in this medical dialogue DrSarah Connor meets with MrVentura a construction worker who has come to the clinic due to severe lower back pain after his boss asked him to drill into concrete DrConnor takes me serventura's medical history and asks further questions about his symptoms which may indicate MrVentura has herniated one of his lumbar discs to practice with the full 20-minute medical dialogue and many other medical scenarios practice materials visit interprement. com are you ready let's interpret 1. hello MrVentura I'm DrSarah Connor and I'll be seeing you today how are you doing today two so-so hanging in there I've been waiting here a while three my apologies MrVentura we have a full house today and I was running late seeing other patients but now I'm here to see you tell me what brings you to the clinic today 4.
I have a severe pain in my lower back that runs down my legs five oh I'm sorry to hear that when did the back pain start six a couple of days ago well after the head honcho sorry the foreman at the construction site asked me to drill some holes in the concrete after crouching down for several hours I began to feel a sharp pain in my lower back since then the pain has gone from bad to worse and that's why I came to see if you can give me some remedy because I can't take it anymore thank you seven I'm sorry to hear you're having very bad pain let me ask you a few more questions to gather more information and pin down the culprit behind your back pain before we talk about treatment okay you said that you're a construction worker right eight yeah well I'm actually a formwork carpenter I only deal with pouring concrete and removing the form work not with hammer drills 9. I see and were you able to see a doctor or nurse right after the pain started 10. not really no we've got a nurse on the construction site but since my boss told me to continue working through the pain and all I didn't want to go against him 11.
I see do you have any other symptoms besides pain like numbness weakness or pins and needles 12. yes sometimes my legs feel numb or so weak I can hardly walk other times I feel that same pain that I told you about but it's like burning or like an electric shock but it's one part of my leg not all of it it's hard to explain 11. I see do you have any other symptoms besides pain like numbness weakness or pins and needles 12.
yes sometimes my legs feel numb or so weak I can hardly walk other times I feel that same pain that I told you about but it's like burning or like an electric shock but it's one part of my leg not all of it it's hard to explain 13. I have something I think might be useful let me get it from my drawer here see this drawing this is supposed to be a sketch of your body and these are the symbols for different kinds of pain like stiffness shooting pain and so on you can draw the symbol that matches your kind of pain on the area of your body where it hurts here you can use my pen 14. hmm numbness here burning here also the tingling around here and I feel the electric current here like this 15.
so according to what you've drawn here it seems like your pain and numbness start on your low back area and radiate to both legs and even your feet this shock-like pain here do you feel it at rest or when you exert yourself are you curious to know what will be MrVentura's official diagnosis and treatment continue practicing with this script by joining us at interpremet.
