Episode 22B1 — Beginner/Intermediate

Pain history in English

21min · Nausea · Vomiting · Bowel habit (change in) · Bloating · Cramping / colicky · OET B2 · Free PDF

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Episode 22 — Free transcript & study guide

  • 10-term vocabulary table
  • Full role-play transcript
  • Language breakdown notes
  • Quiz with full answers

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VOCABULARY - 10 TERMS

TermDefinitionExample
Pain historyA structured set of questions a clinician uses to understand a patient's pain: when it started, what it feels like, how bad it is, where it is, and what makes it worse or better."I'd like to take a pain history, if that's all right."
OnsetWhen the pain first started and how it began — suddenly or gradually. Heard here in a routine GP consultation rather than an emergency setting. — recall Ep. 03/11/18"Can you tell me about the onset of the pain?"
Character of painWhat the pain actually feels like — the quality a patient uses to describe it: dull ache, sharp, stabbing, throbbing."How would you describe the character of the pain?"
SeverityHow bad the pain is, typically measured on a numerical scale. The clinician uses a plain 1-to-10 scale without naming any formal scoring tool. — recall Ep. 11"On a scale of one to ten, how would you rate the severity?"
Pain scaleThe 1-to-10 numerical tool a clinician uses to quantify a patient's pain and track its range, rather than a diagnostic instrument. — recall Ep. 03/09"Can you rate the pain on a scale of one to ten?"
Radiation / radiateWhether the pain spreads from its original site to another part of the body. Heard here in a calm GP context rather than a high-acuity one. — recall Ep. 18"Does the pain radiate down the leg at all?"
TendernessPain felt when a specific area is touched or pressed during a physical examination — elicited by the examiner, distinct from pain the patient reports unprompted."There's some tenderness around the kneecap."
IntermittentPain that comes and goes rather than being constant — a key timing descriptor in any pain history."Is the pain constant, or would you say it's intermittent?"
Exacerbating / relieving factorsWhat makes the pain worse (exacerbating) and what makes it better (relieving) — taught and asked about as a pair."What are the main exacerbating and relieving factors?"
Localised / referred painLocalised pain stays in one place; referred pain is felt in a different area from its actual source."The pain appears to be localised rather than referred."

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EPISODE STRUCTURE

Vocabulary Preview

~3 min

Role-play Dialogue

~8 min

Language Breakdown

~4 min

Comprehension Quiz

~2 min

Free Transcript PDF

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Patient
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Doctor

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