45 years old | Female
A 45-year-old woman presents with insidious onset of fatigue, malaise, lethargy, anorexia, nausea, abdominal discomfort, mild pruritus, and arthralgia involving the small joints. Her past medical history includes celiac disease. Physical examination reveals hepatomegaly and spider angiomata.
fatigue | malaise | lethargy | anorexia | nausea | abdominal discomfort | mild pruritus | small joints arthralgia | small joints | celiac disease | hepatomegaly | spider angiomata
Autoimmune hepatitis Chronic Hepatitis Hepatitis
https://online.epocrates.com/diseases/13022/Autoimmune-hepatitis/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Autoimmune hepatitis | 700.0 |
2 | Primary biliary cirrhosis | 580.0 |
3 | Addison Disease | 467.0 |
4 | Systemic lupus erythematosus | 466.0 |
5 | Klebsiella pneumoniae liver abscess | 464.0 |
6 | Liver disease | 463.0 |
7 | Pyogenic Liver Abscess | 445.0 |
8 | Acute Hepatitis | 440.0 |
9 | Infectious mononucleosis | 437.0 |
10 | Primary sclerosing cholangitis | 423.0 |
11 | Alcoholic Liver Disease | 421.0 |
12 | Liver Cirrhosis | 419.0 |
13 | Alcoholic Liver Cirrhosis | 407.0 |
14 | Biliary cirrhosis | 405.0 |
15 | Sarcoidosis | 396.0 |
16 | Hereditary hemochromatosis | 396.0 |
17 | Brucellosis | 385.0 |
18 | Alcoholic hepatitis | 384.0 |
19 | Chronic heart failure | 379.0 |
20 | pancreatic cancer | 371.0 |
21 | Systemic sclerosis | 371.0 |
22 | Alcoholic Fatty Liver | 363.0 |
23 | Crohn Disease | 346.0 |
24 | Acute Lymphoblastic leukemia in children | 334.0 |
25 | Acute Pancreatitis | 328.0 |
26 | Rocky Mountain spotted fever | 313.0 |
27 | Ulcerative Colitis | 300.0 |
28 | Chronic Pancreatitis | 298.0 |
29 | Multiple Sclerosis | 288.0 |
30 | Celiac Disease | 284.0 |
31 | Giardiasis | 280.0 |
32 | Graves Disease | 280.0 |
33 | Cholangiocarcinoma | 277.0 |
34 | Malaria | 274.0 |
35 | Type 1 Diabetes mellitus | 273.0 |
36 | Chronic Myeloid Leukemia | 271.0 |
37 | Diabetic Ketoacidosis | 268.0 |
38 | Chronic Hepatitis | 267.0 |
39 | Gallbladder cancer | 260.0 |
40 | Gallstone pancreatitis | 260.0 |
41 | Intestinal Obstruction | 258.0 |
42 | Acute Appendicitis | 255.0 |
43 | Chronic bacterial prostatitis | 253.0 |
44 | Renal and perinephric abscess | 247.0 |
45 | Adrenal crisis | 247.0 |
46 | Hereditary Angioedema | 244.0 |
47 | Hyperparathyroidism | 244.0 |
48 | Acute bacterial meningitis in adults | 242.0 |
49 | End Stage Renal Disease | 240.0 |
50 | Osteoarthritis | 240.0 |
51 | Travelers diarrhea | 240.0 |
52 | Toxic Megacolon | 239.0 |
53 | Granulomatosis with polyangiitis | 237.0 |
54 | Acute Liver Failure | 236.0 |
55 | Ovarian Cancer | 236.0 |
56 | Acute fatty liver of pregnancy | 235.0 |
57 | Acromegaly | 233.0 |
58 | Non-alcoholic Fatty Liver Disease | 230.0 |
59 | Acute viral meningitis | 224.0 |
