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IDENTIFYING DATA

Cum v numii? (whats your


name?)
Cti ani avei? (how old are
you?)
Unde locuii? (where do you
live?)
Unde v-ai nscut?
(where did you born?)
Suntei cstorit/cstorit?
(are you married?)
Avei copii? (do you have
kids?)
Ci copii avei? (How many?)
Baiei sau fete/biat sau fat?
(boys/girls)
Care este ocupaia
dumneavoastr? (whats your
occupation?)
Ce ocupaie ai avut nainte de
pensionare? (what work you
did before pension?)
De cte zile suntei n spital?
(how many days are you
hospitalized?)
Ai venit la urgena sau cu
programare?
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MAIN COMPLAINTS
De ce ai venit? (why are you here?)
PRESENT ILLNESS
o Unde v doare? (where do you
pain?)
o Iradiaz undeva? (is it
radiating?)
o Ct de intens este? (how
intense?)
o Puternic/m jeneaz/puin?
(powerful/annoying/little)
o Ct de mult dureaz durerea?
(what is the duration of the
pain?)
o Ct de des avei durerea?
(how often do you have the
pain?)
o De cnd o avei?
(Since when you have it?)
o Cnd s-a declanat durerea?
(when did it start?)
o Treptat/deodat?
(gradual/sudden?)
o Cum este durerea? (how is the
pain?)
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o Ascuit/ca o presiune/ca o
arsur/ca un cuit?
(sharp/pressure like/ like
burn/knife-like?)
o Ce faceai cnd s-a declanat
durerea? (what were you doing
when the pain started?)
o Dormeai/la efort/stteai
jos/stateai ntins/mergeai?
(sleeping/ on effort/ sitting/
lying/ walking?)
o n afar de aceast durere,
mai avei i alta? (except pain,
did you have any other
discomfort? )
o Ai luat calmante? (did you
have any medications to
relieve the pain?)
o Exist ceva care v
amelioreaz/intensific
durerea? (is there anything
that relieve/intensify the
pain?)

V este grea/v-a fost grea?


(do/did you feel nausea?)
Ai vomitat? Cu snge?
(vomiting?)
Ai avut amieli? (did you have
dizziness?)
V-ai pierdut apetitul? (did you
lost your apetite?)
Avei dificultate la nghiit? (Do
you have difficulty is
swallowing?)
Avei regurgitaie?
(regurgitation?)
Ce culoare are urina/scaunul?
(whats the color of your
urine/feces?)
Galben/maro/rou/verde/alb/ne
gru/mov/portocaliu?
(yellow/brown/red/green/white/
black/purple/orange?)
Care este forma? (whats the
form?)
Scaun normal, sau lichid?
(feces normal or liquid?)
Avei diaree?
Avei constipat? (do you have
constipation?)
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Ct de des mergei la toilete?


(how often do you go to
toilet?)
Ct de des urinai? (how often
do you urinate?)
Urinai pe parcursul noptii? (do
you urinate durring the night?)
Ct de des? (how often?)
Ai pierdut din greutate n
ultima lun? (did you lose
weight during last month?)
V-ai ngrat n ultima lun?
(did you gain weight in the last
month?)
Avei tusea? (do you have
cough?)
Avei dispnee? dyspnea?
Avei sput phlegm? Cu
snge? (sputum, with blood?)

Transpirai? (sweating?)
Avei/ai avut febra? (do/did you
have fever?)
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PAST HISTORY
Suntei alergic/ la ceva
anume? (have you got any
alergies?)
Avei alt boal de care s
stii? (do you suffer from any
other chronic diseases?)
Luai vreun medicament? (do
you take any medication?)
De ct timp luati
medicamentele? (how long do
you take drugs?)
Le avei la dumneavoastr?
(do you have them with you?)
Avei diabet/astm/anemia? (do
you have
diabetes/asthma/anemia?)
Ai avut infarct miocardic acut?
(did you have heart attack?)
Atac
cerebral/epilepsie/cancer?
(stroke/epilepsy/cancer?)
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De cnd stii c avei diabet?


(since when do you know that
you have diabetes?)
Ai avut vreo operaie? (did
you have any surgeries?)
Cnd v-ai facut analizele
ultim oar/dat? (when was
the last time you did
analyzes?)
Tensiuna/glicemia/urina/
snge? (blood pressure/
glucose/ urine/blood?)
Avei analizele la
dumneavoastr? (do you have
the results with you?)
Ce tensiune avei? (what is the
level of BP?)

Cnd ai avut prim


menstruaie? (when did your
menstruation started?)
La ce vrst? (at what age?)
Ai ntrat la menopauz? (are
you in menopause?)
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Ct timp avei de la ultim


menstruaie? (how long is it
since your last menstruation?)
Pierdei mult snge la
menstruaie? (do you lose a lot
of blood during menstruation?)
Cte zile dureaz menstruaia?
(how many days does your
menstruation last?)
Ai nscut natural sau prin
cezarian? (did you have a
normal delivery or a saesarian
section?)
Ct a cntrit copilul? (what
was the babys weight?)
PERSONAL SOCIAL HISTORY
Consumai alcool? (do you
consume alcool?)
Bei cte un pahar la mas?
(do you consume alcool with
meal?)
Ct de des? (how often?)
Ct de pahare? (how many
glasses?)
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Mai mult de dou pahare pe


zi? (more than two glasses per
day?)
Ce obisnuii s mncai? (what
kind of food do you eat?)
Carne/legume/fructe?
(meat/vegetables/fruits?)
Mncai srat? (do you eat
salty food?)
Mncai gras? (do you eat
greazy food?)
Mncai picant? (do you eat
spicy food?)
V place...? (do you like...?)
Cti litri de ap bei pe zi?
(how much water do you drink
per day?)
Fumai? (do you smoke?)
Cte igari pe zi? (how many
cigaretes per day?)
De ct timp fumai? (how
many years have you been
smoking?)
De cnd v-ai apucat de
fumat? (since when do you
smoke?)
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Ai fumat cndv? (did you


smoke?)
Cti ani ai fumat? (how many
years had you been smoking?)
Cnd v-ai lsat? (when did
you quit?)
Bei cafea/ceai? (do you drink
coffee/tee?)
Cte de mult/ mult? (how
much?)
n trecut? (in the past?)

FAMILY HISTORY
Avei frai? (do you have
brothers?)
Parinii sunt n viaa? (are your
parents alive?)
Au (avut) aceleai probleme?
(do/did they have the same
problems?)
La ce vrst a murit mama
dumneavoastr? (at which age
did your mother die?)
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Care a fost cauza decesului?


(what was the cause of
death?)
Physical examination
Pot s v examinez? (may I
examine you?)
As vrea s v ascult. (i would like to
ascultate you)
Putei s v ridicai tricoul/bluz?
(can you remove your shirt?)
Putei s v iutai n sus? (can you
look up?)
Putei s v ridicai mna? (can you
rise your hand?)
Tuii v rog. (cough, please)
Respirai adnc. (take a deep
breath)
inei-v respiraie. (hold your
breath)
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ntindei-v, va rog. (lie down,


please)
Stai. (Sit)

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