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,男,47岁,北京市人,干部。1996年一次饱餐饮酒后,半夜突发右足拇趾周围疼痛、肿胀,服用"秋水仙碱"后疼痛得到缓解,但头晕、恶心等副作用反应大。以后经常反复发作,从足拇趾逐渐累及右足踝关节和左膝关节,发作时间逐渐增长,间隔时间逐渐缩短,一年内发作了5次。无类似疾病的家族史。2000年3月入院就诊。体检:T:36.5℃,R:26次/分,P:89次/分,血压:150/94mmHg,腰围98cm,心率89次/分,律齐,各瓣膜区未理性杂音。双肺呼吸,未干湿性啰音。腹软无压痛,肝脾未及,移动性浊音阴性。右足拇趾周围有红肿、触痛,足趾关节活动受限。无浮肿。辅助检查:尿常规:尿蛋白(++)。血尿酸670μmol/L,血沉40mm/h,空腹血糖6.8mmol/L。血常规、肾功能、肝功能、血脂、血电解质正常。X光片右足第1跖骨远端骨质蚕食样缺损,并发骨质增生,趾跖关节腔轻度狭窄。 请分析: (1)诊断及诊断依据。 (2)应与哪些疾病相鉴别? (3)需要进行哪些进一步检查? (4)治疗原则是什么?
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举一反三
【单选题】Let children learn to judge their own work. A child learning to talk does not learn by being corrected all the time. If corrected too much, he will stop talking. He notices a thousand times a day the ...
A.
By making mistakes and having them pointed out by others.
B.
By having their mistakes corrected.
C.
By noticing their problems and making changes.
D.
By listening to explanations from skilled people.
【判断题】设二元函数【图片】在【图片】的某一邻域内有定义,一元函数【图片】在【图片】处可导,则函数【图片】在点【图片】一定存在偏导数【图片】,且【图片】.
A.
正确
B.
错误
【单选题】W: I’m worried about my grandpa. He drink before dinner everyday. M: Why not show him some books on how people’s internal organs are damaged by alcohol? What is the man’s suggestion?
A.
Inviting her grandpa to the doctor.
B.
Sending her grandpa to the doctor.
C.
Letting her grandpa know the harm of alcohol.
D.
Examining the internal organ of her grandpa.
【判断题】设二元函数【图片】在点【图片】处存在偏导数【图片】,则一元函数【图片】在【图片】处一定可导.
A.
正确
B.
错误
【单选题】种子胚乳和子叶中的营养物质向新生器官组织运输时的主要形式是
A.
葡萄糖
B.
蔗糖
C.
脂肪酸
D.
可溶性蛋白质
【单选题】______ the flight to New York will be put off is ______ I’m especially worried about.
A.
Why; what
B.
Whether; what
C.
How; that
D.
When; that
【单选题】Let children learn to judge their own work. A child learning to talk does not learn by being corrected all the time. If corrected too much, he will stop talking. He notices a thousand times a day the ...
A.
By making mistakes and having them pointed out by others.
B.
By having their mistakes corrected.
C.
By noticing their problems and making changes.
D.
By listening to explanations from skilled people.
【简答题】姚某在公交车上看见旁边一位乘客携带了一只高压锅(价值近 200 元),姚某趁其瞌睡时将高压锅偷走。下车后姚某发现该高压锅中竟然放有现金 5 万元,顿感犯案太重,立即赶到派出所投案,并交出所偷得的全部财物。派出所所长胡某对姚某问清情况后,让姚某不要声张立即回家,并让姚某把高压锅带走。胡某将剩余的五万元现金据为己有。 本案姚某、胡某的行为应当如何适用刑法?
【单选题】听力原文: Let children learn to judge their own work. A child learning to talk does not learn by being corrected all the time: if corrected too much, he will stop talking. He notices a thousand times a da...
A.
Listening to skilled people's advice.
B.
Asking older people many questions.
C.
Making mistakes and having them corrected.
D.
Learning what other people do without being taught.
【单选题】听力原文:M:The job sounds great,but I’m a little worried about how much time it might take.It’s to be Prof,Jamison’s assiStant. W:It’s pretty reasonable.It never took me more than five hours a week to do ...
A.
She is Professor Jamison's daughter.
B.
She works part-time as Profess or Jamison's secretary.
C.
She used to do the job herself.
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