65 years old | Male
History A 65-year-old man goes to his general practitioner (GP) complaining of diarrhoea. This had developed suddenly 2 days previously. His motions are watery and foul-smelling. There is no blood or mucus in the stool. There is colicky abdominal pain not relieved by defaeca- tion. The man has a poor appetite and feels nauseated. He feels tired. The man has recently retired, and returned 2 weeks ago from a coach trip to Eastern Europe and Russia. No one else on the coach was ill during the holiday. He is otherwise well, with no significant med- ical history. He smokes 10 cigarettes a day, and drinks two pints of beer a day. Examination is unremarkable, and the GP diagnoses ‘traveller’s diarrhoea’, and prescribes loperamide. Two weeks later the patient returns to the surgery. The diarrhoea has persisted and the patient has lost 6 kg in weight. Examination On examination the patient looks well. His blood pressure is 158/88 mmHg. Cardiovascular, respiratory and abdominal examinations are unremarkable.
diarrhea | 2 days | watery diarrhea | foul-smelling | colicky pain | poor appetite | nauseated | tired | travel | smoking | weight loss | alcohol | hypertension
giardiasis
100 caces in clinical medicine case 23
Rank |
Disease |
Weight |
---|---|---|
1 | pancreatic cancer | 497.0 |
2 | Giardiasis | 402.0 |
3 | Graves Disease | 400.0 |
4 | Mesenteric ischemia | 398.0 |
5 | Salmonella infection | 397.0 |
6 | Chronic Pancreatitis | 381.0 |
7 | Crohn Disease | 378.0 |
8 | Bacterial gastroenteritis | 371.0 |
9 | Listerial gastroenteritis | 369.0 |
10 | Primary sclerosing cholangitis | 364.0 |
11 | Alcoholic Liver Disease | 358.0 |
12 | Hepatocellular carcinoma | 350.0 |
13 | Systemic lupus erythematosus | 344.0 |
14 | Liver Cirrhosis | 333.0 |
15 | Biliary cirrhosis | 332.0 |
16 | Primary biliary cirrhosis | 332.0 |
17 | Hemolytic uremic syndrome | 332.0 |
18 | mucosal Eosinophilic gastroenteritis | 329.0 |
19 | Ulcerative Colitis | 322.0 |
20 | Brucellosis | 320.0 |
21 | Prinzmetal angina | 319.0 |
22 | Intestinal Entamoeba histolytica amebiasis | 317.0 |
23 | Viral Gastroenteritis | 315.0 |
24 | Amebic Liver Abscess | 314.0 |
25 | Henoch-Schonlein purpura | 312.0 |
26 | Duodenal Ulcer | 311.0 |
27 | Gastric Ulcer | 311.0 |
28 | Autoimmune hepatitis | 309.0 |
29 | Hyperthyroidism | 308.0 |
30 | Type 1 Diabetes mellitus | 305.0 |
31 | Acute viral meningitis | 305.0 |
32 | Acute Pancreatitis | 305.0 |
33 | Chronic atrial fibrillation | 304.0 |
34 | Gastroparesis | 302.0 |
35 | Sarcoidosis | 301.0 |
36 | Alcoholic Liver Cirrhosis | 296.0 |
37 | Non-cholera Vibrio infections | 286.0 |
38 | Gallbladder cancer | 283.0 |
39 | Non-ST-elevation myocardial infarction | 283.0 |
40 | Alcoholic hepatitis | 281.0 |
41 | Addison Disease | 278.0 |
42 | Liver disease | 275.0 |
43 | Lung Cancer | 273.0 |
44 | Polyarteritis nodosa | 272.0 |
45 | Klebsiella pneumoniae liver abscess | 270.0 |
