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A patient presents to your family practice clinic with lower abdominal pain, fever

0 years old | Male

Vignette:

A patient presents to your family practice clinic with lower abdominal pain, fever and diarrhea. They are positive for anorexia and weight loss but are negative for blood in their stool (although it could also be positive). What are you suspicious of?

Summary:

lower abdominal pain | fever | diarrhea | anorexia | weight loss

Dx:

Crohn's disease

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 pancreatic cancer 340.0
2 Systemic lupus erythematosus 335.0
3 Brucellosis 334.0
4 Psoas Abscess 316.0
5 Alcoholic Liver Disease 291.0
6 Crohn Disease 290.0
7 Salmonella infection 279.0
8 Intestinal Entamoeba histolytica amebiasis 275.0
9 Amebic Liver Abscess 269.0
10 Klebsiella pneumoniae liver abscess 261.0
11 Rocky Mountain spotted fever 257.0
12 Addison Disease 247.0
13 Giardiasis 243.0
14 Pyogenic Liver Abscess 235.0
15 Acute viral meningitis 233.0
16 Churg-Strauss Syndrome 227.0
17 Alcoholic Liver Cirrhosis 227.0
18 Ulcerative Colitis 224.0
19 Alcoholic Fatty Liver 219.0
20 Sarcoidosis 218.0
21 Alcoholic hepatitis 217.0
22 Intussusception 216.0
23 Adrenal crisis 215.0
24 Chronic bacterial prostatitis 213.0
25 Listerial gastroenteritis 212.0
26 Viral Gastroenteritis 210.0
27 Mesenteric ischemia 204.0
28 Renal and perinephric abscess 202.0
29 Non-cholera Vibrio infections 202.0
30 mucosal Eosinophilic gastroenteritis 194.0
31 Bacterial gastroenteritis 191.0
32 Ruptured Tuboovarian abscess 191.0
33 Hemolytic uremic syndrome 191.0
34 Malaria 190.0
35 Polyarteritis nodosa 188.0
36 Campylobacter infection 187.0
37 Spontaneous bacterial peritonitis 183.0
38 Graves Disease 182.0
39 Intestinal Obstruction 180.0
40 Liver Cirrhosis 179.0
41 Acute Appendicitis 178.0
42 Chronic Pancreatitis 177.0
43 Acute Lymphoblastic leukemia in children 176.0
44 Endometritis 175.0
45 Choledochal Cyst 174.0
46 Pneumonia 174.0
47 Acute perforated appendicitis 172.0
48 Tuberculous Peritonitis 172.0
49 Anemia of chronic disease 170.0
50 Celiac Disease 170.0
51 Diverticulitis 168.0
52 Kawasaki disease 168.0
53 Acute bacterial meningitis in children 168.0
54 Peritoneal dialysis associated peritonitis 167.0
55 Granulomatosis with polyangiitis 166.0
56 Gallbladder cancer 163.0
57 Liver disease 163.0
58 Diabetic Amyotrophy 163.0
59 Autoimmune hepatitis 162.0
60 Hyperthyroidism 162.0
61 Type 1 Diabetes mellitus 160.0
62 Toxic Megacolon 159.0
63 Primary sclerosing cholangitis 158.0
64 Acute Clonorchiasis 158.0
65 Duodenal Ulcer 158.0
66 Gastric Ulcer 158.0
67 Acute Cholecystitis 157.0
68 Emphysematous cholecystitis 157.0
69 Zollinger-Ellison Syndrome 155.0
70 Intra-abdominal abscess 153.0
71 Acute peptic ulcer 152.0
72 Ovarian Cancer 152.0
73 Shigellosis 151.0
74 Biliary cirrhosis 149.0
75 Primary biliary cirrhosis 149.0
76 Autosomal Dominant Polycystic Kidney Disease 149.0
77 Influenza 149.0
78 Tuboovarian abscess 148.0
79 Acute Myeloid Leukemia in adults 148.0
80 Eosinophilic gastroenteritis 147.0
81 Muscle Layer Eosinophilic gastroenteritis 147.0
82 subserosal eosinophilic gastroenteritis 147.0
83 Thrombotic thrombocytopenic purpura 145.0
84 Gastroparesis 145.0
85 Extraintestinal Entamoeba histolytica amebiasis 143.0
86 Acute otitis media 140.0
87 Foodborne E coli infection 135.0