60 | Acute Myeloid Leukemia in adults | 220.0 |
61 | Chronic Kidney Diseases | 216.0 |
62 | Acute Clonorchiasis | 214.0 |
63 | Hypercalcemia | 211.0 |
64 | Hypothyroidism | 209.0 |
65 | Common cutaneous drug reactions | 207.0 |
66 | Polyarteritis nodosa | 206.0 |
67 | Gastroparesis | 206.0 |
68 | Lactose intolerance | 205.0 |
69 | Acute perforated appendicitis | 205.0 |
70 | Hepatic Encephalopathy | 205.0 |
71 | Amyloidosis | 205.0 |
72 | Chronic Mitral regurgitation | 204.0 |
73 | Acute Lymphocytic Leukemia in Adults | 204.0 |
74 | Obstructive Sleep Apnea | 203.0 |
75 | Cystic Fibrosis | 203.0 |
76 | Shigellosis | 203.0 |
77 | Fibromyalgia | 201.0 |
78 | mucosal Eosinophilic gastroenteritis | 200.0 |
79 | Glomerulonephritis | 200.0 |
80 | Migraine | 199.0 |
81 | Gilbert syndrome | 199.0 |
82 | Adrenocortical carcinoma | 198.0 |
83 | Cushing syndrome | 198.0 |
84 | Gastritis | 195.0 |
85 | Non-small cell lung cancer | 195.0 |
86 | Hyperaldosteronism | 193.0 |
87 | Salmonella infection | 193.0 |
88 | Hemolytic uremic syndrome | 193.0 |
89 | Chronic pelvic pain in women | 191.0 |
90 | Aseptic meningitis | 191.0 |
91 | Viral Gastroenteritis | 190.0 |
92 | Adrenal Suppression | 189.0 |
93 | Central hypothyroidism | 188.0 |
94 | Mesenteric ischemia | 185.0 |
95 | Gastric cancer | 185.0 |
96 | Ovarian Hyperstimulation Syndrome | 182.0 |
97 | Anemia of chronic disease | 179.0 |
98 | Hyperprolactinemia | 178.0 |
99 | Mitral Stenosis | 177.0 |
100 | Pheochromocytoma | 176.0 |
101 | Acute Myeloid Leukemia in children | 176.0 |
102 | Wilson disease | 175.0 |
103 | Inflammatory Bowel Diseases | 175.0 |
104 | Aortic stenosis | 175.0 |
105 | Amebic Liver Abscess | 174.0 |
106 | Milk-alkali syndrome | 174.0 |
107 | Acute Milk-alkali syndrome | 174.0 |
108 | Chronic Milk-alkali syndrome | 174.0 |
109 | Colorectal cancer | 169.0 |
110 | Hyperthyroidism | 168.0 |
111 | Premenstrual syndrome | 168.0 |
112 | Short bowel syndrome | 168.0 |
113 | Muscle Layer Eosinophilic gastroenteritis | 167.0 |
114 | Choledocholithiasis | 167.0 |
115 | Acetaminophen overdose | 167.0 |
116 | Acute Cholecystitis | 166.0 |
117 | Emphysematous cholecystitis | 166.0 |
118 | Listerial gastroenteritis | 166.0 |
119 | Bacterial gastroenteritis | 163.0 |
120 | Primary Myelofibrosis | 161.0 |
121 | anterior ischemic optic neuropathy | 161.0 |
122 | Hemorrhagic stroke | 160.0 |
123 | Ischemic stroke | 160.0 |
124 | Chronic Clonorchiasis | 159.0 |
125 | Acute bacterial meningitis in children | 158.0 |
126 | Typhoid infection | 157.0 |
127 | Acute intermittent porphyria | 156.0 |
128 | Diabetic Kidney Disease | 156.0 |
129 | Multiple Myeloma | 156.0 |
130 | Ankylosing spondylitis | 156.0 |
131 | Migraine headache in adults | 156.0 |
132 | Amphetamine use disorder | 156.0 |
