Unit 7 Clinical Examination

Session 1 (p.78)

Stylistic features of Medical Record in general:

simple accurate descriptive

clearness exactness

scientific

e.g. General condition good.

is

No murmur heard.

is

Use of abbreviations, symbols & punctuations:

e.g. PE (Physical Examination) T: 370C P: 82/min. R: 20/min. BP: 120/70 mmHg (16/9 k Pa)

Use of symbols from Latin (or other) origin

e.g. Hg (mercury)

Use of familiar word for professional terminology

e.g. murmur tenderness episode

Use of professional terminologies:

e.g. extremities abdomen

• n./n. phrase + adj./v.-ed

e.g. General condition good. Bowel sounds normal. Heart not enlarged.

• n. + “not” + negative word

e.g. Spine and extremities not abnormal.

• “no” + n. + description

e.g. No jaundice on skin. No murmur heard. No pathological reflex observable.

Grammatical features in general:

Language points in the readings: (pgs. 78-79)

“He had been feeling … dramatic weight loss.”.

e.g. he has presented a dramatic change of appearance after the operation.

“…, while at work, he developed … .”

at sth.e.g. He has kept at work for over 10 hours already. She has been at her duty report since afternoon.

“On examination he looked unwell.”

“He had a rash, which consisted a multiple raised tender red papules.”

e.g. On hearing the bell, the nurse rushed to the ward.

v.

e.g. She has pulled through the operation of kidney transplant, which is indeed very rare for the people of her age.

Full blood count Hb (hemoglobin) 10g/dlWBC 32*10 9/1

Plat 900*10 9/1ESR 120mm/hour …UrinalysisProtein + + +Blood + + + …

The following investigations were performed:

Session 2 Practical Reading (pgs.80-81)

Passage 1

“Examination by means of the hands to outline any deformity … .”

e.g. With the means of modern science and technology, doctors nowadays are able to provide much accurate diagnoses.

means n.

mean (1) v.; (2)adj.; (3)adj.

mean (1) v.;

mean (2) adj.

e.g. The doctors decided to take a mean course for the treatment of that particular symptom.

e.g. What do you mean by writing out (1), (2),(3)?

mean (3) adj.

e.g. The patient told the nurse that he felt mean with a cold.

“Examination by the striking or tapping of the part with the fingers or tapping one hand on top of the other over a part of the body to determine the density and location of an organ or an area being examined.”

Examination … to determine the density and location … .

Major part of the main clause:

T or F (p.81)

3. Palpation is a kind of examination by the striking or tapping of the part with the fingers or tapping one hand on top of the other over the body to determine the density an location of an organ.

(F)

Percussion, not palpation will include such a mode of examination.

4. Auscultation is a kind of examination by listening to the sound of the body, by ear or an instrument such as the microscope.

It is the stethoscope, not the microscope that will be used in auscultation examination.

-scope

e.g. telescope;

(F)

Passage 2 (p.82)

LISTERINEANTISEPTIC

Kills germs that cause Plaque,Gingivitis and Bad Breath

ADAACCEPTED

American Dentist

Association

GINGIVITIS. You have met your match.

NameOf theproduct

“… (you may have it and not know it.)”

“Of all leading non-prescription mouthwashes, Listerine Antiseptic is the only one accepted by the ADA.”

you do

of amonge.g.

Of all the nurses in the hospital, She stands our to be the most liked by the patients.

leadinge.g. Dr. Bai is one of the leading professional in psychotherapy.

“It’s there to protect you.”

“LISTERINEIt does what it says.”

The dentist and the advertised product, Listerine Antiseptic

e.g. I say what it is the truth. You may have known what they did to the patient.