Supporting Hours : Monday to Saturday - 8am to 10pm

A patient presents to the ED with RUQ pain, fever, chills, anorexia

0 years old | Male

Vignette:

A patient presents to the ED with RUQ pain, fever, chills, anorexia and weight loss. You decide to do an US and note fluid filled liver masses. What are you suspicious of?

Summary:

RUQ pain | fever | chills | anorexia | weight loss | fluid filled liver masses

Dx:

Liver Abscess

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 Brucellosis 371.0
2 Pyogenic Liver Abscess 313.0
3 Renal and perinephric abscess 311.0
4 Klebsiella pneumoniae liver abscess 306.0
5 pancreatic cancer 294.0
6 Systemic lupus erythematosus 293.0
7 Amebic Liver Abscess 256.0
8 Alcoholic Liver Disease 254.0
9 Salmonella infection 243.0
10 Acute Cholangitis 241.0
11 Rocky Mountain spotted fever 237.0
12 Chronic bacterial prostatitis 236.0
13 Acute Cholecystitis 227.0
14 Emphysematous cholecystitis 227.0
15 Chronic Pancreatitis 211.0
16 Alcoholic hepatitis 208.0
17 Addison Disease 206.0
18 Intussusception 205.0
19 Acute pyelonephritis in adults 200.0
20 Psoas Abscess 198.0
21 Ruptured Tuboovarian abscess 197.0
22 Liver Cirrhosis 196.0
23 Alcoholic Fatty Liver 195.0
24 Alcoholic Liver Cirrhosis 195.0
25 Churg-Strauss Syndrome 194.0
26 Endometritis 192.0
27 Pneumonia 191.0
28 Adrenal crisis 187.0
29 Crohn Disease 181.0
30 Liver disease 180.0
31 Intestinal Obstruction 180.0
32 Primary sclerosing cholangitis 178.0
33 Acute Lymphoblastic leukemia in children 176.0
34 Listerial gastroenteritis 171.0
35 Malaria 170.0
36 Anemia of chronic disease 170.0
37 Infectious mononucleosis 167.0
38 Biliary cirrhosis 166.0
39 Primary biliary cirrhosis 166.0
40 Granulomatosis with polyangiitis 166.0
41 Sarcoidosis 164.0
42 Cholangiocarcinoma 163.0
43 Extraintestinal Entamoeba histolytica amebiasis 162.0
44 Acute perforated appendicitis 159.0
45 Acute viral meningitis 159.0
46 Acute Pancreatitis 158.0
47 Mesenteric ischemia 157.0
48 Clonorchiasis 157.0
49 Acute Appendicitis 156.0
50 Campylobacter infection 155.0
51 Influenza 155.0
52 Intra-abdominal abscess 153.0
53 Viral Gastroenteritis 153.0
54 Tuboovarian abscess 153.0
55 Polyarteritis nodosa 151.0
56 Cryptococcosis 151.0
57 Ulcerative Colitis 149.0
58 Bacterial pharyngitis 147.0
59 Shigellosis 147.0
60 Gallstone pancreatitis 145.0
61 Gastroparesis 145.0
62 Tuberculous Peritonitis 145.0
63 Gallbladder cancer 141.0
64 Lung Cancer 141.0
65 Spontaneous bacterial peritonitis 141.0
66 Choledocholithiasis 137.0
67 Graves Disease 136.0
68 Pyelonephritis 136.0
69 Autoimmune hepatitis 132.0
70 Acute bacterial meningitis in children 131.0
71 Acute Clonorchiasis 128.0
72 Diverticulitis 128.0
73 mucosal Eosinophilic gastroenteritis 128.0
74 Typhoid infection 128.0
75 Hepatocellular carcinoma 126.0
76 Acute Hepatitis 125.0
77 Acute peptic ulcer 125.0
78 Ovarian Cancer 124.0
79 Epiploic appendagitis 123.0
80 Esophagitis 122.0
81 Autosomal Dominant Polycystic Kidney Disease 122.0
82 Periorbital and orbital cellulitis 122.0
83 Toxic Megacolon 121.0
84 Cystic Fibrosis 121.0
85 Chronic Clonorchiasis 119.0
86 Hyperthyroidism 119.0
87 Acute Bacterial Prostatitis 119.0
