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輯思維 臨床思維應作到 檢查的最佳選擇 臨床思維應作到 突然 半身不遂 顱腦 CT MRI R L R L This 54yearold woman was brought to the Emergency Department approximately 1 hour following a report of granmal seizure. The patient had no prior seizure history. On physical examination, she appeared somewhat confused, but no focal findings were seen R L Annotated pair of T2 and T1 images 進行性吞咽困難 食道吞鋇 胃鏡 +活檢 縱隔 CT 肝臟占位性病變 酶學( GPT、 GOT、 GGT) AFP 影像( B超、 CT) 肝穿刺活檢 腎 病 尿常規(guī) 腎功能 腎超 腎活檢 泌尿系感染 尿沉渣 尿培養(yǎng) 腎超 腎盂造影 冠心病 發(fā)作時 ECG 運動試驗 放射性核素心肌掃描 冠脈造影