第十六章阑尾疾病(国外英文资料).docVIP

第十六章阑尾疾病 (14, 0) 1 (0) male, 40 years old, initial headache fatigue, nausea, vomiting, and then navel pain, 4 hours later feel right lower abdomen 2 times. Check: body temperature of 37.3 oC, right abdomen have obvious fixed tenderness and bounce are painful, active bowel sounds, 12 xl09 / L white blood cells, neutrophils 90%, routine urine: red + +, a few of white blood cells, consideration should be given A. upper respiratory tract infection B. acute gastroenteritis C. right ureteral calculus D. acute appendicitis E. acute mesenteric lymphadenitis (0) which of the following is important to diagnose acute appendicitis A. metastatic right lower abdominal pain B. lumbar muscle test positive C. anal is the pain in the front of the rectum D. the right lower abdomen has a fixed and distinct tenderness E. fever and leukocyte increase (0) the young man has had an appendage abscess, and the appendix has not been removed A. long-term use of antibiotics Barium enema check C. regular physical examination D. often review white blood cells E. Three months later for appendectomy (0 min) male, 65 years old, metastatic right inferior abdominal pain 10 hours. Body: the body temperature of 37 ~ C, right abdomen tenderness, muscle tension, jams pain. Not obvious, colon aeration test positive, within the obturator muscle test negative, 9 x109 / L WBC count, neutrophil 84%, and the diagnosis of acute appendicitis. The proper best treatment is A. anti-infection therapy diet C. X-ray examination of the barium Prompt operation E. fight infection, rehydration to prevent water and electrolyte disturbance (0) man, 20. The pain in the early morning, the pain in the afternoon, the pain in the right lower abdomen, the increased spontaneity, the vomiting. Body check: the right lower abdomen is painful and the pain is obvious. Laboratory examination: white blood cells 18X109 / L. Consider the diagnosis: A. stomach, duodenal ulcer perforation B. the right ureteral stone C. acute appendicitis D. A