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General Physical Assessment

General Physical Assessment

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Author: Sophia Tutorial
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Conduct a general physical assessment of the patient.

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Tutorial

what's covered
In this lesson, you will learn how to give instructions and ask questions in Spanish when conducting a patient's physical assessment. Specifically, this lesson will cover:
  1. La Evaluación Médica General (General Physical Assessment)

1. La Evaluación Médica General (General Physical Assessment)

Much of your time is spent in physically assessing your patients, so you will now learn some exact Spanish phrases to help you accomplish that.

English Spanish Pronunciation
Take off your clothes and put on this gown with the opening to the back. Quítese la ropa y póngase esta bata con la apertura hacia atrás. key-tah-tay la row-pa ee pone-gah-say ace-tah bah-tah cone la ah-pair-too-rah ah-see-ah ah-trahs
May I examine you now? ¿Le puedo examinar ahora? lay p'way-doe aik-sah-me-nar ah-oar-ah
Please wait for my mom/dad. Por favor, espere por mi mamá/papá. This is a patient response.
Can I come back later? ¿Puedo regresar luego? This is a patient response.
Can you slow down your breathing? ¿Puede respirar lentamente? p'way-day race-pee-rahr lane-tah-main-tay
May I listen to your ____ (heart, abdomen, lungs)? ¿Puedo escuchar su(s) ____ (corazón, abdomen, pulmones)? p-way-doe ace-koo-char sue(ss) ____ (koh-rah-soan, ahb-doe-main, pool-moan-ace)
Please take a deep breath, and blow it out. Por favor, respire profundamente y suelte el aire. pour fah-bore race-peer-ay pro-foon-dah-main-tay ee s'wale-tay ale eye-ray
Take a deep breath. Respire profundo. race-peer-ay pro-foon-doe
Hold your breath. Aguante la respiración. ah-g'wahn-tay la race-pee-rah-see-own
Are you short of breath? ¿Le falta el aliento? lay fall-tah ale ah-lee-ain-toe
Are you having problems with urination? ¿Tiene problemas con orinar? tee-ay-nay proh-blay-mahs cone oh-ree-nahr
Dysuria / painful or difficult urination / it hurts to pee. Disuria / dolor o dificultad al orinar / duele orinar. This is a patient response.
I have to go a lot. Tengo que ir a orinar muchas veces. This is a patient response.
I am incontinent. Sufro de incontinencia. This is a patient response.
Dribbling / I leak when I laugh / sneeze / cough. Gotear / goteo al reír / estornudar / toser. This is a patient response.
Enuresis / I wet the bed. Enuresis / Mojo la cama. This is a patient response.
Nocturia / I get up to urinate a lot at night. Nocturia / Me levanto mucho durante la noche para orinar. This is a patient response.
Hesitancy / I have a hard time getting started. Dificultad para iniciar / se me hace difícil comenzar a orinar. This is a patient response.
Urgency. Urgencia. This is a patient response.
I feel a burning sensation when I urinate. Siento una quemazón cuando orino. This is a patient response.
My back hurts when I urinate. Mi espalda duele cuando orino. This is a patient response.
There is blood in my urine. Tengo sangre en mi orina. This is a patient response.
I will need to insert a catheter in your bladder to drain your urine. Tendré que insertar un catéter en su vejiga para drenar la orina. tane-dray kay een-sair-tar oon kah-tay-tair ain sue bay-hee-gah pa-rah dray-nar la oh-ree-nah
Are you tired? ¿Está cansado? ace-tah kahn-sah-doe
When was your last normal menstrual period? ¿Cuándo fue su último periodo menstrual normal? k'wahn-doe f'way sue ool-tee-mo pee-ree-oh-doe noar-mall
I am pregnant. Estoy embarazada. This is a patient response.
