21 years old | Female
A 21-year-old woman presents with profuse watery diarrhea occurring up to 20 times per day. There is associated nausea, anorexia, and lethargy. She returned 4 days ago from Kenya, where she had tried many local delicacies, often from street vendors. On physical exam she has dry mucous membranes and reduced skin turgor. She is hypotensive (blood pressure 95/50 mmHg) and tachycardic (pulse 110 bpm). Abdominal exam reveals mild diffuse tenderness. She responds well to intravenous fluid replacement, with resolution of her symptoms within 48 hours. Stool cultures and serotyping are subsequently positive for enterotoxigenic E coli (ETEC).
watery diarrhea | frequent diarrhea | nausea | anorexia | lethargy | travel | dry mucous membranes | reduced skin turgor | hypotensive | tachycardic | diffuse tenderness | E coli
Bacterial Gastroenteritis Viral Gastroenteritis Gastroenteritis Eosinophilic Gastroenteritis Listerial Gastroenteritis Mucosal Eosinophilic Gastroenteritis Subserosal Eosinophilic Gastroenteritis Muscle Layer Eosinophilic Gastroenteritis
https://online.epocrates.com/diseases/110522/Foodborne-E-coli-infection/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Bacterial gastroenteritis | 515.0 |
2 | Listerial gastroenteritis | 452.0 |
3 | Foodborne E coli infection | 441.0 |
4 | Salmonella infection | 417.0 |
5 | Travelers diarrhea | 411.0 |
6 | Viral Gastroenteritis | 378.0 |
7 | Diabetic Ketoacidosis | 370.0 |
8 | Acute Pancreatitis | 361.0 |
9 | Type 1 Diabetes mellitus | 354.0 |
10 | mucosal Eosinophilic gastroenteritis | 338.0 |
11 | Gallstone pancreatitis | 317.0 |
12 | Primary sclerosing cholangitis | 316.0 |
13 | Toxic Megacolon | 309.0 |
14 | Brucellosis | 307.0 |
15 | Ulcerative Colitis | 302.0 |
16 | Short bowel syndrome | 301.0 |
17 | pancreatic cancer | 298.0 |
18 | Adrenal crisis | 298.0 |
19 | Secondary Peritonitis | 294.0 |
20 | Malaria | 291.0 |
21 | Non-cholera Vibrio infections | 291.0 |
22 | Cholera | 284.0 |
23 | Biliary cirrhosis | 279.0 |
24 | Primary biliary cirrhosis | 279.0 |
25 | Systemic lupus erythematosus | 279.0 |
26 | Acute peritonitis | 277.0 |
27 | Muscle Layer Eosinophilic gastroenteritis | 276.0 |
28 | Spontaneous bacterial peritonitis | 274.0 |
29 | Graves Disease | 274.0 |
30 | Giardiasis | 273.0 |
31 | Acute perforated appendicitis | 272.0 |
32 | Intestinal Obstruction | 272.0 |
33 | Addison Disease | 271.0 |
34 | Hemolytic uremic syndrome | 270.0 |
35 | Acute bacterial meningitis in children | 268.0 |
36 | Crohn Disease | 266.0 |
37 | Klebsiella pneumoniae liver abscess | 259.0 |
38 | Anaphylaxis | 257.0 |
39 | Acute Appendicitis | 249.0 |
40 | Rocky Mountain spotted fever | 243.0 |
41 | subserosal eosinophilic gastroenteritis | 241.0 |
42 | Autoimmune hepatitis | 239.0 |
