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A patient presents to the urgent care clinic with crampy abdominal pain

0 years old | Male

Vignette:

A patient presents to the urgent care clinic with crampy abdominal pain, N/V (vomiting may consist of fecal matter) and abdominal distention. What are you suspicious of?

Summary:

crampy abdominal pain | nausea | vomiting | fecal vomiting | abdominal distention

Dx:

Bowel obstruction

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 Hereditary Angioedema 390.0
2 Intestinal Obstruction 368.0
3 Sigmoid volvulus 358.0
4 Gastroparesis 336.0
5 Acute Pancreatitis 308.0
6 Giardiasis 302.0
7 Gastric Outlet Obstruction 297.0
8 Intussusception 284.0
9 Acute Appendicitis 255.0
10 Acute peptic ulcer 251.0
11 Non-cholera Vibrio infections 247.0
12 Gallbladder cancer 247.0
13 Acute fatty liver of pregnancy 245.0
14 Crohn Disease 243.0
15 Emphysematous cholecystitis 243.0
16 Acute Cholecystitis 243.0
17 Toxic Megacolon 235.0
18 Intestinal Pseudo Obstruction 234.0
19 mucosal Eosinophilic gastroenteritis 231.0
20 Acute perforated appendicitis 228.0
21 Acute intermittent porphyria 228.0
22 Mesenteric ischemia 227.0
23 Alcoholic Liver Disease 226.0
24 Rocky Mountain spotted fever 226.0
25 Migraine headache in adults 226.0
26 pancreatic cancer 214.0
27 Food poisoning 213.0
28 Foreign body ingestion 211.0
29 Lactose intolerance 206.0
30 Adrenal crisis 206.0
31 Liver disease 203.0
32 Pyogenic Liver Abscess 198.0
33 Irritable Bowel Syndrome 197.0
34 Meckel diverticulum 197.0
35 Muscle Layer Eosinophilic gastroenteritis 196.0
36 Ileus 195.0
37 Ovarian Hyperstimulation Syndrome 195.0
38 Gallstone pancreatitis 192.0
39 Peritoneal dialysis associated peritonitis 191.0
40 Travelers diarrhea 190.0
41 Shigellosis 189.0
42 Ovarian Torsion 185.0
43 Alcoholic hepatitis 184.0
44 Alcoholic Liver Cirrhosis 183.0
45 Acetaminophen overdose 180.0
46 Ovarian Cancer 177.0
47 Hiatus hernia 175.0
48 Campylobacter infection 174.0
49 Alcoholic Fatty Liver 173.0
50 Diverticulitis 170.0
51 Anthrax 170.0
52 Liver Cirrhosis 168.0
53 Dyspepsia 167.0
54 Viral Gastroenteritis 165.0
55 Anaphylaxis 165.0
56 Diabetic Ketoacidosis 165.0
57 Addison Disease 165.0
58 Biliary cirrhosis 164.0
59 Primary sclerosing cholangitis 164.0
60 Primary biliary cirrhosis 164.0
61 Abdominal compartment syndrome 164.0
62 Ulcerative Colitis 162.0
63 Esophagitis 162.0
64 Thrombotic thrombocytopenic purpura 162.0
65 Acute Clonorchiasis 158.0
66 biliary SOD 155.0
67 Intestinal malrotation 154.0
68 Gallstones 154.0
69 Klebsiella pneumoniae liver abscess 154.0
70 Sphincter of Oddi Dysfunction 154.0
71 pancreatic SOD 154.0
72 Gastritis 153.0
73 Spontaneous bacterial peritonitis 153.0
74 Tuberculous Peritonitis 152.0
75 Choledocholithiasis 152.0
76 Ovarian and fallopian tube torsion 151.0
77 Non-ST-elevation myocardial infarction 151.0
78 Ruptured ectopic pregnancy 150.0
79 Gallbladder Dyskinesia 149.0
80 Acute Hepatitis 147.0
81 Autosomal Dominant Polycystic Kidney Disease 145.0
