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An alcoholic patient presents to the ER after a lovely evening out to Paula Dean's

0 years old | Male

Vignette:

An alcoholic patient presents to the ER after a lovely evening out to Paula Dean's where they consumed large amounts of fatty foods . They are complaining of N/V and LUQ epigastric pain. They state that the pain is boring and radiates from the upper abdomen straight through to their back. They are positive for N/V and fever What are you suspicious of?

Summary:

alcoholic | after fatty foods | nausea | vomiting | LUQ pain | epigastric pain | boring | radiate to back | fever

Dx:

Pancreatitis

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 705.0
2 Gallstone pancreatitis 600.0
3 Emphysematous cholecystitis 435.0
4 Acute Cholecystitis 391.0
5 pancreatic cancer 370.0
6 Chronic Pancreatitis 369.0
7 Gastroparesis 353.0
8 Gastritis 346.0
9 Alcoholic Liver Disease 335.0
10 Gastric Outlet Obstruction 324.0
11 Rocky Mountain spotted fever 309.0
12 Acute peptic ulcer 303.0
13 Acute fatty liver of pregnancy 294.0
14 pancreatic SOD 287.0
15 Foreign body ingestion 280.0
16 Crohn Disease 277.0
17 Alcoholic Liver Cirrhosis 277.0
18 Gallbladder Dyskinesia 276.0
19 biliary SOD 276.0
20 Sphincter of Oddi Dysfunction 272.0
21 biliary colic 271.0
22 Alcoholic hepatitis 266.0
23 Autoimmune hepatitis 263.0
24 Choledocholithiasis 254.0
25 Liver Cirrhosis 251.0
26 Intussusception 250.0
27 Peptic Ulcer 245.0
28 Acute bacterial meningitis in adults 244.0
29 mucosal Eosinophilic gastroenteritis 241.0
30 Gallstones 240.0
31 Acute Liver Failure 239.0
32 Hiatus hernia 237.0
33 Intestinal Obstruction 236.0
34 Biliary cirrhosis 236.0
35 Primary biliary cirrhosis 236.0
36 Sarcoidosis 235.0
37 Alcoholic Fatty Liver 234.0
38 Migraine headache in adults 233.0
39 Primary sclerosing cholangitis 231.0
40 Pyogenic Liver Abscess 231.0
41 Acute perforated appendicitis 230.0
42 Esophagitis 229.0
43 Hypertriglyceridemia 227.0
44 Acute pyelonephritis in adults 225.0
45 Acute viral meningitis 222.0
46 Acute Appendicitis 221.0
47 Ovarian Torsion 221.0
48 Klebsiella pneumoniae liver abscess 220.0
49 Acute intermittent porphyria 218.0
50 Systemic lupus erythematosus 215.0
51 Duodenal Ulcer 211.0
52 Brucellosis 207.0
53 Aseptic meningitis 203.0
54 Non-cholera Vibrio infections 202.0
55 Spontaneous bacterial peritonitis 201.0
56 Pyelonephritis 201.0
57 Hereditary Angioedema 199.0
58 Polyarteritis nodosa 199.0
59 Gastric Ulcer 198.0
60 Dyspepsia 195.0
61 Pneumonia 194.0
62 Hepatocellular carcinoma 193.0
63 Acalculous Cholecystitis 192.0
64 Thrombotic thrombocytopenic purpura 192.0
65 Campylobacter infection 190.0
66 Chronic bacterial prostatitis 190.0
67 Mesenteric ischemia 189.0
68 Ulcerative Colitis 188.0
69 Gallbladder cancer 186.0
70 chronic acalculous cholecystitis 185.0
71 Muscle Layer Eosinophilic gastroenteritis 175.0
72 Acute Cholangitis 175.0
73 Splenic Infarction 175.0
74 Acetaminophen overdose 174.0
75 Acute disseminated encephalomyelitis 172.0
76 Gastric cancer 171.0
77 Common cutaneous drug reactions 170.0
78 Choledochal Cyst 168.0
79 Malaria 168.0
80 Viral Gastroenteritis 164.0
81 Anaphylaxis 164.0
82 Mallory-Weiss syndrome 164.0
83 Gastroesophageal reflux disease 163.0
84 Amebic Liver Abscess 163.0
85 Ovarian and fallopian tube torsion 162.0