46 | Alcoholic Fatty Liver | 268.0 |
47 | Acute peptic ulcer | 267.0 |
48 | Pyogenic Liver Abscess | 262.0 |
49 | Diverticulitis | 259.0 |
50 | Peptic Ulcer | 258.0 |
51 | Alzheimer disease | 253.0 |
52 | Non-small cell lung cancer | 253.0 |
53 | Hereditary Angioedema | 251.0 |
54 | Thrombotic thrombocytopenic purpura | 249.0 |
55 | Hepatic Encephalopathy | 248.0 |
56 | Gastric cancer | 247.0 |
57 | Diabetes Mellitus | 245.0 |
58 | Anaphylaxis | 245.0 |
59 | Pneumonia | 244.0 |
60 | Intussusception | 244.0 |
61 | Celiac Disease | 243.0 |
62 | Travelers diarrhea | 242.0 |
63 | Intestinal Pseudo Obstruction | 241.0 |
64 | Acute intermittent porphyria | 240.0 |
65 | Type 2 Diabetes mellitus | 240.0 |
66 | Intestinal Obstruction | 239.0 |
67 | Muscle Layer Eosinophilic gastroenteritis | 238.0 |
68 | Food poisoning | 237.0 |
69 | Foodborne E coli infection | 237.0 |
70 | Gallstone pancreatitis | 237.0 |
71 | Rocky Mountain spotted fever | 236.0 |
72 | Acute Cholecystitis | 236.0 |
73 | Acute perforated appendicitis | 234.0 |
74 | Malaria | 233.0 |
75 | Diabetic Amyotrophy | 231.0 |
76 | Stable ischemic heart disease | 229.0 |
77 | Intra-abdominal abscess | 228.0 |
78 | Chronic heart failure | 228.0 |
79 | Hereditary hemochromatosis | 225.0 |
80 | Acute Appendicitis | 223.0 |
81 | Laryngeal Cancer | 221.0 |
82 | Acute bacterial meningitis in children | 220.0 |
83 | Chronic Hepatitis | 219.0 |
84 | Colorectal cancer | 219.0 |
85 | Emphysematous cholecystitis | 218.0 |
86 | Graves ophthalmopathy | 217.0 |
87 | Acute fatty liver of pregnancy | 217.0 |
88 | Acute Liver Failure | 216.0 |
89 | Bladder Cancer | 211.0 |
90 | Acute Clonorchiasis | 209.0 |
91 | Cholera | 209.0 |
92 | Gastritis | 206.0 |
93 | Churg-Strauss Syndrome | 206.0 |
94 | Campylobacter infection | 203.0 |
95 | Adrenal crisis | 203.0 |
96 | Bruxism | 203.0 |
97 | subserosal eosinophilic gastroenteritis | 202.0 |
98 | Eosinophilic gastroenteritis | 202.0 |
99 | Ischemic stroke | 201.0 |
100 | Gingivitis | 198.0 |
101 | Clostridium difficile infection | 197.0 |
102 | Shigellosis | 191.0 |
103 | ST-elevation myocardial infarction | 191.0 |
104 | Autosomal Dominant Polycystic Kidney Disease | 190.0 |
105 | Acute Myeloid Leukemia in adults | 190.0 |
106 | Diabetic Kidney Disease | 190.0 |
107 | Osteoporosis | 190.0 |
108 | Acute bacterial meningitis in adults | 189.0 |
109 | Pheochromocytoma | 188.0 |
110 | Adrenocortical carcinoma | 187.0 |
111 | Acute respiratory failure | 186.0 |
112 | Renal and perinephric abscess | 185.0 |
113 | Chronic Kidney Diseases | 183.0 |
114 | anterior ischemic optic neuropathy | 183.0 |
115 | Psychogenic polydipsia | 182.0 |
116 | Glomerulonephritis | 181.0 |
117 | Stroke | 181.0 |
118 | Oropharyngeal cancer | 181.0 |
119 | Ovarian and fallopian tube torsion | 179.0 |
120 | Malt lymphoma | 178.0 |
121 | Analgesic nephropathy | 178.0 |
122 | Ovarian Cancer | 178.0 |
123 | Granulomatosis with polyangiitis | 176.0 |
