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A 58-year-old woman with a distended abdomen

58 years old | Female

Vignette:

Mrs Anne Philly is a 58-year-old painter who presents with a 3-week history of abdominal swelling. On clinical examination she has stigmata of chronic liver disease (palmar erythema, spider naevi and caput medusae) and shifting dullness in her abdomen.

Summary:

3 weeks | abdominal swelling | distended abdomen | stigmata of chronic liver disease | palmar erythema | spider naevi | caput medusae | shifting dullness

Dx:

Cirrhosis

Ref:

ccu hepatology case 23 page 138

Rank

Disease

Weight

1 Liver Cirrhosis 327.0
2 Biliary cirrhosis 301.0
3 Primary sclerosing cholangitis 301.0
4 Primary biliary cirrhosis 297.0
5 Alcoholic hepatitis 282.0
6 Alcoholic Liver Cirrhosis 264.0
7 Abdominal compartment syndrome 260.0
8 Sigmoid volvulus 250.0
9 Premenstrual syndrome 234.0
10 Toxic Megacolon 229.0
11 Pyogenic Liver Abscess 218.0
12 Klebsiella pneumoniae liver abscess 218.0
13 Alcoholic Liver Disease 211.0
14 Hereditary Angioedema 207.0
15 Hepatic Encephalopathy 200.0
16 Non-alcoholic Fatty Liver Disease 199.0
17 Ruptured ectopic pregnancy 198.0
18 Alcoholic Fatty Liver 196.0
19 Ovarian Cancer 195.0
20 Intestinal Obstruction 190.0
21 Hepatocellular carcinoma 186.0
22 Cholangiocarcinoma 185.0
23 Giardiasis 185.0
24 Ascites 177.0
25 Mesenteric ischemia 174.0
26 Ovarian Hyperstimulation Syndrome 169.0
27 Bacterial pharyngitis 166.0
28 Hereditary hemochromatosis 166.0
29 Tuberculous Peritonitis 159.0
30 Budd Chiari Syndrome 157.0
31 Gastroparesis 153.0
32 Liver disease 150.0
33 Dyspepsia 145.0
34 Crohn Disease 144.0
35 Deep venous thrombosis 140.0
36 Acute bacterial meningitis in adults 140.0
37 Lactose intolerance 132.0
38 Acute peptic ulcer 130.0
39 Gastric Outlet Obstruction 130.0
40 Systemic sclerosis 127.0
41 Choledocholithiasis 126.0
42 Celiac Disease 123.0
43 Autoimmune hepatitis 119.0
44 Irritable Bowel Syndrome 118.0
45 Muscle Layer Eosinophilic gastroenteritis 112.0
46 Primary Myelofibrosis 110.0
47 Ileus 109.0
48 Umbilical hernia 108.0
49 Food poisoning 107.0
50 Intraperitoneal bleeding 106.0
51 Hyperprolactinemia 106.0
52 Foreign body ingestion 104.0
53 Acute Pancreatitis 102.0
54 Wilson disease 101.0
55 Intestinal Pseudo Obstruction 100.0
56 Leiomyomas 100.0
57 Meckel diverticulum 100.0
58 Travelers diarrhea 100.0
59 Hepatorenal Syndrome 93.0
60 Cystic Fibrosis 93.0
61 Acute Lymphoblastic leukemia in children 92.0
62 Acute Cholecystitis 91.0
63 Emphysematous cholecystitis 91.0
64 Ovarian Torsion 91.0
65 Inflammatory Bowel Diseases 88.0
66 Diverticulitis 88.0
67 Clostridium difficile infection 86.0
68 Shigellosis 85.0
69 Acute intermittent porphyria 82.0
70 Peutz-Jeghers Syndrome 82.0
71 Painless thyroiditis 82.0
72 Gastric Volvulus 80.0
73 Inguinal hernia 80.0
74 Osteoporosis 80.0
75 Gallstone pancreatitis 79.0
76 Acute Appendicitis 78.0
77 Chronic liver disease 78.0
78 Portal hypertension 78.0
79 Chronic Hepatitis 76.0
80 Ulcerative Colitis 75.0
81 Acute Liver Failure 73.0
82 Hypothyroidism 72.0
83 Acute Hepatitis 72.0
84 Ankylosing spondylitis 70.0
85 Kawasaki disease 70.0
86 Acute perforated appendicitis 68.0
87 Intussusception 68.0
88 Hiatus hernia 68.0
89 Urinary Tract Obstruction 68.0
90 Intestinal malrotation 68.0
91 Exocrine pancreatic insufficiency 68.0
92 subserosal eosinophilic gastroenteritis 58.0
93 Acute peritonitis 58.0
94 Autosomal Recessive Polycystic Kidney Disease 58.0