86 Annular pancreas 161.0
87 Labyrinthitis 159.0
88 Pancreatic Pseudocyst 158.0
89 End Stage Renal Disease 158.0
90 Periorbital and orbital cellulitis 158.0
91 Acute bacterial meningitis in children 158.0
92 Liver disease 157.0
93 Anthrax 157.0
94 Food poisoning 156.0
95 Acute Hepatitis 150.0
96 Splenic abscess 149.0
97 Giardiasis 147.0
98 Salmonella infection 147.0
99 Kawasaki disease 147.0
100 ST-elevation myocardial infarction 146.0
101 Fungal meningitis 146.0
102 Addison Disease 144.0
103 Subdural hematoma 144.0
104 Acute bacterial meningitis in neonates 142.0
105 Chronic Hepatitis 140.0
106 Celiac Disease 138.0
107 Adrenal crisis 138.0
108 Motion Sickness 136.0
109 Intra-abdominal abscess 135.0
110 Hypercalcemia 134.0
111 Influenza 134.0
112 Chronic Cholecystitis 133.0
113 Non-small cell lung cancer 133.0
114 Secondary Peritonitis 132.0
115 Autosomal Dominant Polycystic Kidney Disease 130.0
116 Hereditary hemochromatosis 130.0
117 Epiploic appendagitis 129.0
118 Prinzmetal angina 129.0
119 Listerial gastroenteritis 128.0
120 Diabetic Ketoacidosis 128.0
121 Infectious mononucleosis 128.0
122 Analgesic nephropathy 125.0
123 Chronic pyelonephritis 125.0
124 Systemic sclerosis 124.0
125 Hepatic Encephalopathy 124.0
126 subserosal eosinophilic gastroenteritis 123.0
127 Intestinal Pseudo Obstruction 123.0
128 Peritoneal dialysis associated peritonitis 123.0
129 Chronic atrial fibrillation 123.0
130 Psoas Abscess 123.0
131 Acute Clonorchiasis 120.0
132 Inguinal hernia 120.0
133 Cryptococcosis 120.0
134 Hyperparathyroidism 119.0
135 Acute Lymphoblastic leukemia in children 118.0
136 Oropharyngeal cancer 118.0
137 Amphetamine use disorder 117.0
138 Hemolytic uremic syndrome 116.0
139 Laryngeal Cancer 116.0
140 Eosinophilic gastroenteritis 115.0
141 Primary Myelofibrosis 115.0
142 Lactose intolerance 115.0
143 Gout 114.0
144 Ovarian Hyperstimulation Syndrome 114.0
145 Autoimmune Pancreatitis 112.0
146 Ischemic stroke 111.0
147 Irritable Bowel Syndrome 110.0
148 Inflammatory Bowel Diseases 110.0
149 Graves Disease 110.0
150 Ileus 109.0
151 Angle Closure Glaucoma 109.0
152 Gastric Volvulus 109.0
153 Sigmoid volvulus 107.0
154 Ruptured Tuboovarian abscess 107.0
155 Meckel diverticulum 106.0
156 Acute otitis media 106.0
157 Henoch-Schonlein purpura 105.0
158 Migraine 104.0
159 Middle East respiratory syndrome 104.0
160 Toxic Megacolon 103.0
161 Renal and perinephric abscess 103.0
162 Diverticulitis 102.0
163 Papilledema 102.0
164 Chronic Myeloid Leukemia 102.0
165 Tuberculous Peritonitis 101.0
166 Bruxism 101.0
167 Milk-alkali syndrome 100.0
168 Breast Cancer 100.0
169 Acute Milk-alkali syndrome 100.0
170 Chronic Milk-alkali syndrome 100.0
171 Peutz-Jeghers Syndrome 100.0
172 Chronic meningitis 100.0
173 Splenic Rupture 100.0
174 Kidney stones 99.0
175 Chronic prostatitis 99.0
176 Cholecystitis 98.0
177 Malt lymphoma 97.0
178 Acute Lymphocytic Leukemia in Adults 97.0
179 Cholera 97.0
180 Hyperthyroidism 95.0
181 Familial adenomatous polyposis syndrome 95.0
182 Lung Cancer 94.0
183 Granulomatosis with polyangiitis 94.0
184 Cholangiocarcinoma 91.0
185 Ruptured ectopic pregnancy 91.0
186 Typhoid infection 91.0
187 Preeclampsia 91.0
188 Stroke 90.0
189 COVID19 88.0
190 Insect bites and stings 88.0
191 Short bowel syndrome 87.0
192 Diabetic Kidney Disease 86.0