133 | Bacterial pharyngitis | 155.0 |
134 | Foodborne E coli infection | 155.0 |
135 | Dyspepsia | 155.0 |
136 | Spontaneous bacterial peritonitis | 151.0 |
137 | Cryptococcosis | 151.0 |
138 | Extraintestinal Entamoeba histolytica amebiasis | 150.0 |
139 | Non-diabetic hypoglycemia | 150.0 |
140 | COPD Exacerbation | 148.0 |
141 | Acute bacterial rhinosinusitis | 148.0 |
142 | Thrombotic thrombocytopenic purpura | 147.0 |
143 | Duodenal Ulcer | 145.0 |
144 | Gastric Ulcer | 145.0 |
145 | Viral pharyngitis | 144.0 |
146 | cholestatic liver disease | 143.0 |
147 | Churg-Strauss Syndrome | 143.0 |
148 | Goiter | 143.0 |
149 | Diffuse nontoxic goiter | 143.0 |
150 | Toxic multinodular goiter | 143.0 |
151 | Obstructive cervical goiters | 143.0 |
152 | Cervical goiter | 143.0 |
153 | Campylobacter infection | 143.0 |
154 | Acute pyelonephritis in adults | 143.0 |
155 | Pneumonia | 142.0 |
156 | Stable angina | 142.0 |
157 | Chronic pyelonephritis | 142.0 |
158 | Autoimmune Pancreatitis | 141.0 |
159 | Irritable Bowel Syndrome | 141.0 |
160 | Hepatorenal Syndrome | 140.0 |
161 | Rheumatoid Arthritis | 140.0 |
162 | Acute peptic ulcer | 140.0 |
163 | Intussusception | 140.0 |
164 | Hepatocellular carcinoma | 139.0 |
165 | Secondary hyperparathyroidism | 139.0 |
166 | Motion Sickness | 138.0 |
167 | Diverticulitis | 138.0 |
168 | Tuberculous Peritonitis | 137.0 |
169 | Esophagitis | 137.0 |
170 | Analgesic nephropathy | 136.0 |
171 | Secondary Peritonitis | 135.0 |
172 | Peutz-Jeghers Syndrome | 135.0 |
173 | Painless thyroiditis | 135.0 |
174 | Osteoporosis | 134.0 |
175 | Abetalipoproteinemia | 134.0 |
176 | Balanitis | 133.0 |
177 | Chronic liver disease | 131.0 |
178 | Autoimmune hemolytic anemia | 130.0 |
179 | Pharyngitis | 130.0 |
180 | STI HIV Pharyngitis | 130.0 |
181 | Herpes pharyngitis | 130.0 |
182 | Acute Rhinosinusitis | 130.0 |
183 | Allergic rhinitis | 130.0 |
184 | Insomnia in adults | 130.0 |
185 | Acute viral rhinosinusitis | 130.0 |
186 | Aortic coarctation | 128.0 |
187 | Stroke | 127.0 |
188 | Ischemic optic neuropathy | 126.0 |
189 | posteriorischemic optic neuropathy | 126.0 |
190 | Clostridium difficile infection | 126.0 |
191 | Graves ophthalmopathy | 124.0 |
192 | Insect bites and stings | 124.0 |
193 | Anaphylaxis | 124.0 |
194 | Meckel diverticulum | 123.0 |
195 | Endometritis | 122.0 |
196 | Familial adenomatous polyposis syndrome | 121.0 |
197 | Ruptured ectopic pregnancy | 121.0 |
198 | Autosomal Recessive Polycystic Kidney Disease | 120.0 |
199 | Erectile dysfunction | 120.0 |
200 | Acalculous Cholecystitis | 119.0 |
201 | Parkinson disease | 118.0 |
202 | chronic acalculous cholecystitis | 118.0 |
203 | Food poisoning | 118.0 |
204 | Panic disorder in adults | 118.0 |
205 | Non-ST-elevation myocardial infarction | 117.0 |
