一、病史采集 简要病史：60岁，上腹部隐痛不适2个月，呕吐1天。 要求：你作为住院医师，按照标准住院病例要求，围绕以上主诉，请叙述应如何询问该患者现病史及相关的内容。
参考答案：
解析：初步诊断：可能为胃癌。 (一)问诊内容 1．现病史 (1)根据主诉及相关鉴别询问 ①呕吐诱因、性质、量，是否与胃液相混 ②上腹隐痛性质、程度、放射，是否与进食有关 ③是否伴有食欲不振、消瘦、乏力 ④饮食习惯、二便情况如何，有无黑便 (2)诊疗经过 ①内科诊治情况 ②影像学检查和内窥镜检查结果 2．相关病史 (1)有无溃疡病和胃肠道疾病史 (2)有无肝胆胰等上腹部脏器疾病史 (3)有无药物过敏史 (二)问诊技巧 (1)条理性强、能抓住重点 (2)能够围绕病情询问
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| Several years ago, a farmer owned some land along the sea. He advertised(征聘) for workers, but no one wanted to work for him. Most people didn't want to work there 1 they didn't like the bad storms. Finally, a 2 man, who looked weak and more than fifty years old, came to see the farmer. "Are you a good farmhand?" the farmer asked him. "Well, I 3 sleep well when the wind blows." answered the little man. Although the answer was strange, the farmer let the man stay to work. The little man worked 4 around the farm, busy from morning till evening. The farmer felt very pleased with his work. Then one night the wind began to blow strongly. Jumping out of the bed, the farmer 5 into the little man's room. He shook the little man and cried, "Get up! A 6 is coming!" The little man said slowly, "No sir, I told you-I can ____37___ well when the wind blows." The farmer was very angry, but he had to hurry outside to get ready for the storm. To his 8 , everything was ready outside. 9 could be blown away. The farmer 10 what the man meant, so he returned to his bed to sleep while the wind was still blowing. | |||
| ( )1. A. so ( )2. A. big ( )3. A. can ( )4. A. well ( )5. A. walked ( )6. A. man ( )7. A. work ( )8. A. anger ( )9. A. Everything ( )10.A. understood | B. but B. little B. must B. badly B. rushed B. dog B. play B. pride B. Something B. preferred | C. because C. young C. need C. loudly C. moved C. ship C. sleep C. surprise C. Anything C. heard | D. although D. strong D. should D. clearly D. drove D. storm D. listen D. confidence D. Nothing D. did |