193 Non-ST-elevation myocardial infarction 86.0
194 Sunburn 86.0
195 Diabetes Mellitus 85.0
196 Heparin-induced thrombocytopenia 85.0
197 Rumination Syndrome 84.0
198 Meniere disease 84.0
199 Zollinger-Ellison Syndrome 83.0
200 Wilson disease 83.0
201 Osteoporosis 83.0
202 Liver Abscess 83.0
203 Adrenal Suppression 82.0
204 Endometritis 82.0
205 Non-diabetic hypoglycemia 82.0
206 Foodborne E coli infection 81.0
207 Type 1 Diabetes mellitus 80.0
208 Tuboovarian abscess 78.0
209 Acute pericarditis 75.0
210 Bacterial gastroenteritis 74.0
211 Travelers diarrhea 74.0
212 Hypothyroidism 73.0
213 Ectopic Pregnancy 73.0
214 Herpes zoster 73.0
215 Psoriasis 73.0
216 Acute Myeloid Leukemia in children 71.0
217 Colorectal cancer 70.0
218 Hypoparathyroidism 70.0
219 Epilepsy 70.0
220 Shigellosis 69.0
221 Eclampsia 69.0
222 Gilbert syndrome 68.0
223 Stable angina 68.0
224 Unstable angina 68.0
225 Leiomyomas 68.0
226 Churg-Strauss Syndrome 68.0
227 Hyperosmolar Hyperglycemic state 68.0
228 Stevens-Johnson syndrome 68.0
229 Bacterial pharyngitis 67.0
230 Cellulitis 66.0
231 Hemorrhagic stroke 65.0
232 Drowning 65.0
233 Pancreatitis 65.0
234 Acute peritonitis 65.0
235 Pelvic inflammatory disease 65.0
236 Acute pelvic inflammatory disease 65.0
237 Chronic heart failure 64.0
238 Acute respiratory failure 64.0
239 Premature labor 63.0
240 Autosomal Recessive Polycystic Kidney Disease 62.0
241 Anemia of chronic disease 62.0
242 Gastroenteritis 62.0
243 Ruptured ovarian cyst 62.0
244 COPD Exacerbation 62.0
245 Acute Myeloid Leukemia in adults 61.0
246 Ovarian Cancer 61.0
247 Rheumatoid Arthritis 61.0
248 Amyloidosis 61.0
249 Hyperprolactinemia 61.0
250 Common cold(children) 61.0
251 Achalasia 60.0
252 Panic disorder in adults 59.0
253 Cushing syndrome 59.0
254 Acne fulminans 58.0
255 Budd Chiari Syndrome 57.0
256 Hepatorenal Syndrome 56.0
257 Anaplastic thyroid cancer 56.0
258 Gingivitis 55.0
259 Alzheimer disease 55.0
260 Cystic Fibrosis 54.0
261 Hypogammaglobulinemia 53.0
262 Empyema 53.0
263 Tetanus 53.0
264 Systemic vasculitis 53.0
265 Stable ischemic heart disease 52.0
266 Osteomyelitis 52.0
267 Acute heart failure 51.0
268 Diabetic Neuropathy 51.0
269 Psychogenic polydipsia 51.0
270 Extraintestinal Entamoeba histolytica amebiasis 51.0
271 Chronic Lymphocytic Leukemia 50.0
272 Ascites 50.0
273 Acute bacterial rhinosinusitis 50.0
274 Mirizzi Syndrome 50.0
275 Acute Bacterial Prostatitis 50.0
276 Pharyngitis 50.0
277 Viral pharyngitis 50.0
278 Genital herpes 50.0
279 Croup 50.0
280 Cataract 50.0
281 Primary hypogonadism 50.0
282 Infertility in women 50.0
283 Insomnia in adults 50.0
284 Mitral Stenosis 49.0
285 Intestinal malrotation 49.0
286 Acromegaly 49.0
287 Adrenocortical carcinoma 48.0
288 Clostridium difficile infection 47.0
289 Ankylosing spondylitis 47.0
290 Animal bites 47.0
291 Chlamydia pneumoniae infection 46.0
292 Prolactinoma 45.0
293 Cholangitis 45.0
294 Acute viral rhinosinusitis 45.0
295 Common cold(adults) 44.0
296 Prostatitis 44.0
297 Type 2 Diabetes mellitus 43.0
298 Chronic Kidney Diseases 43.0
299 Glomerulonephritis 42.0
300 Chronic Clonorchiasis 40.0
301 Urinary tract infection 40.0
302 Cystitis 40.0
303 Multiple Myeloma 39.0
304 Intestinal Entamoeba histolytica amebiasis 39.0
305 Familial Mediterranean fever 38.0
306 Fibromyalgia 37.0
307 Endometrial cancer 36.0
