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A 75-year-old woman presents with painless jaundice

75 years old | Female

Vignette:

A 75-year-old woman presents with painless jaundice and weight loss. She was diagnosed with diabetes 3 months previously. Examination of her abdomen reveals a palpable gallbladder.

Summary:

painless jaundice | weight loss | New onset of diabetes | palpable gallbladder

Dx:

Carcinoma of the head of the pancreas

Ref:

ccu hepatology EMQ 1.5 page 174

Rank

Disease

Weight

1 pancreatic cancer 231.0
2 Cholangiocarcinoma 192.0
3 Chronic heart failure 156.0
4 Hepatocellular carcinoma 153.0
5 Salmonella infection 145.0
6 Polyarteritis nodosa 143.0
7 Diabetic Amyotrophy 142.0
8 Amebic Liver Abscess 137.0
9 Alcoholic Liver Disease 136.0
10 Chronic Kidney Diseases 136.0
11 Brucellosis 134.0
12 Esophagitis 126.0
13 Acute Cholecystitis 124.0
14 Hepatic Encephalopathy 124.0
15 Gallbladder cancer 122.0
16 Liver Cirrhosis 121.0
17 Biliary cirrhosis 120.0
18 Pyogenic Liver Abscess 119.0
19 Aortic Dissection 117.0
20 Gastroparesis 116.0
21 Gastric cancer 114.0
22 Primary biliary cirrhosis 112.0
23 Klebsiella pneumoniae liver abscess 108.0
24 Sarcoidosis 105.0
25 Analgesic nephropathy 105.0
26 Stable ischemic heart disease 104.0
27 Emphysematous cholecystitis 102.0
28 Systemic lupus erythematosus 101.0
29 Intra-abdominal abscess 101.0
30 Stroke 101.0
31 Tuberculous Peritonitis 100.0
32 Psoas Abscess 100.0
33 Osteoporosis 100.0
34 Intussusception 99.0
35 Primary sclerosing cholangitis 98.0
36 Alcoholic Liver Cirrhosis 98.0
37 Ischemic optic neuropathy 98.0
38 posteriorischemic optic neuropathy 98.0
39 anterior ischemic optic neuropathy 98.0
40 Choledocholithiasis 96.0
41 Type 2 Diabetes mellitus 96.0
42 Mesenteric ischemia 95.0
43 Renal and perinephric abscess 95.0
44 Prinzmetal angina 95.0
45 Alcoholic Fatty Liver 93.0
46 Hepatorenal Syndrome 92.0
47 Addison Disease 92.0
48 Henoch-Schonlein purpura 91.0
49 Alcoholic hepatitis 90.0
50 Short bowel syndrome 88.0
51 Clonorchiasis 87.0
52 Acute Clonorchiasis 87.0
53 Liver Abscess 87.0
54 Celiac Disease 87.0
55 Chronic Hepatitis 86.0
56 Chronic Pancreatitis 86.0
57 Familial adenomatous polyposis syndrome 85.0
58 Aortic coarctation 85.0
59 Liver disease 84.0
60 Renal Cell Carcinoma 84.0
61 Kidney stones 83.0
62 Gastric Outlet Obstruction 82.0
63 Renal Artery Stenosis 82.0
64 Autosomal Recessive Polycystic Kidney Disease 81.0
65 Oral candidiasis 81.0
66 Pneumonia 80.0
67 Diabetes Mellitus 78.0
68 Intestinal Obstruction 78.0
69 Crohn Disease 78.0
70 Lung Cancer 78.0
71 Ulcerative Colitis 76.0
72 Hyperthyroidism 76.0
73 Type 1 Diabetes mellitus 75.0
74 Acute Myeloid Leukemia in adults 75.0
75 Acute Liver Failure 73.0
76 Autoimmune Pancreatitis 73.0
77 Achalasia 73.0
78 Churg-Strauss Syndrome 73.0
79 Graves Disease 73.0
80 Acute intermittent porphyria 72.0
81 Graves ophthalmopathy 72.0
82 chronic acalculous cholecystitis 71.0
83 Primary Myelofibrosis 70.0
84 Amphetamine use disorder 70.0
85 Autoimmune hepatitis 69.0
86 Ovarian and fallopian tube torsion 69.0
87 Guillain-Barre syndrome 69.0
88 Anemia of chronic disease 69.0
89 Central hypothyroidism 68.0
90 Giardiasis 66.0
91 Ruptured ectopic pregnancy 66.0
92 Gallstones 65.0
93 Acute fatty liver of pregnancy 65.0
94 Secondary hyperparathyroidism 65.0
95 Non-diabetic hypoglycemia 65.0
96 Cystic Fibrosis 64.0
97 Chronic Clonorchiasis 63.0
98 Urinary Tract Obstruction 63.0
99 Amebiasis 61.0
100 Common cutaneous drug reactions 60.0
101 Hemolytic uremic syndrome 60.0
102 Autosomal Dominant Polycystic Kidney Disease 59.0
