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A patient presents to the ER with acute RLQ pain, nausea

0 years old | Male

Vignette:

A patient presents to the ER with acute RLQ pain, nausea vomitting and anorexia. The patient is now trying to leave the ER because he states that the pain just suddenly stopped. Will you just let that patient go or is there something more going on here?

Summary:

acute RLQ pain | nausea | vomiting | anorexia | pain just suddenly stopped

Dx:

Perforated Appendicitis Acute Appendicitis

Ref:

https://quizlet.com/86714826/general-abdominal-pain-patient-vignettes-flash-cards/?__cf_chl_captcha_tk__=640bed634bb62869f9c40b390ae86cea9c023c3b-1617526521-0-AeB8ZXsrJfqJLRsdXRUPHe1lpCNEDSSfIMW19wKJqBkqH4h-xly7wDpqny5bigyZnFlJRZi1Ux_a4I5vIF2GHoHUooeO0xvkEv76d4OouRdKpxqnqRu-I3P7qfdOb27Ou2qPOXPvb--IgjzAfRFLvXF9A0BNrMueHaXzcr3KJASu_80E2ZdGpkFNWlO0g_9vDQz2RP4rRLlZT8AEn1NT0agfmqKFKGTYNhGFXZZ9Cmb8U34JEID4Y-wgfvwx6eJGiL0giYdnR4X_y3-PEIW1CVc73EWxEwSapbchHy0mt8DzheeQ-NZDDncNXTwUmq_KY_QF2W9pN-o1vzTxUvhADxmMazPK8rr3VYiQAjxMCaPw3mbcvzViYzpvNoP4POd338QY6nUa63CCzDsqt2857NrXoS57Sca_Ib4vCkiK1tz_gieXL4F0ZQvJ9Ahb_5yQufkjJGwwwGfIUS7m7T_9YKCO-CBIS70l5IXmjm922i2orrpAyWbeUUnjokooPLkl8V4fMv2tPn7NHZABj78VXYwngvmfNqeedP8iHeGeqcwxVYN8Kp8xqaRmNKATXk_017KrkmzJ_pk22nWycAO1TWzs53kwVmqGLr-RBXdosBxES_lHV2aMrAUh7ZpGcqr-GkZzA1wE6ERVyb3UzDJ3yxWNB4az77rWHks_cPONAfQ9crwEQ_69tYwRqbdZWyU1acOUK6rna-EuHxlL5OqxS4qSr1vOaOHN_jUhIKZU38_W

