With large amounts of free pleural effusion

相关题目

• A 1 year-old boy presents fever for 2 days with frequently vomiting and convul-sion. Physical examination reveals a lassitude boy with bulging anterior fontanel， rigidity neck and positive brudzinski sign. His CSF examination shows a turbid appearance， in­-creased protein， WBC of 1×10⁹/L with 80 % neutrophil， glucose of 2. Ommol/L and chloride of 98mmol/L. The most possible diagnosis is
• A full-term weighing 3500g boy presents mildly jaundice with a total serum bilirubin of 205μmol/L(0.12g/L) at 48 hours of age.The baby is born to a 27-year-old primigravida with blood type O at 2 hours after membranes rupture. Breast-feeding has been wellThe most appropriate additional diagnostic studies to evaluate the cause of this infant jaundice areThe nurse calls to inform you that the infant studies are back.The baby has O-positive blood. His direct serum bilirubin is 3. 4μmol/L(0.002g/L) with a repeat total serum bilirubin of 201 μmol/L(0.12g/L). The white count is 13×10⁹/L with a diff
• The cerebrospinal fluid of an 8-year-old，mildly febrile child with nuchal rigidity and in-termittent stupor shows a white blood cells of 100×10⁹/L with 80% lymphocytes，negative Gram stain，protein of 1.5g/L，and glucose of 0.15g/L。The most likely diagnosis is
• Female， 25 years old， pregnancy for 32 weeks with placenta previa. There were massive hemorrhage from vagina since yesterday， with ecchymosis. The whole blood cell count showed WBC 8.5×10⁹/L， Hb 90g/L，PLT 20×10⁹/L. The coagulation test results were PT 42 seconds， fibrinogen level 1.1g/L， 3P test （+）. Which is the best treatment principle for the patient
• A full-term weighing 3500g boy presents mildly jaundice with a total serum bilirubin of 205μmol/L(0.12g/L) at 48 hours of age.The baby is born to a 27-year-old primigravida with blood type O at 2 hours after membranes rupture. Breast-feeding has been wellThe most appropriate additional diagnostic studies to evaluate the cause of this infant jaundice are
• A 35-year-old man presents to the emergency department complaining of 18 hours of severe, steady epigastric abdominal pain after heavy meal. The pain is radiating to his back and does not relieved by vomiting. On physical examination, mild abdominal guarding and epigastric tenderness can be elicited on palpation, with hypoactive bowel sounds. Laboratories show a total white blood cell count of 17,200/mm³ with 88% polymorphonuclear cells,and 10% lymphocytes, an alanine aminotransferase (ALT) of 98IU/L, aspartate aminotransferase(AST)of 81IU/L,total bilirubin of 32μmol/L with a direct fraction 17μmol/L, and serum amylase of 1721IU/L. Which of the following is the most likely diagnosis
• A 39-year-old male presents with a long-standing history of hypertension. Investigations show a urea of 9.2mmol/L and a Creatinine of 142μmol/L. Which one of the following would suggest a diagnosis of acute glomerulonephritis
• A 38-year-old women complains of fatigue,loss of appetite,jaundice for past 6 month.Laboratory studies are significant for atotal bilirubin(82μmol/L)with a direct fraction of 35(μmol/L,alanine aminotransferase(ALT)of 232IU/L,aspartate aminotrasferase(AST)of 126IU/L,both HBV and HCV are negative. Serum ANA 1：320 positive,SMA 1：160 positive,AMA-M2 1：160 positive.Abdominal ultrasound type B shows mild hepatomegaly.Which of the following disease is most likely diagnosis
• 3-year-old plump， healthy-appearing toddler came to your office for her health maintenance examination. In discussing her dietary history with her mother， you found that the child refused solid food，instead preferring to drink cow’s milk almost exclusively. The parents tried to cut her off once，but could not endure the subsequent whining and gave in to her demands for milk. Her blood pressure， heart rate， and respiratory effort were normal. Her complete blood count was significantly reduced with a hemoglobin level of 70g/L and an MCV level of 60fL.The most likely diagnosis for this child is
• 3-year-old plump， healthy-appearing toddler came to your office for her health maintenance examination. In discussing her dietary history with her mother， you found that the child refused solid food，instead preferring to drink cow’s milk almost exclusively. The parents tried to cut her off once，but could not endure the subsequent whining and gave in to her demands for milk. Her blood pressure， heart rate， and respiratory effort were normal. Her complete blood count was significantly reduced with a hemoglobin level of 70g/L and an MCV level of 60fL.The most likely diagnosis for this child isAppropriate therapy should include：