206 | Acute heart failure | 116.0 |
207 | Hyperosmolar Hyperglycemic state | 115.0 |
208 | Acute bacterial meningitis in neonates | 115.0 |
209 | Choledochal Cyst | 115.0 |
210 | Clonorchiasis | 114.0 |
211 | ST-elevation myocardial infarction | 113.0 |
212 | Primary ciliary dyskinesia | 112.0 |
213 | Kartagener syndrome | 112.0 |
214 | Intestinal Pseudo Obstruction | 112.0 |
215 | Cholera | 111.0 |
216 | Intrahepatic cholestasis of pregnancy | 111.0 |
217 | Hiatus hernia | 110.0 |
218 | Acute pericarditis | 109.0 |
219 | Systemic vasculitis | 108.0 |
220 | Pancreatic Pseudocyst | 107.0 |
221 | Henoch-Schonlein purpura | 107.0 |
222 | Peptic Ulcer | 107.0 |
223 | Influenza | 106.0 |
224 | Ovarian and fallopian tube torsion | 106.0 |
225 | Annular pancreas | 104.0 |
226 | chronic cholestatic liver disease | 103.0 |
227 | Autosomal Dominant Polycystic Kidney Disease | 103.0 |
228 | Acute Bacterial Prostatitis | 102.0 |
229 | Anthrax | 101.0 |
230 | Anaplastic thyroid cancer | 100.0 |
231 | Foreign body ingestion | 100.0 |
232 | Budd Chiari Syndrome | 99.0 |
233 | Herpes zoster | 99.0 |
234 | Cellulitis | 99.0 |
235 | Lung Cancer | 96.0 |
236 | Chronic fatigue syndrome | 95.0 |
237 | Sigmoid volvulus | 95.0 |
238 | Bladder Cancer | 94.0 |
239 | Peritoneal dialysis associated peritonitis | 94.0 |
240 | Acute disseminated encephalomyelitis | 94.0 |
241 | Stable ischemic heart disease | 94.0 |
242 | Ileus | 94.0 |
243 | Gastrointestinal Hemorrhage | 91.0 |
244 | Lower gastrointestinal hemorrhage | 91.0 |
245 | Upper gastrointestinal hemorrhage | 91.0 |
246 | Bullous pemphigoid | 91.0 |
247 | Acute Cholangitis | 91.0 |
248 | Hypoparathyroidism | 90.0 |
249 | Malt lymphoma | 90.0 |
250 | Ascites | 88.0 |
251 | Acute Mitral regurgitation | 88.0 |
252 | Abnormal uterine bleeding | 88.0 |
253 | Chronic atrial fibrillation | 88.0 |
254 | Nasal polyps | 88.0 |
255 | Labyrinthitis | 88.0 |
256 | Non-cholera Vibrio infections | 88.0 |
257 | Osteomalacia | 88.0 |
258 | Multiple endocrine neoplasia 2B | 87.0 |
259 | Unstable angina | 86.0 |
260 | Kawasaki disease | 85.0 |
261 | Gallstones | 84.0 |
262 | Acute otitis media | 82.0 |
263 | Pseudohypoparathyroidism | 82.0 |
264 | Multiple endocrine neoplasia 2A | 82.0 |
265 | Intra-abdominal abscess | 82.0 |
266 | Gastric Outlet Obstruction | 82.0 |
267 | Sunburn | 81.0 |
268 | Stevens-Johnson syndrome | 81.0 |
269 | subserosal eosinophilic gastroenteritis | 80.0 |
270 | Ruptured Tuboovarian abscess | 80.0 |
271 | Subdural hematoma | 80.0 |
272 | Aortic Dissection | 79.0 |
273 | Primary hypogonadism | 79.0 |
274 | Secondary hypogonadism | 79.0 |
275 | Acne fulminans | 78.0 |
276 | Diabetes Mellitus | 78.0 |
277 | Psoriasis | 76.0 |
278 | Gastroesophageal reflux disease | 75.0 |
279 | Periorbital and orbital cellulitis | 75.0 |