Rank

Disease

Weight

1 Acute Pancreatitis 322.0
2 Acute Appendicitis 313.0
3 Alcoholic Liver Disease 266.0
4 Acute perforated appendicitis 263.0
5 Rocky Mountain spotted fever 259.0
6 Gallbladder cancer 254.0
7 Acute fatty liver of pregnancy 253.0
8 Gastroparesis 244.0
9 Intestinal Obstruction 237.0
10 pancreatic cancer 229.0
11 Migraine headache in adults 229.0
12 Hereditary Angioedema 210.0
13 Alcoholic Liver Cirrhosis 208.0
14 Gallstone pancreatitis 205.0
15 Acute Cholecystitis 202.0
16 mucosal Eosinophilic gastroenteritis 202.0
17 Emphysematous cholecystitis 202.0
18 Gastric Outlet Obstruction 202.0
19 Addison Disease 192.0
20 Diabetic Ketoacidosis 191.0
21 Ovarian and fallopian tube torsion 186.0
22 Intussusception 184.0
23 Viral Gastroenteritis 183.0
24 Mesenteric ischemia 181.0
25 Crohn Disease 181.0
26 Acute Hepatitis 180.0
27 Diverticulitis 176.0
28 Acute peptic ulcer 173.0
29 Spontaneous bacterial peritonitis 171.0
30 Systemic lupus erythematosus 170.0
31 Acute intermittent porphyria 169.0
32 Alcoholic Fatty Liver 167.0
33 Anaphylaxis 166.0
34 Pyogenic Liver Abscess 163.0
35 Gastritis 161.0
36 Amphetamine use disorder 156.0
37 Ulcerative Colitis 155.0
38 Angle Closure Glaucoma 155.0
39 Alcoholic hepatitis 153.0
40 Liver disease 153.0
41 Hypercalcemia 153.0
42 Esophagitis 152.0
43 Acute viral meningitis 152.0
44 Chronic pyelonephritis 151.0
45 Acute Clonorchiasis 150.0
46 End Stage Renal Disease 150.0
47 Food poisoning 150.0
48 Choledochal Cyst 149.0
49 Non-cholera Vibrio infections 149.0
50 Dyspepsia 147.0
51 biliary SOD 146.0
52 Chronic bacterial prostatitis 146.0
53 Gallbladder Dyskinesia 144.0
54 Primary sclerosing cholangitis 143.0
55 Klebsiella pneumoniae liver abscess 141.0
56 Adrenal crisis 141.0
57 biliary colic 140.0
58 Kidney stones 140.0
59 Thrombotic thrombocytopenic purpura 140.0
60 Acute bacterial meningitis in children 140.0
61 Ovarian Torsion 139.0
62 Autoimmune hepatitis 138.0
63 Muscle Layer Eosinophilic gastroenteritis 136.0
64 Motion Sickness 136.0
65 Ileus 134.0
66 Acetaminophen overdose 134.0
67 Choledocholithiasis 133.0
68 Biliary cirrhosis 133.0
69 Primary biliary cirrhosis 133.0
70 Acute otitis media 133.0
71 Meckel diverticulum 132.0
72 Brucellosis 132.0
73 Sphincter of Oddi Dysfunction 130.0
74 Hiatus hernia 130.0
75 pancreatic SOD 130.0
76 Aseptic meningitis 130.0
77 Infectious mononucleosis 129.0
78 Malaria 128.0
79 Peptic Ulcer 126.0
80 Typhoid infection 125.0
81 Intestinal Pseudo Obstruction 123.0
82 Intra-abdominal abscess 123.0
83 Adrenal Suppression 123.0
84 Pyelonephritis 122.0
85 Ovarian Cancer 121.0
86 Hyperparathyroidism 121.0
87 Shigellosis 121.0
88 Gallstones 119.0
89 Campylobacter infection 119.0
90 Type 1 Diabetes mellitus 118.0
91 Acute pericarditis 118.0
92 Polyarteritis nodosa 118.0
93 Labyrinthitis 118.0
94 Ruptured ectopic pregnancy 117.0
95 Sarcoidosis 117.0
96 Listerial gastroenteritis 116.0
97 Acute Liver Failure 116.0
98 Milk-alkali syndrome 115.0
99 Anthrax 115.0
100 Acute Milk-alkali syndrome 115.0
101 Chronic Milk-alkali syndrome 115.0
102 Splenic Infarction 114.0
103 Giardiasis 113.0
104 Aortic Dissection 113.0
105 Acute bacterial meningitis in adults 112.0
106 Psoas Abscess 112.0
107 Liver Cirrhosis 111.0
108 Chronic heart failure 111.0
109 Duodenal Ulcer 110.0
110 Gastric Ulcer 110.0
111 Henoch-Schonlein purpura 110.0
112 Hemolytic uremic syndrome 110.0
113 Diabetic Kidney Disease 109.0
114 Foreign body ingestion 107.0
115 Acute pyelonephritis in adults 107.0
116 Gastric cancer 105.0
117 Sigmoid volvulus 105.0
118 Migraine 104.0
119 Non-small cell lung cancer 104.0
120 Papilledema 102.0
121 Graves Disease 102.0
122 Ovarian Hyperstimulation Syndrome 101.0
123 Clostridium difficile infection 100.0
124 Subdural hematoma 100.0
125 Systemic sclerosis 99.0
126 Lactose intolerance 98.0
127 Autosomal Dominant Polycystic Kidney Disease 98.0
128 Salmonella infection 96.0
129 Peritoneal dialysis associated peritonitis 95.0
