患者女性,46岁,对称性多关节肿痛1年,加重3月入院。患者1年前无明显原因出现双手近端指间关节、掌指关节、双腕关节肿痛,伴有晨僵,每天可持续>1小时,自行口服"双氯芬酸片、泼尼松片"症状可好转,未规律治疗。近3月,出现双肘关节,双足跖趾关节肿痛,以上关节肿痛加重,并出现双肘、枕部皮下结节。为进一步诊治来我院。起病以来,伴有口干、眼干,精神食欲差,睡眠差。既往史、个人史、月经婚育史无特殊。家族史中其母患有类风湿关节炎。体格检查:血压130/76mmHg心肺腹无特殊阳性体征。双肘、枕部皮肤可触及皮下结节,质硬,无压痛。左手第2、3、4近端指间关节、右手第3、5近端指间关节呈梭形肿胀,左2、3、4掌指关节、右3、4、5掌指关节、双腕关节肿胀,压痛(+),双肘关节活动受限,左足第二跖趾关节肿胀,双下肢无水肿。辅助检查血常规:白细胞5.1×109/L,血红蛋白96g/L,血小板538×109/L;血沉76mm/h,CRP0.27mg/dl。
为明确诊断需要进行下列哪些辅助检查?()
{{B}}What Is Death {{/B}} People in the past did not question the difference between life and death. They could see that a person died when his heart stopped beating. People have learned, however, that the body does not die immediately when the heart stops beating. They discovered that we remain alive as long as our brain remains active. Today the difference between life and death is not as easy to see as in the past. Modern medical devices can keep the heart beating and the lungs breathing long after the brain stops. But is this life This question has caused much debate among citizens in the United States. Many of them want a law that says a person is dead when the brain dies. A person should be considere A. The body may still be alive after the heart and the brain have stopped working. B. The heart may keep beating after the brain has died. C. The brain may still be active after the heart has stopped beating. D. The lung may keep breathing after the brain has died. [单项选择]脐疝
A. 肠套叠病程36小时,全身情况可 B. 肠管坏死,极度危急时 C. 口服碳片8小时后由肛门排出 D. 果酱样血便 E. 肠套叠病程56小时 [单项选择]随时记录感兴趣的问题,不受任何时间条件限制,事先也不需要作特别编码分类的描述记录是()
A. 日记描述法 B. 轶事记录法 C. 连续记录法 D. 取样记录法 [单选题]下列关于己烯雌酚叙述错误的是( )
A.合成雌激素 B.可与硫酸-乙醇发生显色反应 C.应遮光、密封保存 D.具有甾体结构 E.具有酚羟基结构 [单选题]汇票专用章所刊社(行)号,应为签发社(行)的( )。
A.12位银行机构代码(即现代化支付系统行号) B.10位农信银支付清算系统行号 [单选题]同伴交住在幼儿发展中的作用主要表现在(1)可以满足幼儿的心理需要,(2)有助于幼儿( );(3)有助于发展幼儿的自我意识
A.认识他人 B.认识自己 C.认知能力的发展 D.生理需要 [单选题]关于印发《南昌铁路局动车组列车运行时车门发生故障客运应急处置规定》的通知(南铁客〔2017〕42号), 列车到站如发生全列车门无法自动开启时,列车长应按照( )的指示,迅速通知列车员手动开关车门组织旅客上下车。
A.单选题 B.司机或随车机械师 C.车站客运员 D.车站值班员 E.列车调度员 [判断题]固定资产零星购置中交通运输车辆属于限下项目,但必须报国网公司总部专业部门备案。
A.正确 B.错误 [单项选择]依据《维也纳外交关系公约》,使馆作为一国派驻另一国的外交代表机构,不得享有下列哪项特权与豁免
A. 使馆舍不得侵犯 B. 使馆档案及文件不得侵犯 C. 通讯自由 D. 使馆人员免纳捐税 我来回答: 提交
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