Episode 21: Anesthesia Encounter Part 3 - Family History & Review of Systems

This is part 3 of the anesthesia encounter. In this episode, you will learn to ask about family history of anesthesia problems, screen for neurological issues like stroke and seizures, assess kidney function, evaluate cardiac functional capacity with the stair-climbing question, and screen for sleep apnea and acid reflux.

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(1:53) - family members - Jiārén - 家人

(2:09) - receive - Jiēshòu - 接受

(2:14) - to receive anesthesia - Jiēshòu mázuì - 接受麻醉

(2:42) - had problems - Chūxiàn guò wèntí -

(3:25) - nervous system - Shénjīng xìtǒng - 神经系统

(4:22) - stroke - Zhòngfēng - 中风

(4:45) - seizures - Chōuchù - 抽搐

(6:09) - kidney - Shènzàng - 肾脏

(7:02) - to climb stairs - Pá lóutī - 爬楼梯

(7:14) - two flights - Liǎng céng - 两层

(7:29) - chest pain - Xiōngtòng - 胸痛

(7:54) - shortness of breath - Qìchuǎn - 气喘

(8:38) - sleep - Shuìjiào - 睡觉

(8:58) - breathing/respiration - Hūxī - 呼吸

(9:28) - to pause/to stop temporarily - Zàntíng - 暂停

(10:32) - CPAP machine - Hūxījī - 呼吸机

(10:56) - every night - Měitiān wǎnshang - 每天晚上

(11:18) - recently - Zuìjìn - 最近

(11:31) - cold - Gǎnmào - 感冒

(11:45) - cough - Késou - 咳嗽

(12:17) - stomach acid - Wèisuān - 胃酸

(12:39) - reflux - Fǎnliú - 反流

(12:57) - acid reflux - Wèisuān fǎnliú - 胃酸反流

(13:07) - serious - Yánzhòng - 严重

(13:25) - answer - Huídá - 回答

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Conversation

Anesthesiologist: Nǐ de jiārén jiēshòu mázuì shí yǒu méiyǒu chūxiàn guò wèntí?

你的家人接受麻醉时有没有出现过问题？

Has anyone in your family ever had problems with anesthesia?

Patient: Méiyǒu.

没有。

No.

Anesthesiologist: Nǐ yǒu méiyǒu shénjīng xìtǒng de wèntí, bǐrú zhòngfēng huò chōuchù?

你有没有神经系统的问题，比如中风或抽搐？

Do you have any neurological problems, such as stroke or seizures?

Patient: Méiyǒu.

没有。

No.

Anesthesiologist: Nǐ yǒu méiyǒu shènzàng de wèntí?

你有没有肾脏的问题？

Do you have any kidney problems?

Patient: Méiyǒu.

没有。

No.

Anesthesiologist: Nǐ pá liǎng céng lóutī huì bú huì xiōngtòng huò qìchuǎn?

你爬两层楼梯会不会胸痛或气喘？

Do you get chest pain or shortness of breath when climbing two flights of stairs?

Patient: Bú huì, méi wèntí.

不会，没问题。

No, not at all.

Anesthesiologist: Nǐ shuìjiào shí hūxī huì tūrán zàntíng ma?

你睡觉时呼吸会突然暂停吗？

Do you have sleep apnea?

Patient: Huì.

会。

Yes.

Anesthesiologist: Nǐ píngcháng yǒu shǐyòng hūxījī ma?

你平常有使用呼吸机吗？

Do you normally use a CPAP machine?

Patient: Yǒu, wǒ měitiān wǎnshang dōu yòng.

有，我每天晚上都用。

Yes, I use it every night.

Anesthesiologist: Nǐ zuìjìn yǒu méiyǒu gǎnmào huò késou?

你最近有没有感冒或咳嗽？

Have you had a cold or cough recently?

Patient: Méiyǒu.

没有。

No.

Anesthesiologist: Nǐ yǒu wèisuān fǎnliú ma?

你有胃酸反流吗？

Do you have acid reflux?

Patient: Yǒu yìdiǎn, dànshì bù yánzhòng.

有一点，但是不严重。

A little, but it's not serious.

Anesthesiologist: Hǎo de. Xièxie nǐ de huídá.

好的。谢谢你的回答。

Okay. Thank you for answering my questions.