English-for-Medical-S&D-Practical-English-dialogues Created by Anna Has

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Dialogue 1

Dialogue 2

Dialogue 3

Unit 4

Functions of the Skin and its Diseases

Patient

It’s my little daugher this time, doctor. She’s ........................ a bad rash on her neck and chest.

(E for MS&D/4 unit)

Doctor

How long ............ it ............ ........................ you?

(E for MS&D/4 unit)

Patient

It wasn’t there when I ........................ (bath) her last night.

(E for MS&D/4 unit)

Doctor

What about her face and other parts of the body? ............ they ........................ by the rash, too?

(E for MS&D/4 unit)

Patient

Yes, I ........................ some red patches on her cheeks and thighs. Her neck and chest ........................
........................ (not look) nice, really.

(E for MS&D/4 unit)

Doctor

........................ you describe the rash?

(E for MS&D/4 unit)

Patient

Her skin in these sights is reddened, slightly swollen, warm and itching. She’s ........................ (scratch) all
the time.

(E for MS&D/4 unit)

Doctor

........................ you ........................ anything else?

(E for MS&D/4 unit)

Patient

No, I ........................... . My temperature is normal, but she’s ........................ irritable and crying.

(E for MS&D/4 unit)

Doctor

........... ........... ever ................ a rash like this before?

(E for MS&D/4 unit)

Patient

No, she .................. It’s the first .................. I’ve .................. it.

(E for MS&D/4 unit)

Doctor

........... ........... allergic ........... anything?

(E for MS&D/4 unit)

Patient

So far, I ................ ................ (not notice) any allergy, but I ................... some bath oil to her and parhaps
she is allergic ........... it. Is .............. anything you could give her that would clear ........... the problem?

(E for MS&D/4 unit)

Doctor

I’ll ........................ her some ointment and anthitamine drugs to ........................ itching. That will help her to
sleep ................. night, too.

(E for MS&D/4 unit)

Dialogue 4

Unit 5

The Body Cavities

Doctor

Well, Mr, Sawitch. What ........................ you here today?

(E for MS&D/5 unit)

Patient

I’ve ........... ........................ feverish for a couple of months. Every morning, when I ........................my
temperature, it’s slightly ........................ , it’s 37,4

o

C. I don’t know the reason ........... it and I’d

........................ you ........... sort it out.

(E for MS&D/5 unit)

Doctor

........... ........... ........................ how long exactly you’ve ........................ feverish?

(E for MS&D/5 unit)

Patient

I’m not sure, but I think I’ve ........................ ........................ like this ........... about six months.

(E for MS&D/5 unit)

Doctor

........... from fever, ........... there any other problems?

(E for MS&D/5 unit)

Patient

I’ve ............. weak and tired almost ........... the time. It seems I’ve ........................ all my energy.

(E for MS&D/5 unit)

Unit 1

Features of the Human Body

Doctor

Good morning, Mrs. Roberts. What .......................... to be the ............................. ?

(E for MS&D/1 unit)

Patient

I feel a terrible ........................ in my back; it’s my spine, I suppose. I can’t ........................ down. I can’t
........................ anything up and I even can’t ........................ my shoe laces.

(E for MS&D/1 unit)

Doctor

Which part of your back ............ ........................... (affect)?

(E for MS&D/1 unit)

Patient

The ........................ of my back, the loin.

(E for MS&D/1 unit)

Doctor

What kind of pain ............ .............?

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Patient

It’s a very sharp, stabbing .........................

(E for MS&D/1 unit)

Doctor

............ ............ ........................ (radiate) anywhere?

(E for MS&D/1 unit)

Patient

Yes, it ............. It runs ........................ the left leg and then ........................ the thigh, ........................to the
calf, foot and toes.

(E for MS&D/1 unit)

Doctor

How long ............ you ........................ this pain?

(E for MS&D/1 unit)

Patient

For three days. It ........................ (start) when my husband and I ............ ........................ (move) the
furniture. You see, we’ve just ........................ to a new house. I think , I ........................ ............
........................ (overdo) things a little.

(E for MS&D/1 unit)

Doctor

............ anything ........................ it better?

(E for MS&D/1 unit)

Patient

If I ................ (lie ) ............, then the pain ..................... away, but when I ...................... (stand) ............ ,
immediately ...................... back.

(E for MS&D/1 unit)

Doctor

............ you ........................ any tingling sensation in your hands or feet?

(E for MS&D/1 unit)

Patient

No, I ........................ .