124 | Acetaminophen overdose | 176.0 |
125 | Amphetamine use disorder | 176.0 |
126 | Zollinger-Ellison Syndrome | 175.0 |
127 | Peritoneal dialysis associated peritonitis | 175.0 |
128 | Typhoid infection | 174.0 |
129 | Lactose intolerance | 172.0 |
130 | Extraintestinal Entamoeba histolytica amebiasis | 170.0 |
131 | Migraine headache in adults | 170.0 |
132 | Spontaneous bacterial peritonitis | 169.0 |
133 | Foreign body ingestion | 168.0 |
134 | End Stage Renal Disease | 168.0 |
135 | Anthrax | 166.0 |
136 | Cryptococcosis | 166.0 |
137 | Ectopic Pregnancy | 165.0 |
138 | Ruptured ectopic pregnancy | 165.0 |
139 | Kawasaki disease | 164.0 |
140 | Diabetic Ketoacidosis | 164.0 |
141 | Tuberculous Peritonitis | 164.0 |
142 | Gastric Outlet Obstruction | 164.0 |
143 | Abetalipoproteinemia | 162.0 |
144 | Short bowel syndrome | 162.0 |
145 | Infectious mononucleosis | 162.0 |
146 | Aortic Dissection | 162.0 |
147 | Choledochal Cyst | 161.0 |
148 | Psoas Abscess | 161.0 |
149 | Systemic sclerosis | 160.0 |
150 | Hypertriglyceridemia | 160.0 |
151 | Dyspepsia | 160.0 |
152 | Obstructive Sleep Apnea | 160.0 |
153 | Labyrinthitis | 159.0 |
154 | Hyperparathyroidism | 158.0 |
155 | Choledocholithiasis | 157.0 |
156 | Adrenal Suppression | 157.0 |
157 | Chronic bacterial prostatitis | 157.0 |
158 | Cystic Fibrosis | 156.0 |
159 | Rheumatoid Arthritis | 156.0 |
160 | Insect bites and stings | 155.0 |
161 | Cushing syndrome | 155.0 |
162 | Irritable Bowel Syndrome | 154.0 |
163 | COPD Exacerbation | 153.0 |
164 | Acute pyelonephritis in adults | 153.0 |
165 | Influenza | 152.0 |
166 | Chronic pyelonephritis | 150.0 |
167 | Transient ischemic attack | 150.0 |
168 | Cataract | 150.0 |
169 | Autoimmune Pancreatitis | 149.0 |
170 | Endometrial cancer | 149.0 |
171 | Esophagitis | 149.0 |
172 | Amebiasis | 148.0 |
173 | Ischemic optic neuropathy | 148.0 |
174 | posteriorischemic optic neuropathy | 148.0 |
175 | Gallstones | 146.0 |
176 | Gastroenteritis | 145.0 |
177 | Familial Mediterranean fever | 145.0 |
178 | Guillain-Barre syndrome | 142.0 |
179 | Aseptic meningitis | 142.0 |
180 | Secondary Peritonitis | 141.0 |
181 | Ovarian Torsion | 141.0 |
182 | Acute otitis media | 140.0 |
183 | Sigmoid volvulus | 140.0 |
184 | Anal Fissure | 139.0 |
185 | Diabetic Neuropathy | 139.0 |
186 | Primary Myelofibrosis | 139.0 |
187 | Deep venous thrombosis | 139.0 |
188 | Psoriasis | 137.0 |
189 | Rumination Syndrome | 136.0 |
190 | Hepatorenal Syndrome | 136.0 |
191 | Anemia of chronic disease | 136.0 |
192 | Stable angina | 136.0 |
193 | Erectile dysfunction | 136.0 |
194 | Acute Lymphoblastic leukemia in children | 135.0 |
195 | Hyperaldosteronism | 133.0 |
196 | Breast Cancer | 132.0 |
197 | Gout | 132.0 |
198 | Liver Abscess | 131.0 |
199 | Kidney stones | 129.0 |
200 | Non-alcoholic Fatty Liver Disease | 128.0 |
201 | Hypercalcemia | 128.0 |
202 | Discogenic low back pain | 127.0 |
203 | Gastrointestinal Hemorrhage | 126.0 |