43 | Food poisoning | 238.0 |
44 | Liver disease | 235.0 |
45 | Eosinophilic gastroenteritis | 235.0 |
46 | Gastroparesis | 235.0 |
47 | Hyperosmolar Hyperglycemic state | 235.0 |
48 | Acute viral meningitis | 231.0 |
49 | Chronic bacterial prostatitis | 228.0 |
50 | Gastroenteritis | 227.0 |
51 | Liver Cirrhosis | 226.0 |
52 | Intestinal Entamoeba histolytica amebiasis | 226.0 |
53 | Type 2 Diabetes mellitus | 224.0 |
54 | Ileus | 223.0 |
55 | Alcoholic Liver Disease | 221.0 |
56 | Mesenteric ischemia | 219.0 |
57 | Clostridium difficile infection | 216.0 |
58 | Diverticulitis | 215.0 |
59 | Pheochromocytoma | 215.0 |
60 | Ovarian Hyperstimulation Syndrome | 214.0 |
61 | Tuberculous Peritonitis | 208.0 |
62 | Acute pyelonephritis in adults | 208.0 |
63 | Hypercalcemia | 207.0 |
64 | Alcoholic Liver Cirrhosis | 206.0 |
65 | Acute fatty liver of pregnancy | 204.0 |
66 | Irritable Bowel Syndrome | 202.0 |
67 | Pyogenic Liver Abscess | 199.0 |
68 | Peritoneal dialysis associated peritonitis | 193.0 |
69 | Acute bacterial meningitis in adults | 193.0 |
70 | Acute intermittent porphyria | 190.0 |
71 | Foreign body ingestion | 190.0 |
72 | Sarcoidosis | 189.0 |
73 | Intra-abdominal abscess | 188.0 |
74 | Gastric Outlet Obstruction | 187.0 |
75 | Sialadenitis | 187.0 |
76 | Cushing syndrome | 186.0 |
77 | Hereditary Angioedema | 185.0 |
78 | Acute heart failure | 184.0 |
79 | Acute bacterial meningitis in neonates | 182.0 |
80 | Infectious mononucleosis | 181.0 |
81 | Alcoholic hepatitis | 179.0 |
82 | Acute peptic ulcer | 178.0 |
83 | Intussusception | 176.0 |
84 | Hyperthyroidism | 173.0 |
85 | Ovarian Cancer | 170.0 |
86 | Hyperparathyroidism | 169.0 |
87 | Gallbladder cancer | 168.0 |
88 | Ovarian and fallopian tube torsion | 163.0 |
89 | Amphetamine use disorder | 162.0 |
90 | Meckel diverticulum | 161.0 |
91 | Alcoholic Fatty Liver | 161.0 |
92 | Hiatus hernia | 161.0 |
93 | Anthrax | 160.0 |
94 | Shigellosis | 159.0 |
95 | Systemic sclerosis | 159.0 |
96 | Acute Cholecystitis | 159.0 |
97 | Emphysematous cholecystitis | 159.0 |
98 | Gout | 159.0 |
99 | Non-small cell lung cancer | 159.0 |
100 | Sigmoid volvulus | 158.0 |
101 | Lactose intolerance | 157.0 |
102 | Thrombotic thrombocytopenic purpura | 151.0 |
103 | Eclampsia | 150.0 |
104 | Intestinal Pseudo Obstruction | 149.0 |
105 | Hereditary hemochromatosis | 149.0 |
106 | Acute Liver Failure | 149.0 |
107 | Sunburn | 146.0 |
108 | Acute Hepatitis | 145.0 |
109 | Chronic Renal vein thrombosis | 145.0 |
110 | Acute Clonorchiasis | 144.0 |
111 | Polyarteritis nodosa | 144.0 |
112 | Chronic heart failure | 143.0 |
113 | Kawasaki disease | 141.0 |
114 | End Stage Renal Disease | 140.0 |
115 | Diabetic Amyotrophy | 137.0 |
116 | Acetaminophen overdose | 137.0 |