103 Painless thyroiditis 59.0
104 Toxic thyroid adenoma 59.0
105 Choledochal Cyst 58.0
106 Colorectal cancer 58.0
107 Cryptococcosis 58.0
108 Acute bacterial meningitis in neonates 58.0
109 Dyspepsia 57.0
110 Rheumatoid Arthritis 57.0
111 Acute pelvic inflammatory disease 57.0
112 Duodenal Ulcer 56.0
113 Gastric Ulcer 56.0
114 Peptic Ulcer 56.0
115 Chronic bacterial prostatitis 56.0
116 Acute Cholangitis 55.0
117 Bladder Cancer 55.0
118 Unstable angina 55.0
119 Ankylosing spondylitis 55.0
120 Non-alcoholic Fatty Liver Disease 54.0
121 Acute Pancreatitis 54.0
122 Gallstone pancreatitis 54.0
123 Abnormal uterine bleeding 54.0
124 Chronic pyelonephritis 54.0
125 Acalculous Cholecystitis 53.0
126 Malt lymphoma 53.0
127 Non-small cell lung cancer 52.0
128 Adrenal crisis 52.0
129 Granulomatosis with polyangiitis 52.0
130 Peutz-Jeghers Syndrome 52.0
131 Alopecia areata 52.0
132 Oropharyngeal cancer 52.0
133 mucosal Eosinophilic gastroenteritis 51.0
134 Food poisoning 50.0
135 Acute peptic ulcer 50.0
136 Intestinal malrotation 50.0
137 Intestinal Entamoeba histolytica amebiasis 50.0
138 Hyperosmolar Hyperglycemic state 50.0
139 biliary colic 50.0
140 Ruptured ovarian cyst 50.0
141 Splenic Infarction 50.0
142 Eclampsia 50.0
143 Carpal Tunnel Syndrome 50.0
144 Cataract 50.0
145 Bacterial pharyngitis 50.0
146 Open Angle Glaucoma 50.0
147 Bell palsy 50.0
148 Peyronie Disease 50.0
149 Gout 50.0
150 Dry eye 50.0
151 Tetanus 50.0
152 Cellulitis 50.0
153 Acute bacterial meningitis in adults 50.0
154 Insomnia in adults 50.0
155 Alzheimer disease 50.0
156 Labyrinthitis 50.0
157 Achilles tendinopathy 50.0
158 Achilles tendon rupture 50.0
159 Intrahepatic Cholestasis 49.0
160 Endometrial cancer 49.0
161 Biliary cyst 48.0
162 Amyloidosis 47.0
163 Sialadenitis 47.0
164 biliary SOD 46.0
165 Psychogenic polydipsia 46.0
166 Glomerulonephritis 46.0
167 Stable angina 46.0
168 Acute Lymphoblastic leukemia in children 46.0
169 Typhoid infection 46.0
170 Ovarian Cancer 45.0
171 Campylobacter infection 45.0
172 Angle Closure Glaucoma 45.0
173 Hereditary hemochromatosis 44.0
174 Adrenocortical carcinoma 44.0
175 Simple kidney cyst 44.0
176 Chronic Lymphocytic Leukemia 44.0
177 Torsion of appendix of testis 43.0
178 Extraintestinal Entamoeba histolytica amebiasis 42.0
179 Rumination Syndrome 42.0
180 Systemic vasculitis 42.0
181 Budd Chiari Syndrome 41.0
182 Acute bacterial meningitis in children 41.0
183 Pheochromocytoma 41.0
184 Adrenal Suppression 41.0
185 Central retinal artery occlusion 41.0
186 Acute respiratory failure 41.0
187 Menopause 40.0
188 Gastric Volvulus 39.0
189 Abetalipoproteinemia 39.0
190 Familial Mediterranean fever 39.0
191 Influenza 38.0
192 Secondary hypogonadism 38.0
193 Pancreatic Pseudocyst 37.0
194 Gastroesophageal reflux disease 36.0
195 STI HIV Pharyngitis 36.0
196 Diabetic Neuropathy 36.0
197 Osteomyelitis 36.0
198 Zollinger-Ellison Syndrome 35.0
199 Prolactinoma 35.0
200 Non-ST-elevation myocardial infarction 35.0
201 Intraperitoneal bleeding 35.0
202 Acne conglobata 34.0
203 Chronic meningitis 34.0
204 Hyperaldosteronism 34.0
205 Malaria 34.0
206 Acne vulgaris 34.0
207 Acne fulminans 34.0
208 Gram-negative folliculitis 34.0
209 Excoriated acne 34.0
210 Candidiasis 34.0
211 Candidal intertrigo 34.0
212 Candida Balanitis 34.0
213 Oropharyngeal and esophageal candidiasis 34.0
214 Vulvovaginal candidiasis 34.0
215 Wilson disease 33.0
216 Acute Lymphocytic Leukemia in Adults 33.0
217 Acute Appendicitis 33.0
218 Acute perforated appendicitis 33.0
219 Acute otitis media 33.0
220 Varicocele 33.0
221 Croup 33.0