280 | Familial Mediterranean fever | 75.0 |
281 | Ovarian Torsion | 74.0 |
282 | Hypertriglyceridemia | 73.0 |
283 | Chronic Lymphocytic Leukemia | 72.0 |
284 | Psoas Abscess | 72.0 |
285 | Liver Abscess | 71.0 |
286 | Empyema | 70.0 |
287 | Eclampsia | 70.0 |
288 | Genital herpes | 70.0 |
289 | Charcot-Marie-Tooth Disease | 70.0 |
290 | Intestinal Entamoeba histolytica amebiasis | 70.0 |
291 | Fungal meningitis | 70.0 |
292 | Common cold(adults) | 68.0 |
293 | Atopic dermatitis | 68.0 |
294 | Guillain-Barre syndrome | 68.0 |
295 | COVID19 | 67.0 |
296 | Urinary Tract Obstruction | 66.0 |
297 | Eosinophilic gastroenteritis | 65.0 |
298 | Endometrial cancer | 65.0 |
299 | Miliaria | 65.0 |
300 | Gallbladder Dyskinesia | 65.0 |
301 | Sphincter of Oddi Dysfunction | 65.0 |
302 | biliary SOD | 65.0 |
303 | pancreatic SOD | 65.0 |
304 | Renal Artery Stenosis | 64.0 |
305 | Musculoskeletal sprains and strains | 64.0 |
306 | Pityriasis rosea | 64.0 |
307 | Ectopic Pregnancy | 63.0 |
308 | Inguinal hernia | 63.0 |
309 | Zollinger-Ellison Syndrome | 62.0 |
310 | Prolactinoma | 62.0 |
311 | Psychogenic polydipsia | 62.0 |
312 | Rotator Cuff Tears | 61.0 |
313 | Pyelonephritis | 61.0 |
314 | Osteomyelitis | 60.0 |
315 | Asthma | 60.0 |
316 | Deep venous thrombosis | 60.0 |
317 | Renal Cell Carcinoma | 58.0 |
318 | Type 2 Diabetes mellitus | 58.0 |
319 | Acute respiratory failure | 57.0 |
320 | Varicose veins | 57.0 |
321 | Angiodysplasia of the colon | 56.0 |
322 | Toxic thyroid adenoma | 56.0 |
323 | Common cold(children) | 55.0 |
324 | Heparin-induced thrombocytopenia | 55.0 |
325 | Angle Closure Glaucoma | 55.0 |
326 | Croup | 54.0 |
327 | Rotor syndrome | 52.0 |
328 | Menopause | 52.0 |
329 | Papilledema | 51.0 |
330 | Preeclampsia | 50.0 |
331 | Breast Cancer | 50.0 |
332 | Paraneoplastic Syndromes | 48.0 |
333 | Abdominal compartment syndrome | 48.0 |
334 | Gingivitis | 48.0 |
335 | Kidney stones | 46.0 |
336 | Hypogammaglobulinemia | 45.0 |
337 | Diabetic Neuropathy | 45.0 |
338 | Vulvovaginal candidiasis | 45.0 |
339 | biliary colic | 44.0 |
340 | Portal hypertension | 43.0 |
341 | Acute peritonitis | 43.0 |
342 | Gastric Volvulus | 43.0 |
343 | Exocrine pancreatic insufficiency | 43.0 |
344 | Gallbladder Empyema | 42.0 |
345 | Tinea versicolor | 42.0 |
346 | Candidal intertrigo | 42.0 |
347 | Meniere disease | 40.0 |
348 | Hemorrhoids | 39.0 |
349 | Mallory-Weiss syndrome | 39.0 |
350 | Testicular cancer | 35.0 |
351 | Leiomyomas | 34.0 |
352 | Prinzmetal angina | 34.0 |
353 | Alzheimer disease | 33.0 |
354 | Pelvic inflammatory disease | 32.0 |
355 | Splenic Infarction | 32.0 |
356 | Achalasia | 31.0 |
357 | Acute pelvic inflammatory disease | 31.0 |
358 | Gout | 31.0 |
359 | Chlamydia pneumoniae infection | 30.0 |
360 | Drowning | 30.0 |
