Lesson 116丨 录音+讲义（英国老师录制）@Medediting医患口语讲座

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Gynaecology

Pelvic inflammatory disease

Sean: Hello everyone. It’s time for our next lesson. Let’s begin.

D: Good afternoon Mrs Zhang. How may I help you today?

P: Hello Doctor. I've came here because I have an intolerable pain in my tummy and around my pelvis. I'm also quite embarrassed to say this, but there is an unusual yellow and green substance leaking out from my vagina too.

D: Well, if that's the case, then I am going to have to perform a pelvic examination to check for vaginal discharge, and sign's of pain and bacteria inside your body.

But first I need to ask about your personal life, in particular, your sex life. Are you sexually active? If so, when was the last time you had sexual intercourse?

P: Only with my husband doctor, and the last time was around 9 days or so ago.

D: Have you ever had any STI's or other medical issues in your vaginal or abdominal area's?

P: Nothing worth mentioning, except the fact that I had gonorrhea when I was 16. Surely that won't be the reason why I have this pain because that was 20 year's ago.

D: Yes, it is unlikely that it is the cause of your pain, but stranger things have happened in my time as a Doctor.

Now, let us prepare for your pelvic exam. You may experience some discomfort. I'm also going to take a few swabs to send back to the lab to check for signs of a bacterial infection.

P: Okay Doctor, I'm ready.

A while later after the examination has finished and the test results are back.....

D: Mrs Zhang, can you please come here.

P: Hello Doctor, what's the news?

D: It appears you have pelvic inflammatory disease, PID for short, do you know what this is?

P: I'm vaguely familiar with it, but what is it exactly?

D: It is a bacterial infection which infects a woman's genital tract.

The good news is that it is very easy to treat. I am going to provide you with a 14 day course of antibiotics. These should clear everything away and get you back to normal.

P: What if they don't work?

D: If they don't work then I will recommend that further tests be conducted, but it is very rare that the antibiotics don't work, so don't worry Mrs Zhang.

I want you to come back here in 3 day's for a follow up exam, also Mrs Zhang, you should tell your husband to make an appointment to get tested as well. Also, avoid sexual intercourse until the antibiotics are finished.