扭伤(脱位、半脱位和韧带撕裂)
Sprains(Dislocation,Subluxation,and Ligament Tear)
P:My right knee hurts a lot.
P:I twisted my knee badly while landing a jump during snowboarding.
医:您能描述一下疼痛吗?是持续性的还是只有在移动时才疼?
D:Can you describe the pain?Is it constant or only when you move?
P:The pain is constant,but it gets worse when I try to move.
D:Has there been anything else apart from the pain?
P:Yes,there is some swelling.
医:没错,确实能看到关节内侧肿的比较厉害,大概有多长时间?
D:You are right,there is some swelling on the medial side.When did you notice the swelling?
P:The swelling became really noticeable about 3 hours after the injury.
D:Have you applied ice or taken any medication for the pain?
P:Yes,I immediately stopped skiing and applied ice.
D:Have you had anything like this before?
P:No,this is the first time.
医:你能站起来或走路吗?如果有困难或疼痛,请告诉我。
D:Can you stand up or walk? If you have any difficulty or pain,please let me know.
P:It hurts to stand up and walk,almost impossible.
D:I'll conduct some physical exams next.
医:你需要进一步做影像学检查(X线/CT/核磁等),以排除韧带损伤或其他严重伤害。
D:You need to undergo further imaging tests such as X-rays,CT,or MRI to rule out ligament injuries or other serious injuries.