(E for MS&D/1 unit)

Unit 2

The Anatomical Position

Doctor

Now, I’m ........................ to examine you. I’d ........................ you to ........................ ........................ on
the couch with your legs parallel ............ each other, stretched out ............ front of you. Put your arms
............ he sides. Try to ........................ your head up slowly ........... far ........... you can. ........... you
........................ any pain in your back now?

(E for MS&D/2 unit)

Patient

No, I don’t .

(E for MS&D/2 unit)

Doctor

That’s OK. Now, lift your leg ............ straight without ....................... your knee and then bring it
........................ Repeat this with your left leg. ............ you ...................... anything?

(E for MS&D/2 unit)

Patient

Oh, yes. This time I ........................ a sharp stab in my lower back.

(E for MS&D/2 unit)

Doctor

Stand ............, please. Keep your legs ......................, feet together. I’d ...................... you to......................
forwards as far as you can and then the same backwards. Now, I ...................... you to bend forwards again.
Try to touch your toes ............your fingers.

(E for MS&D/2 unit)

Patient

I ................ bend farther, doctor. It ....................... .

(E for MS&D/2 unit)

Doctor

That’s enough. Thank you, Mrs Roberts.

(E for MS&D/2 unit)

English-for-Medical-S&D-Practical-English-dialogues Created by Anna Has

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Doctor

........... ........... ........................ any pain in your muscles?

(E for MS&D/5 unit)

Patient

Yes, a little.

(E for MS&D/5 unit)

Doctor

And what ........................ your weight. .................. .................. .................. any weight lately?

(E for MS&D/5 unit)

Patient

Yes, ............. ............. , about five kilograms.

(E for MS&D/5 unit)

Doctor

............. ............. ............. ............. (cough)?

(E for MS&D/5 unit)

Patient

Oh, yes, I ..............

(E for MS&D/5 unit)

Doctor

............. ............. ................. any pain in your chest?

(E for MS&D/5 unit)

Patient

Only when I’m .......................... .

(E for MS&D/5 unit)

Dialogue 5

Unit 7

The Respiratory System

Doctor

Hello, Mr Adams. ............. Dr Evans.

(E for MS&D/7 unit)

Patient

Hello, Dr Evans.

(E for MS&D/7 unit)

Doctor

How are you ......................... today? Are you a............. better?

(E for MS&D/7 unit)

Patient

Not too well, I’m afraid. I have a pain in my chest and I ......................... a lot. I also ......................... a
......................... throat and hoarsness.

(E for MS&D/7 unit)

Doctor

When ............. it all ......................... (begin)?

(E for MS&D/7 unit)

Patient

It all ......................... two days ............. and today it’s much worse. I even have some ......................... with
breathing.

(E for MS&D/7 unit)

Doctor

What kind of cough ............. you ............. ? ............. you ......................... anything ............. when you
cough?

(E for MS&D/7 unit)

Patient

At first it was a dry ......................... but now I’ve ................... ......................... some phlegm.

(E for MS&D/7 unit)

Doctor

............. you ......................... any pain in your back on ......................... ?

(E for MS&D/7 unit)

Patient

Oh, yes. When I ......................... and acute ......................... both in my chest and back.

(E for MS&D/7 unit)

Doctor

......................... you ......................... a fever?

(E for MS&D/7 unit)

Patient

Yes, ............. .............. When I ........................ temperature this morning it ........................ 37. 8

o

C but

later it ........................ ............. to 38.6

o

C.

(E for MS&D/7 unit)

Doctor

Now, I’m going to ........................ you. ........................ you ........................ to your waist? I’ll have a
........................ at your throat and then ........................... your chest. ........................your mouth as
........................ as you can. Say ‘ah’. ........................ your tongue ............. as far ............. you can. Take a
few deep ........................ in and ............. through your nose, please. Stop ........................ for a
........................

(E for MS&D/7 unit)

Dialogue 6

Unit 8

Respiration and Diseases of the Respiratory System.

Doctor

Good morning, Mr Walker. How ............. you today?

(E for MS&D/8 unit)

Patient

Not so good.

(E for MS&D/8 unit)

Doctor

I understand you still ................... some pain in you chest.

(E for MS&D/8 unit)

Patient

Yes. It’ s very bad, especially when I ........................ .

(E for MS&D/8 unit)

Doctor

................... you back ................... , too?

(E for MS&D/8 unit)

Patient

Yes, it ................... I frequently ...................... difficulties ................... breathing.

(E for MS&D/8 unit)

Doctor

What’s your temperature?

