Case file study（You can answer the question either in Chinese or English) A 50-year-old Hispanic female presents to your clinic with complaints of excessive thirst, fluid intake, and urination. She denies any urinary tract infection symptoms. She reports no medical problems, but has not seen a doctor in many years. On examination she is an obese female in no acute distress. Her physical exam is otherwise normal. The urinalysis revealed large glucose, and a serum random blood sugar level was 320mg/dL. 1.What is the most likely diagnosis? 2.What other organ systems can be involved with the disease? 3.What is the biochemical basis of this disease?
举一反三
- A 21-year-old female presents to the physician’s office with complaints of very painful vulvar ulcers. The patient states she has had the symptoms for approximately 3 days, and they are worsening. She says that prior to the ulcerations, there was a burning and tingling sensation of the skin in the same area. She has noted similar symptoms like this before and has been told it is sexually transmitted. On examination you see multiple extremely tender, vesicular (blister-like) lesions on an erythematous (red) base on both labia major of the vulva. She has a moderate amount of tender inguinal lymph nodes bilaterally. The physician uses a swab to sample the ulcer and send it off for diagnostic analysis. 1.What is the most likely diagnosis? 2.If the test is for deoxyribonucleic acid (DNA), what method would be used to amplify the fragments of DNA sampled?
- What do you know of Liu Yang? A: She is the first female astronaut. B: She is the first Chinese female astronaut. C: She dreamed of being an astronaut when she was very young. D: She did a better job than the other male astronauts.
- A 65-year-old man recently retired after many years in a job that involved exposure to aniline dyes. One month ago, he had an episode of hematuria that was not accompanied by abdominal pain. On physical examination, there are no abnormal findings. Urinalysis shows hematuria (4+) and no ketones, glucose, or protein. The result of a urine culture is negative. What is the most likely diagnosis? A: Renal clear cell carcinoma B: Glomerular disease C: Pyelonephritis D: Urothelial carcinoma
- —What do you think of your English teacher? —I love her. She is really . She always has a smile on her face.2
- A 21 year old presents to your office after injuring her knee in a soccer game. She states that the knee clicks when she walks and has “locked” on several occasions.On exam there is an effusion and the knee is grossly stable. The most likely diagnosis is:（B） A: Anterior cruciate ligament tear B: Osteoarthritis C: Meniscal tear D: Bursitis