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A 65-year-old man presents with gradually increasing jaundice

65 years old | Male

Vignette:

A 65-year-old man presents with gradually increasing jaundice. On examination he has bilateral Dupuytren’s contracture, multiple spider naevi and enlargement of the parotid glands. His abdomen is grossly distended with ascites.

Summary:

jaundice | gradually increasing | bilateral Dupuytren contracture | spider naevi | enlargement of the parotid glands | distended abdomen | ascites

Dx:

Alcoholic hepatitis

Ref:

ccu hepatology EMQ 1.4 page 174

Rank

Disease

Weight

1 Biliary cirrhosis 305.0
2 Liver Cirrhosis 303.0
3 Primary sclerosing cholangitis 269.0
4 Alcoholic hepatitis 265.0
5 Alcoholic Liver Disease 257.0
6 Cholangiocarcinoma 253.0
7 Primary biliary cirrhosis 248.0
8 Tuberculous Peritonitis 247.0
9 Autoimmune hepatitis 217.0
10 Alcoholic Liver Cirrhosis 213.0
11 Hepatocellular carcinoma 208.0
12 Liver disease 207.0
13 Budd Chiari Syndrome 203.0
14 Ruptured ectopic pregnancy 198.0
15 Sigmoid volvulus 192.0
16 Toxic Megacolon 187.0
17 Premenstrual syndrome 180.0
18 Abdominal compartment syndrome 179.0
19 Mesenteric ischemia 174.0
20 Hereditary hemochromatosis 173.0
21 Hepatorenal Syndrome 166.0
22 Alcoholic Fatty Liver 165.0
23 Bacterial pharyngitis 159.0
24 Ovarian Hyperstimulation Syndrome 148.0
25 Hereditary Angioedema 147.0
26 Pyogenic Liver Abscess 143.0
27 Intestinal Obstruction 143.0
28 Ovarian Cancer 143.0
29 Wilson disease 142.0
30 Ascites 139.0
31 Acute Liver Failure 131.0
32 Spontaneous bacterial peritonitis 131.0
33 Common cutaneous drug reactions 130.0
34 Acute Pancreatitis 128.0
35 Klebsiella pneumoniae liver abscess 128.0
36 Non-alcoholic Fatty Liver Disease 121.0
37 Chronic heart failure 118.0
38 Gastroparesis 118.0
39 Gallstone pancreatitis 117.0
40 Short bowel syndrome 116.0
41 Acute Cholecystitis 113.0
42 Acute Hepatitis 113.0
43 chronic acalculous cholecystitis 111.0
44 Muscle Layer Eosinophilic gastroenteritis 111.0
45 Umbilical hernia 111.0
46 Acute Cholangitis 110.0
47 pancreatic cancer 110.0
48 Hepatic Encephalopathy 110.0
49 Aortic Dissection 110.0
50 Emphysematous cholecystitis 109.0
51 Acute peptic ulcer 107.0
52 Intraperitoneal bleeding 106.0
53 Dyspepsia 106.0
54 Biliary cyst 104.0
55 Acute Appendicitis 104.0
56 Acute perforated appendicitis 100.0
57 Acute intermittent porphyria 100.0
58 Gastric Outlet Obstruction 100.0
59 Ankylosing spondylitis 100.0
60 Celiac Disease 97.0
61 Acute bacterial meningitis in children 97.0
62 subserosal eosinophilic gastroenteritis 97.0
63 Clostridium difficile infection 97.0
64 Giardiasis 97.0
65 Gastric cancer 95.0
66 Sarcoidosis 94.0
67 Hyperprolactinemia 93.0
68 Portal hypertension 93.0
69 Acute peritonitis 93.0
70 Kidney stones 93.0
71 Anthrax 93.0
72 Choledochal Cyst 91.0
73 Colorectal cancer 91.0
74 Crohn Disease 90.0
75 Gastric Volvulus 90.0
76 Type 2 Diabetes mellitus 90.0
77 Anaphylaxis 90.0
78 Amebic Liver Abscess 89.0
79 biliary SOD 89.0
80 Cystic Fibrosis 88.0
81 Systemic sclerosis 88.0
82 Lactose intolerance 88.0
83 Diverticulitis 88.0
84 Alopecia areata 87.0
85 Meckel diverticulum 86.0
86 Chronic liver disease 84.0
87 Acute pericarditis 84.0
88 Bell palsy 84.0
89 Diabetic Neuropathy 84.0
90 Autosomal Recessive Polycystic Kidney Disease 83.0
91 Chronic Mitral regurgitation 83.0
92 Ulcerative Colitis 82.0
93 Acute bacterial meningitis in adults 82.0
