Medical Spanish Masterclass - Lesson 2

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The Rule of 30

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• Limit yourself to 30 minutes of study at a time. 30 minutes 3 times a week (3 veces por semana) is better than 1.5 hrs 1x/week.

• Focus on 30 terms at a timeBreak down your pt profiles from Monday’s lesson and and chunk them into 30 term segments.Nail those Span>Eng, then Eng>Span and then get started with your next 30.

What about grammar?

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Grammar is step 2 after you’ve mastered your pt profiles (Lesson 1 replay)• On Monday we’re revealing your

grammar strategy for 2020• Make sure you join us for the 6

essential medical Spanish verb tenses.

16 Verbs & Useful Phrases for the Physical Exam in Spanish

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Rules of Engagement• Make mistakes - it’s part of the process

• Be an active participant —> chat in, participate in the “A practicar” sessions, & ask questions

• During the “A practicar” sections - it’s your turn to practice. Open your mouth and aplicar el vocabulario! BreakOut Rooms

• Interrupt with your preguntas, post them in the chat-box

• Mute yourself when you are not speaking, and use earbuds:)

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Pasos en el Examen Físico1. Inform—> Informarle al paciente

que vas a hacer2. Instructions (action verbs/

commands) —> acuéstese, abra la boca, siga mi dedo con los ojos

3. Ask—> Preguntarle al paciente sobre dolor, síntomas, etc.

4. Summarize—> Darle una idea de los resultados

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Paso 1: Informarle que vas a hacerIR - to go

• Voy + a + verbo = (I’m going to verb)

• Vamos + a + verbo = (We’re going to verb)

Necesitar - to need

• Necesito + verbo = (I need to verb)

• Necesitamos + verbo = (We need to verb)

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Ejemplos de informarle al paciente…

Voy aVamos aNecesito Necesitamos

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…examinarle | examinarte ahora…palparle | palparte el abdomen…escucharle | escucharte el corazón…mirarle | mirarte los oídos…tocarle | tocarte el cuello…tomarle | tomarte los signos vitales

Adults - Usted | Niños - Tú

Para informarle (al paciente) qué haces…

Voy a… & Necesito…

¿Qué mas?• Chat in 2 or 3 más you use during a

physical exam

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¡A practicar! - RodrigoYour patient Rodrigo (53 years) old just came in for his annual check-up. Start with

• HEENT & Lung/Heart/Abdomen • Continue with anything other exams

relevant to you and your partner! Take turns informing him what you are going to do using• Voy a …• Necesito …

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Paso 2: InstruccionesCommands—> use action verbs to tell the patient what they need to do so you can conduct el examen físico

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Niño - tú: Siéntate por favorRespira profundoRespira normal

Adulto - usted: Siéntese por favorRespire profundoRespire normal

Verbos de acción

Abrir = to open • Abra la boca | Abre la boca

Acostarse boca arriba/abajo = to lie down on belly/back • Acuéstese |Acuéstate boca

abajoAgacharse = to bend over

• Agáchese | AgáchateApretar = to squeeze

• Apriete | Aprieta mis dedos 12

Verbos de acción

Bajar = to lower • Baje el pantalón | Baja el pantalón

Bajarse de = get off of / down from • Bájese de | Bájate de (la mesa, la

cama, la báscula)Caminar = to walk • Camine | Camina con los pies

pegado “talón a dedo”Doblar = to bend • Doble | Dobla (la pierna, el brazo)

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Más verbos…

Empujar = to push • Empuje | Empuja mis manos

Inclinarse = to lean • Inclínese | Inclínate hacia adelante

(hacia la derecha/izquierda)Mirar = to look • Mire | Mira la tabla optométrica

Ponerse = to put on • Póngase | Ponte (la bata, la camisa,

los pantalones)14

Más verbos…

Quitarse = to take off • Quítese | Quítate (la camisa, los zapatos)

Relajar = to relax an object • Relaje | Relaja (el abdomen, la pierna)

Relajarse = to relax yourself • Relájese | Relájate

Resistir = to resist

• Resista | Resiste (la presión)

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Unos verbos más

Respirar = to breathe • Respire | Respira (profundo /

normal)Sentarse = to sit down • Siéntese | Siéntate (aquí, en la

mesa, en la cama)Sentar = to seat • Siente | Sienta al bebé en su/tu

regazoSeguir = to follow • Siga | Sigue (la luz, mi dedo)

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Los últimos verbos

Subir = to raise • Suba | Sube (el pantalón, la camisa)

Subirse a = to get on • Súbase a | Súbete a (la báscula, la mesa, etc)

Tocar = to touch • Toque | Toca la nariz

Voltear = to turn • Voltee | Voltea (la cabeza, la mano)

Voltearse = to turn around or turn over • Voltéese | Voltéate

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¡A practicar! - RodrigoRodrigo is in for his physical exam. Now you’re going to: 1. Tell him what you’re going to

do.2. Ask/Tell him what he needs to

do:• Choose 5 to 10 actions verbs

to practicar with your amigo18

Paso 3: Preguntarle más• ¿Cómo siente esto?

• Ud: ¿Tiene dolor cuando yo toco / muevo body part? | Tú: ¿Tienes dolor cuando yo toco / muevo body part?

• Ud: ¿Le duele cuando yo toco / muevo body part? | Tú: ¿Te duele cuando yo toco / muevo body part?

