レッスン詳細

頭痛の患者を診察してみよう

Examining a patient with a headache.

あなたは問診票を確認しながら頭痛を訴える患者を診察しています。

具体的な症状を確認し、病状や治療について、医学的な内容も含めて説明してみましょう。

I'd like to be examined, as I have a headache.

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I'd like to be examined, as I have a headache.

You look painful. Could you tell me when your headache started and what it is like?

自然な表現

You look like you're in pain. Could you tell me when your headache started and what it is like?

1. "painful" means "(of a part of the body) affected with pain", so a person can't "look painful". You should say something like this instead.

It started last night, and it feels like my skull is cracked open. I feel like I am dying. Please help me.

I'm so sorry to hear that. Let's find the cause and treat it as soon as possible. Did you have any pain killer? Also, please let me know if you have other accompanying symptoms such as nausea, paralysis of limbs, and difficulty walking.

自然な表現

I'm so sorry to hear that. Let's find the cause and treat it as soon as possible. Did you take any painkillers? Also, please let me know if you have other accompanying symptoms such as nausea, paralysis of limbs, and difficulty walking.

1. "have" isn't the best choice here. "take" is most often used when talking about medicine.
2. This is spelled as one word. The general plural form is preferred here.

No, I did not have any painkillers. I also feel weak. I have a fever, but I'm also feeling cold inside. Could it be COVID-19?

COVID-19 can accompany headaches and fever, but the main symptoms are respiratory symptoms like runny nose, cough, shortness of breath, sore throat, and loss of sense of smell. Although there is a possibility of COVID-19, I'm also worried about other severe infections like meningitis. Do you have any contact with sick people around you?

自然な表現

COVID-19 can be accompanied by headaches and fever, but the main symptoms are respiratory symptoms like runny nose, cough, shortness of breath, sore throat, and loss of sense of smell. Although there is a possibility that it is COVID-19, I'm also worried about other severe infections like meningitis. Have you had any contact with sick people around you?

1. Since headaches and fever come after COVID-19 begins, you should use the passive voice here.
2. Just saying "there is a possibility of COVID-19" is a bit unnatural. It's better to say something like this instead.
3. When talking about a period of time between the past and the present, you should use the Present Perfect Tense.

To tell you the truth, I really don't know if anyone close to me at work is ill. My family members are all fine. Do you recommend a scan? I'm a little worried it might be something more serious. Let's hope for the best, shall We?

We think of a head CT scan to diagnose intracranial hemorrhage and brain tumours. All of these don't cause fever. Instead, you have a fever and a chill, suggesting some infections. So, could you take blood exams and a test called lumbar puncture to rule out meningitis? I will insert a needle into your lower back in the lumbar puncture and take a cerebrospinal fluid sample.

自然な表現

We should do a head CT scan for intracranial hemorrhage and brain tumours. All of these don't cause fever. Instead, you have a fever and a chill, suggesting some infections. So, could you a take blood test and a test called lumbar puncture to rule out meningitis? I will insert a needle into your lower back in the lumbar puncture and take a cerebrospinal fluid sample.

1. "think of" means "have a specified opinion of something", so you can't use it here. You should use something like this instead.
2. "diagnose" means "identify the nature of (an illness or other problem) by examination of the symptoms", so you can't use it here. You should just use this preposition instead.
3. This is the proper word choice in this collocation. You are talking about one blood test, so you need the singular form here.

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頭痛の患者を診察してみよう

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