82 Intra-abdominal abscess 145.0
83 Systemic sclerosis 143.0
84 Hemolytic uremic syndrome 139.0
85 Chronic bacterial prostatitis 137.0
86 Acute viral meningitis 136.0
87 Motion Sickness 136.0
88 Amebic Liver Abscess 135.0
89 Typhoid infection 135.0
90 Peptic Ulcer 134.0
91 Bacterial pharyngitis 133.0
92 Brucellosis 133.0
93 Salmonella infection 132.0
94 Inguinal hernia 131.0
95 Common cutaneous drug reactions 130.0
96 Aseptic meningitis 130.0
97 Pyelonephritis 129.0
98 Listerial gastroenteritis 128.0
99 Sarcoidosis 128.0
100 Non-small cell lung cancer 128.0
101 Kawasaki disease 127.0
102 Henoch-Schonlein purpura 124.0
103 Acute Liver Failure 118.0
104 Acute Cholangitis 118.0
105 Panic disorder in adults 118.0
106 Labyrinthitis 118.0
107 Premenstrual syndrome 117.0
108 Duodenal Ulcer 116.0
109 Gastric Ulcer 116.0
110 Adrenal Suppression 116.0
111 Chronic heart failure 115.0
112 subserosal eosinophilic gastroenteritis 114.0
113 Eosinophilic gastroenteritis 113.0
114 Diabetes Mellitus 113.0
115 Cholera 113.0
116 biliary colic 113.0
117 Malaria 112.0
118 Hypertriglyceridemia 111.0
119 chronic acalculous cholecystitis 110.0
120 Foodborne E coli infection 110.0
121 Gastric cancer 109.0
122 Pancreatic Pseudocyst 109.0
123 Type 1 Diabetes mellitus 109.0
124 Acalculous Cholecystitis 109.0
125 Acute Lymphoblastic leukemia in children 109.0
126 Angle Closure Glaucoma 109.0
127 Acute pyelonephritis in adults 107.0
128 Intraperitoneal bleeding 106.0
129 Amphetamine use disorder 106.0
130 Polyarteritis nodosa 105.0
131 Endometriosis 104.0
132 Inflammatory Bowel Diseases 104.0
133 Migraine 104.0
134 Bacterial gastroenteritis 102.0
135 Hypercalcemia 102.0
136 Choledochal Cyst 102.0
137 Cholangiocarcinoma 102.0
138 Papilledema 102.0
139 Wilson disease 101.0
140 Breast Cancer 100.0
141 End Stage Renal Disease 100.0
142 Milk-alkali syndrome 100.0
143 Subdural hematoma 100.0
144 Acute Milk-alkali syndrome 100.0
145 Chronic Milk-alkali syndrome 100.0
146 Hepatocellular carcinoma 98.0
147 Systemic lupus erythematosus 98.0
148 ST-elevation myocardial infarction 98.0
149 Ascites 97.0
150 Colorectal cancer 96.0
151 Peutz-Jeghers Syndrome 95.0
152 Kidney stones 95.0
153 Autoimmune hepatitis 93.0
154 Clostridium difficile infection 93.0
155 Annular pancreas 92.0
156 Churg-Strauss Syndrome 92.0
157 Rumination Syndrome 92.0
158 Celiac Disease 91.0
159 Umbilical hernia 91.0
160 Chronic pyelonephritis 91.0
161 Chronic Pancreatitis 89.0
162 Leiomyomas 88.0
163 Biliary cyst 88.0
164 Analgesic nephropathy 87.0
165 Acute disseminated encephalomyelitis 87.0
166 Pheochromocytoma 84.0
167 Exocrine pancreatic insufficiency 84.0
168 Intestinal Entamoeba histolytica amebiasis 84.0
169 Chronic pelvic pain in women 84.0
170 Meniere disease 84.0
171 Gastroenteritis 83.0
172 Splenic Infarction 83.0
173 Insect bites and stings 82.0
174 Infectious mononucleosis 82.0
175 Fungal meningitis 82.0
176 Gastrointestinal Hemorrhage 81.0
177 Lower gastrointestinal hemorrhage 81.0