130 Acute disseminated encephalomyelitis 95.0
131 Diabetic Neuropathy 95.0
132 Analgesic nephropathy 94.0
133 ST-elevation myocardial infarction 94.0
134 Granulomatosis with polyangiitis 94.0
135 Amebic Liver Abscess 94.0
136 Pancreatic Pseudocyst 92.0
137 Diabetes Mellitus 92.0
138 Non-ST-elevation myocardial infarction 92.0
139 Annular pancreas 91.0
140 Hypertriglyceridemia 91.0
141 Cellulitis 91.0
142 Bacterial gastroenteritis 90.0
143 Hyperthyroidism 90.0
144 Travelers diarrhea 90.0
145 Irritable Bowel Syndrome 89.0
146 Inguinal hernia 89.0
147 Malt lymphoma 89.0
148 Common cutaneous drug reactions 89.0
149 Secondary Peritonitis 87.0
150 COPD Exacerbation 87.0
151 Acute Lymphoblastic leukemia in children 86.0
152 Hemorrhagic stroke 86.0
153 Ischemic stroke 86.0
154 Stable ischemic heart disease 85.0
155 Wilson disease 84.0
156 subserosal eosinophilic gastroenteritis 84.0
157 Meniere disease 84.0
158 Lung Cancer 83.0
159 Cholangiocarcinoma 82.0
160 Unstable angina 82.0
161 Fungal meningitis 82.0
162 Acute heart failure 80.0
163 Chronic Kidney Diseases 79.0
164 Acute Myeloid Leukemia in adults 78.0
165 Cystic Fibrosis 77.0
166 Ruptured Tuboovarian abscess 77.0
167 Insect bites and stings 76.0
168 Ankylosing spondylitis 76.0
169 Eosinophilic gastroenteritis 74.0
170 Glomerulonephritis 74.0
171 Pneumonia 72.0
172 Cholera 72.0
173 Ectopic Pregnancy 71.0
174 Autosomal Recessive Polycystic Kidney Disease 71.0
175 Acute Myeloid Leukemia in children 71.0
176 Foodborne E coli infection 70.0
177 Mallory-Weiss syndrome 70.0
178 Type 2 Diabetes mellitus 68.0
179 Influenza 68.0
180 Churg-Strauss Syndrome 68.0
181 Intrahepatic cholestasis of pregnancy 68.0
182 Acute bacterial meningitis in neonates 68.0
183 Kawasaki disease 67.0
184 Acalculous Cholecystitis 66.0
185 chronic acalculous cholecystitis 66.0
186 Autoimmune Pancreatitis 65.0
187 anterior ischemic optic neuropathy 65.0
188 Endometritis 65.0
189 Epiploic appendagitis 63.0
190 Chronic Hepatitis 62.0
191 Gastric Volvulus 62.0
192 Familial adenomatous polyposis syndrome 62.0
193 Anemia of chronic disease 62.0
194 Chronic Pancreatitis 61.0
195 Stable angina 61.0
196 Tuberculous Peritonitis 61.0
197 Cushing syndrome 61.0
198 Heparin-induced thrombocytopenia 61.0
199 Primary Myelofibrosis 60.0
200 Renal and perinephric abscess 60.0
201 Sunburn 60.0
202 Panic disorder in adults 59.0
203 Clonorchiasis 58.0
204 Celiac Disease 56.0
205 Hepatorenal Syndrome 56.0
206 Anaplastic thyroid cancer 56.0
207 Peutz-Jeghers Syndrome 56.0
208 Bell palsy 56.0
209 Amyloidosis 55.0
210 Ruptured ovarian cyst 55.0
211 Rumination Syndrome 54.0
212 Urinary Tract Obstruction 54.0
213 Gastroesophageal reflux disease 53.0
214 Zollinger-Ellison Syndrome 53.0
215 Acute Cholangitis 52.0
216 Pheochromocytoma 52.0
217 Alopecia areata 52.0
218 Rheumatoid Arthritis 51.0
219 Breast Cancer 50.0
220 Cryptococcosis 50.0
221 Aortic coarctation 50.0
222 Common cold(children) 50.0
223 Chronic meningitis 50.0
224 Central hypothyroidism 50.0
225 Acute pelvic inflammatory disease 50.0
226 Cataract 50.0
227 Bacterial pharyngitis 50.0
228 Osteoporosis 49.0
229 Psychogenic polydipsia 49.0
230 Multiple Myeloma 49.0
231 Multiple endocrine neoplasia 2A 49.0
232 Hepatic Encephalopathy 49.0
233 Herpes zoster 46.0
234 Central retinal artery occlusion 46.0
235 Gout 45.0
236 Familial Mediterranean fever 45.0
237 Acromegaly 44.0
238 Short bowel syndrome 43.0
239 Torsion of appendix of testis 43.0
240 Ascites 41.0
241 Stroke 41.0
242 Periorbital and orbital cellulitis 40.0
243 Chronic Clonorchiasis 39.0
244 Toxic Megacolon 39.0
245 Adrenocortical carcinoma 38.0
246 Intestinal malrotation 37.0
247 Chronic Myeloid Leukemia 37.0
248 Colorectal cancer 36.0
249 Inflammatory Bowel Diseases 36.0
250 Endometrial cancer 36.0
251 Hypoparathyroidism 36.0
252 Hereditary hemochromatosis 36.0
253 Chronic pelvic pain in women 36.0
254 Transient ischemic attack 36.0