204 | Lower gastrointestinal hemorrhage | 126.0 |
205 | Upper gastrointestinal hemorrhage | 126.0 |
206 | Familial adenomatous polyposis syndrome | 126.0 |
207 | Multiple endocrine neoplasia 2A | 126.0 |
208 | Hyperosmolar Hyperglycemic state | 125.0 |
209 | Acromegaly | 124.0 |
210 | Hemorrhagic stroke | 123.0 |
211 | Achalasia | 122.0 |
212 | Acute bacterial meningitis in neonates | 121.0 |
213 | Peutz-Jeghers Syndrome | 120.0 |
214 | Autosomal Recessive Polycystic Kidney Disease | 120.0 |
215 | Cholangiocarcinoma | 118.0 |
216 | Motion Sickness | 118.0 |
217 | Acute Hepatitis | 117.0 |
218 | Acne fulminans | 117.0 |
219 | Acne conglobata | 117.0 |
220 | Gram-negative folliculitis | 117.0 |
221 | Excoriated acne | 117.0 |
222 | Renal Cell Carcinoma | 116.0 |
223 | Aortic coarctation | 116.0 |
224 | Central hypothyroidism | 115.0 |
225 | Ruptured Tuboovarian abscess | 114.0 |
226 | Panic disorder in adults | 113.0 |
227 | Pancreatic Pseudocyst | 112.0 |
228 | Chronic Myeloid Leukemia | 111.0 |
229 | Acute disseminated encephalomyelitis | 111.0 |
230 | Ileus | 108.0 |
231 | Clonorchiasis | 108.0 |
232 | Heparin-induced thrombocytopenia | 106.0 |
233 | Amyloidosis | 106.0 |
234 | Acute heart failure | 106.0 |
235 | Inguinal hernia | 105.0 |
236 | Unstable angina | 104.0 |
237 | Ovarian Hyperstimulation Syndrome | 103.0 |
238 | Leiomyomas | 103.0 |
239 | Ankylosing spondylitis | 102.0 |
240 | Renal Artery Stenosis | 100.0 |
241 | Peyronie Disease | 100.0 |
242 | Infertility in women | 100.0 |
243 | Insomnia in adults | 100.0 |
244 | Multiple endocrine neoplasia 2B | 99.0 |
245 | Annular pancreas | 98.0 |
246 | Eclampsia | 98.0 |
247 | Acne vulgaris | 97.0 |
248 | Chronic Clonorchiasis | 95.0 |
249 | STI HIV Pharyngitis | 94.0 |
250 | Hypogammaglobulinemia | 94.0 |
251 | Common cold(adults) | 93.0 |
252 | Toxic thyroid adenoma | 92.0 |
253 | Inflammatory Bowel Diseases | 90.0 |
254 | Urinary Tract Obstruction | 90.0 |
255 | COVID19 | 89.0 |
256 | Atypical pneumonia | 89.0 |
257 | Common cutaneous drug reactions | 89.0 |
258 | Hyperprolactinemia | 89.0 |
259 | Gastroesophageal reflux disease | 89.0 |
260 | Meckel diverticulum | 88.0 |
261 | Intrahepatic cholestasis of pregnancy | 88.0 |
262 | Wilson disease | 86.0 |
263 | Intestinal malrotation | 86.0 |
264 | Painless thyroiditis | 86.0 |
265 | Acute Lymphocytic Leukemia in Adults | 86.0 |
266 | Secondary hypogonadism | 85.0 |
267 | Non-diabetic hypoglycemia | 85.0 |
268 | Hiatus hernia | 83.0 |
269 | Secondary hyperparathyroidism | 83.0 |
270 | Varicose veins | 83.0 |
271 | Subdural hematoma | 82.0 |
272 | Central retinal artery occlusion | 82.0 |
273 | Oral candidiasis | 81.0 |
274 | Hypothyroidism | 80.0 |
275 | Osteomyelitis | 80.0 |
276 | Tinnitus | 79.0 |
277 | Cellulitis | 79.0 |
278 | Fungal meningitis | 78.0 |
279 | Toxic Megacolon | 77.0 |
280 | Anaplastic thyroid cancer | 77.0 |
281 | Acute pericarditis | 77.0 |
282 | Endometriosis | 74.0 |