88 Amebiasis 135.0
89 Pheochromocytoma 133.0
90 Acute bacterial meningitis in neonates 133.0
91 Gastric cancer 133.0
92 Intestinal Pseudo Obstruction 132.0
93 Cholangiocarcinoma 132.0
94 Infectious mononucleosis 130.0
95 Pelvic inflammatory disease 128.0
96 Acute pelvic inflammatory disease 128.0
97 Autoimmune Pancreatitis 128.0
98 Food poisoning 127.0
99 Short bowel syndrome 127.0
100 Gastroenteritis 125.0
101 Acute Cholangitis 124.0
102 Peptic Ulcer 124.0
103 Abetalipoproteinemia 124.0
104 Cholera 124.0
105 Epiploic appendagitis 123.0
106 Chronic prostatitis 123.0
107 Hepatocellular carcinoma 122.0
108 Periorbital and orbital cellulitis 122.0
109 Secondary Peritonitis 120.0
110 Cystic Fibrosis 119.0
111 Diabetes Mellitus 119.0
112 Esophagitis 118.0
113 Common cutaneous drug reactions 118.0
114 Anthrax 118.0
115 Travelers diarrhea 118.0
116 Acute bacterial meningitis in adults 117.0
117 Malt lymphoma 117.0
118 Clonorchiasis 116.0
119 Lung Cancer 115.0
120 Acute Pancreatitis 114.0
121 Lactose intolerance 114.0
122 Anaphylaxis 114.0
123 Henoch-Schonlein purpura 113.0
124 Amphetamine use disorder 113.0
125 Typhoid infection 112.0
126 Systemic vasculitis 112.0
127 Acute intermittent porphyria 109.0
128 Clostridium difficile infection 109.0
129 STI HIV Pharyngitis 108.0
130 Acute Lymphocytic Leukemia in Adults 108.0
131 Familial adenomatous polyposis syndrome 108.0
132 Hereditary Angioedema 107.0
133 Peutz-Jeghers Syndrome 107.0
134 COPD Exacerbation 107.0
135 Middle East respiratory syndrome 107.0
136 Inflammatory Bowel Diseases 106.0
137 Glomerulonephritis 106.0
138 Intestinal malrotation 104.0
139 Upper gastrointestinal hemorrhage 104.0
140 Lower gastrointestinal hemorrhage 104.0
141 Gastrointestinal Hemorrhage 104.0
142 Rumination Syndrome 103.0
143 COVID19 103.0
144 Gallstone pancreatitis 102.0
145 Adrenal Suppression 102.0
146 Primary Myelofibrosis 102.0
147 Chronic pyelonephritis 102.0
148 Chronic Myeloid Leukemia 102.0
149 Gastric Outlet Obstruction 102.0
150 Cryptococcosis 101.0
151 Acute pyelonephritis in adults 100.0
152 Central hypothyroidism 100.0
153 Bacterial pharyngitis 97.0
154 Dyspepsia 97.0
155 Common cold(children) 95.0
156 Ankylosing spondylitis 95.0
157 Anal Fissure 95.0
158 Adrenocortical carcinoma 90.0
159 Chronic Clonorchiasis 90.0
160 Achalasia 90.0
161 Analgesic nephropathy 90.0
162 Ruptured ovarian cyst 89.0
163 Hyperosmolar Hyperglycemic state 89.0
164 Systemic sclerosis 89.0
165 Diabetic Ketoacidosis 88.0
166 Chronic heart failure 88.0
167 Acute pericarditis 88.0
168 Acalculous Cholecystitis 87.0
169 chronic acalculous cholecystitis 87.0
170 Choledocholithiasis 87.0
171 Insect bites and stings 87.0
172 Irritable Bowel Syndrome 85.0
173 Acute fatty liver of pregnancy 85.0
174 Endometriosis 85.0
175 Chronic meningitis 84.0
176 Aseptic meningitis 84.0
177 Aortic Dissection 83.0
178 Acute Myeloid Leukemia in children 83.0
179 Familial Mediterranean fever 83.0
180 Stevens-Johnson syndrome 82.0
181 Acute Liver Failure 82.0
182 Acute peritonitis 82.0
183 Hyperparathyroidism 82.0
184 Acute Hepatitis 81.0
185 Graves ophthalmopathy 80.0
186 Heparin-induced thrombocytopenia 79.0
187 Splenic abscess 79.0
188 Hepatic Encephalopathy 79.0
189 Budd Chiari Syndrome 78.0
190 Anaplastic thyroid cancer 78.0
191 Amyloidosis 78.0
192 Acute Bacterial Prostatitis 77.0
193 Hypogammaglobulinemia 77.0
194 Bladder Cancer 76.0
