女性，26岁，养猪厂工人，因发热全身酸痛5天，于7月22日入院，T40℃，眼结合膜充血，腹股沟淋巴结蚕豆大，有压痛，腓肠肌轻压痛，肝肋下可及轻叩痛，双肾区有叩击痛，尿蛋白（+），每高倍视野有RBC2～3个，WBC1～2个，诊断应首先考虑（）。
A.钩端螺旋体病
B.流行性出血热
C.斑疹伤寒
D.伤寒
E.病毒性肝炎
参考答案：A
解析：夏秋季发病，有发热、全身痛、结膜充血、淋巴结、腓肠肌压痛及肾损害。
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| It was Tom's first visit to England, and he was looking forward to his first journey on London's Underground Railway. And against his friends' 1 , he was determined to travel 2 . He entered the station shortly after five o'clock in the afternoon. This is a 3 time to travel in London, 4 crowds of people go home from work at this hour. He 5 to join a long line of people waiting for tickets. When at last his 6 came, he had some difficulty in making himself understood by the ticket seller. 7 , he got the right ticket in the end and by asking people the 8 , he also found the right platform. It was 9 with people. He did not 10 to get on the first train, but he was able to move nearer to the platform so as to be in a better 11 to get on the next one. When this train came in, Tom was 12 forward onto the train by the 13 of people from behind. The doors closed and the train moved off. He was unable to see the 14 of the stations where the train 15 , but he knew that the station he wanted was the sixth 16 along the line. When the train reached the sixth station, Tom got off, feeling 17 that his journey had been so easy. But he suddenly realized that he had come to a station he had never 18 . He explained his 19 to a man who was standing on the platform. With a 20 on his face, he told Tom that he had caught a train going in the opposite direction. | ||||
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