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男性，29岁。上腹痛伴呕吐1天。患者1天前饮酒后出现持续上腹隐痛，阵发性加剧，疼痛无放射，伴恶心、呕吐，呕吐物为胃内容物，呕吐后腹痛好转。排成形便一次，色黄。无发热。未服药。既往体。否认肝胆疾病史。无药物过敏史。查体：T36.8℃，P76次／分，R18次／分，BP116/68mmHg。神清合作，自动体位。无贫血貌，巩膜无。心、肺无异常。腹平软，剑突下轻度压痛，无反跳痛，未触及包块，肝脾肋下未触及，肠鸣音5次／分。实验室检查：血WBC10.0×10 9 /L，血淀粉酶65U/L，尿淀粉酶230U/L。要求：根据以上病历摘要，请写出初步诊断及诊断依据、鉴别诊断、进一步检查与治疗原则。
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举一反三
【单选题】What did Mr. Porter include with his letter?
A.
His résumé
B.
A report on the Walters Corporation
C.
A gift for Mr. Simons
D.
A job announcement
【单选题】Which of the following sentences contains subjunctive mood?
A.
The judge insisted that the accused man appear in person.
B.
She used to drive to work, but now she takes the city metro.
C.
Use your head, and then you'll have an idea.
D.
If a flood happened in the past, there was usually great loss of life and property.
【单选题】Which of the following statements is INCORRECT?
A.
A Federal judge said that the government could not hold the refugees legally.
B.
The Justice Department and the Federal judge have the same opinion on the release of the refugees.
C.
The Haitian refugees are requesting political protection.
D.
ff the refugees are released, there will be more to come from Haiti.
【单选题】Which of the following is true?
A.
The lawyer who imitates the judge is trying to influence him.
B.
The clever saleswoman echoes her lady customer's movements because she is un- consciously attracted by her.
C.
Physical mirroring is always flattering to those who are imitated.
D.
Sensitive people have been mirroring their friends and acquaintances because they want to win their affection and respect in this way.
【单选题】Which of the following is NOT true about a judge?
A.
A judge works in a court.
B.
A judge has the authority to make legal decisions.
C.
A judge is in charge of providing legal advice to people.
D.
A judge should be fair.
【单选题】Which is NOT the right thing to do during such an emergency?
A.
Judge from the smoke to identify the safe place.
B.
Drive the sheep or cattle to a field without grass.
C.
Don't drive the cars away.
D.
Go home immediately.
【单选题】听力原文：The judge is the last person to take bribes. Which of the following is true?
A.
The judge will commit bribery if his fellow colleagues agree.
B.
Several of the judge's colleagues have taken bribes before he did.
C.
Nobody is going to get what he wants from the judge with bribery.
D.
Somebody saw the judge take the bribes.
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