88 Heparin-induced thrombocytopenia 118.0
89 Peritoneal dialysis associated peritonitis 118.0
90 Peptic Ulcer 118.0
91 Intestinal Entamoeba histolytica amebiasis 117.0
92 Acute Myeloid Leukemia in adults 117.0
93 Acute bacterial meningitis in adults 117.0
94 Celiac Disease 115.0
95 Type 1 Diabetes mellitus 115.0
96 Acute Liver Failure 114.0
97 Gallstones 114.0
98 Bacterial gastroenteritis 114.0
99 Gastric cancer 114.0
100 Budd Chiari Syndrome 113.0
101 Acute Lymphocytic Leukemia in Adults 113.0
102 Pheochromocytoma 113.0
103 Acute bacterial meningitis in neonates 113.0
104 Diabetic Amyotrophy 113.0
105 pancreatic SOD 108.0
106 Kawasaki disease 108.0
107 Acalculous Cholecystitis 107.0
108 chronic acalculous cholecystitis 107.0
109 Choledochal Cyst 107.0
110 Eosinophilic gastroenteritis 105.0
111 subserosal eosinophilic gastroenteritis 105.0
112 Muscle Layer Eosinophilic gastroenteritis 105.0
113 Cellulitis 104.0
114 Giardiasis 103.0
115 COVID19 103.0
116 Amphetamine use disorder 103.0
117 Amebiasis 102.0
118 Adrenal Suppression 102.0
119 Systemic vasculitis 102.0
120 Chronic pyelonephritis 102.0
121 Mirizzi Syndrome 100.0
122 Autoimmune Pancreatitis 100.0
123 Peutz-Jeghers Syndrome 100.0
124 Central hypothyroidism 100.0
125 Chronic prostatitis 99.0
126 Achalasia 99.0
127 Animal bites 98.0
128 Glomerulonephritis 98.0
129 Malt lymphoma 98.0
130 Gastric Ulcer 97.0
131 Duodenal Ulcer 97.0
132 Acute otitis media 95.0
133 Gallbladder Dyskinesia 93.0
134 Gastroesophageal reflux disease 93.0
135 Bladder Cancer 92.0
136 Ankylosing spondylitis 92.0
137 Thrombotic thrombocytopenic purpura 91.0
138 COPD Exacerbation 91.0
139 Primary Myelofibrosis 90.0
140 Adrenocortical carcinoma 90.0
141 Gastroenteritis 90.0
142 Pancreatitis 90.0
143 Cholangitis 90.0
144 Pelvic inflammatory disease 90.0
145 Acute pelvic inflammatory disease 90.0
146 Middle East respiratory syndrome 90.0
147 Acute fatty liver of pregnancy 89.0
148 Hyperosmolar Hyperglycemic state 89.0
149 Hemolytic uremic syndrome 89.0
150 Intrahepatic cholestasis of pregnancy 88.0
151 Common cutaneous drug reactions 88.0
152 Chronic heart failure 88.0
153 Short bowel syndrome 87.0
154 Insect bites and stings 87.0
155 Common cold(children) 87.0
156 Osteomyelitis 86.0
157 Chronic Myeloid Leukemia 84.0
158 Travelers diarrhea 84.0
159 Chronic meningitis 84.0
160 Dyspepsia 84.0
161 Aortic Dissection 83.0
162 Acute Myeloid Leukemia in children 83.0
163 Foodborne E coli infection 82.0
164 Gastric Outlet Obstruction 82.0
165 biliary SOD 81.0
166 Zollinger-Ellison Syndrome 81.0
167 Familial adenomatous polyposis syndrome 81.0
168 Autosomal Recessive Polycystic Kidney Disease 81.0
169 Pancreatic Pseudocyst 80.0
170 Urinary tract infection 80.0
171 Cystitis 80.0
172 Inflammatory Bowel Diseases 79.0
173 Hepatic Encephalopathy 79.0
174 Multiple Myeloma 79.0
175 Diabetic Ketoacidosis 78.0
176 Secondary Peritonitis 78.0
177 Sphincter of Oddi Dysfunction 77.0
178 Preeclampsia 77.0
179 Hyperparathyroidism 75.0
180 Anaplastic thyroid cancer 74.0
181 Non-small cell lung cancer 74.0
182 STI HIV Pharyngitis 72.0
183 biliary colic 71.0
184 Gallbladder Empyema 71.0
185 Intestinal malrotation 71.0
