问题描述:
[单选]
一个3周大的男孩被带到有1周强迫呕吐史的儿科医生办公室。 几乎每次喂奶后他都在呕吐。 呕吐物含有大部分未消化的配方,并且是非胆汁的。 检查时,他的口腔粘膜干燥,他的前font门似乎凹陷了,他的毛细血管补充时间为3-4秒。 腹部检查发现上腹部有2 cm肿块。 其余的考试没有什么变化。 以下哪种电解质发现最有可能出现?A 3-week-old boy is brought to the pediatrician"s office with a 1-week history of forceful vomiting. He has been vomiting after almost every feeding. The vomitus contains mostly undigested formula and is non-bilious. On examination, his oral mucosa is dry, his anterior fontanelle appears to be depressed, and his capillary refill is 3-4 seconds. Abdominal examination reveals a 2 cm mass in the epigastrium. The remainder of the examination is unremarkable. Which of the following electrolyte findings will most likely be seen?
A.低氯代代谢性碱中毒Hypochloremic metabolic alkalosis
B.次氯酸代谢性酸中毒Hypochloremic metabolic acidosis
C.具有代谢补偿的呼吸性酸中毒Respiratory acidosis with metabolic compensation
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上一篇:一个2周大的男孩被父母带到急诊室。 他一生的前几周已经脱水,并且经常呕吐。 父母说,婴儿每次喂奶后都会呕吐,但他总是很饿。 呕吐与进食一致,且颜色不佳。 经检查,婴儿无发热,前font凹陷。 心脏和肺部检查未发现异常。 腹部检查显示可见的蠕动性胃蠕动波,在肝边缘下方上中隔的脐带上方和右侧,有一个2cm坚硬的活动块。 凳子是愈创木脂阴性的。 实验室研究与这种情况的典型发现是一致的。 放置鼻胃管和静脉内管线。 以下哪项是管理中最合适的下一步?A 2-week-old boy is brought to the emergency department by his parents. He has become dehydrated during his first few weeks of life and is vomiting frequently. The parents state that the infant vomits after each feeding but he is always hungry. The emesis is consistent with feedings and nonbilious in Color. On examination, the infant is afebrile and the anterior fontanelle is sunken. Heart and lung examinations reveal no abnormalities. Abdominal examination shows visible gastric peristaltic waves and a 2cm firm, mobile mass above and to the right of the umbilicus in the mid-epigastrium beneath the liver edge. Stool is guaiac-negative. Laboratory studies are consistent with the typical findings of this condition. A nasogastric tube and intravenous line are placed. Which of the following is the most appropriate next step in management?
下一篇:一名60岁的糖尿病患者在瘫痪后从脓毒症中恢复过来,在进行血液培养和使用0.9%的生理盐水积极进行液体管理后,使用适当的抗生素治疗了2天,以降低血压。 尽管血压恢复正常,但患者的以下生化血液异常结果如下。 诊断是什么?A 60-year-old diabetic man recovering from sepsis after collapsing at home was treated with appropriate antibiotics after blood culture and aggressive fluid management with 0.9 per cent saline for 2 days for hypotension. Although blood pressure returned to normal, the patient had the following abnormal biochemical blood results is as follow. What is the diagnosis?pH 7.32PCO2 5.2PO2 11.1Sodium 147 mmol/LPotassium 3.5 mmol/LChloride 119 mmol/LBicarbonate 19.5
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