95 Chronic Mitral regurgitation 58.0
96 Anthrax 58.0
97 Short bowel syndrome 58.0
98 Multiple endocrine neoplasia 2A 58.0
99 Spontaneous bacterial peritonitis 56.0
100 Hypertriglyceridemia 56.0
101 Colorectal cancer 55.0
102 Sarcoidosis 54.0
103 Acute Lymphocytic Leukemia in Adults 52.0
104 Graves Disease 52.0
105 Eosinophilic gastroenteritis 51.0
106 mucosal Eosinophilic gastroenteritis 51.0
107 Diabetes Mellitus 50.0
108 Type 2 Diabetes mellitus 50.0
109 Type 1 Diabetes mellitus 50.0
110 Chronic heart failure 49.0
111 Intestinal Entamoeba histolytica amebiasis 48.0
112 Rheumatoid Arthritis 48.0
113 Chronic pelvic pain in women 46.0
114 Chronic Pancreatitis 41.0
115 Amyloidosis 41.0
116 Gastritis 39.0
117 Brucellosis 39.0
118 Gastroesophageal reflux disease 37.0
119 Gallstones 36.0
120 Systemic lupus erythematosus 36.0
121 Endometrial cancer 36.0
122 Chronic Lymphocytic Leukemia 36.0
123 Peptic Ulcer 35.0
124 Duodenal Ulcer 35.0
125 Gastric Ulcer 35.0
126 Gastric cancer 33.0
127 Mitral Stenosis 33.0
128 Malt lymphoma 32.0
129 Intrahepatic cholestasis of pregnancy 32.0
130 Heparin-induced thrombocytopenia 31.0
131 Diabetic Neuropathy 30.0
132 Hyperthyroidism 29.0
133 pancreatic cancer 28.0
134 Renal Cell Carcinoma 27.0
135 Pancreatic Pseudocyst 25.0
136 Keloid 25.0
137 Autoimmune Pancreatitis 24.0
138 Analgesic nephropathy 24.0
139 Extraintestinal Entamoeba histolytica amebiasis 24.0
140 Acalculous Cholecystitis 23.0
141 chronic acalculous cholecystitis 23.0
142 Medullary thyroid cancer 22.0
143 Discogenic low back pain 22.0
144 Viral pharyngitis 22.0
145 Hemolytic uremic syndrome 21.0
146 Infectious mononucleosis 21.0
147 Kidney stones 20.0
148 Foodborne E coli infection 20.0
149 Intra-abdominal abscess 20.0
150 Addison Disease 20.0
151 Splenic abscess 20.0
152 Splenic Rupture 20.0
153 Primary hypogonadism 20.0
154 Abnormal uterine bleeding 20.0
155 Annular pancreas 19.0
156 Acromegaly 19.0
157 Gallbladder cancer 18.0
158 Liver Abscess 18.0
159 Amebic Liver Abscess 18.0
160 Chronic Clonorchiasis 18.0
161 Campylobacter infection 18.0
162 Hypogammaglobulinemia 18.0
163 Psoas Abscess 18.0
164 Lung Cancer 18.0
165 Chronic Myeloid Leukemia 18.0
166 Granulomatosis with polyangiitis 18.0
167 Acetaminophen overdose 17.0
168 Multiple endocrine neoplasia 2B 17.0
169 Pulmonary Embolism 17.0
170 Acute Myeloid Leukemia in children 17.0
171 Hyperparathyroidism 16.0
172 Henoch-Schonlein purpura 16.0
173 Anemia of chronic disease 16.0
174 Acute Clonorchiasis 15.0
175 Common cutaneous drug reactions 14.0
176 Malaria 14.0
177 Inflammatory Breast Cancer 14.0
178 Autosomal Dominant Polycystic Kidney Disease 13.0
179 Gilbert syndrome 13.0
180 Splenic Infarction 13.0
181 Testicular cancer 11.0
182 Adrenocortical carcinoma 9.0
183 Prolactinoma 7.0
184 Typhoid infection 7.0
185 Erectile dysfunction 7.0
186 Male factor infertility 7.0
187 Hemorrhagic stroke 6.0
188 Ischemic stroke 6.0
189 Rocky Mountain spotted fever 6.0
190 Acute Myeloid Leukemia in adults 4.0
191 Acute pericarditis 3.0
192 Chronic Renal vein thrombosis 2.0
193 Guillain-Barre syndrome 2.0
194 COVID19 2.0
195 Acute atrial fibrillation 1.0
196 ST-elevation myocardial infarction 1.0
197 Familial Mediterranean fever 1.0
198 Acute bacterial meningitis in children 1.0
199 Abetalipoproteinemia 0.0
200 Male Breast Cancer 0.0
201 Secondary hypogonadism 0.0
202 Immune thrombocytopenia 0.0
203 Multiple Myeloma 0.0
204 Psychogenic polydipsia 0.0
205 Non-small cell lung cancer 0.0
206 Parkinson disease 0.0