117 | Aseptic meningitis | 136.0 |
118 | Panic disorder in adults | 136.0 |
119 | Adrenal Suppression | 135.0 |
120 | Celiac Disease | 134.0 |
121 | Diabetes Mellitus | 134.0 |
122 | Renal vein thrombosis | 134.0 |
123 | Acute Renal vein thrombosis | 134.0 |
124 | Ruptured ectopic pregnancy | 133.0 |
125 | Endometritis | 133.0 |
126 | Churg-Strauss Syndrome | 132.0 |
127 | Migraine headache in adults | 132.0 |
128 | chronic acalculous cholecystitis | 131.0 |
129 | Duodenal Ulcer | 129.0 |
130 | Gastric Ulcer | 129.0 |
131 | Chronic Myeloid Leukemia | 129.0 |
132 | Disseminated intravascular coagulation | 129.0 |
133 | Henoch-Schonlein purpura | 128.0 |
134 | Campylobacter infection | 128.0 |
135 | Extraintestinal Entamoeba histolytica amebiasis | 128.0 |
136 | Pneumonia | 126.0 |
137 | Bacterial pharyngitis | 126.0 |
138 | Amebic Liver Abscess | 125.0 |
139 | Tetanus | 124.0 |
140 | Ovarian Torsion | 123.0 |
141 | Unstable angina | 123.0 |
142 | Non-ST-elevation myocardial infarction | 123.0 |
143 | Hyperglycemia | 120.0 |
144 | Acute Myeloid Leukemia in adults | 119.0 |
145 | Granulomatosis with polyangiitis | 116.0 |
146 | Non-diabetic hypoglycemia | 115.0 |
147 | Multiple endocrine neoplasia 2A | 114.0 |
148 | Ankylosing spondylitis | 114.0 |
149 | Ruptured Tuboovarian abscess | 113.0 |
150 | Acute Mitral regurgitation | 113.0 |
151 | Familial Mediterranean fever | 112.0 |
152 | Chronic Pancreatitis | 112.0 |
153 | Gastric cancer | 112.0 |
154 | Autosomal Dominant Polycystic Kidney Disease | 111.0 |
155 | ST-elevation myocardial infarction | 111.0 |
156 | Typhoid infection | 110.0 |
157 | Peritonitis | 109.0 |
158 | Malt lymphoma | 108.0 |
159 | Inflammatory Bowel Diseases | 106.0 |
160 | Acromegaly | 106.0 |
161 | Chronic pyelonephritis | 106.0 |
162 | Dyspepsia | 105.0 |
163 | Abetalipoproteinemia | 103.0 |
164 | Abdominal compartment syndrome | 103.0 |
165 | Cystic Fibrosis | 102.0 |
166 | Insect bites and stings | 102.0 |
167 | Colorectal cancer | 101.0 |
168 | Papilledema | 101.0 |
169 | Acute Myeloid Leukemia in children | 101.0 |
170 | Multiple endocrine neoplasia 2B | 98.0 |
171 | Graves ophthalmopathy | 98.0 |
172 | Choledocholithiasis | 98.0 |
173 | Choledochal Cyst | 98.0 |
174 | Aortic Dissection | 98.0 |
175 | COPD Exacerbation | 98.0 |
176 | Autoimmune Pancreatitis | 97.0 |
177 | anterior ischemic optic neuropathy | 97.0 |
178 | Toxic thyroid adenoma | 97.0 |
179 | Acute otitis media | 96.0 |
180 | Chronic pelvic pain in women | 96.0 |
181 | Diabetic Kidney Disease | 96.0 |
182 | Influenza | 95.0 |
183 | Peptic Ulcer | 95.0 |
184 | Migraine | 95.0 |
185 | Glomerulonephritis | 94.0 |
186 | Hepatic Encephalopathy | 94.0 |
187 | Guillain-Barre syndrome | 93.0 |
188 | Renal and perinephric abscess | 93.0 |
189 | Gastritis | 92.0 |
