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A patient presents to the urgent care clinic with abdominal pain, fever, bloody diarrhea

0 years old | Male

Vignette:

A patient presents to the urgent care clinic with abdominal pain, fever, bloody diarrhea tenesmus. What are you suspicious of?

Summary:

abdominal pain | fever | bloody diarrhea | tenesmus

Dx:

Ulcerative colitis

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 Shigellosis 229.0
2 Amebic Liver Abscess 227.0
3 Intestinal Entamoeba histolytica amebiasis 225.0
4 Listerial gastroenteritis 218.0
5 Psoas Abscess 216.0
6 Acute pyelonephritis in adults 212.0
7 Toxic Megacolon 204.0
8 mucosal Eosinophilic gastroenteritis 201.0
9 Ulcerative Colitis 196.0
10 Muscle Layer Eosinophilic gastroenteritis 195.0
11 subserosal eosinophilic gastroenteritis 195.0
12 Mesenteric ischemia 194.0
13 Acute perforated appendicitis 194.0
14 Klebsiella pneumoniae liver abscess 193.0
15 Acute Appendicitis 192.0
16 Pyogenic Liver Abscess 191.0
17 Bacterial gastroenteritis 190.0
18 Campylobacter infection 187.0
19 Peritoneal dialysis associated peritonitis 180.0
20 Rocky Mountain spotted fever 180.0
21 Giardiasis 180.0
22 Eosinophilic gastroenteritis 176.0
23 Gastroenteritis 175.0
24 Intussusception 174.0
25 Food poisoning 169.0
26 Kawasaki disease 168.0
27 Acute Cholangitis 167.0
28 Crohn Disease 162.0
29 Brucellosis 162.0
30 pancreatic cancer 157.0
31 Tuberculous Peritonitis 157.0
32 Viral Gastroenteritis 157.0
33 Chronic Pancreatitis 156.0
34 Adrenal crisis 156.0
35 Alcoholic hepatitis 154.0
36 Salmonella infection 153.0
37 Spontaneous bacterial peritonitis 149.0
38 Acute Cholecystitis 148.0
39 Emphysematous cholecystitis 148.0
40 Ruptured Tuboovarian abscess 148.0
41 Acute intermittent porphyria 145.0
42 Chronic bacterial prostatitis 144.0
43 Renal and perinephric abscess 143.0
44 Tuboovarian abscess 142.0
45 Irritable Bowel Syndrome 141.0
46 Epiploic appendagitis 140.0
47 Churg-Strauss Syndrome 140.0
48 Foodborne E coli infection 140.0
49 Malaria 136.0
50 Intestinal Obstruction 135.0
51 Chronic prostatitis 135.0
52 Colorectal cancer 134.0
53 Systemic lupus erythematosus 134.0
54 Alcoholic Liver Disease 131.0
55 Sigmoid volvulus 130.0
56 Acute viral meningitis 129.0
57 Lactose intolerance 128.0
58 Pneumonia 128.0
59 Intra-abdominal abscess 127.0
60 Autoimmune hepatitis 126.0
61 Autosomal Dominant Polycystic Kidney Disease 126.0
62 Sarcoidosis 126.0
63 Hemolytic uremic syndrome 126.0
64 Intestinal malrotation 125.0
65 Choledochal Cyst 123.0
66 Common cutaneous drug reactions 123.0
67 Pelvic inflammatory disease 122.0
68 Acute pelvic inflammatory disease 122.0
69 Hereditary Angioedema 122.0
70 Pyelonephritis 122.0
71 Periorbital and orbital cellulitis 122.0
72 Zollinger-Ellison Syndrome 119.0
73 Endometriosis 118.0
74 Anthrax 118.0
75 Alcoholic Fatty Liver 118.0
76 Acalculous Cholecystitis 117.0
77 chronic acalculous cholecystitis 117.0
78 Bacterial pharyngitis 117.0
79 Acute bacterial meningitis in adults 117.0
80 Endometritis 116.0
81 Gastrointestinal Hemorrhage 115.0
82 Lower gastrointestinal hemorrhage 115.0
83 Upper gastrointestinal hemorrhage 115.0
84 Addison Disease 114.0
85 Anaphylaxis 114.0