186 Systemic sclerosis 71.0
187 Hiatus hernia 71.0
188 Non-cholera Vibrio infections 71.0
189 Clostridium difficile infection 71.0
190 Hypercalcemia 70.0
191 Cholecystitis 69.0
192 Chronic Cholecystitis 69.0
193 Hereditary Angioedema 69.0
194 Liver Abscess 69.0
195 Splenic abscess 69.0
196 Annular pancreas 68.0
197 Anthrax 68.0
198 End Stage Renal Disease 68.0
199 Ovarian and fallopian tube torsion 67.0
200 Menopause 67.0
201 Biliary cyst 66.0
202 Osteoporosis 66.0
203 anterior ischemic optic neuropathy 66.0
204 Rumination Syndrome 65.0
205 Inguinal hernia 65.0
206 Acute peritonitis 65.0
207 Diabetes Mellitus 65.0
208 Anaphylaxis 64.0
209 Toxic thyroid adenoma 64.0
210 Cholera 63.0
211 Food poisoning 62.0
212 Ectopic Pregnancy 62.0
213 Endometriosis 62.0
214 Sigmoid volvulus 61.0
215 Panic disorder in adults 61.0
216 Acute intermittent porphyria 59.0
217 Renal Cell Carcinoma 59.0
218 Rheumatoid Arthritis 58.0
219 Chronic Kidney Diseases 58.0
220 Hepatorenal Syndrome 57.0
221 Gastric Volvulus 57.0
222 Wilson disease 56.0
223 Eclampsia 55.0
224 Foreign body ingestion 55.0
225 Ileus 55.0
226 Fungal meningitis 55.0
227 Hyperprolactinemia 54.0
228 Acute pericarditis 54.0
229 Ischemic stroke 54.0
230 Empyema 53.0
231 Tetanus 53.0
232 Aortic coarctation 53.0
233 Amyloidosis 53.0
234 Graves ophthalmopathy 53.0
235 Oropharyngeal cancer 52.0
236 Henoch-Schonlein purpura 51.0
237 Painless thyroiditis 51.0
238 Splenic Rupture 50.0
239 Epilepsy 50.0
240 Pharyngitis 50.0
241 Viral pharyngitis 50.0
242 Genital herpes 50.0
243 Common cold(adults) 50.0
244 Croup 50.0
245 Aseptic meningitis 50.0
246 Non-ST-elevation myocardial infarction 49.0
247 Hypertriglyceridemia 49.0
248 Limited cutaneous systemic sclerosis 49.0
249 Lactose intolerance 48.0
250 Ovarian Torsion 48.0
251 Ischemic optic neuropathy 48.0
252 posteriorischemic optic neuropathy 48.0
253 Oral candidiasis 47.0
254 Secondary hyperparathyroidism 47.0
255 Chlamydia pneumoniae infection 46.0
256 Familial Mediterranean fever 46.0
257 Hypothyroidism 45.0
258 Acute viral rhinosinusitis 45.0
259 Gastritis 44.0
260 Colorectal cancer 44.0
261 Prostatitis 44.0
262 Acute disseminated encephalomyelitis 44.0
263 Mitral Stenosis 44.0
264 Sunburn 44.0
265 Meckel diverticulum 42.0
266 Cushing syndrome 42.0
267 Labyrinthitis 41.0
268 Hyperaldosteronism 41.0
269 Acute Cystitis(Men) 40.0
270 Acute heart failure 40.0
271 Analgesic nephropathy 40.0
272 Abetalipoproteinemia 39.0
273 Upper gastrointestinal hemorrhage 39.0
274 Lower gastrointestinal hemorrhage 39.0
275 Gastrointestinal Hemorrhage 39.0
276 Chronic Hepatitis 38.0
277 Ruptured ovarian cyst 38.0
278 Acne fulminans 38.0
279 ST-elevation myocardial infarction 38.0
280 Fibrocystic breasts 38.0
281 Intestinal Pseudo Obstruction 37.0
282 Ovarian Hyperstimulation Syndrome 37.0
283 Splenic Infarction 36.0
284 Guillain-Barre syndrome 36.0
285 Hypogammaglobulinemia 36.0
286 Pressure ulcer 36.0
287 Acetaminophen overdose 35.0
288 Irritable Bowel Syndrome 35.0
289 Leiomyomas 35.0
290 Bacterial conjunctivitis 35.0
291 Viral conjunctivitis 35.0
292 Renal Artery Stenosis 35.0
293 Peritonitis 34.0
294 Erythema nodosum 34.0
295 Stroke 34.0