(E for MS&D/8 unit)

Patient

Not very high; 37.5

o

C.

(E for MS&D/8 unit)

Doctor

I see. Now, where exactly ................... ................... ................... this pain?

(E for MS&D/8 unit)

Patient

Here, Right along here.

(E for MS&D/8 unit)

Doctor

Thank you for a moment. Now, I’m ....................... to examine you. ......................... a deep
......................... with your mouth.

(E for MS&D/8 unit)

Doctor

(After an examination) I’d .......................... you to have some specialist investigations done in order to
......................... out the ......................... of your problem. First of all, you’ll have to get your
chest.............................. . Then for three ............................ mornings you have to bring to the pathology
laboratory a ............................ of phlegm that you ............................ .......... in the morining in order to
find the pathogen responsible .................... your disease. Next, it will be necessary to ..........................
bronchoscopy. In this examination a narrow flexible .......................... is .......................... to your
.......................... and lungs to observe them and .......................... samples the tissue of your lungs, called
.......................... . Don’t worry, you’ll get a local .......................... before the tube is ..........................
.......................... into your lungs, so that you .......................... not feel any pain. You will ............
............................... to hospital for a day to have it ...........................

(E for MS&D/8 unit)

Dialogue 7

Unit 9

The Blood and its Disorders.

Doctor

Hello, Robert. I don’t want to .......................... your time, but can you .......................... me some moments? (E for MS&D/9 unit)

Consultant

Certainly. What .......................... I .......................... for you?

(E for MS&D/9 unit)

Doctor

I need a .......................... of advice. A patient, a 45-year-old male, hypertensive, obese with some specific
symptoms .................. ............................... to my ward three days ago. His pulse was 100 per min.,
respiration 18 per min., blood .......................... 165/100 mmHg, the chest X-ray ..........................
elargement of the left ventricle and pulmonary oedema. He .......................... a .......................... of chest
pain, .......................... headaches, occasional dizziness and dyspnoea ............ exertion of about one year
.......................... . He has had increasing angina pectoris which ................ ................ present at ................ .
There ................ no ...................... of ankle oedema. There is a positive family .......................

(E for MS&D/9 unit)

Consultant

What ...................... his blood and urine ...................... ?

(E for MS&D/9 unit)

Doctor

His red blood ...................... is 3,120/mm

3

, Hb 8g/dl, white blood ...................... 15,000/mm

3

,

............................... rate 20. His urine ...................... the ...................... .... of some proteins and bacteria,

(E for MS&D/9 unit)

English-for-Medical-S&D-Practical-English-dialogues Created by Anna Has

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mainly Escherichia coli.

Consultant

......................... electrocardiogram and echocardiogram ......................... .............................?

(E for MS&D/9 unit)

Doctor

Yes. they have. His ECG ......................... a little left ventricular hyperthrophy and strain, the ST segment is
decreased, the T wave ......................... normal, the rate and rhythm od his heart appears to be all right. His
echocardiogram ......................... hyperthrophy of the left ventricle.

(E for MS&D/9 unit)

Consultant

......................... you ............................ ultrasonograophy of the kidneys?

(E for MS&D/9 unit)

Doctor

Yes, I have but I ......................... ......................... the result yet.

(E for MS&D/9 unit)

Consultant

When the ......................... come, we’ll see it is primary or secondary hypertension and what .........................
should .................. .......................... In ......................... there’s a proved kidney ......................... , I’d
...................... him on proper antibiotics, one of beta blockers and possibly diuretics.

(E for MS&D/9 unit)

Dialogue 8

Unit 11

The Digestive System

Mrs. Jones

Good morning, doctor. It’s Mrs. Jones ......................... . I’m terribly ......................... .........................
my husband. He ......................... very sick. He ...................... an acute stomachache, nausea and he can’t
sleep.

(E for MS&D/11 unit)

Doctor

How long ..................... he ......................... ......................... like this?

(E for MS&D/11 unit)

Mrs. Jones

Since last Monday.

(E for MS&D/11 unit)

Doctor

What’s his appetite ......................... ?

(E for MS&D/11 unit)

Mrs. Jones

He ......................... ......................... his appetite, he’s ......................... .................. food .................. the
last three days.

(E for MS&D/11 unit)

Doctor

.................. he .................. ............................. ?

(E for MS&D/11 unit)

Mrs. Jones

Hes, he .................. . He .................. ............................. twice today. He is very weak and sweating
terribly all the time.

(E for MS&D/11 unit)

Doctor

Are his bowel............................. all right?