86 Polyarteritis nodosa 112.0
87 Thrombotic thrombocytopenic purpura 112.0
88 Non-cholera Vibrio infections 112.0
89 Foreign body ingestion 111.0
90 Middle East respiratory syndrome 111.0
91 Graves Disease 109.0
92 Ectopic Pregnancy 108.0
93 Ruptured ectopic pregnancy 108.0
94 Acute bacterial meningitis in neonates 108.0
95 Intestinal Pseudo Obstruction 105.0
96 Alcoholic Liver Cirrhosis 105.0
97 Acute peptic ulcer 104.0
98 Ovarian Cancer 102.0
99 Travelers diarrhea 102.0
100 Inflammatory Bowel Diseases 101.0
101 Choledocholithiasis 101.0
102 Renal Cell Carcinoma 101.0
103 Primary sclerosing cholangitis 99.0
104 Acute Lymphoblastic leukemia in children 99.0
105 Biliary cyst 97.0
106 Cholera 96.0
107 Anemia of chronic disease 94.0
108 Influenza 94.0
109 Granulomatosis with polyangiitis 93.0
110 Gastric Volvulus 91.0
111 Acute peritonitis 91.0
112 Adrenocortical carcinoma 91.0
113 Budd Chiari Syndrome 90.0
114 Ruptured ovarian cyst 89.0
115 Diverticulitis 88.0
116 Liver Cirrhosis 85.0
117 Kidney stones 85.0
118 Splenic abscess 85.0
119 Systemic vasculitis 83.0
120 Duodenal Ulcer 82.0
121 Gastric Ulcer 82.0
122 Hepatocellular carcinoma 82.0
123 Cholangiocarcinoma 81.0
124 Urinary tract infection 80.0
125 Cystitis 80.0
126 Pheochromocytoma 80.0
127 Prostatitis 80.0
128 Glomerulonephritis 79.0
129 COVID19 77.0
130 Peutz-Jeghers Syndrome 77.0
131 Pancreatic Pseudocyst 76.0
132 Secondary Peritonitis 76.0
133 Acute bacterial meningitis in children 76.0
134 Meckel diverticulum 75.0
135 Gallbladder cancer 74.0
136 Acute Clonorchiasis 74.0
137 COPD Exacerbation 74.0
138 Acute otitis media 72.0
139 Infectious mononucleosis 71.0
140 Acute Lymphocytic Leukemia in Adults 71.0
141 Gallstones 70.0
142 Biliary cirrhosis 70.0
143 Primary biliary cirrhosis 70.0
144 Urinary Tract Obstruction 70.0
145 Mirizzi Syndrome 70.0
146 Aseptic meningitis 70.0
147 Acute pericarditis 68.0
148 Stevens-Johnson syndrome 68.0
149 Inguinal hernia 67.0
150 Ischemic stroke 66.0
151 Splenic Rupture 66.0
152 Hyperthyroidism 65.0
153 Acute Renal vein thrombosis 65.0
154 Non-ST-elevation myocardial infarction 65.0
155 Aortic Dissection 64.0
156 Analgesic nephropathy 64.0
157 Hyperosmolar Hyperglycemic state 64.0
158 Autoimmune Pancreatitis 63.0
159 Amebiasis 63.0
160 Diabetic Amyotrophy 63.0
161 Annular pancreas 62.0
162 Diabetic Ketoacidosis 62.0
163 Panic disorder in adults 62.0
164 Rumination Syndrome 61.0
165 Liver disease 61.0
166 Parkinson disease 61.0
167 Insect bites and stings 61.0
168 Wilson disease 60.0
169 Peritonitis 60.0
170 Eclampsia 60.0
171 Celiac Disease 59.0
172 Acute Bacterial Prostatitis 59.0
173 Common cold(children) 59.0
174 Hiatus hernia 58.0
175 Typhoid infection 58.0
176 Liver Abscess 58.0
177 STI HIV Pharyngitis 58.0
178 Ovarian Hyperstimulation Syndrome 57.0
179 Gastroparesis 56.0
180 Type 1 Diabetes mellitus 56.0
181 Extraintestinal Entamoeba histolytica amebiasis 56.0
182 Acute Pancreatitis 55.0
183 Gallstone pancreatitis 55.0
184 Acute fatty liver of pregnancy 55.0
185 Splenic Infarction 55.0
186 Chronic pelvic pain in women 55.0
187 Heparin-induced thrombocytopenia 54.0
188 Chronic Myeloid Leukemia 54.0
189 Disseminated intravascular coagulation 54.0
190 Intraperitoneal bleeding 53.0