308 Limited cutaneous systemic sclerosis 36.0
309 STI HIV Pharyngitis 36.0
310 Bacterial conjunctivitis 35.0
311 Viral conjunctivitis 35.0
312 anterior ischemic optic neuropathy 35.0
313 Toxic thyroid adenoma 35.0
314 Intrahepatic cholestasis of pregnancy 34.0
315 Pheochromocytoma 34.0
316 Peritonitis 34.0
317 Erythema nodosum 34.0
318 Rosacea 34.0
319 Multiple endocrine neoplasia 2A 33.0
320 Dacryocystitis 33.0
321 Disseminated intravascular coagulation 33.0
322 Aortic coarctation 31.0
323 Chronic liver disease 31.0
324 Renal Cell Carcinoma 30.0
325 Atopic dermatitis 30.0
326 posteriorischemic optic neuropathy 30.0
327 Urinary Tract Obstruction 29.0
328 Obstructive Sleep Apnea 29.0
329 Atypical pneumonia 28.0
330 Psoriatic arthritis 27.0
331 Phenylketonuria 27.0
332 Testicular cancer 26.0
333 Asthma 26.0
334 Guillain-Barre syndrome 25.0
335 Transient ischemic attack 25.0
336 Hyperaldosteronism 25.0
337 Abnormal uterine bleeding 25.0
338 Acute Bronchitis 24.0
339 Pseudohypoparathyroidism 24.0
340 Extrahepatic Cholestasis 24.0
341 Intrahepatic Cholestasis 24.0
342 Umbilical hernia 22.0
343 Aortic Dissection 22.0
344 Non-alcoholic Fatty Liver Disease 22.0
345 Epidemic keratoconjunctivitis 20.0
346 Recurrent aphthous stomatitis 20.0
347 Chronic pelvic pain in women 20.0
348 Priapism 20.0
349 Tinnitus 20.0
350 Multiple Sclerosis 20.0
351 Sialadenitis 20.0
352 Central diabetes insipidus 20.0
353 Biliary cyst 19.0
354 Acute epididymitis 18.0
355 Secondary hyperparathyroidism 18.0
356 Gestational diabetes mellitus 18.0
357 Amebiasis 18.0
358 Pressure ulcer 18.0
359 Secondary hypogonadism 18.0
360 Ichthyosis 17.0
361 Bed bugs 16.0
362 Gallbladder Empyema 16.0
363 Menopause 16.0
364 Gastrointestinal Hemorrhage 16.0
365 Lower gastrointestinal hemorrhage 16.0
366 Upper gastrointestinal hemorrhage 16.0
367 Clonorchiasis 15.0
368 Paraneoplastic Syndromes 15.0
369 Aortic stenosis 15.0
370 Epididymo-orchitis 15.0
371 Premenstrual syndrome 15.0
372 Male factor infertility 15.0
373 Sexual abuse and assault 15.0
374 Multiple endocrine neoplasia 2B 12.0
375 Allergic rhinitis 12.0
376 Nasal polyps 12.0
377 Pulmonary Embolism 11.0
378 Herpes pharyngitis 10.0
379 Thyroid lymphoma 10.0
380 Von willebrand disease 10.0
381 Optic neuritis 9.0
382 Neuropapillitis 9.0
383 Primary ciliary dyskinesia 8.0
384 Kartagener syndrome 8.0
385 Acute atrial fibrillation 8.0
386 Chronic fatigue syndrome 8.0
387 Bullous pemphigoid 7.0
388 Immune thrombocytopenia 6.0
389 Angiodysplasia of the colon 6.0
390 Pityriasis rosea 5.0
391 Dermatophyte infections 4.0
392 endocarditis 3.0
393 Diabetic Amyotrophy 2.0
394 Alopecia areata 2.0
395 Chronic Renal vein thrombosis 1.0
396 Conjunctivitis 0.0
397 Allergic conjunctivitis 0.0
398 Ligneous conjunctivitis 0.0
399 Vernal keratoconjunctivitis 0.0
400 Atopic keratoconjunctivitis 0.0
401 Noninfectious nonallergic conjunctivitis 0.0
402 Abetalipoproteinemia 0.0
403 Acute Cystitis(Men) 0.0
404 Discogenic low back pain 0.0
405 Zenker diverticulum 0.0
406 Acute Cystitis(Women) 0.0
407 Hemorrhoids 0.0
408 Osteoarthritis 0.0
409 Acne conglobata 0.0
410 Penis Carcinoma 0.0
411 Deep venous thrombosis 0.0
412 Goiter 0.0
413 Musculoskeletal lower back pain 0.0
414 Diffuse nontoxic goiter 0.0
415 Toxic multinodular goiter 0.0
416 Obstructive cervical goiters 0.0
417 Cervical goiter 0.0
418 Measles 0.0