178 Upper gastrointestinal hemorrhage 81.0
179 Hyperthyroidism 81.0
180 Multiple endocrine neoplasia 2A 80.0
181 Ruptured Tuboovarian abscess 79.0
182 Budd Chiari Syndrome 78.0
183 Acute bacterial meningitis in adults 78.0
184 Ischemic stroke 77.0
185 Mallory-Weiss syndrome 77.0
186 Graves Disease 76.0
187 Hyperparathyroidism 74.0
188 Amyloidosis 74.0
189 Urinary Tract Obstruction 74.0
190 Osteoporosis 73.0
191 Endometrial cancer 72.0
192 Epiploic appendagitis 71.0
193 Aortic Dissection 71.0
194 Gastric Volvulus 69.0
195 Diabetic Neuropathy 68.0
196 Unstable angina 68.0
197 Diabetic Kidney Disease 68.0
198 Primary Myelofibrosis 67.0
199 Type 2 Diabetes mellitus 66.0
200 Hepatorenal Syndrome 65.0
201 Heparin-induced thrombocytopenia 64.0
202 Autosomal Recessive Polycystic Kidney Disease 64.0
203 Cystic Fibrosis 64.0
204 Hemorrhagic stroke 63.0
205 Psoas Abscess 62.0
206 Acute pericarditis 61.0
207 Malt lymphoma 60.0
208 Secondary Peritonitis 60.0
209 Sunburn 60.0
210 Hyperprolactinemia 59.0
211 Fibromyalgia 58.0
212 Gastroesophageal reflux disease 58.0
213 Short bowel syndrome 58.0
214 Familial adenomatous polyposis syndrome 57.0
215 Anemia of chronic disease 57.0
216 Acute bacterial meningitis in children 57.0
217 Chronic Cholecystitis 56.0
218 Lung Cancer 55.0
219 Acute otitis media 55.0
220 Pneumonia 52.0
221 Stable ischemic heart disease 52.0
222 Ectopic Pregnancy 51.0
223 Rheumatoid Arthritis 51.0
224 Psychogenic polydipsia 51.0
225 Autoimmune Pancreatitis 50.0
226 Acute bacterial meningitis in neonates 50.0
227 Chronic meningitis 50.0
228 Gilbert syndrome 49.0
229 Stable angina 49.0
230 Premature labor 48.0
231 Intrahepatic cholestasis of pregnancy 48.0
232 Hereditary hemochromatosis 47.0
233 Chronic Hepatitis 47.0
234 Hyperosmolar Hyperglycemic state 47.0
235 Acute peritonitis 46.0
236 Herpes zoster 46.0
237 Atopic dermatitis 46.0
238 Systemic vasculitis 44.0
239 Eclampsia 44.0
240 Acromegaly 44.0
241 Multiple endocrine neoplasia 2B 44.0
242 Cushing syndrome 43.0
243 Acute Myeloid Leukemia in adults 43.0
244 Ankylosing spondylitis 41.0
245 Anaplastic thyroid cancer 41.0
246 Stroke 41.0
247 Stevens-Johnson syndrome 41.0
248 Painless thyroiditis 41.0
249 Bladder Cancer 40.0
250 Hypothyroidism 40.0
251 Acute heart failure 40.0
252 Zollinger-Ellison Syndrome 38.0
253 Glomerulonephritis 38.0
254 Chronic Lymphocytic Leukemia 37.0
255 Periorbital and orbital cellulitis 36.0
256 Cryptococcosis 36.0
257 Chronic Clonorchiasis 35.0
258 Renal and perinephric abscess 35.0
259 anterior ischemic optic neuropathy 35.0
260 Endometritis 34.0
261 Chronic Kidney Diseases 34.0
262 Adrenocortical carcinoma 34.0
263 COVID19 34.0
264 Chronic Myeloid Leukemia 34.0
265 Preeclampsia 34.0
266 Prinzmetal angina 34.0
267 Liver Abscess 31.0
268 Gout 30.0
269 Acute bacterial rhinosinusitis 30.0
270 posteriorischemic optic neuropathy 30.0
271 Acute Myeloid Leukemia in children 30.0
272 Hypogammaglobulinemia 30.0
273 Acute Lymphocytic Leukemia in Adults 29.0