191 Henoch-Schonlein purpura 53.0
192 Type 2 Diabetes mellitus 53.0
193 Acetaminophen overdose 53.0
194 Hypertriglyceridemia 53.0
195 Ovarian Torsion 53.0
196 Empyema 53.0
197 Tetanus 53.0
198 Hepatic Encephalopathy 52.0
199 Hereditary hemochromatosis 52.0
200 Chronic pyelonephritis 52.0
201 Ileus 50.0
202 Esophagitis 50.0
203 Autosomal Recessive Polycystic Kidney Disease 50.0
204 Breast Cancer 50.0
205 Epilepsy 50.0
206 Pharyngitis 50.0
207 Viral pharyngitis 50.0
208 Genital herpes 50.0
209 Croup 50.0
210 Cryptococcosis 50.0
211 Chronic meningitis 50.0
212 Ascites 49.0
213 Familial adenomatous polyposis syndrome 49.0
214 Acute viral rhinosinusitis 48.0
215 Chronic Hepatitis 47.0
216 Chlamydia pneumoniae infection 47.0
217 Peptic Ulcer 46.0
218 Short bowel syndrome 46.0
219 Multiple Sclerosis 46.0
220 Hypogammaglobulinemia 46.0
221 Acute Liver Failure 45.0
222 Ovarian and fallopian tube torsion 45.0
223 Diabetes Mellitus 45.0
224 Pancreatitis 45.0
225 Cholangitis 45.0
226 Fibromyalgia 44.0
227 Familial Mediterranean fever 44.0
228 Acute Myeloid Leukemia in adults 44.0
229 Acute disseminated encephalomyelitis 44.0
230 Primary Myelofibrosis 43.0
231 Acute Myeloid Leukemia in children 42.0
232 Systemic sclerosis 41.0
233 Labyrinthitis 41.0
234 Fungal meningitis 41.0
235 Bladder Cancer 40.0
236 Acute Cystitis(Men) 40.0
237 Non-small cell lung cancer 40.0
238 Chronic Lymphocytic Leukemia 40.0
239 Animal bites 40.0
240 ST-elevation myocardial infarction 40.0
241 Chronic Clonorchiasis 39.0
242 Abetalipoproteinemia 39.0
243 pancreatic SOD 39.0
244 Acne fulminans 38.0
245 Cellulitis 38.0
246 Clostridium difficile infection 37.0
247 Psoriasis 37.0
248 Multiple endocrine neoplasia 2B 36.0
249 Premature labor 36.0
250 Multiple endocrine neoplasia 2A 36.0
251 Acute Hepatitis 36.0
252 Globus Sensation 36.0
253 Ankylosing spondylitis 35.0
254 Gallbladder Dyskinesia 35.0
255 Bacterial conjunctivitis 35.0
256 Viral conjunctivitis 35.0
257 Abdominal compartment syndrome 34.0
258 Chronic Kidney Diseases 34.0
259 Chronic heart failure 34.0
260 Anaplastic thyroid cancer 34.0
261 Adrenal Suppression 34.0
262 Amyloidosis 34.0
263 Epidemic keratoconjunctivitis 34.0
264 Erythema nodosum 34.0
265 Osteomyelitis 34.0
266 Stroke 34.0
267 Exocrine pancreatic insufficiency 33.0
268 Achalasia 33.0
269 Leiomyomas 32.0
270 Hypothyroidism 32.0
271 Dubin-Johnson syndrome 32.0
272 Preeclampsia 32.0
273 Cystic Fibrosis 31.0
274 Aortic coarctation 31.0
275 Common cold(adults) 31.0
276 Hepatorenal Syndrome 30.0
277 Gastric Outlet Obstruction 30.0
278 Endometrial cancer 29.0
279 Chronic fatigue syndrome 29.0
280 Hemorrhoids 27.0
281 Guillain-Barre syndrome 27.0
282 Amphetamine use disorder 27.0
283 Von willebrand disease 27.0
284 Herpes zoster 27.0
285 Mitral Stenosis 27.0
286 Anal Fissure 27.0
287 Graves ophthalmopathy 27.0
288 Gastric cancer 26.0
289 Enterovesical fistula 26.0
290 Sunburn 26.0
291 Hyperparathyroidism 25.0
292 Rheumatoid Arthritis 25.0
293 Multiple Myeloma 25.0
294 biliary SOD 25.0
295 Gastritis 24.0
296 Chronic Renal vein thrombosis 24.0
297 Hypercalcemia 24.0
298 Lung Cancer 24.0
299 Malt lymphoma 24.0
300 Sphincter of Oddi Dysfunction 24.0
301 Gilbert syndrome 24.0