(E for MS&D/11 unit)

Mrs. Jones

They ......................, until Monday. Then, he .................... diarrhoea. .................... you come, doctor, and
see my husband ............. soon ............ possible? He’s so bad that I can’t .................... him to your
surgery.

(E for MS&D/11 unit)

Doctor

Don’t worry. I’ll be at your ....................... in half an hor and ........................... a good .......................
at your husband. I’ll also ....................... some drugs to ....................... the symtoms.

(E for MS&D/11 unit)

Dialogue 9

Unit 12

The Process of Digestion and Gastrointenstinal Disorders

Dr. Evans

Good Morning, Mr Benson. This is Dr. Burns, a ....................... in diseases of the digestive
....................... . Would you ....................... very much if Dr. Burns and I ....................... you several
questions?

(E for MS&D/12 unit)

Mr. Benson

Yes, fine. I’d be ........................... to answer your ......................... .

(E for MS&D/12 unit)

Dr. Evans

This is Mr. Benson, who is 51 years old. He ....................... ........... an accountant for a big firm. He is
......................., with three children. Mr. Benson’s problem are ....................... ulcers.

(E for MS&D/12 unit)

Dr. Burns

What ....................... his complaints ............... admission?

(E for MS&D/12 unit)

Dr. Evans

A severe, burning upper abdominal pain, tenderness ............... deep and superficial palpation, nausea,
vomiting, constipation, occasional melaena and ............... of appetite.

(E for MS&D/12 unit)

Dr. Burns

When ............... Mr. Benson .......................... to hospital?

(E for MS&D/12 unit)

Dr. Evans

Five days ago.

(E for MS&D/12 unit)

Dr. Burns

How long ............... ............... ............... .......................... by these symptoms, Mr. Benson?

(E for MS&D/12 unit)

Mr. Benson

The pain ........................... about two years ................ . ............... first the pain .............................. in
spring and autumn. It .......................... continuous pain, it was ................ and off. It was ................
about an hour after a meal. But now I feel it ................ the time.

(E for MS&D/12 unit)

Dr. Burns

Was there anything that relieved the pain?

(E for MS&D/12 unit)

Dr. Evans

Oh yes. Some food and a glas of milk seemed to make it better. Now, no relief at all.

(E for MS&D/12 unit)

Dr. Burns

................ you .......................... where it .......................... ?

(E for MS&D/12 unit)

Mr. Benson

Right here. (indicating the epigastric abdominal area)

(E for MS&D/12 unit)

Dr. Burns

.......................... you .......................... any .......................... ?

(E for MS&D/12 unit)

Mr. Benson

Nearly eight kilos in the last two months. I’ve .......................... no appetite, you see.

(E for MS&D/12 unit)

Dr. Burns

What .......................... smoking and drinking?

(E for MS&D/12 unit)

Mr. Benson

I .......................... about 20 cigarettes a day and drink a .......................... of beer a day.

(E for MS&D/12 unit)

Dr. Burns

I’d .......................... to check you abdomen. Could you .......................... ............ you pyjamas top,
please, Mr. Benson? Thank you. Now, lie flat, hands by your sides. Try to .......................... your
abdominal muscles. Breathe ........... and ........... slowly. I’m going to .......................... here a little.
Let me know if it .......................... you here.

(E for MS&D/12 unit)

English-for-Medical-S&D-Practical-English-dialogues Created by Anna Has

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Dialogue 10

Unit 13

The Urinary System and its Disorders

Mrs. Miller

........... this Dr. Martin’s surgery?

(E for MS&D/13 unit)

Dr. Martin

Yes, and ............... Dr. Martin speaking.

(E for MS&D/13 unit)

Mrs. Miller

Good morning, doctor. It’s Mrs. Miller here. I’m terribly .......................... about my husband.

(E for MS&D/13 unit)

Dr. Martin

.......................... the trouble with him, Mrs Miller?

(E for MS&D/13 unit)

Mrs. Miller

He .......................... an awful pain in his back. He says it’s a deep pain in the lower part of his back. He
also had some .......................... of nausea an vomiting. His temperature is...........................

(E for MS&D/13 unit

Dr. Martin

How long ............... he ............... these symptoms?

(E for MS&D/13 unit)

Mrs. Miller

It all .......................... yesterday evening. The pain .......................... suddenly at about 7 p.m.

(E for MS&D/13 unit)

Dr. Martin

Has he got any difficulty in .......................... water?

