Physical

examination
A. Examining a patient
When examining a patient, you should:

01 Introduce yourself, if necessary.

02 Brief the patient on what he/she should expect in a clear and simple way.

03 Instruct the patient in a clear but polite manner (see B below).

04 Show sensitivity to the patient's needs and respond to discomfort, reassuring if appropriate.

05 Talk the patient through the procedure.

06 Share your findings with the patient.

01. Introduce yourself, if necessary.

Good morning,
I'm Dr......
02. Brief the patient on what he/she should expect in a
clear and simple way.
Do you know what we're
going to do this morning?

What we're going to

do today is...

I'm going to examine

your ... so I can find out
what's causing this...
02. Brief the patient on what he/she should expect in a
clear and simple way.
What we do is... Are you ready?

What happens is that ....

OK?
I'll ask you to...
03. Instruct the patient in a clear but polite manner
(see B below).
04. Show sensitivity to the patient's needs and respond
to discomfort, reassuring if appropriate.
You might feel a litle bit
of discomfort.

This might hurt a litle

but I'll be quick.

Tell me if it hurts.
04. Show sensitivity to the patient's needs and respond
to discomfort, reassuring if appropriate.

Let me know if it's sore.

It will be over very quickly.

It won't take long.

You're doing very well.

05. Talk the patient through the procedure.

- I'm just going to…

- First, I’ll….
- Then I’ll….
- Now, I'm going to….
- You'll feel….
- When it's over,
I’ll….
- That's it.
- All over.
06. Share your findings with the patient.
Well, I'm fairly certain
you've got a....

One possibility is it could

be what we call...

I haven't found anything

to suggest any problems.
A. Examining a patient

- brief (v) /briːf/ : tóm tắt, ngắn gọn

- instruct (v) /ɪnˈstrʌkt/ : hướng dẫn
→ instruction (n) /ɪnˈstrʌkʃn/
- Polite manner /pəˈlaɪt ˈmænər/ : cách thức lịch sự
- sensitivity (n) /ˌsensəˈtɪvəti/ : sự nhạy cảm
- reassure (v) /ˌriːəˈʃʊə(r)/ : trấn an
-sore (adj) /sɔː(r)/ : đau
-procedure (n) /prəˈsiːdʒər/ : thủ tục
II. Giving instructions
When examining a patient, polite forms are often used for the initial instruction:
(khi khám bệnh cho bệnh nhân, hình thức lịch sự thường được sử dụng để hướng dẫn ban đầu:)
Could you bend forward as far as you can?
(bạn có thể cúi người về phía trước xa nhất có thể không?)
If you could cross your arms in front of your chest?
(nếu bạn có thể khoanh tay trước ngực?)
What I’d like to do is examine you standing up.
( điều tôi muốn làm là kiểm tra bạn khi đứng lên.)
After that direct instruction may be used:
(sau đó có thể sử dụng hướng dẫn trực tiếp:)
Stand with your feet together.
(đứng bằng đôi chân của bạn)
II. Giving instructions
Lie perfectly still.
(nằm yên hoàn toàn)
To soften an instruction:
(làm dịu một hướng dẫn:)
Can you just turn to the side again?
(bạn có thể quay sang bên một lần nữa được không?)
Could you just lie in the couch?
(bạn có thể nằm trên giường bệnh được không?)
For a list of verbs commonly used in instructions during examinations and investigations, see
Appendix V on page 145
(để biết danh sách các động từ thường được sử dụng trong các hướng dẫn trong quá trình kiểm tra
và điều tra, hãy xem phụ lục V trang 145.)
II. Giving instructions
No Vocab Word IPA MEANING Tiếng Example
form Ziệt
1

3
II. Giving instructions
No Vocab Word IPA MEANING Tiếng Ziệt Example
form

6
50.1
/lʊk streɪt əˈhed/
nhìn thẳng về phía trước

1. Look straight ahead and touch your nose with your

right forefinger; then with your left forefinger.

/ˈfɔːfɪŋɡə(r)/ (n)
ngón tay trỏ
50.1
/edʒ/ /kaʊtʃ/
rìa, mép đi văng

2. Sit on the edge of the couch and let your legs hang
loosely.
/hæŋ/ /ˈluːsli/
treo lỏng lẻo

*Sit on the edge of ST (phrasal verb): Ngồi ở rìa của một cái gì đó
50.1 /ˈaɪlɪd/
mí mắt

3. Close your eyelids tightly.

/ˈtaɪtli/
chặt chẽ
/teɪk ɒf/ (phrasal verb): cởi

4. Take all your clothes off down to your underwear.

50.1 /tʃɪn/ (n)
/tʃest/ (n)
lồng ngực cái cằm

5. Touch your chest with your chin.

/lʊk ˈəʊvə(r)/ (phrasal verb):

nhìn qua

6. Turn slowly and look over your left shoulder.

50.1 /laɪ/: nằm

7. Lie on your side.

/lʊk ət/ (phrasal verb)
nhìn vào
8. Keep looking at me.
/rəʊl ʌp/ /sliːv/ (n)
xắn (tay áo), cuộn lại tay áo

9. Roll up your sleeve.

 PHYSICAL
EXAMINATIO
N
50.2
50.2
Touch your shoulders with your hands.

