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A patient presents to the urgent care clinic with epigastric pain that they describe as burning

0 years old | Male

Vignette:

A patient presents to the urgent care clinic with epigastric pain that they describe as burning, gnawing, or a deep ache but does not radiate. The admit that the pain is relieved by acid suppression and is worse with physical and emotional stress, consumption of spicy food, and alcohol. They state that they have been on daily NSAIDS for osteoarthritis pain for several months. What are you suspicious of?

Summary:

epigastric pain | burning | gnawing | deep ache | relieved by acid suppression | worse with physical stress | worse with emotional stress | worse with consumption of spicy food | worse with alcohol | NSAIDS

Dx:

PUD

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 Peptic Ulcer 300.0
2 Duodenal Ulcer 293.0
3 Gastric Ulcer 293.0
4 Acute peptic ulcer 255.0
5 Dyspepsia 182.0
6 pancreatic cancer 180.0
7 Chronic Pancreatitis 173.0
8 Hiatus hernia 167.0
9 ST-elevation myocardial infarction 143.0
10 Esophagitis 137.0
11 Endometriosis 134.0
12 Gastritis 129.0
13 biliary colic 125.0
14 Gastric Outlet Obstruction 122.0
15 chronic acalculous cholecystitis 121.0
16 Choledocholithiasis 119.0
17 Preeclampsia 115.0
18 Acalculous Cholecystitis 114.0
19 Gastric cancer 113.0
20 Acute pericarditis 108.0
21 Recurrent aphthous stomatitis 104.0
22 Gastroparesis 103.0
23 Anaphylaxis 103.0
24 biliary SOD 102.0
25 Pulmonary Embolism 100.0
26 Herpes zoster 98.0
27 Acute Cholecystitis 96.0
28 Emphysematous cholecystitis 94.0
29 Primary sclerosing cholangitis 91.0
30 Zollinger-Ellison Syndrome 90.0
31 Gastroesophageal reflux disease 89.0
32 Mesenteric ischemia 85.0
33 Gallbladder Dyskinesia 84.0
34 Non-ST-elevation myocardial infarction 84.0
35 Candidal intertrigo 83.0
36 Liver Cirrhosis 83.0
37 Biliary cirrhosis 83.0
38 Gastric Volvulus 80.0
39 Inguinal hernia 80.0
40 Systemic lupus erythematosus 78.0
41 Alopecia areata 78.0
42 Sphincter of Oddi Dysfunction 77.0
43 pancreatic SOD 77.0
44 mucosal Eosinophilic gastroenteritis 76.0
45 Muscle Layer Eosinophilic gastroenteritis 76.0
46 subserosal eosinophilic gastroenteritis 76.0
47 Acute Pancreatitis 75.0
48 Gallstone pancreatitis 75.0
49 Autoimmune Pancreatitis 75.0
50 Eclampsia 75.0
51 Sarcoidosis 75.0
52 Analgesic nephropathy 74.0
53 Acute fatty liver of pregnancy 72.0
54 Gallstones 71.0
55 Graves Disease 71.0
56 Annular pancreas 70.0
57 Hereditary Angioedema 68.0
58 Malt lymphoma 67.0
59 Achalasia 65.0
60 Non-diabetic hypoglycemia 65.0
61 Cholecystitis 64.0
62 Alcoholic hepatitis 64.0
63 Chronic Cholecystitis 64.0
64 Disseminated intravascular coagulation 64.0
65 Guillain-Barre syndrome 62.0
66 Graves ophthalmopathy 59.0
67 Crohn Disease 56.0
68 Amebic Liver Abscess 56.0
69 Irritable Bowel Syndrome 53.0
70 Stroke 53.0
71 Acute Appendicitis 52.0
72 Acute perforated appendicitis 52.0
73 Systemic sclerosis 52.0
74 Aseptic meningitis 52.0
75 Osteoarthritis 50.0
76 Varicose veins 50.0
77 Granulomatosis with polyangiitis 50.0
78 Renal Cell Carcinoma 50.0
79 Bladder Cancer 50.0
80 Chronic meningitis 50.0
81 Tinea versicolor 50.0
82 Tetanus 50.0
83 Autoimmune hepatitis 49.0
84 Hepatocellular carcinoma 49.0
85 Eosinophilic gastroenteritis 49.0
86 Panic disorder in adults 49.0
