小白老师说：今天的主题是对第一次来看牙的病人的问诊和检查，是上期“病人第一次来看牙”的延续。我们的公众号推出的口腔临床英语对话系列收录了口腔临床医患、医助之间的对话，非常适合临床医务人员、医学生练习口语和听力。当然，也是非常好的医博英语考试长对话素材。请点击下方条形框播放音频。

A=Assisant, D=Dentist, P=Patient

D: Have you ever been treated for a heart condition, or for a prolonged illness such as diabetes, liver disease or kidney disease?

你有没有因为心脏情况接受过治疗？或者因为糖尿病， 肝病和肾脏病这些慢性疾病而接受过治疗？

P: No, I haven’t. 没有。

D: Have you ever had rheumatic fever? If you have, please give me the details. 你患过风湿病吗？要是有的话，请把详细情况告诉我。

It may be necessary to have a consultation with your physician before beginning dental treatment. 在进行牙科治疗之前有必要去看一看内科医生。

P: Is that necessary, Doctor? 有必要吗？

D: If there’s a history of rheumatic fever it may be necessary for me to prescribe an antibiotic before and after dental treatment.

假如有德过风湿热的历史，在进行牙科治疗前后，我必要给你开抗生素。

P: I didn’t know that, Doctor. 这我可不知道。

D: Bacteria can enter the bloodstream during certain dental procedures and cause serious complications.

在做某些牙科治疗过程中，细菌可能会进入人血液里而引起严重的并发症。

P: Why do you prescribe an antibiotic? 为什么你要开抗生素？

D: The reason for giving an antibiotic to a patient with a history of rheumatic fever is to prevent a heart infection. 给得过风湿的病人开抗生素是为了防止心脏感染。

P: I understand now, Doctor. 我明白了。

D: Have you ever been treated for a blood disorder such as anemia?

针对一些血液疾病如贫血，你进行过治疗吗？

Have you ever had prolonged bleeding from an injury or a tooth extraction?

你有没有因为受伤或拔牙而长期出血吗？

P: Not that I can remember. 记不清了。

D: Have you ever had a complication after dental treatment? Have you ever had a bad reaction from a dental anesthetic (dental injection)?

你有没有牙科治疗以后得并发症吗？你有麻醉反应吗？

P: No, Doctor. 没有。

D: Do you have any allergies? Are you allergic to penicillin?

你有什么过敏反应吗？你对青霉素过敏吗？

P: No, I am not allergic to penicillin. 我对青霉素不过敏。

D: Are you under a doctor’s care? Are you taking medication? When was the last time that you consulted with a physician? Why did you see him?

你现在还看医生吗？你在吃药吗？你最近一次看医生是在什么时候？是因为什么病看的医生？

P: No, I am not under a doctor’s care. I just visited a physician when I caught a cold about 3 months ago.

不，我现在没有看医生。我只是在3个月以前因为感冒去看过医生。

D: Miss Jones, please hand me a mouth mirror and explorer.

琼斯小姐，请你把口镜和探针拿来。

A: Yes, Doctor. 好。

D: May I examine you now, Mrs. Williamson? 威廉森太太，我现在给你检查，好吗？

P: Certainly. 好啊。

D: Good. Could you open your mouth a little wider, please?

好.请你把嘴巴再张开一些。

Turn your head toward me a little bit. Thank you. I don’t see any carious teeth (cavities col.). 把你的头向前伸过来一点点。没有发现什么龋齿。

P: Good. 太好了。

D: However, we’ll take X-rays this morning. I’ll ask Miss Jones to clean your teeth. 可是，今天早上还要拍X光。稍后请琼斯小姐为你洗牙。

There’s much calculus (tartar) on your teeth and you should have it removed.

你牙齿有不少牙垢，需要清除掉。

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