296 Stevens-Johnson syndrome 34.0
297 Diabetic Kidney Disease 34.0
298 Hereditary hemochromatosis 32.0
299 Intraperitoneal bleeding 32.0
300 Laryngeal Cancer 32.0
301 Ruptured ectopic pregnancy 31.0
302 Breast Cancer 30.0
303 Multiple endocrine neoplasia 2B 30.0
304 Epididymo-orchitis 30.0
305 Phenylketonuria 30.0
306 Osteomalacia 30.0
307 Premature labor 29.0
308 Endometrial cancer 29.0
309 Unstable angina 29.0
310 Multiple endocrine neoplasia 2A 29.0
311 Psychogenic polydipsia 29.0
312 Type 2 Diabetes mellitus 28.0
313 Urinary Tract Obstruction 28.0
314 Abnormal uterine bleeding 27.0
315 Fibromyalgia 26.0
316 Ascites 26.0
317 Chronic pelvic pain in women 25.0
318 Gilbert syndrome 25.0
319 Acromegaly 25.0
320 Penis Carcinoma 24.0
321 Dacryocystitis 24.0
322 Thyroid lymphoma 24.0
323 Testicular cancer 24.0
324 Stable angina 24.0
325 Psoriasis 23.0
326 Acute Bronchitis 23.0
327 Chronic Lymphocytic Leukemia 23.0
328 Gingivitis 23.0
329 Simple kidney cyst 23.0
330 Zenker diverticulum 23.0
331 Obstructive Sleep Apnea 22.0
332 Goiter 21.0
333 Diffuse nontoxic goiter 21.0
334 Toxic multinodular goiter 21.0
335 Obstructive cervical goiters 21.0
336 Cervical goiter 21.0
337 Abdominal compartment syndrome 20.0
338 Herpes zoster 20.0
339 Epidemic keratoconjunctivitis 20.0
340 Sialadenitis 20.0
341 Acute bacterial rhinosinusitis 20.0
342 Diabetic Neuropathy 20.0
343 Prolactinoma 20.0
344 Gestational diabetes mellitus 18.0
345 Multiple Sclerosis 18.0
346 Disseminated intravascular coagulation 18.0
347 Acute epididymitis 18.0
348 Non-diabetic hypoglycemia 18.0
349 Hyperglycemia 18.0
350 Primary hypogonadism 18.0
351 Secondary hypogonadism 18.0
352 Dubin-Johnson syndrome 15.0
353 Milk-alkali syndrome 15.0
354 Acute Milk-alkali syndrome 15.0
355 Chronic Milk-alkali syndrome 15.0
356 Non-alcoholic Fatty Liver Disease 14.0
357 Asthma 14.0
358 Kidney stones 14.0
359 Pseudohypoparathyroidism 14.0
360 Peroneal Neuropathy 14.0
361 Hypoparathyroidism 12.0
362 Allergic rhinitis 12.0
363 Acute respiratory failure 12.0
364 Nasal polyps 12.0
365 Umbilical hernia 12.0
366 Subdural hematoma 11.0
367 Herpes pharyngitis 10.0
368 Chronic atrial fibrillation 10.0
369 Optic neuritis 9.0
370 Neuropapillitis 9.0
371 Hemorrhagic stroke 8.0
372 Chronic fatigue syndrome 8.0
373 Atypical pneumonia 7.0
374 Psoriatic arthritis 7.0
375 Paraneoplastic Syndromes 7.0
376 Drowning 7.0
377 Bullous pemphigoid 6.0
378 Alopecia areata 5.0
379 Migraine headache in adults 5.0
380 Pityriasis rosea 5.0
381 Ichthyosis 5.0
382 Alzheimer disease 5.0
383 Bed bugs 4.0
384 Dermatophyte infections 4.0
385 Pulmonary Embolism 3.0
386 endocarditis 2.0
387 Primary ciliary dyskinesia 2.0
388 Kartagener syndrome 2.0
389 Chronic Renal vein thrombosis 1.0
390 Hemorrhoids 0.0
391 Immune thrombocytopenia 0.0
392 Acute Cystitis(Women) 0.0
393 Osteoarthritis 0.0
394 Acne conglobata 0.0
395 Deep venous thrombosis 0.0
396 Recurrent aphthous stomatitis 0.0
397 Musculoskeletal lower back pain 0.0
398 Discogenic low back pain 0.0
399 Acute atrial fibrillation 0.0
400 Measles 0.0
401 Globus Sensation 0.0
402 Androgenetic alopecia 0.0
403 Premenstrual syndrome 0.0
404 Visceral leishmaniasis 0.0