問題詳情

44 50 歲男性因一天前左腰突然劇烈疼痛至急診就醫,疼痛已較減緩但仍然持續,Vital signs:TPR 38.1/102/18,BP: 186/89 mmHg,尿液檢查無血尿,病人過去有糖尿病及心衰竭病史,理學檢查左腹有壓痛其餘無異常發現,檢驗報告如下:WBC 7340/mm3, Hb/Hct 10 g/dl / 32.7%,platelet 145k/mm3,seg. 78%,lymph 16.5%,Sugar 240 mg/dl,BUN/Cr 41/1.2 mg/dl,AST/ALT195/97 U/L,Na/K 136/4.2 mEq/L,CPK 59 U/L,amylase 70 U/L,CK-MB 7U/L,Troponin: negative. Abdominal CT 顯示急性左腎梗塞(Acute left renalinfarct),陳舊性脾臟及右腎梗塞(old splenic and right renal infarct),現在最需要的檢查為何?
(A)Echocardiography
(B)Renal Ultrasonography
(C)Abdominal Ultrasonography
(D)IVP(Intravenous Pyelography)
(E)Liver Ultrasonography

參考答案

答案:A
難度:計算中-1
書單:沒有書單,新增