283 | Milk-alkali syndrome | 73.0 |
284 | Acute Milk-alkali syndrome | 73.0 |
285 | Chronic Milk-alkali syndrome | 73.0 |
286 | Multiple Myeloma | 73.0 |
287 | Dry eye | 73.0 |
288 | Acute bacterial rhinosinusitis | 72.0 |
289 | Systemic vasculitis | 72.0 |
290 | Preeclampsia | 71.0 |
291 | Chronic pelvic pain in women | 70.0 |
292 | Recurrent aphthous stomatitis | 70.0 |
293 | Drowning | 68.0 |
294 | Rosacea | 68.0 |
295 | Primary hypogonadism | 68.0 |
296 | Hypoparathyroidism | 67.0 |
297 | Medullary thyroid cancer | 66.0 |
298 | Gallbladder Dyskinesia | 65.0 |
299 | biliary SOD | 65.0 |
300 | Sphincter of Oddi Dysfunction | 65.0 |
301 | pancreatic SOD | 65.0 |
302 | Migraine | 64.0 |
303 | Mitral Stenosis | 63.0 |
304 | Asthma | 61.0 |
305 | Pyelonephritis | 61.0 |
306 | Chronic liver disease | 61.0 |
307 | Endometritis | 60.0 |
308 | Multiple Sclerosis | 60.0 |
309 | Mallory-Weiss syndrome | 60.0 |
310 | Testicular cancer | 59.0 |
311 | Premenstrual syndrome | 58.0 |
312 | Animal bites | 57.0 |
313 | Budd Chiari Syndrome | 56.0 |
314 | Menopause | 56.0 |
315 | Simple kidney cyst | 55.0 |
316 | Angle Closure Glaucoma | 55.0 |
317 | Prolactinoma | 55.0 |
318 | Common cold(children) | 54.0 |
319 | Stevens-Johnson syndrome | 54.0 |
320 | Acute Rhinosinusitis | 54.0 |
321 | Acute viral rhinosinusitis | 54.0 |
322 | Chronic meningitis | 54.0 |
323 | Abnormal uterine bleeding | 54.0 |
324 | Papilledema | 51.0 |
325 | Enterovaginal fistula | 50.0 |
326 | Musculoskeletal lower back pain | 50.0 |
327 | Androgenetic alopecia | 50.0 |
328 | Open Angle Glaucoma | 50.0 |
329 | Benign Prostatic Hyperplasia | 50.0 |
330 | Balanitis | 50.0 |
331 | Priapism | 50.0 |
332 | Achilles tendinopathy | 50.0 |
333 | Achilles tendon rupture | 50.0 |
334 | Carpal Tunnel Syndrome | 50.0 |
335 | Bell palsy | 50.0 |
336 | Chronic Lymphocytic Leukemia | 49.0 |
337 | Goiter | 48.0 |
338 | Diffuse nontoxic goiter | 48.0 |
339 | Toxic multinodular goiter | 48.0 |
340 | Cervical goiter | 48.0 |
341 | Sialadenitis | 47.0 |
342 | Meniere disease | 46.0 |
343 | Obstructive cervical goiters | 46.0 |
344 | Sunburn | 46.0 |
345 | Gestational diabetes mellitus | 46.0 |
346 | Male factor infertility | 45.0 |
347 | biliary colic | 44.0 |
348 | Pulmonary Embolism | 42.0 |
349 | Extrahepatic Cholestasis | 42.0 |
350 | Intrahepatic Cholestasis | 42.0 |
351 | Allergic rhinitis | 41.0 |
352 | Acalculous Cholecystitis | 41.0 |
353 | Acute Myeloid Leukemia in children | 41.0 |
354 | Dermatophyte infections | 41.0 |
355 | chronic acalculous cholecystitis | 40.0 |
356 | Ascites | 39.0 |
357 | Acute Cholangitis | 38.0 |
358 | Herpes zoster | 36.0 |
359 | Gastric Volvulus | 36.0 |
360 | Premature labor | 36.0 |
361 | Rotator Cuff Tears | 34.0 |
362 | Candidiasis | 34.0 |
363 | Candidal intertrigo | 34.0 |
364 | Candida Balanitis | 34.0 |
365 | Oropharyngeal and esophageal candidiasis | 34.0 |
366 | Vulvovaginal candidiasis | 34.0 |
367 | Bed bugs | 33.0 |
