Appendicitis

(Interpreter should start with his/her greeting)

P: Good Evening, my name is Dr. Koothrappali, I am the surgery resident on call tonight. What brings
you to the ER?

L: Hola doctor, yo me llamo Miguel Fernández. Pues mire doctor es que desde ayer me comenzó un
dolor en la parte baja de la panza y hoy me sigue doliendo, pero más fuerte.

P: I understand. At what time did the pain start?

L: Como a eso de las 5 de la tarde, doctor.

P: And is it a like burning pain, acute pain, dull pain?

L: ¿Qué es eso de dolor sordo?

P: Dull pain is like a pain that is hurting, you know it is there, but it is not severe and usually it doesn't
go away after several hours.

L: Sí, sí así mismo es, es un dolor sordo.

P: Ok, and how about nausea and vomiting?

L: Sí doctor, como a eso de las 5 o 6 de la tarde me sentía todo mareado y vomité.

P: What about fever, do you have any fever?

L: Pues no sé doctor, no me he tomado la temperatura, pero me dijo mi esposa que ella me siente
caliente la frente.

P: Ok, and when was the last time you had something to eat?

L: Desde ayer no como nada doctor.

P: When was the last time you had something to drink?

L: Pues como a media noche me tomé un vaso de agua.

P: Ok, I am going to check your blood pressure, temperature and feel your belly, is that ok?

L: Sí doctor, está bien.

P: Well, your blood pressure seems fine 120/80 but your temperature is high, 102 degrees. I'm going to
feel your belly right now.

L: Ok, doctor está bien.

P: Does it hurt when I push here?

L: No

P: What about here?

L: No

P: And here?

L: Más o menos

P: And here?

L: Igual, más o menos doctor.

P: And here?

L: ¡Ay! ¡Ay! ¡Ay! Ahí sí, ahí sí doctor duele bastante.

P: I see, well Mr. Fernández, your symptoms make me suspect a possible appendicitis. We are going to
do some blood work to see if your white blood cells are normal or elevated. Also, we might like to do
an ultrasound to see if your appendix appears to have signs of inflammation and infection.

L: Ok, doctor.

P: Do you have any questions for me right now Mr. Fernández?

L: Pues si doctor quería saber si es posible que me operen

P: Well, it depends Mr. Fernandez on what the results of your ultrasound and blood work indicate us. If
you have complicated appendicitis, then we will have to conduct an appendectomy. That is the surgical
removal of your appendix in order to avoid further complications.

L: Ok, doctor solo quería saber eso.

P: Well, Mr. Fernandez, if you don't have any further questions, I will come and see you in a while
when the test results are back to make a decision for your treatment.

L: Ok, doctor está bien.

P: Thank you Interpreter.

(Interpreter should close and thank the Provider and LEP)