòng xià jiàngWeight loss
• 乏力fá lìFatigue, weakness
• 胃口wèi kǒuAppetite
• 咳嗽ké souCough; to cough
• 声音嘶哑shēng yīn sī yǎHoarse voice
• 吞咽困难tūn yàn kùn nanTrouble swallowing
• 盗汗dào hànNight sweats
• 发烧fā shāoFever

Health history

• 家族史jiā zú shǐFamily history
• 抽烟chōu yānTo smoke
• 喝酒hē jiǔTo drink alcohol
• 中药zhōng yàoChinese herbal medicine
• 保健品bǎo jiàn pǐnSupplements
• 过敏guò mǐnAllergy; to be allergic

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 今天主要是哪里不舒服？Jīn tiān zhǔ yào shì nǎ lǐ bù shū fu?What’s mainly bothering you today?
2. 从什么时候开始的？是越来越厉害吗？Cóng shén me shí hou kāi shǐ de? Shì yuè lái yuè lì hai ma?When did it start? Getting worse?
3. 这几个月瘦了多少斤？Zhè jǐ ge yuè shòu le duō shao jīn?How many jin lost in recent months?
4. 痰里有没有血？Tán lǐ yǒu méi yǒu xiě?Any blood in your phlegm?
5. 晚上睡觉出汗多吗？最近有没有发烧？Wǎn shang shuì jiào chū hàn duō ma? Zuì jìn yǒu méi yǒu fā shāo?Night sweats? Any fever lately?
6. 平时还能自己做饭、出门吗？Píng shí hái néng zì jǐ zuò fàn, chū mén ma?Can you still cook and go out alone?
7. 一天抽几支？抽了多少年？Yì tiān chōu jǐ zhī? Chōu le duō shao nián?Cigarettes a day? For how many years?
8. 您的父母、兄弟姐妹、孩子，有没有人得过癌症或者肿瘤？Nín de fù mǔ, xiōng dì jiě mèi, hái zi, yǒu méi yǒu rén dé guo ái zhèng huò zhě zhǒng liú?Cancer in parents, siblings or children?
9. 有没有吃中药，或者保健品？Yǒu méi yǒu chī zhōng yào, huò zhě bǎo jiàn pǐn?Any herbs or supplements?
10. 您对什么药过敏吗？过敏的时候有什么反应？Nín duì shén me yào guò mǐn ma? Guò mǐn de shí hou yǒu shén me fǎn yìng?Drug allergies? What reaction?

What’s in Module 2

1. Part 1 · Warm-UpWarm-Up: Appetite, Smoking, Supplements
2. Part 2 · The Words for SymptomsSaying 包 vs. Charting 肿块 · Vocabulary · Flash Cards
3. Part 3 · Taking the HistoryThe History Script · Since When, and Getting Worse? · Key Patterns · Build the Question · A Lump: Where, How Big, Since When
4. Part 4 · Symptoms to Ask AboutWeight, Appetite and Daily Life · Cough, Breathing and Swallowing · Bleeding, Bowels, Sweats and Pain
5. Part 5 · Health HistoryPast Illness and Surgery · Cancer in the Family · Smoking, Alcohol, Betel Nut and Work · Medicines, Herbs and Allergies
6. Part 6 · Red Flags & ConcernsRed Flags: The Doctor Now, or 911 · What Patients Say
7. Part 7 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
8. Part 8 · Knowledge CheckModule 2 Knowledge Check
9. Part 9 · Wrap-UpModule 2 Homework · Take-Home Phrase Sheet · Module 2 Wrap-Up · 下次见