A 35-year-old man is awakened at night because of severe lower abdominal pain that radiates to the groin. The pain is very intense and comes in waves. The next morning， he notices blood in his urine. On examination， there are no remarkable findings. Which of the following is the most likely diagnosis？（ ）
A: Acute cystitis
B: Renal cell carcinoma
C: Ureteral lithiasis
D: Hydronephrosis
E: Autosomal dominant polycystic kidney disease
A: Acute cystitis
B: Renal cell carcinoma
C: Ureteral lithiasis
D: Hydronephrosis
E: Autosomal dominant polycystic kidney disease
举一反三
- A 35-year-old man is awakened at night because of severe lower abdominal pain that radiates to the groin. The pain is very intense and comes in waves. The next morning, he notices blood in his urine. On examination, there are no remarkable findings. Which of the following is the most likely diagnosis?
- 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
- A 30 year old female presents to the emergency with complaint of severe abdominal pain, an abdominal mass palpable on examination most likely diagnosis: () A: Torsion of subserous fibroid B: Twisted ovarian cyst C: Rupture of ectopic pregnancy D: Rupture of ovarian cyst E: Infection
- The patient, a 38-year-old male, suffered from repeated epigastric pain for many years, and suddenly developed severe abdominal pain with abdominal muscle tension in a plate-like abdomen. The most likely cause was: A: Acute cholecystitis B: Perforation of stomach or duodenum C: Acute pancreatitis D: Rupture of spleen E: Rupture of kidney
- A 33-year-old female had a sudden left vulva pain for 2 days, accompanied by fever and systemic weakness. Physical examination showed that local swelling, heat and pain existed at the lower lip of the left vulva major and in front of the vaginal opening, and there was a sense of fluctuation in touch. Combined with the history and other signs, the diagnosis is most likely to be A: Acute cystitis B: Acute urethritis C: Nymphitis D: Acute vestibular great adenitis