361 | Male factor infertility | 30.0 |
362 | Simple kidney cyst | 30.0 |
363 | Bacterial conjunctivitis | 29.0 |
364 | Viral conjunctivitis | 29.0 |
365 | Substernal goiter | 29.0 |
366 | Atypical pneumonia | 29.0 |
367 | Laryngeal Cancer | 29.0 |
368 | Myasthenia Gravis | 29.0 |
369 | Neonatal Myasthenia Gravis | 29.0 |
370 | Congenital Myasthenic Syndromes | 29.0 |
371 | biliary obstruction | 28.0 |
372 | chronic biliary obstruction | 28.0 |
373 | Blepharitis | 28.0 |
374 | Nephrogenic diabetes insipidus | 27.0 |
375 | Central diabetes insipidus | 27.0 |
376 | Alopecia areata | 27.0 |
377 | Endometriosis | 26.0 |
378 | Extrahepatic Cholestasis | 26.0 |
379 | Disseminated intravascular coagulation | 24.0 |
380 | Erythema nodosum | 23.0 |
381 | Animal bites | 22.0 |
382 | Medullary thyroid cancer | 22.0 |
383 | Umbilical hernia | 22.0 |
384 | Rumination Syndrome | 21.0 |
385 | Limited cutaneous systemic sclerosis | 19.0 |
386 | Splenic abscess | 19.0 |
387 | Cholestasis | 19.0 |
388 | Intrahepatic Cholestasis | 19.0 |
389 | Keloid | 19.0 |
390 | Acute atrial fibrillation | 18.0 |
391 | Psoriatic arthritis | 18.0 |
392 | Chronic Cholecystitis | 18.0 |
393 | Phenylketonuria | 18.0 |
394 | Pulmonary Embolism | 16.0 |
395 | Pressure ulcer | 16.0 |
396 | Dacryocystitis | 15.0 |
397 | Epiploic appendagitis | 15.0 |
398 | Dystonia | 15.0 |
399 | Benign Prostatic Hyperplasia | 14.0 |
400 | Intestinal malrotation | 14.0 |
401 | Thyroid lymphoma | 12.0 |
402 | Diabetic Amyotrophy | 12.0 |
403 | Ruptured ovarian cyst | 12.0 |
404 | Von willebrand disease | 12.0 |
405 | Bed bugs | 12.0 |
406 | Amebiasis | 11.0 |
407 | Dubin-Johnson syndrome | 10.0 |
408 | Acute Bronchitis | 9.0 |
409 | Immune thrombocytopenia | 9.0 |
410 | Rosacea | 9.0 |
411 | Acute cervical spine trauma | 6.0 |
412 | Cryptorchidism | 4.0 |
413 | Dermatophyte infections | 3.0 |
414 | endocarditis | 1.0 |
415 | Acute Cystitis(Men) | 0.0 |
416 | Carpal Tunnel Syndrome | 0.0 |
417 | Bell palsy | 0.0 |
418 | Penis Carcinoma | 0.0 |
419 | Optic neuritis | 0.0 |
420 | Neuropapillitis | 0.0 |
421 | Discogenic low back pain | 0.0 |
422 | Orthostatic hypotension | 0.0 |
423 | Pulmonary regurgitation | 0.0 |
424 | Tetanus | 0.0 |
425 | Recurrent aphthous stomatitis | 0.0 |
426 | Conjunctivitis | 0.0 |
427 | Epidemic keratoconjunctivitis | 0.0 |
428 | Allergic conjunctivitis | 0.0 |
429 | Ligneous conjunctivitis | 0.0 |
430 | Vernal keratoconjunctivitis | 0.0 |
431 | Atopic keratoconjunctivitis | 0.0 |
432 | Noninfectious nonallergic conjunctivitis | 0.0 |
433 | Acute epididymitis | 0.0 |
434 | Transient ischemic attack | 0.0 |
435 | Androgenetic alopecia | 0.0 |
436 | Vitamin B12 and folate deficiencies | 0.0 |
437 | Hodgkin lymphoma | 0.0 |
438 | Temporomandibular joint syndrome | 0.0 |