主诉分诊 Chief Complaint and Triage Questions

By the end of this module you can…

• Ask what brought the patient in, and get the main problem in their words.
• Pin down when it started, how it began, and whether it is getting worse.
• Ask about illnesses, medicines, allergies and pregnancy, simply and privately.
• Explain the vital signs at triage, one short sentence at a time.
• Spot the red flags that can’t wait, and explain the wait to everyone else.

Key vocabulary

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

Common complaints

• 发烧fā shāoFever
• 咳嗽ké souCough
• 头疼tóu téngHeadache
• 头晕tóu yūnDizzy
• 恶心ě xinNausea, feeling sick
• 拉肚子lā dù ziDiarrhea
• 没力气méi lì qiWeak, no strength

At triage

• 血压xuè yāBlood pressure
• 心跳xīn tiàoHeartbeat, heart rate
• 血氧xuè yǎngOxygen level
• 过敏guò mǐnAllergy, allergic
• 怀孕huái yùnPregnant
• 慢性病màn xìng bìngChronic illness
• 加重jiā zhòngTo get worse

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. 您今天来，主要是哪里不舒服？Nín jīn tiān lái, zhǔ yào shì nǎ lǐ bù shū fu?What’s the main thing that brought you in?
2. 是什么时候开始的？是突然开始的吗？Shì shén me shí hou kāi shǐ de? Shì tū rán kāi shǐ de ma?When did it start? Did it start suddenly?
3. 越来越重，还是好一点了？Yuè lái yuè zhòng, hái shi hǎo yì diǎn le?Is it getting worse, or a bit better?
4. 您有什么慢性病吗？平时吃什么药？Nín yǒu shén me màn xìng bìng ma? Píng shí chī shén me yào?Any long-term illnesses? What medicines do you take?
5. 您平时吃防血栓的药吗？比如阿司匹林、华法林。Nín píng shí chī fáng xuè shuān de yào ma? Bǐ rú ā sī pǐ lín, huá fǎ lín.Do you take anything to prevent clots? For example aspirin or warfarin.
6. 您对什么药过敏吗？Nín duì shén me yào guò mǐn ma?Are you allergic to any medicines?
7. 您有没有可能怀孕了？Nín yǒu méi yǒu kě néng huái yùn le?Is there any chance you could be pregnant?
8. 我先给您量一下体温和血压。Wǒ xiān gěi nín liáng yí xià tǐ wēn hé xuè yā.First I’ll take your temperature and blood pressure.
9. 我们按病情轻重安排看病的顺序。Wǒ men àn bìng qíng qīng zhòng ān pái kàn bìng de shùn xù.We see patients in order of how serious it is.
10. 等的时候如果更不舒服了，马上告诉分诊台。Děng de shí hou rú guǒ gèng bù shū fu le, mǎ shàng gào su fēn zhěn tái.If you feel worse while you wait, tell triage right away.

What’s in Module 2

1. Part 1 · Warm-UpWarm-Up: What Brings You In?
2. Part 2 · The Words for TriageReading the Pinyin · Saying 哪里不舒服 vs. Writing 主诉 · Vocabulary · Flash Cards · When Did It Start?
3. Part 3 · The Triage QuestionsThe Triage Script · How Bad, and Which Way? · Key Patterns · Illnesses, Medicines, Allergies · Vital Signs at Triage · Private Questions, Asked Privately
4. Part 4 · Sorting by UrgencyRed Flags at Triage · Explaining the Wait · Straight In, or Wait?
5. Part 5 · Concerns & ArrivalsWhat Patients Say · Arriving by Ambulance · Three Words for the Record
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 2 Knowledge Check
8. Part 8 · Wrap-UpModule 2 Homework · Take-Home Phrase Sheet · Module 2 Wrap-Up · 下次见