医学英语在线翻译
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Decompressive laparotomy has been shown to effec-
tively reduce IAP and reverse the symptoms typically
associated with ACS [32]. In patients with severe acute
pancreatitis and IAH, intra-abdominal fluid collections
may not always be present and therefore decompres-
sive laparotomy and temporary abdominal closure is
the most effective way of decreasing IAP [7, 15, 33].
The most common approach to decompressive
laparotomy is through a long, vertical midline incision,
but a transverse incision to anticipate later pancreatic
surgery may also be used. Because of the risk of
tively reduce IAP and reverse the symptoms typically
associated with ACS [32]. In patients with severe acute
pancreatitis and IAH, intra-abdominal fluid collections
may not always be present and therefore decompres-
sive laparotomy and temporary abdominal closure is
the most effective way of decreasing IAP [7, 15, 33].
The most common approach to decompressive
laparotomy is through a long, vertical midline incision,
but a transverse incision to anticipate later pancreatic
surgery may also be used. Because of the risk of
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CASE 1: A Young Boy With Progressive Muscular and Pseudohypertrophy
of Calves
CLINICAL DATA
This 5-year-old boy was the product of a normal pregnancy and
delivery. He began to walk at the age of 15 months but has never be a
able to run. By the age of 3, he had difficulty climbing steps and fell
frequently. In order to get up from the floor, he would assist himself by
putting his hands on his knees. There was no family history of any
neuromuscular disease.
On examination,he was found to have weakness of his shoulders, pelvic
muscles and legs. His gait was unsteady and he could not hop on one
foot. There was a mild lumbar lordosis .His deep tendon reflexes were
decreased and he had minimal contracture of the Achilles tendons.
There was considerable pseudohypertrophy of the calves. no myotonia
could be elicited. Sensory examination was within normal limits.
Electromyography was suggestive of myopathy. laboratory studies
revealed a serum creatine phosphokinase(CPK) of 1600IU/l.
A biopsy of the quadriceps femoris was performed to confirm the
clinical diagnosis.
QUESTIONS
1. The most likely clinical diagnosis is
A. Duchenne muscular dystrophy
B. Limb-girdle muscular dystrophy
C.myotonic dystrophy
D. facioscapulohumenal muscular dystrophy
2. The pattern of inheritance in Duchenne muscular dystrophy is
A. autosomal dominant
B. autosomal recessive
C. x-linked recessive
D. variable
3. Good muscular biospy technique includes
A. selection of a moderately affected muscle
B. avoidance of sites previous injections,surgical incisions and
punctures by EMG needles
C.share dissection and use of an isometric clamp
D. all of the above
4. Patients with Duchenne muscular dystrophy usually die during the
second or third decades from
A. myositis
B. pulmonary disease
C. cardiac involvement
D. malignancies
5. If this child's disease fails to progress, if he remains ambulatory past
the age of 10 or 12 and if no electrocardiographic abnormalities appear,
one would have to revise the diagnosis to
A. limb-girdle muscular dystrophy
B. myotonic dystrophy
C. Becker muscular dystrophy
D. none of these
6. Younger male siblings with no overt clinical abnormalities may show
A. histological evidence of active muscular dystrophy
B. elevated serum muscle enzymes
C. histological evidence of an abortive form of muscular dystrophy
D. none of above
7. which of the following are useful in determining whether the mother
and any of her daughters are carriers?
A. Muscular boipsy
B. Serum muscle enzymes
C. Electromyography
D. All of these
of Calves
CLINICAL DATA
This 5-year-old boy was the product of a normal pregnancy and
delivery. He began to walk at the age of 15 months but has never be a
able to run. By the age of 3, he had difficulty climbing steps and fell
frequently. In order to get up from the floor, he would assist himself by
putting his hands on his knees. There was no family history of any
neuromuscular disease.
On examination,he was found to have weakness of his shoulders, pelvic
muscles and legs. His gait was unsteady and he could not hop on one
foot. There was a mild lumbar lordosis .His deep tendon reflexes were
decreased and he had minimal contracture of the Achilles tendons.
There was considerable pseudohypertrophy of the calves. no myotonia
could be elicited. Sensory examination was within normal limits.
Electromyography was suggestive of myopathy. laboratory studies
revealed a serum creatine phosphokinase(CPK) of 1600IU/l.
A biopsy of the quadriceps femoris was performed to confirm the
clinical diagnosis.
QUESTIONS
1. The most likely clinical diagnosis is
A. Duchenne muscular dystrophy
B. Limb-girdle muscular dystrophy
C.myotonic dystrophy
D. facioscapulohumenal muscular dystrophy
2. The pattern of inheritance in Duchenne muscular dystrophy is
A. autosomal dominant
B. autosomal recessive
C. x-linked recessive
D. variable
3. Good muscular biospy technique includes
A. selection of a moderately affected muscle
B. avoidance of sites previous injections,surgical incisions and
punctures by EMG needles
C.share dissection and use of an isometric clamp
D. all of the above
4. Patients with Duchenne muscular dystrophy usually die during the
second or third decades from
A. myositis
B. pulmonary disease
C. cardiac involvement
D. malignancies
5. If this child's disease fails to progress, if he remains ambulatory past
the age of 10 or 12 and if no electrocardiographic abnormalities appear,
one would have to revise the diagnosis to
A. limb-girdle muscular dystrophy
B. myotonic dystrophy
C. Becker muscular dystrophy
D. none of these
6. Younger male siblings with no overt clinical abnormalities may show
A. histological evidence of active muscular dystrophy
B. elevated serum muscle enzymes
C. histological evidence of an abortive form of muscular dystrophy
D. none of above
7. which of the following are useful in determining whether the mother
and any of her daughters are carriers?
A. Muscular boipsy
B. Serum muscle enzymes
C. Electromyography
D. All of these
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如果您需要的是比较专业、精准的话还是推荐你找家翻译公司吧,在线翻译的大多是词语的比较准确的。雷音翻译有资深的医学翻译专家,可以满足你在这个领域的翻译需求。
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2010-11-10
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双溪桥镇杨堡村卫生室
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