274 Disseminated intravascular coagulation 29.0
275 Granulomatosis with polyangiitis 29.0
276 Cellulitis 29.0
277 Secondary hyperparathyroidism 28.0
278 Aortic coarctation 26.0
279 Splenic abscess 26.0
280 Testicular cancer 25.0
281 Dubin-Johnson syndrome 25.0
282 Familial Mediterranean fever 25.0
283 Influenza 25.0
284 Prolactinoma 25.0
285 Abnormal uterine bleeding 25.0
286 Multiple Myeloma 24.0
287 Hypoparathyroidism 24.0
288 Prostatitis 24.0
289 Chronic prostatitis 24.0
290 Acute Bacterial Prostatitis 24.0
291 Globus Sensation 24.0
292 Chronic fatigue syndrome 23.0
293 Pelvic inflammatory disease 23.0
294 Acute pelvic inflammatory disease 23.0
295 Ruptured ovarian cyst 23.0
296 Mitral Stenosis 23.0
297 Toxic thyroid adenoma 23.0
298 Clonorchiasis 22.0
299 Obstructive Sleep Apnea 22.0
300 Von willebrand disease 22.0
301 Non-alcoholic Fatty Liver Disease 21.0
302 Extraintestinal Entamoeba histolytica amebiasis 21.0
303 Cholecystitis 21.0
304 Tuboovarian abscess 20.0
305 Mirizzi Syndrome 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 Chronic liver disease 20.0
313 Portal hypertension 20.0
314 Chronic Mitral regurgitation 20.0
315 Renal Cell Carcinoma 19.0
316 Acute respiratory failure 19.0
317 Multiple Sclerosis 18.0
318 Bed bugs 16.0
319 Guillain-Barre syndrome 16.0
320 COPD Exacerbation 16.0
321 Paraneoplastic Syndromes 15.0
322 Drowning 15.0
323 Aortic stenosis 15.0
324 Amebiasis 14.0
325 Achalasia 14.0
326 Middle East respiratory syndrome 14.0
327 Blepharitis 14.0
328 Enterovesical fistula 14.0
329 Extrahepatic Cholestasis 13.0
330 Intrahepatic Cholestasis 13.0
331 Medullary thyroid cancer 13.0
332 Tinea versicolor 13.0
333 Primary ciliary dyskinesia 12.0
334 Kartagener syndrome 12.0
335 Allergic rhinitis 12.0
336 Chronic atrial fibrillation 12.0
337 Acute Cystitis(Women) 12.0
338 Carpal Tunnel Syndrome 12.0
339 Discogenic low back pain 11.0
340 Acute Cystitis(Men) 11.0
341 Cystitis 11.0
342 Splenic Rupture 11.0
343 Vaginitis 11.0
344 Urethritis 11.0
345 Phimosis 11.0
346 Paraphimosis 11.0
347 Common cold(adults) 10.0
348 Menopause 10.0
349 Dacryocystitis 9.0
350 Pulmonary Embolism 8.0
351 Acute atrial fibrillation 8.0
352 Common cold(children) 8.0
353 Animal bites 7.0
354 Immune thrombocytopenia 6.0
355 Asthma 6.0
356 Angiodysplasia of the colon 6.0
357 Limited cutaneous systemic sclerosis 5.0
358 Acute Bronchitis 4.0
359 Hyperaldosteronism 4.0
360 Epididymo-orchitis 3.0
361 Diabetic Amyotrophy 2.0
362 Hemorrhoids 0.0
363 Abetalipoproteinemia 0.0
364 Recurrent aphthous stomatitis 0.0
365 Conjunctivitis 0.0
366 Epidemic keratoconjunctivitis 0.0
367 Bacterial conjunctivitis 0.0
368 Viral conjunctivitis 0.0
369 Allergic conjunctivitis 0.0
370 Ligneous conjunctivitis 0.0
371 Vernal keratoconjunctivitis 0.0
372 Atopic keratoconjunctivitis 0.0
373 Noninfectious nonallergic conjunctivitis 0.0
374 Acute epididymitis 0.0
375 Transient ischemic attack 0.0
376 Zenker diverticulum 0.0
377 Bell palsy 0.0
378 Myoclonus 0.0