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An elderly male with a history of vascular disease presents to the ER with Pain that is out of propo

65 years old | Male

Vignette:

An elderly male with a history of vascular disease presents to the ER with Pain that is out of proportion to the exam following a very large meal. They are heme positive. What are you suspicious of?

Summary:

history of vascular disease | out of proportion to the exam | after very large meal | heme positive

Dx:

Mesenteric Ischemia

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 chronic acalculous cholecystitis 101.0
2 Acalculous Cholecystitis 81.0
3 Intestinal Entamoeba histolytica amebiasis 67.0
4 Renal Artery Stenosis 58.0
5 Mesenteric ischemia 53.0
6 Preeclampsia 50.0
7 Eclampsia 50.0
8 Osteomyelitis 50.0
9 Tinnitus 50.0
10 Acute respiratory failure 42.0
11 Gastroparesis 41.0
12 Duodenal Ulcer 40.0
13 Gastroesophageal reflux disease 34.0
14 Systemic sclerosis 29.0
15 Peptic Ulcer 29.0
16 Acute peptic ulcer 29.0
17 Gastric Ulcer 29.0
18 Granulomatosis with polyangiitis 29.0
19 Obstructive Sleep Apnea 28.0
20 Acute Cholecystitis 28.0
21 Emphysematous cholecystitis 28.0
22 Pressure ulcer 27.0
23 Intestinal Obstruction 26.0
24 Rumination Syndrome 26.0
25 Dyspepsia 26.0
26 Crohn Disease 26.0
27 Chronic heart failure 24.0
28 Brucellosis 24.0
29 Gallstones 23.0
30 biliary colic 22.0
31 pancreatic cancer 21.0
32 Aortic stenosis 20.0
33 Insomnia in adults 20.0
34 Gestational diabetes mellitus 18.0
35 Cellulitis 18.0
36 Campylobacter infection 18.0
37 Salmonella infection 18.0
38 Animal bites 18.0
39 Typhoid infection 18.0
40 Choledocholithiasis 18.0
41 Chronic Pancreatitis 18.0
42 Acute Pancreatitis 18.0
43 Gallstone pancreatitis 18.0
44 Foreign body ingestion 18.0
45 Erectile dysfunction 18.0
46 Alzheimer disease 18.0
47 Rheumatoid Arthritis 16.0
48 Chronic atrial fibrillation 16.0
49 Transient ischemic attack 16.0
50 Male factor infertility 15.0
51 Infectious mononucleosis 15.0
52 COPD Exacerbation 15.0
53 mucosal Eosinophilic gastroenteritis 14.0
54 Muscle Layer Eosinophilic gastroenteritis 14.0
55 subserosal eosinophilic gastroenteritis 14.0
56 Extraintestinal Entamoeba histolytica amebiasis 14.0
57 Autosomal Dominant Polycystic Kidney Disease 14.0
58 Diabetes Mellitus 13.0
59 Type 2 Diabetes mellitus 13.0
60 Type 1 Diabetes mellitus 13.0
61 Esophagitis 12.0
62 Fibromyalgia 12.0
63 Pneumonia 12.0
64 Epilepsy 12.0
65 Osteoporosis 12.0
66 anterior ischemic optic neuropathy 12.0
67 Deep venous thrombosis 12.0
68 Cushing syndrome 12.0
69 Hyperosmolar Hyperglycemic state 12.0
70 Drowning 12.0
71 Churg-Strauss Syndrome 12.0
72 Analgesic nephropathy 11.0
73 Asthma 11.0
74 Amyloidosis 11.0
75 Disseminated intravascular coagulation 10.0
76 Annular pancreas 10.0
77 Autoimmune Pancreatitis 10.0
78 Limited cutaneous systemic sclerosis 10.0
79 Heparin-induced thrombocytopenia 9.0
80 Hepatocellular carcinoma 9.0
81 Eosinophilic gastroenteritis 9.0
82 Autoimmune hepatitis 9.0
83 Acute Cholangitis 9.0
84 Meckel diverticulum 9.0
85 Dermatophyte infections 9.0
86 Adrenocortical carcinoma 9.0
87 Amphetamine use disorder 9.0
88 Diabetic Ketoacidosis 9.0
89 Acute bacterial meningitis in neonates 9.0
90 Fungal meningitis 9.0
91 Acute atrial fibrillation 8.0
92 Ileus 8.0
93 Zollinger-Ellison Syndrome 8.0
94 Lactose intolerance 8.0
95 Gastric Volvulus 8.0
96 Diabetic Neuropathy 8.0
97 Malt lymphoma 8.0
98 Giardiasis 8.0
99 Gout 8.0
100 Mitral Stenosis 8.0
101 Hemolytic uremic syndrome 8.0
102 Aortic coarctation 8.0
103 Subdural hematoma 8.0
104 Primary Myelofibrosis 7.0
105 Irritable Bowel Syndrome 7.0
106 Hyperparathyroidism 7.0
107 Ulcerative Colitis 6.0
108 Gastritis 6.0
109 Pancreatic Pseudocyst 6.0
110 Inflammatory Bowel Diseases 6.0
111 Diverticulitis 6.0
112 Leiomyomas 6.0
113 Ovarian Cancer 6.0
114 Short bowel syndrome 6.0
115 Familial adenomatous polyposis syndrome 6.0
116 Hypertriglyceridemia 6.0
117 Gilbert syndrome 6.0
118 Aortic Dissection 6.0
119 Gastric cancer 5.0
120 Colorectal cancer 5.0
121 Systemic lupus erythematosus 4.0
122 Primary sclerosing cholangitis 4.0
123 Chronic Clonorchiasis 4.0
124 Hypercalcemia 4.0
125 Umbilical hernia 4.0
126 Herpes zoster 4.0
127 Chronic Lymphocytic Leukemia 4.0
128 Stable ischemic heart disease 4.0
129 Ovarian Hyperstimulation Syndrome 3.0
130 Acute fatty liver of pregnancy 3.0
131 Lung Cancer 3.0
132 Acute viral meningitis 3.0
133 Inguinal hernia 3.0
134 Peutz-Jeghers Syndrome 3.0
135 Multiple endocrine neoplasia 2B 3.0
136 Hyperaldosteronism 3.0
137 Acute Myeloid Leukemia in children 2.0
138 Acute bacterial meningitis in children 2.0
139 Acute bacterial meningitis in adults 2.0
140 Non-cholera Vibrio infections 2.0
141 Cystic Fibrosis 2.0
142 Acetaminophen overdose 2.0
143 Food poisoning 2.0
144 Hereditary Angioedema 1.0
145 Rocky Mountain spotted fever 1.0
146 Pulmonary Embolism 1.0
147 Malaria 0.0
148 Alopecia areata 0.0
149 Gallbladder Dyskinesia 0.0
150 biliary SOD 0.0
151 Shigellosis 0.0
152 ST-elevation myocardial infarction 0.0
153 Non-ST-elevation myocardial infarction 0.0
154 Hyperthyroidism 0.0
155 Psychogenic polydipsia 0.0
156 Graves Disease 0.0