255 Chronic Renal vein thrombosis 36.0
256 Musculoskeletal sprains and strains 36.0
257 COVID19 35.0
258 Chronic Cholecystitis 35.0
259 Allergic rhinitis 35.0
260 Intraperitoneal bleeding 35.0
261 Prinzmetal angina 34.0
262 Common cold(adults) 34.0
263 Guillain-Barre syndrome 34.0
264 Toxic thyroid adenoma 34.0
265 Umbilical hernia 34.0
266 Stevens-Johnson syndrome 34.0
267 Extraintestinal Entamoeba histolytica amebiasis 34.0
268 Hyperprolactinemia 33.0
269 Varicocele 33.0
270 Croup 33.0
271 Charcot-Marie-Tooth Disease 32.0
272 Gilbert syndrome 31.0
273 Testicular cancer 30.0
274 Acute bacterial rhinosinusitis 30.0
275 Atopic dermatitis 30.0
276 posteriorischemic optic neuropathy 30.0
277 Premature labor 30.0
278 Diabetic Amyotrophy 29.0
279 Liver Abscess 29.0
280 Hepatocellular carcinoma 27.0
281 Hypothyroidism 27.0
282 Empyema 27.0
283 Carpal Tunnel Syndrome 27.0
284 Chlamydia pneumoniae infection 27.0
285 Leiomyomas 26.0
286 Bladder Cancer 26.0
287 Hyperaldosteronism 25.0
288 Prolactinoma 25.0
289 Abnormal uterine bleeding 25.0
290 Hypogammaglobulinemia 25.0
291 Systemic vasculitis 25.0
292 Splenic abscess 24.0
293 Limited cutaneous systemic sclerosis 24.0
294 Animal bites 24.0
295 Paraneoplastic Syndromes 23.0
296 Drowning 23.0
297 Multiple endocrine neoplasia 2B 23.0
298 Gastroenteritis 23.0
299 Pelvic inflammatory disease 23.0
300 Acute respiratory failure 22.0
301 Achalasia 21.0
302 Obstructive Sleep Apnea 21.0
303 Simple kidney cyst 21.0
304 Graves ophthalmopathy 21.0
305 Mitral Stenosis 20.0
306 Pancreatitis 20.0
307 Acne fulminans 20.0
308 Priapism 20.0
309 Tinnitus 20.0
310 Oropharyngeal cancer 20.0
311 Atypical pneumonia 20.0
312 Tuboovarian abscess 20.0
313 Chronic Lymphocytic Leukemia 19.0
314 Budd Chiari Syndrome 18.0
315 Secondary hyperparathyroidism 18.0
316 Acute Lymphocytic Leukemia in Adults 18.0
317 Renal Artery Stenosis 18.0
318 Intestinal Entamoeba histolytica amebiasis 18.0
319 Renal Cell Carcinoma 17.0
320 Gastrointestinal Hemorrhage 16.0
321 Lower gastrointestinal hemorrhage 16.0
322 Upper gastrointestinal hemorrhage 16.0
323 Bed bugs 15.0
324 Aortic stenosis 15.0
325 Portal hypertension 15.0
326 Acute peritonitis 15.0
327 Chronic Mitral regurgitation 15.0
328 Fibromyalgia 14.0
329 Preeclampsia 14.0
330 Eclampsia 14.0
331 Middle East respiratory syndrome 14.0
332 Disseminated intravascular coagulation 14.0
333 Chronic atrial fibrillation 12.0
334 Painless thyroiditis 12.0
335 Uveitis 12.0
336 Anterior uveitis 12.0
337 Intermediate uveitis 12.0
338 Posterior uveitis 12.0
339 Pan uveitis 12.0
340 Non-alcoholic Fatty Liver Disease 11.0
341 Goiter 10.0
342 Diffuse nontoxic goiter 10.0
343 Toxic multinodular goiter 10.0
344 Obstructive cervical goiters 10.0
345 Cervical goiter 10.0
346 Von willebrand disease 10.0
347 Dacryocystitis 9.0
348 Acute Bacterial Prostatitis 9.0
349 Chronic liver disease 9.0
350 Pulmonary Embolism 8.0
351 Acute atrial fibrillation 8.0
352 Acute Bronchitis 6.0
353 Immune thrombocytopenia 6.0
354 Asthma 6.0
355 Angiodysplasia of the colon 6.0
356 Primary ciliary dyskinesia 5.0
357 Kartagener syndrome 5.0
358 Scleritis 5.0
359 Anterior scleritis 5.0
360 Posterior scleritis 5.0
361 Pseudohypoparathyroidism 5.0
362 Biliary cyst 5.0
363 Thyroid lymphoma 4.0
364 Conjunctivitis 0.0
365 Epidemic keratoconjunctivitis 0.0
366 Bacterial conjunctivitis 0.0
367 Viral conjunctivitis 0.0
368 Allergic conjunctivitis 0.0
369 Ligneous conjunctivitis 0.0
370 Vernal keratoconjunctivitis 0.0
371 Atopic keratoconjunctivitis 0.0
372 Noninfectious nonallergic conjunctivitis 0.0
373 Abetalipoproteinemia 0.0
374 Acute epididymitis 0.0
375 Hyperosmolar Hyperglycemic state 0.0
376 Acute Cystitis(Men) 0.0
377 Recurrent aphthous stomatitis 0.0
378 Discogenic low back pain 0.0
379 Zenker diverticulum 0.0
380 Hemorrhoids 0.0
381 Essential Tremor 0.0
382 Trachoma 0.0
383 Myasthenia Gravis 0.0
384 Neonatal Myasthenia Gravis 0.0
385 Congenital Myasthenic Syndromes 0.0