368 | Splenic Infarction | 32.0 |
369 | Pseudohypoparathyroidism | 32.0 |
370 | Phenylketonuria | 32.0 |
371 | Osteomalacia | 30.0 |
372 | Tinea versicolor | 30.0 |
373 | Epiploic appendagitis | 29.0 |
374 | Limited cutaneous systemic sclerosis | 29.0 |
375 | Paraneoplastic Syndromes | 28.0 |
376 | Umbilical hernia | 28.0 |
377 | Ichthyosis | 27.0 |
378 | Fibromyalgia | 26.0 |
379 | Penis Carcinoma | 25.0 |
380 | Acute Bronchitis | 23.0 |
381 | Nasal polyps | 23.0 |
382 | Zenker diverticulum | 23.0 |
383 | Parkinson disease | 22.0 |
384 | Aortic stenosis | 22.0 |
385 | Thyroid lymphoma | 21.0 |
386 | Biliary cyst | 21.0 |
387 | Tuboovarian abscess | 20.0 |
388 | Epidemic keratoconjunctivitis | 20.0 |
389 | Exocrine pancreatic insufficiency | 20.0 |
390 | Epilepsy | 20.0 |
391 | Central diabetes insipidus | 20.0 |
392 | Tetanus | 20.0 |
393 | Intraperitoneal bleeding | 18.0 |
394 | Acute Bacterial Prostatitis | 18.0 |
395 | Chronic Cholecystitis | 18.0 |
396 | Periorbital and orbital cellulitis | 18.0 |
397 | Hyperglycemia | 18.0 |
398 | Uveitis | 18.0 |
399 | Anterior uveitis | 18.0 |
400 | Intermediate uveitis | 18.0 |
401 | Posterior uveitis | 18.0 |
402 | Pan uveitis | 18.0 |
403 | Acute cervical spine trauma | 18.0 |
404 | Disseminated intravascular coagulation | 17.0 |
405 | Middle East respiratory syndrome | 17.0 |
406 | Bacterial pharyngitis | 17.0 |
407 | Gilbert syndrome | 16.0 |
408 | Pelvic inflammatory disease | 16.0 |
409 | Acute pelvic inflammatory disease | 16.0 |
410 | Psoriatic arthritis | 15.0 |
411 | Barrett esophagus | 15.0 |
412 | Sexual abuse and assault | 15.0 |
413 | Pressure ulcer | 15.0 |
414 | Peroneal Neuropathy | 14.0 |
415 | Musculoskeletal sprains and strains | 14.0 |
416 | Chronic Renal vein thrombosis | 13.0 |
417 | Von willebrand disease | 12.0 |
418 | Primary ciliary dyskinesia | 11.0 |
419 | Kartagener syndrome | 11.0 |
420 | Abdominal compartment syndrome | 11.0 |
421 | Acute epididymitis | 11.0 |
422 | Acute atrial fibrillation | 10.0 |
423 | Dubin-Johnson syndrome | 8.0 |
424 | Splenic abscess | 8.0 |
425 | Substernal goiter | 8.0 |
426 | Ramsay Hunt syndrome | 6.0 |
427 | Alopecia areata | 5.0 |
428 | Dacryocystitis | 5.0 |
429 | Chlamydia pneumoniae infection | 2.0 |
430 | Optic neuritis | 1.0 |
431 | Neuropapillitis | 1.0 |
432 | Bullous pemphigoid | 1.0 |
433 | Hemorrhoids | 0.0 |
434 | Immune thrombocytopenia | 0.0 |
435 | Myasthenia Gravis | 0.0 |
436 | Congenital Myasthenic Syndromes | 0.0 |
437 | Neonatal Myasthenia Gravis | 0.0 |
438 | Acute Cystitis(Men) | 0.0 |
439 | Conjunctivitis | 0.0 |
440 | Bacterial conjunctivitis | 0.0 |
441 | Viral conjunctivitis | 0.0 |
442 | Allergic conjunctivitis | 0.0 |
443 | Ligneous conjunctivitis | 0.0 |
444 | Vernal keratoconjunctivitis | 0.0 |
445 | Atopic keratoconjunctivitis | 0.0 |
446 | Noninfectious nonallergic conjunctivitis | 0.0 |
447 | Globus Sensation | 0.0 |
448 | Visceral leishmaniasis | 0.0 |