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男、2岁，水肿1周，加重3天。体检：高度水肿，腹水征(＋)，阴囊水肿。 下一步的检查应是
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案例分析题水下旅馆In a bay near Almeria in Southern Spain will be built the world’s first underwater residence for tourists. The hotel will be 40 feet down in the Mediterranean. As all the world opened to tour operators, there was still a frontier behind which lay three quarters of the globe’s surface, the sea; in whose cool depths light fades; no winds blow; there are no stars. There even the most bored travelers could recapture their sense of romance, terror or beauty. For a submerged hotel is such a beautiful idea．The hotel will cost 170,000 and will be able to accommodate up to ten people a night. Up until now only scientists and professional divers have lived under the sea, but soon, for the first time, the public will be able to go down into the darkness. They will have to swim down in diving suits, but at 40 feet there would be no problem about decompression.Design of the hotel was crucial. Most of the underwater structures used before had been in the shape of a diving bell or submarine. Professional divers could cope with such things but ordinary people would run the risk of violent claustrophobiA．Then an Austrian architect had the idea of making three interconnecting circular structures, 18 feet in diameter, and looking much like flying saucers. They would be cast in concrete and launched from the shore. Towed into position they would then be sunk. A foundation of cast concrete would already be in place on the sea beD．Pylons would attach the structures to this. Once in position the structures would be pumped dry. The pylons, made to withstand an uplift pressure of 350 tons, would then take the strain.Cables linking the underwater structures to the hotel on shore would connect it with electricity, fresh water, television, and an air pump, and also dispose of sewage. Entry would be from underneath, up a ladder; because of the pressure inside there would be no need of airlocks or doors.The first structure would include a changing room and a shower area, where the divers would get out of their gear. There would also be a kitchen and a lavatory. The second structure would contain a dining room/lecture theater, and sleeping accommodation for eight people. The third structure would contain two suites. A steward would come down with the ten customers, to cook and look after them. Television monitors would relay all that went on to the shore so that discussions on the sea bed could be transmitted to all the world．Around the hotel there are plans to build a strange secret garden, over 100 yards square, of plastic shapes, curves, circles, hollows. This would have a dual function. First, to attract fish who would see it as a shelter and hiding place; secondly, to allow guests looking out of the reinforced windows to see a teeming underwater life.So far at the site a diving tower 33 feet deep has been installed for diving instruction. An aquarium has been built, and zoologists from Vienna University are in regular attendance to supervise its stocking. There are storage cupboards full of the plastic shapes for the underwater garden and there is a model of the hotel. All that is needed now is permission from the Spanish Government to start building. From the passage we understand that tour operators were particularly interested in the siting of the hotel as（）
案例分析题AAccommodation 住宿One is never at a loss for a place to (1) in Malaysia．The country’s cities and major towns have a (2) range of accommodation to suit all tastes and budgets. Most international (3) hotels cater to total living requirements and as such, one (4) easily find restaurants, entertainment outlets and fitness centres within the (5) complex.Several resort hotels even have adjoining golf courses and (6) parks with special privileges accorded to hotel guests. Family outings (7) these hotels can be a practical yet fun-filled activity. Guests (8) on longer stays may appreciate the serviced apartments situated within (9) major cities.Malaysia is also an excellent destination for romantic getaways， (10) for honeymooners seeking an idyllic tropical retreat with (11) amenities. The country’s award-winning island resorts are paradises waiting to be (12) For budget-conscious tourists, there is an array of accommodations located (13) to amenities and tourist attractions. Budget accommodations in Malaysia are (14) according to the Orchid Classification Scheme and include hostels, bed (15) breakfast establishments, inns, boarding houses, rest houses and lodging houses (16) Orchid rating is awarded to tourist accommodations offering basic facilities (17) well as safe and clean premises.Adventurous souls can try (18) the innumerable value-for-money kampung-style chalets located along popular beaches. Nature (19) seeking communion with nature in Malaysia’s world-famous nature parks such (20) Taman Negara will be amazed by the easy availability of chalets with modern facilities in these areas. （7）处应填写（）
女性患者，58岁，以“渐进性四肢乏力、疼痛1年余，加重1个月”来诊。患者于1年前患带状疱疹，1个月后出现双下肢阵发性疼痛，起初仅在小腿，继而逐渐向上发展，同时伴双下肢发紧、麻木感，左下肢为重。查体：四肢肌力4级，余神经系统体征未见异常。 应进一步做何检查
案例分析题在墨西哥度假Each year more travelers are finding their way to the sun coasts of Mexico; where ancient civilizations once honored the sun, modern sun worshippers are discovering superb vacation destinations. Airlines now schedule weekly flights from major national and international points to a variety of sun coast resort areas.The peninsula of Baja California provides one of the most splendid vacation sites in the Western Hemisphere. The peninsula is divided into two states: Baja California Norte and Baja California Sur, which are now connected by the Benito Ju rez Trans-peninsular Highway, so that the entire peninsula can be easily reached by car, as well as by sea and air. A chain of new hotels offer deluxe accommodations, but there are also numerous camping grounds, trailer parks and wayside inns for those who prefer casual-living vacations. At the southern end of the peninsula, La Pazi San Jos del Cabo and Cabo San Lucas offer rapidly expanding deluxe facilities to accommodate the growing influx of visitors. All have good accommodations, restaurants, sports facilities and meeting rooms. In addition, La Paz, with its duty-free zone, is a shopper’s paradise.Kino Bay, a coastal resort on the mainland near Hermosillo, is expanding and will soon offer new luxurious tourist accommodations.South along the coast are Topolobampo and Los Mochis, the former a ferry terminus serving La Paz on the peninsula, and boasting the largest natural bay in the world; and the latter a starting point for the Chihuahua-Pacific Railway trip which goes through the breath-taking Copper Canyon to the city of Chihuahua．Mazatlan, the sailfish capital of the world, has developed a large new resort complex to accommodate its many visitors. Famous for its jumbo shrimp and other delicious seafood, Mazatlan also offers seasonal bullfights, lively evening entertainment and big-game fishing. An international fishing tournament is held there each fall. Modem convention and sports facilities are available. Mazatlan is easily reached from other major cities by good high-ways and an international aiport.Puerto Vallarta, once a sleepy fishing village, is now one of Mexico’s fastest growing resorts. The red-tiled roofs and cobblestoned streets contrast with the luxurious new hotels. The annual temperature averages around 80°F., offering a perfect climate for parasailing, skin diving, surfing and other aquatic sports. Evening entertainment includes seafood dinners, floor shows and disco dancing that lasts until daybreak. Big-game hunting and fishing are also popular within this region of coastal Mexico. The Sun coasts of Mexico are excellent vacation destinations where in ancient times people（）
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