INTRODUCING CONVERSATION

Buon giorno/sera signore/,

Good Morning/ Afternoon Sir/Madam!

 "er #ua$e moti%o %iene a farsi %isitare &

'(at)s *roug(t +ou a$ong toda+&

'(at an I do for +ou&

'(at seems to *e t(e "ro*$em&

-a%e a seat! So, .(at (a%e +ou ome in for toda+&

$ease sit do.n 0ta1e a seat2 and te$$ me a*out +our om"$aint!

Cou$d +ou "$ease desri*e +our om"$aint for me!

'(at is t(e main "ro*$em +ou .anted to see me a*out&

I (a%e!0sore t(roat, a *ad dose of f$u, s.o$$en an1$es!!2/// a *ad dose of f$u 1e"t me off .or1!

-o. $ong (as it *een *ot(ering +ou&

 Note how the doctor asks where the problem is:

'(i( "art of +our *od+ is affeted&

'(ere does it (urt&

'(ere is it sore&

Can +ou desri*e t(e "ain&

'(at 1ind of "ain is it&

Esame o*ietti%o 3 A -4SICA5 E6AMINATION

Cou$d +ou ro$$ u" +our $eft s$ee%e& I7d $i1e to ta1e +our *$ood "ressure!

$a "rego di s"og$iarsi e di stendersi su$ $ettino da %isita,

Cou$d +ou s$i" off +our 0to"/*ottom2 t(ings/ $ot(ing and get onto t(e ou(/*ed 0on +our *a1/on

+our tumm+8 Su"ine "osition3 $ie on +our *a1 - rone "osition3 $ie on +our stoma(2

si de%e tog$iere sar"e, a$9e, "anta$oni, gonna, giaa, mag$ia, amiia

Ta1e off/remo%e +our s(oes, so1s, trousers, s1irt, :a1et, :um"er, s(irt

$ease stri" to t(e .aist and remo%e s(oes and so1s!

0use t(e .ord stri" autious$+, on$+ ma$e dotors .it( men2

 "ieg(i #uesta gam*a, (a do$ore a$ gino(io &

Bend +our rig(t/$eft $eg!does +our 1nee (urt at a$$&

$e faio ma$e se stringo os; i$ suo "iede &

Does it (urt at a$$ .(en I s#uee9e +our foot tig(t$+&

e se stringo $a a%ig$ia &

.(at a*out +our an1$e&

 "ieg(i nuo%amente $a gam*a e s"inga i$ "iede %erso $)a$to3 $e fa ma$e $a s(iena &

Bend +our $eg again and raise +our foot3 does +our *a1 sore&

 

ruoti ora $a osia %erso $)esterno, (a do$ore a$$)ana &

turn/rotate/mo%e +our t(ig( out.ard, an+ "ain in +our (i"&

 "ro%a do$ore se stringo $a sua mano &

Does it (urt .(en s#uee9ing +our (and&

 "ieg(i i$ *raio, $e faio ma$e faendo os; &

Bend +our arm, do I (urt +ou in doing t(is& An+ "ain doing t(is&

ora esaminer< i$ suo addome, so$$e%i $a mag$ietta! -a do$ore a$$a "a$"a9ione de$$)addome &

 No. $et me e=amine +our a*domen, .ou$d +ou s$i" off +our s(irt, "$ease! An+ "ain .(en "a$"ating

+our a*domen&

>aia dei res"iri "rofondi a *oa a"erta, anora una %o$ta!

Breat(e t(roug( +our mout( again

Ora s$ai i$ reggiseno, de%o sentire i$ suo uore!

Undo/un(oo1 0ta1e off2 +our *ra, "$ease? I7m going to $isten to +our (eart!

Res"iri norma$mente!

Breat(e norma$$+!

Trattenga i$ res"iro!

-o$d +our *reat( for a fe. seonds! 0No. $et out t(e air again2 0No. *reat( t(roug( +our 

mout(!

Ora "u< o"rirsi@ si metta seduto/a on $e s"a$$e %erso di me!

O1, +ou an get dressed again!No. I .ou$d $i1e +ou to sit 0$ean2 *a1.ards

>aia dei res"iri "rofondi a *oa a"erta!