195 Gallstones 75.0
196 Pyelonephritis 75.0
197 Autosomal Recessive Polycystic Kidney Disease 75.0
198 Pancreatic Pseudocyst 74.0
199 Non-small cell lung cancer 74.0
200 Ectopic Pregnancy 72.0
201 Ruptured ectopic pregnancy 72.0
202 Meckel diverticulum 71.0
203 Type 2 Diabetes mellitus 71.0
204 Colorectal cancer 70.0
205 Multiple endocrine neoplasia 2A 70.0
206 Annular pancreas 69.0
207 Prostatitis 68.0
208 End Stage Renal Disease 68.0
209 Ovarian and fallopian tube torsion 67.0
210 Rheumatoid Arthritis 66.0
211 Cellulitis 66.0
212 Painless thyroiditis 66.0
213 Osteoporosis 66.0
214 anterior ischemic optic neuropathy 66.0
215 Wilson disease 65.0
216 Inguinal hernia 65.0
217 Hypercalcemia 65.0
218 Chronic pelvic pain in women 64.0
219 Chronic Kidney Diseases 64.0
220 Toxic thyroid adenoma 64.0
221 Foreign body ingestion 63.0
222 Mirizzi Syndrome 63.0
223 Intrahepatic cholestasis of pregnancy 63.0
224 Ischemic stroke 62.0
225 Sigmoid volvulus 61.0
226 Splenic Rupture 61.0
227 Cystitis 60.0
228 Multiple endocrine neoplasia 2B 60.0
229 Renal Cell Carcinoma 59.0
230 Gastric Volvulus 58.0
231 Multiple Myeloma 58.0
232 Liver Abscess 58.0
233 Ovarian Torsion 56.0
234 Aortic coarctation 56.0
235 Secondary hyperparathyroidism 56.0
236 Ileus 55.0
237 Splenic Infarction 55.0
238 Fungal meningitis 55.0
239 Hypertriglyceridemia 54.0
240 Gastroesophageal reflux disease 54.0
241 Empyema 53.0
242 Tetanus 53.0
243 Chronic Lymphocytic Leukemia 53.0
244 Biliary cyst 52.0
245 Guillain-Barre syndrome 52.0
246 Osteomyelitis 52.0
247 Oropharyngeal cancer 52.0
248 Hepatorenal Syndrome 51.0
249 Gastritis 50.0
250 Hiatus hernia 50.0
251 Epilepsy 50.0
252 Pharyngitis 50.0
253 Viral pharyngitis 50.0
254 Genital herpes 50.0
255 Common cold(adults) 50.0
256 Croup 50.0
257 Non-ST-elevation myocardial infarction 49.0
258 Acute viral rhinosinusitis 49.0
259 Hyperprolactinemia 49.0
260 Urinary Tract Obstruction 48.0
261 Ascites 48.0
262 Ischemic optic neuropathy 48.0
263 posteriorischemic optic neuropathy 48.0
264 Ovarian Hyperstimulation Syndrome 47.0
265 Endometrial cancer 47.0
266 Animal bites 47.0
267 Chlamydia pneumoniae infection 47.0
268 Oral candidiasis 47.0
269 Psoriasis 46.0
270 Eclampsia 46.0
271 Pancreatitis 45.0
272 Cholangitis 45.0
273 Hereditary hemochromatosis 44.0
274 Acute disseminated encephalomyelitis 44.0
275 Disseminated intravascular coagulation 44.0
276 Cushing syndrome 42.0
277 Acromegaly 42.0
278 Chronic Hepatitis 42.0
279 ST-elevation myocardial infarction 42.0
280 Diabetic Neuropathy 42.0
281 Epidemic keratoconjunctivitis 41.0
282 Labyrinthitis 41.0
283 Hyperaldosteronism 41.0
284 Diabetic Kidney Disease 41.0
285 Urinary tract infection 40.0
286 Acute heart failure 40.0
287 Hypothyroidism 39.0
288 Acne fulminans 38.0
289 Acetaminophen overdose 37.0
290 Mitral Stenosis 37.0
291 Multiple Sclerosis 36.0
292 Limited cutaneous systemic sclerosis 36.0
293 Leiomyomas 35.0
294 Bacterial conjunctivitis 35.0
295 Viral conjunctivitis 35.0
296 Renal Artery Stenosis 35.0
297 Menopause 34.0
298 Peritonitis 34.0
299 Erythema nodosum 34.0
300 Goiter 34.0
301 Stroke 34.0
302 Diffuse nontoxic goiter 34.0
303 Toxic multinodular goiter 34.0
304 Obstructive cervical goiters 34.0
305 Cervical goiter 34.0
306 Exocrine pancreatic insufficiency 33.0
307 Psychogenic polydipsia 33.0
308 Intraperitoneal bleeding 32.0
309 Panic disorder in adults 32.0
