检查与活检 Scans, Biopsy and Waiting for Results

By the end of this module you can…

• Explain a contrast CT and a PET-CT in Mandarin: the allergy and kidney checks, the warm flush, fasting and the quiet hour.
• Ask about metal before an MRI, explain the noise and the tube, and reassure a nervous patient.
• Explain a biopsy in plain words, from consent with an interpreter and blood thinners to numbing, pressure and aftercare.
• Teach the signs after a biopsy that mean call now, and say clearly who gives the results and how.
• Respond to worry while a patient waits for results, honestly and without promises.

Key vocabulary

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

The scans

• 检查jiǎn cháTest, exam; to examine
• 造影剂zào yǐng jìContrast (dye)
• 核磁hé cíMRI
• 超声chāo shēngUltrasound
• 钼靶mù bǎMammogram
• 空腹kōng fùFasting (empty stomach)
• 金属jīn shǔMetal

Biopsy & results

• 活检huó jiǎnBiopsy
• 穿刺chuān cìNeedle biopsy (to puncture)
• 抗凝药kàng níng yàoAnticoagulant (blood thinner)
• 冰袋bīng dàiIce pack
• 同意书tóng yì shūConsent form
• 病理bìng lǐPathology
• 结果jié guǒResults

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. 您以前打过造影剂吗？有没有过敏？Nín yǐ qián dǎ guo zào yǐng jì ma? Yǒu méi yǒu guò mǐn?Contrast before? Any reaction?
2. 打造影剂的时候，身上会一下子发热，这很常见，一般很快就过去。Dǎ zào yǐng jì de shí hou, shēn shang huì yí xià zi fā rè, zhè hěn cháng jiàn, yì bān hěn kuài jiù guò qu.Contrast feels suddenly warm. That’s common.
3. 如果觉得痒、喘不上气，或者喉咙发紧，马上告诉我们。Rú guǒ jué de yǎng, chuǎn bu shàng qì, huò zhě hóu long fā jǐn, mǎ shàng gào su wǒ men.Itchy, short of breath, tight throat: tell us now.
4. 检查前大概四到六个小时不要吃东西，可以喝白开水，具体按照通知上说的。Jiǎn chá qián dà gài sì dào liù ge xiǎo shí bú yào chī dōng xi, kě yǐ hē bái kāi shuǐ, jù tǐ àn zhào tōng zhī shang shuō de.PET: no food for about 4–6 hours (check the sheet); water is fine.
5. 您身体里有没有金属的东西？比如心脏起搏器、支架、人工关节？Nín shēn tǐ lǐ yǒu méi yǒu jīn shǔ de dōng xi? Bǐ rú xīn zàng qǐ bó qì, zhī jià, rén gōng guān jié?Any metal in your body, like a pacemaker?
6. 有什么不舒服，就捏一下这个球，我们马上能听到。Yǒu shén me bù shū fu, jiù niē yí xià zhè ge qiú, wǒ men mǎ shàng néng tīng dào.Squeeze this ball and we’ll hear you.
7. 活检就是取一点组织，送去化验，看看到底是什么。Huó jiǎn jiù shì qǔ yì diǎn zǔ zhī, sòng qù huà yàn, kàn kan dào dǐ shì shén me.A biopsy takes a little tissue to test.
8. 要不要停阿司匹林，一定要听医生的。Yào bu yào tíng ā sī pǐ lín, yí dìng yào tīng yī shēng de.Stopping aspirin is the doctor’s call.
9. 结果出来以后，医生会跟您详细解释。Jié guǒ chū lai yǐ hòu, yī shēng huì gēn nín xiáng xì jiě shì.The doctor will explain the results.
10. 等结果的时候很着急吧，我能理解。Děng jié guǒ de shí hou hěn zháo jí ba, wǒ néng lǐ jiě.Waiting is hard. I understand.

What’s in Module 3

1. Part 1 · Warm-UpWarm-Up: Scans and Waiting
2. Part 2 · The Words for TestsSaying 取一块组织化验 vs. Charting 活检 · Vocabulary · Flash Cards · The Contrast CT Script
3. Part 3 · CT and PET-CTBefore the Contrast: the Checks · Key Patterns · On the Table: Breath-Holds and the Warm Flush · PET-CT: Fasting and a Quiet Hour
4. Part 4 · MRI and Breast ImagingMRI: Metal, Noise and the Tube · Mammogram and Ultrasound · Which Scan, Which Prep
5. Part 5 · The BiopsyWhat a Biopsy Is, and Consent · During the Biopsy, and Aftercare · After the Biopsy: When to Call
6. Part 6 · Waiting for ResultsPathology, and Who Gives the Results · While They Wait: Responding to Worry · 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 3 Knowledge Check
9. Part 9 · Wrap-UpModule 3 Homework · Take-Home Phrase Sheet · Module 3 Wrap-Up · 下次见