Ta1e dee" *reat(s t(roug( +our mout(! 0No., *reat(e in and (o$d +our *reat(! $ease "u$$ u"

+our s(irt, and *reat(e dee"$+!!!!2

Dia un o$"o dio tosse, Res"iri nuo%amente!

Coug(, Gi%e oug(ing, Breat(e again!

Dia !

'(en I te$$ +ou, *reat( in dee"$+ !!!! O! No. sa+ ! No. .(is"er it, "$ease!

 *reat(e in and (o$d +our *reat(! $ease "u$$ u" +our s(irt, and *reat(e dee"$+!!!

A$9i in a$to #uesto *raio, "ro%a do$ore faendo #uesti mo%imenti &

Raise t(is 0+our $eft/rig(t2 arm "$ease? Is it sore .(en +ou ma1e t(ese mo%ements&

ieg(i $a testa in a%anti, ed ora indietro!

5ean +our (ead for.ard, no. *a1.ard

Ti$t +our (ead for.ard/*a1 

Giri $a testa %erso destra, ed ora %erso sinistra!

Turn +our (ead to t(e rig(t/rig(t.ards, no. to t(e $eft/$eft.ards

 

5e faio ma$e se s"ingo in #uesto "unto &

Does it (urt at a$$ .(en I "ress/"us(/s#uee9e (ere&

A"ra $a *oa e faia aaaaaaaaaaaa!

5et7s ta1e a $oo1 at +our t(roat! $ease o"en .ide and sa+ 7a(7!/ "ut out +our tongue ! Sa+ Aa(!

Ora ingoi un "o) di sa$i%a!

 No. s.a$$o. some sa$i%a

Ora "a$"er< i$ suo o$$o "er %a$utare se (a $infonodi aumentati di %o$ume!

I)m going *e(ind +ou to fee$ +our ne1! 0a$"ate t(e er%ia$ $+m"( nodes to detet an+ masses

or $um"s2

Ora far< $a stessa mano%ra %a$utando $e sue ase$$e e $)inguine!

 No. I do t(e same to assess +our arm"its and +our groin

Mi $asi %edere i$ suo uoio a"e$$uto "er %edere se (a #ua$(e $esione utanea!

5et me (a%e a $oo1 at +our sa$" to detet an+ ras(/s1in $esion

Ora si to$ga g$i o(ia$i e segua on g$i o(i i$ mio dito sen9a muo%ere $a testa!

 No. remo%e/ta1e off +our g$asses!fo$$o. m+ finger .it(out mo%ing +our (ead

Ora si o"ra $)o(io destro on i$ "a$mo de$$a mano destra, guardi %erso #uesta "io$e $ue!

 No. "ut +our rig(t "a$m on +our rig(t e+e$oo1 at t(is fee*$e/dim tor(/f$as($ig(t

Ora $o stesso a sinistra!

 No. do t(e same .it( +our $eft e+e

Mi $asi %edere $e sue ung(ie!

5et me (a%e a $oo1 at +our nai$s

Bene, ora "u< ri%estirsi!

O1, no. +ou an dress again

Does +our (ead fee$ stuff+&

-o. strong is t(e "ain e=at$+& On a sa$e of one to ten, (o. .ou$d +ou desri*e t(e intensit+ of

t(e "ain&

Does t(e "ain tra%e$ to an+ ot(er "arts of +our *od+ 8 (est, s(ou$der or *a1& Or does it remain

around t(e stoma( area!

I7m going to gi%e +ou a "resri"tion for some mediine to (e$" +ou get a *etter nig(t7s s$ee"!

-ere, +ou an get t(is "resri"tion at an+ "(arma+!

Fust ta1e one "i$$ a*out minutes *efore +ou go to *ed!

Patient: S(ou$d I sta+ (ome from .or1&

Doctor: No, I don7t t(in1 t(at7s neessar+! Fust remem*er to sta+ a$m!

-a%e +ou fe$t #ueas+ for %er+ $ong&4our tem"erature seems raised! 5et me get a t(ermometer to

(e1!