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 ............ .............?
(E for MS&D/1 unit)
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)