310 Laryngeal Cancer 32.0
311 Medullary thyroid cancer 32.0
312 pancreatic SOD 31.0
313 Testicular cancer 31.0
314 Breast Cancer 30.0
315 Herpes zoster 30.0
316 Phenylketonuria 30.0
317 Osteomalacia 30.0
318 Premature labor 29.0
319 Unstable angina 29.0
320 Gallbladder Dyskinesia 28.0
321 Thyroid lymphoma 28.0
322 Abnormal uterine bleeding 27.0
323 Fibromyalgia 26.0
324 Enterovesical fistula 26.0
325 Sunburn 26.0
326 Atypical pneumonia 25.0
327 Preeclampsia 25.0
328 Penis Carcinoma 24.0
329 Dacryocystitis 24.0
330 Allergic rhinitis 24.0
331 Acute bacterial rhinosinusitis 24.0
332 Stable angina 24.0
333 Globus Sensation 24.0
334 Acute Cystitis(Women) 23.0
335 Gingivitis 23.0
336 Simple kidney cyst 23.0
337 Zenker diverticulum 23.0
338 Chronic fatigue syndrome 22.0
339 Parkinson disease 22.0
340 Epididymo-orchitis 21.0
341 Migraine headache in adults 21.0
342 Gilbert syndrome 21.0
343 Abdominal compartment syndrome 20.0
344 Acute Cystitis(Men) 20.0
345 Vaginitis 20.0
346 Urethritis 20.0
347 Phimosis 20.0
348 Paraphimosis 20.0
349 Acute Bronchitis 20.0
350 Sialadenitis 20.0
351 Prolactinoma 20.0
352 Von willebrand disease 19.0
353 Acute epididymitis 18.0
354 Pressure ulcer 18.0
355 Non-diabetic hypoglycemia 18.0
356 Tinnitus 18.0
357 Premenstrual syndrome 18.0
358 Umbilical hernia 18.0
359 Hyperglycemia 18.0
360 Primary hypogonadism 18.0
361 Secondary hypogonadism 18.0
362 biliary SOD 17.0
363 Gallbladder Empyema 16.0
364 Non-alcoholic Fatty Liver Disease 16.0
365 Obstructive Sleep Apnea 16.0
366 Sphincter of Oddi Dysfunction 16.0
367 Atopic dermatitis 16.0
368 Dubin-Johnson syndrome 15.0
369 biliary colic 15.0
370 Milk-alkali syndrome 15.0
371 Acute Milk-alkali syndrome 15.0
372 Chronic Milk-alkali syndrome 15.0
373 Kidney stones 14.0
374 Pseudohypoparathyroidism 14.0
375 Peroneal Neuropathy 14.0
376 Cholecystitis 14.0
377 Chronic Cholecystitis 14.0
378 Blepharitis 14.0
379 Psoriatic arthritis 13.0
380 Tinea versicolor 13.0
381 Hypoparathyroidism 12.0
382 Bed bugs 12.0
383 Acute respiratory failure 12.0
384 Nasal polyps 12.0
385 Carpal Tunnel Syndrome 12.0
386 Discogenic low back pain 11.0
387 Subdural hematoma 11.0
388 Herpes pharyngitis 10.0
389 Chronic atrial fibrillation 10.0
390 Optic neuritis 9.0
391 Neuropapillitis 9.0
392 Primary ciliary dyskinesia 8.0
393 Kartagener syndrome 8.0
394 Extrahepatic Cholestasis 8.0
395 Intrahepatic Cholestasis 8.0
396 Hemorrhagic stroke 7.0
397 Paraneoplastic Syndromes 7.0
398 Drowning 7.0
399 Mallory-Weiss syndrome 7.0
400 Bullous pemphigoid 6.0
401 Ramsay Hunt syndrome 6.0
402 Meniere disease 6.0
403 Alopecia areata 5.0
404 Pityriasis rosea 5.0
405 Ichthyosis 5.0
406 Alzheimer disease 5.0
407 Dermatophyte infections 4.0
408 Acute Rhinosinusitis 4.0
409 Pulmonary Embolism 3.0
410 Migraine 3.0
411 endocarditis 2.0
412 Chronic Renal vein thrombosis 1.0
413 Hemorrhoids 0.0
414 Immune thrombocytopenia 0.0
415 Osteoarthritis 0.0
416 Acne conglobata 0.0
417 Deep venous thrombosis 0.0
418 Recurrent aphthous stomatitis 0.0
419 Musculoskeletal lower back pain 0.0
420 Acute atrial fibrillation 0.0
421 Measles 0.0
422 Motion Sickness 0.0
423 Myasthenia Gravis 0.0
424 Congenital Myasthenic Syndromes 0.0
425 Neonatal Myasthenia Gravis 0.0
426 Androgenetic alopecia 0.0
427 Asthma 0.0
428 Visceral leishmaniasis 0.0
429 Stable ischemic heart disease 0.0
430 Bell palsy 0.0
431 Myoclonus 0.0