【一起学英语】第37期|Vaginal infections and discharge（A）
P:I've noticed a green, smelly discharge from my vagina. It's also painful when I pass water.
D:How long have you had the discharge?
P:Two weeks.
D:Have you noticed an itching down below？
P:No.
D:Do you have a regular sexual partner?
P:Yes, I have a partner who I have been with for six months.
D:When was the last time you had sexual intercourse?
P:That last time I had intercourse was a week ago.
D:Does your partner have any of these symptoms?
P:No, my partner's been quite well with no problems. …
D:I'd like to examine you and to do this I'll need to ask you to undress and get up onto the couch. I'm going to take some routine swabs looking for infections such as gonorrhoea and Chlamydia. I'm going first to take some swabs from where you pass water and then I'll insert a speculum and have a look at your cervix and the inside of your vagina. We'll take some swabs both from your cervix and your vagina to look for signs of infection. I'll then take a swab from the area around your back passage. … I've had a look at one of your inital tests under the microscope and you've got an infection called Trichomonas vaginalis or TV which is the cause of your vaginal discharge. This is easily treated with a form of antibiotics called Flagyl metronidazole. You have to take one tablet 200 mg 3 times a day for one week. During that time it's important that you avoid alcohol and sexual contact as this infection is sexually transmitted. It will be important for us to see and treat your regular sexual partner. You need to return to the clinic in about one to two weeks' time so that we can check that this infection has cleared up, and also give you the result of your ather tests. While you're at the clinic you will be asked to speak to the departmental health advisor or contact tracer. He will give you some information about this infection, and I would recommend that you bring in your boyfriend for his check-up. Before you leave the clinic you'll also be asked to provide a specimen of urine for testing and also take a routine blood test for syphilis. This is a routine blood test which is done and performed on everybody who attends the clinic.
gonorrhoea 淋病 Chlamydia 衣原体 sigmoid augumentation cystoplasty 乙状结肠膀胱扩大术 ileal conduit diversion 回肠膀胱尿流改道术 P：我发现阴道有臭的、绿色的分泌物。小便的时候也很痛。 D：这种症状多久了？ P：两周。 D：有阴道瘙痒吗？ P：没有。 D：你有固定的性伴侣吗？ P：有的，在一起六个月了。 D：你上次过性生活是什么时候？ P：一周前。 D：你的男朋友有这些症状吗？ P：不，他很好，没有问题。… D：我想给你检查一下，需要请你脱掉衣服到诊疗台上来。我要用常规拭子查找病原体，比如淋病和衣原体。我要先拿一些拭子采集尿道样本，然后插入内窥镜，看看子宫颈和阴道内部，并用拭子采集子宫颈和阴道感染样本。之后从肛周采集样本。…我在显微镜下看了初步测试，你得了一种叫做阴道毛滴虫（简称TV）的感染，这就是你阴道分泌物异常的原因。用甲硝唑治疗很快就好。每次一片（200毫克），一天3次，持续一周。在这段时间内，重要的是要避免喝酒和性接触，因为这种感染是性传播的。对你的性伴侣进行诊治是很重要的。你需要在大约一到两周内复诊，以便我们检查病原菌是否已清除，并给你AES检测结果。当你到诊所时，需要与部门健康顾问或随访者谈谈。他会告诉你一些关于这种感染的知识，我建议你带男朋友来做检查。离开诊所之前，你还需要提供尿液样本进行检测，并进行梅毒常规血液检测。这是一个常规的血液测试，来就诊的人都会检查。 资料来源： 《医生诊疗英语会话(English for doctors)》
