腹痛病例：简要病史：患者，女性，31岁，右下腹局限痛伴恶心1天。
参考答案：
本例患者患急腹症，可能是急性阑尾炎，应据此采集病史：1.现病史（1）根据主诉及相关鉴别询问1）腹痛性质（隐痛还是剧痛、阵发性或持续性，是否放射等），有无转移性痛。2）是否伴有发热，如有则进一步询问发热规律和体温。3）发病以来大便及月经情况，有无腹泻或月经异常情况。4）有无类似发作史，以了解是否慢性病变急性发作.（2）诊疗经过1）其他科室诊疗情况，如内科和妇产科。2）血、尿、便常规检查结果，以协助诊断与鉴别。2.相关病史（1）胃肠道病史。（2） * * 结石史。（3）妇科病史。询问此三项均为了与相应疾病鉴别。
When your mother want to tell you something, she uses words. Birds can’t speak 1._____ we do, but some birds can make sounds to warn their young of 2._______.They have 3.________own way of making the young birds do certain things. The jackdaw is a kind of black bird4.______lives in Europe. Jackdaws live together in flocks. Young jackdaws do not know their enemies. When an old jackdaw sees a dog, it makes a loud rattling5.______.The young birds know this sound means6._______is nearby. The sound warns them7._______their enemies. 8._______ a young jackdaw is in a 9______ place, a jackdaw parent 50._______over the young bird’s back from behind. The parent’s tail feathers move 11.______from side to side. It’s trying to say “12______”.At the same time, the 13.________bird calls out Key-aw Key-aw, which seems to say FLY HOME WITH ME. The young bird then follows the older14_______to go home. Young jackdaws15._______ learn what certain sounds mean. They know the meaning of these sounds from they hatch.
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