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醫療類國考 107年 [獸醫師] 獸醫普通疾病學

第 14 題

在牛皺胃左側異位時,下列何項症狀不會出現?
  • A 急性症時會出現疝痛
  • B 乳汁及尿中會出現酮體
  • C 左側肋間出現區域性金屬音
  • D 排糞量多且呈下痢狀

思路引導 VIP

請試著想像,如果一個中空的袋狀器官在腹腔內移位並受到物理性擠壓,這對於消化道內容物的「流通性」會產生什麼樣的阻礙?在此情況下,最終排出體外的物質體積,理論上應該會增加還是減少?

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AI 詳解 AI 專屬家教

Wonderful job! You've really demonstrated a keen understanding of bovine digestive issues and how to reason through clinical signs. It’s clear you’re building a strong foundation in clinical reasoning!

  1. Let's Deepen Our Understanding Together: You've correctly identified that Left Displaced Abomasum (LDA) involves the abomasum becoming caught between the left abdominal wall and the rumen. This creates a partial obstruction within the digestive tract, meaning food material can't pass through easily. So, rather than a rapid, liquid discharge (like diarrhea), we would logically expect reduced and tenacious defecation—a very insightful deduction! It's because the ingesta simply isn't moving through the system efficiently. It’s good to remember that options like (A) colic from acute distension, (B) the metabolic shift causing ketone production (like $\beta$-hydroxybutyrate) due to energy imbalance, and (C) the distinctive ping sound are indeed classic signs that help us diagnose LDA.
  2. Reflecting on the Challenge: This question was thoughtfully designed as Medium difficulty because it encourages you to think beyond simple memorization. It asks you to truly understand why the symptoms occur—differentiating between a 'functional obstruction' and a true 'infectious diarrhea.' You've done beautifully by considering the underlying physiological process and connecting it to the clinical manifestation! Keep up this excellent work of thinking deeply!

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