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A 49-year-old patient complains of deglutition problems, especially with solid food, hiccups, voice hoarseness, nausea, regurgitation, significant weight loss (15 kg within 2,5 months). Objectively: body weight is reduced. Skin is pale and dry. In lungs: vesicular breathing, heart sounds are loud enough, heart activity is rhythmic. The abdomen is soft, painless on palpation. Liver is not enlarged. What study is required to make a diagnosis?Study of gastric secretionEsophageal duodenoscopy along with biopsyX-ray of digestive tract organsClinical blood testX-ray in Trendelenburgs position
A 58-year-old patient has a 3-year history diabetes mellitus type II. He has been keeping to a diet and regularly taking glyburide. He has been delivered to a hospital on an emergency basis for acute abdomen. Objectively: the patient is of supernutrition type. The skin is dry. In the lungs vesicular breathing can be auscultated. Heart sounds are regular, 90/min. AP- 130/70 mm Hg. The symptom of "wooden belly" is visible. Blood sugar - 9,8 millimole/l. The patients has indication for laparotomy. What is the most appropriate way of further treatment of diabetes?To administer 1 tablet of Glurenorm three times a dayTo administer 1 tablet of Maninil three times a dayTo continue taking glyburideTo administer Semilong to be taken in the morning and insulin - in the eveningTo administer short insulin
A 32-year-old patient has a 3-year history of asthma attacks, that can be hardly stopped with berotec. Over a few last months he has experienced pain in the joints and sensitivity disorder of legs and feet skin. Ps - 80/min, AP - 210/100 mm Hg. In blood: eosinophilia at the rate of 15%. What disease can be suspected in this case?Systemic lupus erythematosusDermatomyositisWegeners diseasePeriarteritis nodosaSystemic scleroderma

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