• ¿Le duele cuando usted (verb)? (camina, come, corre) | Te duele cuando tú (verb)? (caminas, comes, corres)

• ¿Puede sentir _____ ? | ¿Puedes sentir _____ ?

• ¿Tiene problemas con ____? | ¿Tienes problemas con ____?

• ¿Es difícil ____?¿Cuáles otras preguntas hacen? - chat them in right now…

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Para preguntarle si tiene dolor…¿Tiene dolor cuando __ | ¿Tienes dolor cuando __:¿Le duele cuando __ | ¿Te duele cuando __:• …mueve(s) _____?• …toco (palpo) aquí?• …presiono aquí?• …quito presión?

¡A practicar! - RodrigoRodrigo is in for his checkup Now you’re going to: 1. Tell him what you’re going to

do.2. Ask/Tell him what he needs to

do:3. Check in with some follow-up

questions21

Paso 4: Resumen básicoGracias, todo está bienTodo parece normalListo, no veo nada anormalVeo que (body part) está:

• Rojo(a), hinchado(a), inflamado(a), Vamos a hacer unos exámenes adicionalesNecesitamos hacerle (hacerte for kids)

• test: análisis de sangre, análisis de orina, biopsia• image: radiografía, ultrasonido, TAC

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¡A practicar! - Pobre PablitoPablito tiene dolor de

estómago. :(Use the tú form and review all 4 steps with your partner!

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En Conclusión

What two things did you learn in class tonight that you can use right away?

Comment on this link: http://bit.ly/2P4HLue

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Próximos Pasos1. Comment on the 2020 Live Lessons page

(link: http://bit.ly/2P4HLue )2. Continue to build out your patient profiles3. Implement rule of 30 4. Register for the Conversational group &

find a conversational partner. 5. Schedule your practice sessions

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La próxima clase

1. Monday, Dec 16th @ 7:00p2. Invite a friend3. Strategy: Your grammar guide for 20204. Topic: Discharge instructions

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Leaders in industry-specific Spanish and English Language training

and experts in Spanish Immersion

888-879-2575 • www.CommonGroundInternational.com 1

Physical Exam: Vocabulario importante de la lección

Rule of 30 strategy for all of the vocabulary you need to learn (uncovered in your 5 pt profiles from

lesson 1): Limit yourself to 30 minutes 3 days/week. What 3 days & work best for you?

1. ___________________________________________________________________________________________

2. ___________________________________________________________________________________________

3. ___________________________________________________________________________________________

Focus on 30 terms at a time. What are your first 30 terms?

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4 Etapas del Examen Físico: (slide 6)

1. _________________________________________________________________________________________

2. _________________________________________________________________________________________

3. _________________________________________________________________________________________

4. _________________________________________________________________________________________

What are 2 key phrases to use when informing your patient what you’re about to do? (slide 7)

1. _________________________________________________________________________________________

2. _________________________________________________________________________________________

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and experts in Spanish Immersion

888-879-2575 • www.CommonGroundInternational.com 2

How would you say the following to inform your patient: (slide 8)

I’m going to examine you: ________________________________________________________________________

Let’s listen to your lungs: ________________________________________________________________________

Let’s take your vital signs: ________________________________________________________________________

I need to look at your ears: ________________________________________________________________________

I’m going to touch your neck: ________________________________________________________________________

What else do you say to inform your patient besides “Voy a ____” & “Necesito ____”:

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

How would you give the following instructions (slides 11 – 17)

English Usted form for adults Tú form for children

Open your mouth

Lie down on your back

Lie down on your belly

Bend over

Squeeze my fingers

Lower your pants

Get down from the table

Walk heel to toe

Bend your arm

Push against my hands

Lean forward

Look at the eye chart

Put on the gown

Take off the shoes

Relax your leg

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and experts in Spanish Immersion

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Relax (whole self)

Resist the pression

Breathe deeply

Sit here

Seat your baby in your lap

Follow my finger

Lift your shirt

Get on the scale

Touch your nose

Turn your head

Roll over

How would you ask the following follow-up questions to an adult? (slide 19) How does that feel? ________________________________________________________________________

Do you have pain when I touch body part? ___________________________________________________________

Do you have pain when I move body part? ___________________________________________________________

Does it hurt when I touch body part? ___________________________________________________________

Does it hurt when I move body part? ___________________________________________________________

Do you have pain when I touch body part? ___________________________________________________________

Does it hurt when you walk? ___________________________________________________________

Does it hurt when you eat? ___________________________________________________________

Does it hurt when you run? ___________________________________________________________

Can you feel ______? ___________________________________________________________

Is it difficult to ________? ___________________________________________________________

What other physical exam follow-up questions do you like to ask?

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Leaders in industry-specific Spanish and English Language training

and experts in Spanish Immersion

888-879-2575 • www.CommonGroundInternational.com 4

How would you give the following summary information? (slide 22)

Thanks, everything is good ________________________________________________________________________

Everything looks normal ________________________________________________________________________

I see that body part is: ________________________________________________________________________

• Red: ______________

• Swollen ______________

• Inflamed: ______________

We’re going to do some additional tests ___________________________________________________________

We need to do a blood test ________________________________________________________________________

We need to do a urine test ________________________________________________________________________

We need to do a biopsy ________________________________________________________________________

We need to take an x-ray ________________________________________________________________________

We need to do an ultrasound________________________________________________________________________

We need to do a CAT scan ________________________________________________________________________