94 Acalculous Cholecystitis 81.0
95 Primary Myelofibrosis 81.0
96 mucosal Eosinophilic gastroenteritis 81.0
97 Foreign body ingestion 80.0
98 Ileus 79.0
99 Esophagitis 77.0
100 Intestinal Pseudo Obstruction 77.0
101 Ovarian and fallopian tube torsion 77.0
102 Travelers diarrhea 77.0
103 Acute fatty liver of pregnancy 76.0
104 biliary colic 75.0
105 Acute pelvic inflammatory disease 75.0
106 Ruptured ovarian cyst 75.0
107 Splenic Infarction 75.0
108 Cataract 75.0
109 Food poisoning 73.0
110 Gallstones 72.0
111 Chronic Hepatitis 72.0
112 Graves Disease 72.0
113 Gallbladder cancer 70.0
114 Leiomyomas 70.0
115 Ovarian Torsion 70.0
116 Gastritis 69.0
117 Inflammatory Bowel Diseases 68.0
118 Rotor syndrome 68.0
119 Peutz-Jeghers Syndrome 68.0
120 Intussusception 68.0
121 Angle Closure Glaucoma 68.0
122 Central retinal artery occlusion 68.0
123 COPD Exacerbation 68.0
124 Irritable Bowel Syndrome 67.0
125 Eosinophilic gastroenteritis 65.0
126 Addison Disease 65.0
127 Torsion of appendix of testis 65.0
128 Chronic Clonorchiasis 63.0
129 Hypothyroidism 63.0
130 Painless thyroiditis 63.0
131 Choledocholithiasis 62.0
132 Dubin-Johnson syndrome 62.0
133 Osteoporosis 61.0
134 Intestinal malrotation 58.0
135 Urinary Tract Obstruction 55.0
136 Chronic Renal vein thrombosis 54.0
137 Mitral Stenosis 53.0
138 Hemorrhagic stroke 53.0
139 Musculoskeletal sprains and strains 53.0
140 Transient ischemic attack 53.0
141 Liver Abscess 52.0
142 Acute Clonorchiasis 52.0
143 Hiatus hernia 52.0
144 Exocrine pancreatic insufficiency 52.0
145 Acute Lymphoblastic leukemia in children 52.0
146 Malaria 51.0
147 Diabetic Ketoacidosis 51.0
148 Mirizzi Syndrome 50.0
149 Cholestasis 50.0
150 Intrahepatic Cholestasis 50.0
151 Stable ischemic heart disease 50.0
152 Acute otitis media 50.0
153 Varicocele 50.0
154 Croup 50.0
155 Cellulitis 50.0
156 Clonorchiasis 49.0
157 Inguinal hernia 49.0
158 Autoimmune Pancreatitis 48.0
159 Charcot-Marie-Tooth Disease 48.0
160 Chronic bacterial prostatitis 46.0
161 Extraintestinal Entamoeba histolytica amebiasis 46.0
162 Acetaminophen overdose 46.0
163 Familial adenomatous polyposis syndrome 45.0
164 Renal Cell Carcinoma 45.0
165 Pneumonia 45.0
166 Analgesic nephropathy 44.0
167 Shigellosis 44.0
168 Ischemic stroke 44.0
169 Amphetamine use disorder 43.0
170 Pancreatic Pseudocyst 42.0
171 Gallbladder Dyskinesia 41.0
172 Epiploic appendagitis 41.0
173 Carpal Tunnel Syndrome 41.0
174 Empyema 41.0
175 Chlamydia pneumoniae infection 41.0
176 Autosomal Dominant Polycystic Kidney Disease 39.0
177 Hypertriglyceridemia 39.0
178 Diabetes Mellitus 39.0
179 Type 1 Diabetes mellitus 39.0
180 Chronic Kidney Diseases 38.0
181 Chronic Pancreatitis 37.0
182 Intestinal Entamoeba histolytica amebiasis 37.0
183 Gilbert syndrome 36.0
184 Diabetic Amyotrophy 36.0
185 Chronic pelvic pain in women 36.0
186 Duodenal Ulcer 35.0
187 Gastric Ulcer 35.0
188 Hemolytic uremic syndrome 34.0
189 Thrombotic thrombocytopenic purpura 33.0
190 Peyronie Disease 33.0
191 Gastroesophageal reflux disease 32.0
192 Acromegaly 32.0
193 Heparin-induced thrombocytopenia 31.0
194 Eclampsia 30.0
195 Hyperparathyroidism 30.0
196 Amyloidosis 30.0
197 Deep venous thrombosis 30.0
198 Peptic Ulcer 29.0
199 Multiple endocrine neoplasia 2A 29.0
200 Annular pancreas 28.0
201 Hyperthyroidism 28.0
202 Infectious mononucleosis 28.0
203 Endometrial cancer 28.0
204 Campylobacter infection 27.0