 Shoulder (n) /ˈʃəʊldə(r)/ : Vai

(Either of the two parts of the body between the top of each arm and the neck)

• Hand (n) /hænd/ : bàn tay

(The part of the body at the end of the arm, including the fingers and thumb)
50.2
Put your hands behind your head.

• Head (n) /hed/ : đầu

(The part of the body on top of the neck containing the eyes, nose, mouth and brain)

Put your hands behind your back.

50.2

Raise your arms above your head

• Arm (n) /ɑːm/ : cánh tay

(Either of the two long parts that stick out from the top of the body and connect
the shoulders to the hands)
50.2

Bend your head toward… backward.

• Bend (v) /bend/ : cúi, gập, nghiêng, công…

[intransitive, transitive] (especially of somebody’s body or head) to lean, or make
something lean, in a particular direction)

Bend your head to the right…to the left

50.2
Turn your head to the right…to the left

Bend backwards.
50.2

Touch your toes.

• Toe (n) /təʊ/ : ngón chân

(One of the five small parts that stick out from the foot; any similar part on the foot
of an animal or bird)
50.2

With your heel on the ground,

turn your foot as far as you can.

• Heel (n) /hiːl/ : gót

(The back part of the foot below the ankle)
50.2
Bend your knee.

• Knee (n) /niː/ :đầu gối

(The joint between the top and bottom parts of the leg where it bends in the middle)

Bend to the left…to the right.

50.2

Bend your toes up and down.

PHYSICAL
EXAMINATIO
N
CREDITS: This presentation template was created by Slidesgo,
and includes icons by Flaticon, infographics & images by
Freepik and content by Eliana Delacour

50.3
50.3
Morning Mr Maxwell, all right? Now, do you know what we’re
going to do this morning. /ˈniːdl/(n)
cây kim

Well (2) what we do is put a little needle into your spine and
/spaɪn/(n) /ˈfluːɪd/(n)
xương sống chất lỏng, dịch

take some fluid off your back to find out

what’s giving you these headaches.
50.3
You might feel (3) a little bit of discomfort
but it won’t (4) take very long.

When it’s (5) over , we’ll ask you to lie still for a
few hours.
50.3
Now Mr Maxwell, (6) could you (just) roll onto
/kɜːl/(up) (v)
cuộn lại

your left side? I want you curl up into a little ball.

uốn cong đầu gối lên

So could you bend your knees up and tuck your

cúi đầu

head in for me. That’s fine, lovely, OK.

50.3
/swɒb/
(n) miếng gạc
(v) lau

Now (7) I’m going to swab down your back with

/ˌæntiˈseptɪk/(n)
thuốc sát trùng

some antiseptic, all right? It’ll be a bit cold. Are you

(8) ready ?
50.3 /ˌænəsˈθetɪk/(n)
thuốc tê

Now I’m going to give you a local anesthetic so it

/sɔː(r)/(adj) /dʒæb/(v)
đau đớn chích

won't be sore. You’ll feel just a slight jab.

OK, scratch coming now. There, We’ll wait for a few
minutes for that to take effect.
50.3

Right now, lie still, that’s very important.

Now (9) you’ll feel me pressing down as I put the
needle in. You’re doing (10) very well. OK. That’s it.
All (11) over.
50.3
Morning Mr Maxwell, all right? Now, (1)do you know what we’re going to do this
morning. well, (2)what we do is put a little needle into your spine and take some
fluid off your back to find out what’s giving you these headaches. You might feel
(3)a little bit of discomfort but it won’t (4)take very long. When it’s (5)over, we’ll
ask you to lie still for a few hours. Now Mr Maxwell, (6)could you (just) roll onto
your left side? I want you to curl up into a little ball. So could you bend your knees
up and tuck your head in for me. That’s fine, lovely, OK. Now (7)I’m going to swab
down your back with some antiseptic, all right? It’ll be a bit cold. Are you (8)ready
Now I’m going to give you a local anesthetic so it won't be sore. You’ll feel just a
slight jab. OK, scratch coming now. There, We’ll wait for a few minutes for that to
take effect. Right now, lie still, that’s very important. Now (9)you’ll feel me pressing
down as I put the needle in. You’re doing (10)very well
. OK. That’s it. All (11)over