190 | Hypoparathyroidism | 92.0 |
191 | Chronic atrial fibrillation | 92.0 |
192 | Zollinger-Ellison Syndrome | 91.0 |
193 | Peutz-Jeghers Syndrome | 91.0 |
194 | Heparin-induced thrombocytopenia | 91.0 |
195 | Toxic multinodular goiter | 91.0 |
196 | Prinzmetal angina | 91.0 |
197 | Pulmonary Embolism | 91.0 |
198 | Chronic Hepatitis | 90.0 |
199 | Ectopic Pregnancy | 89.0 |
200 | Adrenocortical carcinoma | 89.0 |
201 | Anal Fissure | 88.0 |
202 | Motion Sickness | 88.0 |
203 | Pancreatic Pseudocyst | 88.0 |
204 | Inguinal hernia | 88.0 |
205 | Stable angina | 88.0 |
206 | Amyloidosis | 87.0 |
207 | Hypertriglyceridemia | 87.0 |
208 | Acute Lymphoblastic leukemia in children | 86.0 |
209 | Lung Cancer | 85.0 |
210 | Acute Cholangitis | 85.0 |
211 | Primary Myelofibrosis | 84.0 |
212 | Drowning | 84.0 |
213 | Epididymo-orchitis | 83.0 |
214 | Wilson disease | 82.0 |
215 | Cholangiocarcinoma | 82.0 |
216 | COVID19 | 81.0 |
217 | Hepatocellular carcinoma | 80.0 |
218 | Amebiasis | 80.0 |
219 | Painless thyroiditis | 80.0 |
220 | Acute bacterial rhinosinusitis | 80.0 |
221 | Acute respiratory failure | 80.0 |
222 | Annular pancreas | 79.0 |
223 | Common cutaneous drug reactions | 79.0 |
224 | Acute pericarditis | 79.0 |
225 | Gastrointestinal Hemorrhage | 78.0 |
226 | Lower gastrointestinal hemorrhage | 78.0 |
227 | Upper gastrointestinal hemorrhage | 78.0 |
228 | Obstructive Sleep Apnea | 77.0 |
229 | Diabetic Neuropathy | 76.0 |
230 | Parkinson disease | 76.0 |
231 | Milk-alkali syndrome | 76.0 |
232 | Stable ischemic heart disease | 76.0 |
233 | Acute Milk-alkali syndrome | 76.0 |
234 | Chronic Milk-alkali syndrome | 76.0 |
235 | Asthma | 76.0 |
236 | Central hypothyroidism | 76.0 |
237 | Familial adenomatous polyposis syndrome | 75.0 |
238 | Stevens-Johnson syndrome | 75.0 |
239 | Kidney stones | 75.0 |
240 | Gallstones | 74.0 |
241 | Mallory-Weiss syndrome | 74.0 |
242 | STI HIV Pharyngitis | 73.0 |
243 | Ischemic stroke | 73.0 |
244 | Aortic stenosis | 73.0 |
245 | Chronic Clonorchiasis | 71.0 |
246 | Ascites | 70.0 |
247 | Chronic Kidney Diseases | 70.0 |
248 | Cryptococcosis | 69.0 |
249 | Esophagitis | 68.0 |
250 | Intrahepatic cholestasis of pregnancy | 68.0 |
251 | Rumination Syndrome | 67.0 |
252 | Intestinal malrotation | 67.0 |
253 | Acute atrial fibrillation | 67.0 |
254 | Gallbladder Dyskinesia | 65.0 |
255 | biliary SOD | 65.0 |
256 | Sphincter of Oddi Dysfunction | 65.0 |
257 | pancreatic SOD | 65.0 |
258 | Hyperaldosteronism | 65.0 |
259 | Pelvic inflammatory disease | 65.0 |
260 | Acute pelvic inflammatory disease | 65.0 |
261 | Medullary thyroid cancer | 64.0 |
262 | Anemia of chronic disease | 64.0 |
263 | Hemorrhagic stroke | 62.0 |
264 | Ischemic optic neuropathy | 62.0 |
265 | posteriorischemic optic neuropathy | 62.0 |