87 Familial adenomatous polyposis syndrome 48.0
88 Blepharitis 48.0
89 Hyperparathyroidism 47.0
90 Hyperthyroidism 47.0
91 Parkinson disease 46.0
92 Diverticulitis 46.0
93 Celiac Disease 45.0
94 Achilles tendinopathy 45.0
95 Achilles tendon rupture 45.0
96 Acute disseminated encephalomyelitis 45.0
97 Acute Cholangitis 44.0
98 Heparin-induced thrombocytopenia 44.0
99 Hyperosmolar Hyperglycemic state 44.0
100 Milk-alkali syndrome 42.0
101 Acute Milk-alkali syndrome 42.0
102 Chronic Milk-alkali syndrome 42.0
103 Vulvovaginal candidiasis 41.0
104 Empyema 41.0
105 Rosacea 41.0
106 Acute cervical spine trauma 41.0
107 Psoriasis 41.0
108 Diabetic Amyotrophy 40.0
109 Non-small cell lung cancer 40.0
110 Alcoholic Liver Cirrhosis 39.0
111 Choledochal Cyst 38.0
112 Diabetes Mellitus 38.0
113 Type 2 Diabetes mellitus 38.0
114 Type 1 Diabetes mellitus 38.0
115 Campylobacter infection 38.0
116 Liver disease 38.0
117 Gestational diabetes mellitus 35.0
118 Brucellosis 35.0
119 Obstructive Sleep Apnea 35.0
120 Adrenocortical carcinoma 35.0
121 Chronic Renal vein thrombosis 35.0
122 Keloid 35.0
123 Secondary Peritonitis 34.0
124 Mallory-Weiss syndrome 34.0
125 Extraintestinal Entamoeba histolytica amebiasis 34.0
126 Acute intermittent porphyria 34.0
127 COVID19 34.0
128 Hepatic Encephalopathy 34.0
129 Peroneal Neuropathy 34.0
130 Sunburn 34.0
131 Asthma 33.0
132 Insect bites and stings 33.0
133 Infertility in women 33.0
134 Pancreatic Pseudocyst 32.0
135 Amyloidosis 32.0
136 Hypercalcemia 31.0
137 Aortic coarctation 31.0
138 Pneumonia 30.0
139 Pheochromocytoma 30.0
140 Anthrax 30.0
141 Tuberculous Peritonitis 30.0
142 Critical Illness Polyneuropathy 30.0
143 Osteomyelitis 30.0
144 Alcoholic Liver Disease 30.0
145 Alcoholic Fatty Liver 30.0
146 Autosomal Dominant Polycystic Kidney Disease 30.0
147 Chronic Myeloid Leukemia 29.0
148 Cholangiocarcinoma 29.0
149 Migraine headache in adults 29.0
150 Limited cutaneous systemic sclerosis 29.0
151 Ruptured ectopic pregnancy 28.0
152 Balanitis 28.0
153 Episcleritis 28.0
154 Hypothyroidism 28.0
155 Acute Liver Failure 27.0
156 Ulcerative Colitis 27.0
157 Acne vulgaris 27.0
158 Acne fulminans 27.0
159 Acne conglobata 27.0
160 Gram-negative folliculitis 27.0
161 Excoriated acne 27.0
162 Short bowel syndrome 26.0
163 Acute bacterial meningitis in children 26.0
164 Chronic fatigue syndrome 26.0
165 Bruxism 26.0
166 Cystic Fibrosis 25.0
167 Migraine 25.0
168 Amphetamine use disorder 25.0
169 Cryptococcosis 25.0
170 Multiple Sclerosis 25.0
171 Diabetic Ketoacidosis 25.0
172 Motion Sickness 25.0
173 Pseudohypoparathyroidism 25.0
174 Insomnia in adults 25.0
175 Ruptured ovarian cyst 24.0
176 End Stage Renal Disease 24.0
177 Abetalipoproteinemia 24.0
178 Leiomyomas 24.0
179 Chronic Clonorchiasis 23.0
180 Diabetic Neuropathy 23.0
181 Peutz-Jeghers Syndrome 23.0
182 Acute Bronchitis 23.0
183 Abnormal uterine bleeding 23.0
184 Multiple Myeloma 22.0
185 Lung Cancer 22.0
186 Acute viral meningitis 22.0
187 Subdural hematoma 22.0
188 Ovarian Hyperstimulation Syndrome 22.0
189 Fibromyalgia 21.0
190 Budd Chiari Syndrome 20.0
191 Infectious mononucleosis 20.0
192 Hypertriglyceridemia 20.0
193 Renal and perinephric abscess 20.0
194 Anemia of chronic disease 20.0
195 Hyperaldosteronism 20.0
196 Nephrogenic diabetes insipidus 20.0
197 Central diabetes insipidus 20.0