(E for MS&D/13 unit)

Mrs. Miller

Oh yes, he ........................... He says he feels a burning pain while .......................... water. Now he can’t
......................... his water at all because it .......................... him badly.

(E for MS&D/13 unit)

Dr. Martin

............... he ............... any urinary ......................... infection lately?

(E for MS&D/13 unit)

Mrs. Miller

Ye, he ............... A year ago he .............. acute pyelonephritis. He got it after flu complications but since
then he’s ......................... all right.

(E for MS&D/13 unit)

Dr. Martin

............... your husband ......................... any blood in his ......................... ?

(E for MS&D/13 unit)

Mrs. Miller

Yes, this morning he ......................... some traces of blood.

(E for MS&D/13 unit)

Dr. Martin

I’m afraid it ......................... be the ......................... stone or some kidney infection. Pain and retention
of urine ......................... it but I can ......................... exactly after the examination of your husband. I
think I shall take him to ............................ for urinalysis, urography, scintigraphy of kidneys and other
tests

(E for MS&D/13 unit)

Dialogue 11

Unit 14

The Nervous System and its Disorders

Doctor

Good morning, Mr. Walker. ............................ the problem?

(E for MS&D/14 unit)

Patient

Good morning, doctor. I’ve ............................ ............................ by acute headaches.

(E for MS&D/14 unit)

Doctor

How long ............................ you ............................ them?

(E for MS&D/14 unit)

Patient

............... about four months, but they’ve ............................ so bad recently that I had to ............................
a few weeks ............... work.

(E for MS&D/14 unit)

Doctor

How often ............... you ............... them?

(E for MS&D/14 unit)

Patient

Nearly every day. They’re usually ............... worse in the afternoon and early evening when I
.................... back from work.

(E for MS&D/14 unit)

Doctor

What ............... the headaches .....................?

(E for MS&D/14 unit)

Patient

It’s a persistent throbbing ..............., mainly at the front. Sometimes I ........................... tightness at the
back of my head. Generally, the left part of my head behind the eye seems to be more ............................
Besides, I often feel sick.

(E for MS&D/14 unit)

Doctor

............... anything ...................... the headache better or worse?

(E for MS&D/14 unit)

Patient

I ............................ that lying down for a while............................ the pain.

(E for MS&D/14 unit)

Doctor

Finally, I’d ............................ to ask you some ............................ about your general health and habits.
................ ................ ............................?

(E for MS&D/14 unit)

Patient

Yes, about 20 cigarettes ................ day.

(E for MS&D/14 unit)

Doctor

That’s too bad . What ................ alcohol?

(E for MS&D/14 unit)

Patient

Only ................ parties and even then not much.

(E for MS&D/14 unit)

Doctor

................ anyone from your family ......................... ................ a headache or migraine?

(E for MS&D/14 unit)

Patient

My mother frequently................ migraine and my father died ................ a brain tumour.

(E for MS&D/14 unit)

Doctor

You’ll .................... specialist examinations .................. , such as X-ray of your skull,
electroencephalogram and magnetic ...................................... imaging to find the ........................ of your
headaches and prescribe a proper therapy.

(E for MS&D/14 unit)

Dialogue 12

Unit 15

The Eye and its Disorders

Doctor

I’ve got a letter from your doctor, in which he says that you’ve ................... problems with your sight.

(E for MS&D/14 unit)

Patient

Yes, that’s right, doctor, especially my right eye ......................... to be really bad so that I can’t
................ properly and I ......................... to have problems with my work.

(E for MS&D/14 unit)

Doctor

Where ............... you ...........................?

(E for MS&D/14 unit)

Patient

I’m a salesman. I distribute various stuff. I hardly see any letters on the labels. It happened several times
and I ........................... (misread) the price and my chief was angry ................... me.

(E for MS&D/14 unit)

Doctor

I see. I’d ................... to examine your eyes and perhaps we will start with the chart. Look at the chart,
please. ................... ................... ................... any letters?

(E for MS&D/14 unit)

Patient

No, I can’t.

(E for MS&D/14 unit)

Doctor

................ your left eye, can you read the letters I’ll point ................?

(E for MS&D/14 unit)

Patient

P S W R. That’s all I can see.

(E for MS&D/14 unit)

Doctor

With this lens, is ................... any difference? Can you read the printed letters?

(E for MS&D/14 unit)

Patient

Oh yes. Now, I ................... ................... all small letters: A C K L O.

(E for MS&D/14 unit)

Doctor

Now. ................... me check your left eye.

(E for MS&D/14 unit)