题目内容

【病例摘要】王某某,男,46岁,已婚,职员。2007年2月18日初诊。自10年前无明显诱因出现口干,喜饮水,夜间尤觉明显,于当地医院就诊,查尿糖阳性,具体不详,未正规治疗。1个月前症状加重,口干舌燥,饮水明显增加,同时尿量增多,夜尿4~5次,伴大便次数多,质稀不成形,精神不振,乏力,体重下降,遂来院就诊。父母健在,否认有家族性遗传性疾病史。查体:T37.2C,P100次/分,R20次/分,BP135/85mmHg。神志清,形体消瘦,舌淡红,苔白,脉弱。心肺听诊无明显异常,腹软,无压痛及反跳痛,双下肢无水肿。辅助检查:空腹血糖9mmol/L,餐后2小时血糖18mmol/L,血清总胆固醇7mmol/L,血清三酰甘油3.3mmol/L,尿常规:尿糖()尿蛋白(-)。【答题要求】1.根据上述病例摘要,在答题卡上完成书面辨证论治。2.鉴别诊断:请与其他原因所致尿糖阳性相鉴别(中西医结合执业医师),请与口渴证相鉴别(中医执业医师)。

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简要病史:男性,15岁,眼睑水肿,尿血4天。

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A Sports体育运动
Many animals engage in play,but homo sapiens is the only animal (1) have invented sports.Since sports are an invention,a part of culture (2) than an aspect of nature,all definitions of sports are somewhat arbitrary. (3) sports are a human universal found in every known culture or a (4) unique to modern society depends upon one's definition of sports.Men and (5) have always run,jumped,climbed,lifted,thrown, and wrestled,but they have (6) always performed these physical activities competitively. Although all literate societies seem to (7) contests of one sort or another in which men, and sometimes women, (8) in displays and tests of physical skill and prowess,sports may be (9) defined as physical contests performed for their own sake and not for (10) ulterior end.According to this strict definition,neither Neolithic hunters nor contestants (11) religious ceremonies such as the ancient Olympic Games were engaged in sports. (12) on the stipulation that sports must be performed for their own sake (13) the paradoxical elimination of many activities which are usually thought of as (14) ,such as exercises done for the sake of cardiovascular fitness,races run (15) satisfy a physical education requirement,ball games played to earn a paycheck. (16) definition also means abandonment of the traditional usage in which"sport,"derived (17) Middle English disporter,refers to any light hearted recreational activity.In the. (18) of some 18th- century aristocrats,a game of backgammon and the seduction of (19) milkmaid were both considered good sport,but this usage of the term (20) become archaic.
(1)

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