205 Zollinger-Ellison Syndrome 27.0
206 Malt lymphoma 26.0
207 Acute Lymphocytic Leukemia in Adults 25.0
208 Polyarteritis nodosa 24.0
209 Extrahepatic Cholestasis 23.0
210 Hypercalcemia 23.0
211 Obstructive Sleep Apnea 23.0
212 Cushing syndrome 23.0
213 Familial Mediterranean fever 23.0
214 biliary obstruction 22.0
215 chronic biliary obstruction 22.0
216 Brucellosis 22.0
217 Gout 22.0
218 pancreatic SOD 20.0
219 Chronic Myeloid Leukemia 20.0
220 Bullous pemphigoid 20.0
221 Pityriasis rosea 20.0
222 Multiple endocrine neoplasia 2B 19.0
223 Amebiasis 18.0
224 Intrahepatic cholestasis of pregnancy 18.0
225 Chronic Cholecystitis 18.0
226 Systemic lupus erythematosus 18.0
227 Uveitis 18.0
228 Anterior uveitis 18.0
229 Intermediate uveitis 18.0
230 Posterior uveitis 18.0
231 Pan uveitis 18.0
232 anterior ischemic optic neuropathy 18.0
233 Common cold(adults) 18.0
234 Allergic rhinitis 18.0
235 Hypoparathyroidism 17.0
236 Discogenic low back pain 17.0
237 Vulvovaginal candidiasis 17.0
238 Miliaria 17.0
239 Rheumatoid Arthritis 16.0
240 Animal bites 16.0
241 Non-cholera Vibrio infections 16.0
242 Chronic Lymphocytic Leukemia 16.0
243 Candidal intertrigo 16.0
244 Atopic dermatitis 16.0
245 Renal and perinephric abscess 15.0
246 Typhoid infection 15.0
247 Glomerulonephritis 15.0
248 Simple kidney cyst 15.0
249 Intra-abdominal abscess 15.0
250 Foodborne E coli infection 15.0
251 Chronic pyelonephritis 15.0
252 Ruptured Tuboovarian abscess 14.0
253 Splenic abscess 14.0
254 Aortic stenosis 14.0
255 Herpes zoster 14.0
256 Cryptococcosis 13.0
257 Optic neuritis 13.0
258 Neuropapillitis 13.0
259 cholestatic liver disease 13.0
260 Blepharitis 13.0
261 Milk-alkali syndrome 13.0
262 Acute Milk-alkali syndrome 13.0
263 Chronic Milk-alkali syndrome 13.0
264 Acute Myeloid Leukemia in children 12.0
265 Acute disseminated encephalomyelitis 12.0
266 COVID19 12.0
267 Common cold(children) 12.0
268 Henoch-Schonlein purpura 12.0
269 Pseudohypoparathyroidism 12.0
270 Pulmonary Embolism 12.0
271 Anemia of chronic disease 12.0
272 Aortic coarctation 11.0
273 Medullary thyroid cancer 11.0
274 Insect bites and stings 11.0
275 Sunburn 11.0
276 Varicose veins 11.0
277 Influenza 10.0
278 Multiple Myeloma 10.0
279 Diabetic Kidney Disease 10.0
280 Limited cutaneous systemic sclerosis 10.0
281 Achalasia 10.0
282 Acute viral meningitis 10.0
283 Rocky Mountain spotted fever 9.0
284 chronic cholestatic liver disease 9.0
285 Keloid 9.0
286 Disseminated intravascular coagulation 8.0
287 Scleritis 8.0
288 Anterior scleritis 8.0
289 Posterior scleritis 8.0
290 Hypogammaglobulinemia 8.0
291 Cholera 8.0
292 Acute atrial fibrillation 8.0
293 Lung Cancer 7.0
294 Non-ST-elevation myocardial infarction 7.0
295 Graves ophthalmopathy 7.0
296 Adrenocortical carcinoma 6.0
297 Periorbital and orbital cellulitis 6.0
298 Bed bugs 6.0
299 Pheochromocytoma 5.0
300 Acute respiratory failure 5.0
301 Secondary hyperparathyroidism 5.0
302 Salmonella infection 4.0
303 Migraine headache in adults 4.0
304 Acute Bronchitis 3.0
305 Hyperaldosteronism 1.0
306 Immune thrombocytopenia 0.0
307 Psychogenic polydipsia 0.0
308 Phenylketonuria 0.0
309 Non-small cell lung cancer 0.0
310 Essential Tremor 0.0
311 Prinzmetal angina 0.0
312 Trachoma 0.0
313 Myasthenia Gravis 0.0
314 Neonatal Myasthenia Gravis 0.0
315 Congenital Myasthenic Syndromes 0.0
316 Abetalipoproteinemia 0.0
317 Pulmonary regurgitation 0.0
318 Androgenetic alopecia 0.0