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当前学科：中医内科综合练习
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患者女性，18岁，学生，1月前无明显诱因出现双足趾关节，双膝关节隐痛（但不肿胀），未予重视，后逐渐出现全身关节肿痛，伴晨僵约10分钟。体格检查：T38.1℃，P90次/分，R20次/分，BP120/70mmHg。双手近端指间关节，双膝关节，双踝关节红肿、胀痛，屈伸不利，口干欲饮，小便黄赤短少，大便干结，舌质红，苔黄厚腻，脉滑数。X光片：双手部分近指关节软组织肿胀，关节骨质未见破坏，关节间隙正常。诊断何病（）
A . 着痹
B . 寒痹
C . 风寒湿痹
D . 风湿热痹
E . 行痹
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McDonald's, Greggs, KFC and Subway are today named as the most littered brands in England as Keep Britain Tidy called on fast-food companies to do more to tackle customers who drop their wrappers and drinkscartons(盒子) in the streets. Phil Barton, chief executive of Keep Britain Tidy,(62)its new Dirty Pig campaign, said it was the first time it had investigated which(63)made up "littered England" and the same names appeared again and again. "We(64)litterers for dropping this fast food litter(65)the first place but also believe the results havepertinent(相关的) messages for the fast food(66). McDonald's, Greggs, KFC and Subway need to do more to(67)littering by their customers." He recognised efforts made by McDonald's,(68)placing litter bins and increasing litter patrols, but its litter remained "all too prevalent". All fast food chains should reduce(69)packaging, he added. Companies could also reduce prices(70)those who stayed to eat food on their premises, offer money-offvouchers(代金券) or other(71)for those who returned packaging and put more bins at(72)points in local streets, not just outside their premises. A(73)for McDonald's said: "We do our best. Obviously we ask all our customers to dispose of litter responsibly." Trials of more extensive, all-day litter patrols were(74)in Manchester and Birmingham. KFC said it took its(75)for litter management "very seriously", and would introduce a programme to reduce packaging(76)many products. Subway said that it worked hard to(77)the impact of litter on communities,(78)it was "still down to the(79)customer to dispose of their litter responsibly". Greggs said it recognised the " continuing challenge for us all ",(80)having already taken measures to help(81)the issue.