I have had a hysterectomy. Tuve una histerectomía. This is a patient response.
I don't have them anymore. Ya no los tengo. This is a patient response.
I am not sure. No estoy segura. This is a patient response.
Have you had a bowel movement? ¿Ha defecado? ah day-fay-kah-doe
No, I feel constipated. No, tengo el estreñimiento. This is a patient response.
Yes, I have diarrhea. Sí, tengo diarrea. This is a patient response.
When was your last bowel movement? ¿Cuándo fue la última vez que defecó? k'wahn-doe f'way la ool-tee-ma bace day-fay-koh
I had (#) yesterday. Tuve (#) ayer. This is a patient response.
I have had (#) today. Hoy he tenido (#). This is a patient response.
Today. Hoy. This is a patient response.
Yesterday. Ayer. This is a patient response.
(#) days ago Hace (#) días. This is a patient response.
I don't know. No sé. This is a patient response.
I am not sure. No estoy seguro. This is a patient response.
Have you had any nausea or vomiting? ¿Ha tenido náusea o vómito? ah tay-knee-doe now-see-ah oh bow-mee-toe
Yes, nausea. Sí, náusea. This is a patient response.
Yes, vomiting. Sí, vomito. This is a patient response.
Yes, both nausea and vomiting. Sí, náusea y vómito. This is a patient response.
How is your appetite? ¿Cómo es su apetito? koh-mo ace sue ah-pay-tee-toe
Good. Bueno. This is a patient response.
I can't stop eating. No puedo dejar de comer. This is a patient response.
I crave ____ (name of food). Me encanta comer ____ (name of food). This is a patient response.
Normal for me. Es normal para mí. This is a patient response.
I am always hungry. Siempre tengo hambre. This is a patient response.
I can't eat anything. It makes me sick. No puedo comer nada. Me cae mal. This is a patient response.
I don't want to eat. No quiero comer. This is a patient response.
I can only drink liquids. Solamente puedo beber líquidos. This is a patient response.
I get sick when I eat. Me enfermo cuando como. This is a patient response.
Are you having any abdominal pain? ¿Tiene dolores estomacales? tee-ay-nay doe-lore-ace ace-toe-ma-call-ace
Breathe through your mouth. Respire por su boca. race-peer-ay pour sue bow-kah
Please read me the smallest word you can see on the page. Por favor, lea la palabra más pequeña que puede ver en la página. pour fah-bore lay-ah la pa-la-bra mahs pay-cane-yah kay p'way-day bare ain la pa-he-nah
Do you see spots? ¿Ve puntos? bay poon-tohs
Do you have bad dreams? ¿Tiene malos sueños? tee-ay-nay ma-lohs s'wayne-yohs
Have you had blood in your stool? ¿Ha visto sangre en sus heces? ah bee-stow sahn-gray ain suess ay-sace
How many times did you pee today? ¿Cuántas veces orinó hoy? k'wahn-tahs bay-sace oh-ree-no oo-ee
How many times did you pee last night? ¿Cuántas veces orinó anoche? k'wahn-tahs bay-sace oh-ree-no ah-no-chay
Move ____ (name of body part). Mueva su ____ (name of body part). m'way-bah sue ____.
Squeeze my fingers. Apriete mis dedos. ah-pree-ay-tay mees day-dohs
I am going to shine this light in your eyes. Voy a poner a luz en sus ojos. boy ah po-nair ah loose ain suess oh-hohs
Does your stomach hurt if I press on it? ¿Le duele el estómago si lo aprieto? lay d'way-lay ale ace-toe-mah-go see lo ah-pree-ay-toe
I need to measure your feeding tube. Necesito medir su tubo de alimentación. nay-say-see-toe may-deer sue too-bow day ah-lee-main-tah-see-own

summary
In this lesson, you learned how to speak with patients during a general physical assessment in Spanish in order to provide instructions and learn important health information. This general assessment terminology will help you communicate with your patients during standard evaluations.

¡Buena suerte!

Source: This content has been adapted from "Spanish for Nurses" by Stephanie Langston.