302 Dacryocystitis 24.0
303 Atopic dermatitis 24.0
304 biliary colic 23.0
305 Acute Cystitis(Women) 23.0
306 Osteoarthritis 23.0
307 Renal vein thrombosis 23.0
308 Hyperaldosteronism 23.0
309 Gingivitis 23.0
310 Acute bacterial rhinosinusitis 23.0
311 Gastroesophageal reflux disease 22.0
312 Cushing syndrome 22.0
313 Acromegaly 22.0
314 Bullous pemphigoid 22.0
315 Diabetic Neuropathy 22.0
316 Hyperprolactinemia 22.0
317 Clonorchiasis 21.0
318 Alzheimer disease 21.0
319 Cholecystitis 21.0
320 Chronic Cholecystitis 21.0
321 Epididymo-orchitis 21.0
322 Blepharitis 21.0
323 Dyspepsia 20.0
324 Medullary thyroid cancer 20.0
325 Vaginitis 20.0
326 Urethritis 20.0
327 Phimosis 20.0
328 Paraphimosis 20.0
329 Sialadenitis 20.0
330 Mallory-Weiss syndrome 20.0
331 Gout 19.0
332 Tinea versicolor 19.0
333 Rotor syndrome 18.0
334 Menopause 18.0
335 Acute epididymitis 18.0
336 End Stage Renal Disease 18.0
337 Atypical pneumonia 18.0
338 Pressure ulcer 18.0
339 Non-diabetic hypoglycemia 18.0
340 Carpal Tunnel Syndrome 18.0
341 Gallbladder Empyema 16.0
342 Acute Bronchitis 16.0
343 Simple kidney cyst 15.0
344 Obstructive Sleep Apnea 15.0
345 Migraine headache in adults 15.0
346 Unstable angina 14.0
347 Intrahepatic cholestasis of pregnancy 14.0
348 Laryngeal Cancer 14.0
349 Secondary hyperparathyroidism 14.0
350 Extrahepatic Cholestasis 13.0
351 Intrahepatic Cholestasis 13.0
352 Thyroid lymphoma 13.0
353 Phenylketonuria 13.0
354 Stable angina 12.0
355 Bed bugs 12.0
356 Psychogenic polydipsia 12.0
357 Hypoparathyroidism 12.0
358 Limited cutaneous systemic sclerosis 12.0
359 Acute respiratory failure 12.0
360 Nasal polyps 12.0
361 Non-alcoholic Fatty Liver Disease 11.0
362 Testicular cancer 11.0
363 Psoriatic arthritis 11.0
364 Subdural hematoma 11.0
365 Tinnitus 11.0
366 Hemorrhagic stroke 10.0
367 Herpes pharyngitis 10.0
368 Chronic atrial fibrillation 10.0
369 Premenstrual syndrome 10.0
370 Painless thyroiditis 10.0
371 Gestational diabetes mellitus 10.0
372 Renal Artery Stenosis 9.0
373 Primary ciliary dyskinesia 9.0
374 Kartagener syndrome 9.0
375 Optic neuritis 9.0
376 Neuropapillitis 9.0
377 Goiter 9.0
378 Diffuse nontoxic goiter 9.0
379 Toxic multinodular goiter 9.0
380 Obstructive cervical goiters 9.0
381 Cervical goiter 9.0
382 Angiodysplasia of the colon 9.0
383 Umbilical hernia 8.0
384 Allergic rhinitis 8.0
385 Discogenic low back pain 7.0
386 Pseudohypoparathyroidism 6.0
387 Pityriasis rosea 5.0
388 Ichthyosis 5.0
389 Benign Prostatic Hyperplasia 4.0
390 Drowning 4.0
391 Dermatophyte infections 4.0
392 Ramsay Hunt syndrome 4.0
393 Meniere disease 4.0
394 Pulmonary Embolism 3.0
395 endocarditis 3.0
396 Acute Rhinosinusitis 3.0
397 Migraine 2.0
398 Alopecia areata 1.0
399 Immune thrombocytopenia 0.0
400 Recurrent aphthous stomatitis 0.0
401 Hodgkin lymphoma 0.0
402 Acne conglobata 0.0
403 Penis Carcinoma 0.0
404 Deep venous thrombosis 0.0
405 Acute heart failure 0.0
406 Musculoskeletal lower back pain 0.0
407 Oropharyngeal cancer 0.0
408 Acute atrial fibrillation 0.0
409 Measles 0.0
410 Motion Sickness 0.0
411 Myasthenia Gravis 0.0
412 Neonatal Myasthenia Gravis 0.0
413 Congenital Myasthenic Syndromes 0.0
414 Gonorrhea infection 0.0
415 Bell palsy 0.0
416 Myoclonus 0.0