266 | Allergic rhinitis | 61.0 |
267 | Analgesic nephropathy | 61.0 |
268 | Pyelonephritis | 61.0 |
269 | Acute disseminated encephalomyelitis | 61.0 |
270 | Psoas Abscess | 61.0 |
271 | Hypothyroidism | 60.0 |
272 | Mitral Stenosis | 59.0 |
273 | Anaplastic thyroid cancer | 59.0 |
274 | Acalculous Cholecystitis | 59.0 |
275 | Labyrinthitis | 59.0 |
276 | Candidal intertrigo | 59.0 |
277 | Candida Balanitis | 59.0 |
278 | Oropharyngeal and esophageal candidiasis | 59.0 |
279 | Vulvovaginal candidiasis | 59.0 |
280 | Oral candidiasis | 59.0 |
281 | Gastroesophageal reflux disease | 58.0 |
282 | Clonorchiasis | 58.0 |
283 | Goiter | 57.0 |
284 | Diffuse nontoxic goiter | 57.0 |
285 | Obstructive cervical goiters | 57.0 |
286 | Cervical goiter | 57.0 |
287 | Psychogenic polydipsia | 57.0 |
288 | Rheumatoid Arthritis | 56.0 |
289 | Periorbital and orbital cellulitis | 56.0 |
290 | Angle Closure Glaucoma | 55.0 |
291 | Multiple Myeloma | 55.0 |
292 | Multiple Sclerosis | 54.0 |
293 | Intraperitoneal bleeding | 53.0 |
294 | Premenstrual syndrome | 52.0 |
295 | Endometrial cancer | 50.0 |
296 | Hepatorenal Syndrome | 50.0 |
297 | Hyperprolactinemia | 50.0 |
298 | Breast Cancer | 50.0 |
299 | Subdural hematoma | 50.0 |
300 | Hypogammaglobulinemia | 49.0 |
301 | Autosomal Recessive Polycystic Kidney Disease | 49.0 |
302 | Chronic Mitral regurgitation | 48.0 |
303 | Acute Lymphocytic Leukemia in Adults | 47.0 |
304 | Gilbert syndrome | 46.0 |
305 | Gastric Volvulus | 45.0 |
306 | Animal bites | 45.0 |
307 | Osteoarthritis | 45.0 |
308 | biliary colic | 44.0 |
309 | Osteoporosis | 44.0 |
310 | Meniere disease | 43.0 |
311 | Central diabetes insipidus | 43.0 |
312 | Nephrogenic diabetes insipidus | 43.0 |
313 | Paraneoplastic Syndromes | 42.0 |
314 | Bladder Cancer | 42.0 |
315 | Leiomyomas | 41.0 |
316 | Fungal meningitis | 41.0 |
317 | Fibromyalgia | 41.0 |
318 | Pseudohypoparathyroidism | 41.0 |
319 | Systemic vasculitis | 39.0 |
320 | Deep venous thrombosis | 39.0 |
321 | Common cold(children) | 38.0 |
322 | Renal Cell Carcinoma | 38.0 |
323 | Aortic coarctation | 38.0 |
324 | Atypical pneumonia | 37.0 |
325 | Herpes zoster | 37.0 |
326 | Ruptured ovarian cyst | 36.0 |
327 | Testicular cancer | 35.0 |
328 | Endometriosis | 34.0 |
329 | Acute Rhinosinusitis | 34.0 |
330 | Alopecia areata | 34.0 |
331 | Acute viral rhinosinusitis | 34.0 |
332 | Non-alcoholic Fatty Liver Disease | 32.0 |
333 | Splenic Infarction | 32.0 |
334 | Primary ciliary dyskinesia | 32.0 |
335 | Kartagener syndrome | 32.0 |
336 | Umbilical hernia | 32.0 |
337 | Balanitis | 31.0 |
338 | Exocrine pancreatic insufficiency | 30.0 |
339 | Autoimmune hemolytic anemia | 30.0 |
340 | Pharyngitis | 30.0 |
341 | Herpes pharyngitis | 30.0 |