198 Acute respiratory failure 20.0
199 Transient ischemic attack 20.0
200 Stevens-Johnson syndrome 20.0
201 Hyperprolactinemia 20.0
202 Wilson disease 19.0
203 Inflammatory Bowel Diseases 19.0
204 Gilbert syndrome 19.0
205 Cryptorchidism 19.0
206 Optic neuritis 19.0
207 Neuropapillitis 19.0
208 Familial Mediterranean fever 19.0
209 Ectopic Pregnancy 19.0
210 Ovarian and fallopian tube torsion 19.0
211 Pyelonephritis 18.0
212 Acute pyelonephritis in adults 18.0
213 Common cutaneous drug reactions 18.0
214 Meckel diverticulum 18.0
215 Rheumatoid Arthritis 18.0
216 Menopause 18.0
217 Animal bites 18.0
218 Systemic vasculitis 18.0
219 Acute Lymphocytic Leukemia in Adults 17.0
220 Atopic dermatitis 17.0
221 Musculoskeletal lower back pain 17.0
222 Acute bacterial meningitis in adults 17.0
223 Foreign body ingestion 16.0
224 Bullous pemphigoid 16.0
225 Hemorrhagic stroke 16.0
226 Alzheimer disease 16.0
227 Pressure ulcer 16.0
228 Acute Myeloid Leukemia in children 16.0
229 Primary Myelofibrosis 15.0
230 Acute atrial fibrillation 15.0
231 Tinnitus 15.0
232 Non-cholera Vibrio infections 15.0
233 Polyarteritis nodosa 14.0
234 Mitral Valve Prolapse 14.0
235 Influenza 14.0
236 Chlamydia pneumoniae infection 14.0
237 Carpal Tunnel Syndrome 14.0
238 Goiter 14.0
239 Diffuse nontoxic goiter 14.0
240 Toxic multinodular goiter 14.0
241 Obstructive cervical goiters 14.0
242 Cervical goiter 14.0
243 Cushing syndrome 14.0
244 Churg-Strauss Syndrome 14.0
245 Acute bacterial meningitis in neonates 14.0
246 Fungal meningitis 14.0
247 Food poisoning 13.0
248 Thrombotic thrombocytopenic purpura 13.0
249 Musculoskeletal sprains and strains 13.0
250 Addison Disease 13.0
251 Gallbladder cancer 12.0
252 Adrenal crisis 12.0
253 Hemolytic uremic syndrome 12.0
254 Chronic atrial fibrillation 12.0
255 Psoriatic arthritis 12.0
256 Bed bugs 12.0
257 Hepatorenal Syndrome 11.0
258 Giardiasis 11.0
259 Barrett esophagus 11.0
260 Primary biliary cirrhosis 11.0
261 Hereditary hemochromatosis 11.0
262 Painless thyroiditis 11.0
263 Aortic Dissection 11.0
264 Salmonella infection 10.0
265 Cellulitis 10.0
266 Acromegaly 10.0
267 Premature labor 10.0
268 Mitral Stenosis 9.0
269 Stable angina 9.0
270 Osteomalacia 9.0
271 Chronic pelvic pain in women 9.0
272 Lactose intolerance 8.0
273 Allergic rhinitis 8.0
274 Cholera 8.0
275 Endometrial cancer 8.0
276 Diabetic Kidney Disease 7.0
277 Shigellosis 7.0
278 Ankylosing spondylitis 7.0
279 Rocky Mountain spotted fever 7.0
280 Endometritis 7.0
281 Acetaminophen overdose 6.0
282 Chronic Lymphocytic Leukemia 6.0
283 Temporomandibular joint syndrome 6.0
284 Common cold(adults) 5.0
285 Anaplastic thyroid cancer 5.0
286 Ramsay Hunt syndrome 5.0
287 Meniere disease 5.0
288 Pelvic inflammatory disease 5.0
289 Ovarian Cancer 5.0
290 Acute pelvic inflammatory disease 5.0
291 Acute otitis media 4.0
292 Acute Rhinosinusitis 4.0
293 Acute viral rhinosinusitis 4.0
294 Acute bacterial rhinosinusitis 4.0
295 Typhoid infection 3.0
296 Thyroid lymphoma 3.0
297 Chronic liver disease 3.0
298 Malaria 2.0
299 Primary ciliary dyskinesia 2.0
300 Kartagener syndrome 2.0
301 Penis Carcinoma 1.0
302 Ischemic stroke 1.0
303 Immune thrombocytopenia 0.0
304 Paraphimosis 0.0
305 Androgenetic alopecia 0.0
306 Labyrinthitis 0.0
307 Discogenic low back pain 0.0
308 Foodborne E coli infection 0.0