问题
单项选择题 案例分析题
患者男性，59岁，上腹部剑突下胀痛半年，消化不良，近期症状加重伴消瘦，乏力，排柏油样便，无黄疸，既往身体健康状况良好。体检发现左锁骨上两个肿大淋巴结，无压痛，可移动。肝脾肋下未触及。
根据上述资料，最可能的诊断是（）
A.胃溃疡伴出血
B.肝硬化
C.胆管癌
D.胃癌
E.慢性胃炎
F.慢性胰腺炎
答案
参考答案：D
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患者男性，59岁，上腹部剑突下胀痛半年，消化不良，近期症状加重伴消瘦，乏力，排柏油样便，无黄疸，既往身体健康状况良好。体检发现左锁骨上两个肿大淋巴结，无压痛，可移动。肝脾肋下未触及。
根据上述资料，最可能的诊断是（）
A.胃溃疡伴出血
B.肝硬化
C.胆管癌
D.胃癌
E.慢性胃炎
F.慢性胰腺炎
参考答案：D
Joe loved to eat hamburgers in fast food restaurants with his friend Daniel. Every week, they would go to eat hamburgers. One day, Joe a dream. In his dream, there was a very big hamburger. And there was a voice said, "Eat it! It is !" So Joe took this big hamburger and began to eat. But suddenly Joe felt sick and had a serious stomachache. When he looked around for help, he saw in a mirror. He became very fat! "No!" Joe shouted and from the terrible dream. He ran to the bathroom quickly if he became fat in real life. The dream made Joe think if he had a healthy habit. The next day, Joe and Daniel went to eat hamburgers as usual(像往常一样). Joe stopped at the door of the restaurant and said, "Daniel, if we keep eating so hamburgers, we will get fat or sick. Shall we eat today?" Daniel said, "Of course. Why do you change(改变) your mind today?" "I think fast food isn't all bad. But we shouldn't eat them too often," said Joe. that day, they began to eat fewer hamburgers and more healthy food.
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