342 | Insomnia in adults | 30.0 |
343 | Preeclampsia | 30.0 |
344 | Stroke | 30.0 |
345 | Achilles tendinopathy | 30.0 |
346 | Achilles tendon rupture | 30.0 |
347 | Liver Abscess | 30.0 |
348 | Chronic Lymphocytic Leukemia | 29.0 |
349 | Secondary hyperparathyroidism | 29.0 |
350 | Cellulitis | 29.0 |
351 | Psoriasis | 28.0 |
352 | Urinary Tract Obstruction | 28.0 |
353 | cholestatic liver disease | 27.0 |
354 | Viral pharyngitis | 27.0 |
355 | Erectile dysfunction | 27.0 |
356 | Bed bugs | 26.0 |
357 | Common cold(adults) | 25.0 |
358 | Candidiasis | 25.0 |
359 | Achalasia | 24.0 |
360 | Tinnitus | 22.0 |
361 | Laryngeal Cancer | 22.0 |
362 | Chronic liver disease | 21.0 |
363 | Miliaria | 21.0 |
364 | chronic cholestatic liver disease | 20.0 |
365 | Abnormal uterine bleeding | 20.0 |
366 | Nasal polyps | 20.0 |
367 | Chronic meningitis | 20.0 |
368 | Angiodysplasia of the colon | 20.0 |
369 | Morton neuroma | 20.0 |
370 | Chronic Cholecystitis | 18.0 |
371 | Renal Artery Stenosis | 18.0 |
372 | Croup | 18.0 |
373 | Acute cervical spine trauma | 18.0 |
374 | Phenylketonuria | 18.0 |
375 | Limited cutaneous systemic sclerosis | 17.0 |
376 | Atopic dermatitis | 16.0 |
377 | Epiploic appendagitis | 15.0 |
378 | Mitral Valve Prolapse | 14.0 |
379 | Erythema nodosum | 14.0 |
380 | Simple kidney cyst | 12.0 |
381 | Tuboovarian abscess | 11.0 |
382 | Epidemic keratoconjunctivitis | 11.0 |
383 | Rotor syndrome | 11.0 |
384 | Thyroid lymphoma | 10.0 |
385 | Premature labor | 10.0 |
386 | Hemorrhoids | 9.0 |
387 | Psoriatic arthritis | 9.0 |
388 | Alzheimer disease | 9.0 |
389 | Middle East respiratory syndrome | 9.0 |
390 | Immune thrombocytopenia | 9.0 |
391 | Acute Bacterial Prostatitis | 9.0 |
392 | Bullous pemphigoid | 9.0 |
393 | Budd Chiari Syndrome | 8.0 |
394 | Splenic abscess | 8.0 |
395 | Musculoskeletal sprains and strains | 8.0 |
396 | Acute Bronchitis | 7.0 |
397 | Discogenic low back pain | 6.0 |
398 | Von willebrand disease | 6.0 |
399 | Dacryocystitis | 5.0 |
400 | Ramsay Hunt syndrome | 3.0 |
401 | Chlamydia pneumoniae infection | 1.0 |
402 | Recurrent aphthous stomatitis | 0.0 |
403 | Myasthenia Gravis | 0.0 |
404 | Congenital Myasthenic Syndromes | 0.0 |
405 | Neonatal Myasthenia Gravis | 0.0 |
406 | Conjunctivitis | 0.0 |
407 | Bacterial conjunctivitis | 0.0 |
408 | Viral conjunctivitis | 0.0 |
409 | Allergic conjunctivitis | 0.0 |
410 | Ligneous conjunctivitis | 0.0 |
411 | Vernal keratoconjunctivitis | 0.0 |
412 | Atopic keratoconjunctivitis | 0.0 |
413 | Noninfectious nonallergic conjunctivitis | 0.0 |
414 | Acute epididymitis | 0.0 |
415 | Acute Cystitis(Men) | 0.0 |
416 | Transient ischemic attack | 0.0 |
417 | Carpal Tunnel Syndrome | 0.0 |
418 | Bell palsy | 0.0 |
419 | Optic neuritis | 0.0 |
420 | Neuropapillitis | 0.0 |