222 Extrahepatic Cholestasis 32.0
223 Rotor syndrome 32.0
224 Diverticulitis 32.0
225 Hyperprolactinemia 32.0
226 Acromegaly 32.0
227 Charcot-Marie-Tooth Disease 32.0
228 Anaplastic thyroid cancer 31.0
229 Systemic sclerosis 31.0
230 Chronic liver disease 31.0
231 Chronic atrial fibrillation 31.0
232 Mirizzi Syndrome 30.0
233 Cholestasis 30.0
234 Muscle Layer Eosinophilic gastroenteritis 30.0
235 subserosal eosinophilic gastroenteritis 30.0
236 Listerial gastroenteritis 30.0
237 Hyperparathyroidism 30.0
238 Osteomalacia 30.0
239 Tinea versicolor 30.0
240 Atypical pneumonia 30.0
241 Hypercalcemia 29.0
242 Multiple Myeloma 29.0
243 Leiomyomas 28.0
244 Acute viral meningitis 28.0
245 Epiploic appendagitis 27.0
246 Empyema 27.0
247 Hypothyroidism 26.0
248 Obstructive Sleep Apnea 26.0
249 Cushing syndrome 26.0
250 Gingivitis 26.0
251 Acute disseminated encephalomyelitis 26.0
252 Infectious mononucleosis 25.0
253 Annular pancreas 25.0
254 Penis Carcinoma 25.0
255 Chronic Myeloid Leukemia 25.0
256 Goiter 25.0
257 Diffuse nontoxic goiter 25.0
258 Toxic multinodular goiter 25.0
259 Cervical goiter 25.0
260 Transient ischemic attack 25.0
261 ST-elevation myocardial infarction 24.0
262 Acute Hepatitis 23.0
263 Zenker diverticulum 23.0
264 Mitral Stenosis 23.0
265 Obstructive cervical goiters 23.0
266 Diabetic Ketoacidosis 22.0
267 Acetaminophen overdose 21.0
268 Eosinophilic gastroenteritis 20.0
269 Ileus 20.0
270 Androgenetic alopecia 20.0
271 Intrahepatic cholestasis of pregnancy 20.0
272 Cholera 20.0
273 Benign Prostatic Hyperplasia 20.0
274 Preeclampsia 20.0
275 Balanitis 20.0
276 Priapism 20.0
277 Intestinal Pseudo Obstruction 20.0
278 Deep venous thrombosis 20.0
279 COPD Exacerbation 20.0
280 Acute pyelonephritis in adults 20.0
281 Animal bites 20.0
282 Hypertriglyceridemia 20.0
283 Erectile dysfunction 20.0
284 Sunburn 20.0
285 Inflammatory Bowel Diseases 19.0
286 Phenylketonuria 18.0
287 Hyperglycemia 18.0
288 COVID19 18.0
289 Laryngeal Cancer 18.0
290 Hypogammaglobulinemia 18.0
291 Limited cutaneous systemic sclerosis 18.0
292 Primary hypogonadism 18.0
293 End Stage Renal Disease 18.0
294 Clostridium difficile infection 18.0
295 Kawasaki disease 18.0
296 Gestational diabetes mellitus 18.0
297 Diabetic Kidney Disease 18.0
298 Migraine headache in adults 18.0
299 Acute cervical spine trauma 18.0
300 Gastritis 17.0
301 Hereditary Angioedema 16.0
302 Multiple endocrine neoplasia 2A 16.0
303 Multiple endocrine neoplasia 2B 16.0
304 Spontaneous bacterial peritonitis 16.0
305 Ascites 16.0
306 Dermatophyte infections 16.0
307 Asthma 15.0
308 Portal hypertension 15.0
309 Acute peritonitis 15.0
310 Ovarian Hyperstimulation Syndrome 15.0
311 Chronic Mitral regurgitation 15.0
312 Pressure ulcer 15.0
313 Anthrax 15.0
314 Aortic stenosis 15.0
315 Ruptured Tuboovarian abscess 14.0
316 Peroneal Neuropathy 14.0
317 Testicular cancer 14.0
318 Fungal meningitis 14.0
319 Endometriosis 14.0
320 Pseudohypoparathyroidism 14.0
321 Insect bites and stings 14.0
322 Gallbladder Dyskinesia 14.0
323 Musculoskeletal sprains and strains 14.0
324 Acute heart failure 14.0
325 Toxic Megacolon 13.0
326 Common cold(adults) 13.0
327 Thyroid lymphoma 13.0
328 Heparin-induced thrombocytopenia 13.0
329 Peritoneal dialysis associated peritonitis 13.0
330 Anaphylaxis 13.0
331 Meckel diverticulum 12.0
332 Shigellosis 12.0
333 Hiatus hernia 12.0
334 Allergic rhinitis 12.0
335 Uveitis 12.0
336 Anterior uveitis 12.0
337 Intermediate uveitis 12.0
338 Posterior uveitis 12.0
339 Pan uveitis 12.0
340 Substernal goiter 12.0
341 Medullary thyroid cancer 12.0
342 Multiple Sclerosis 11.0
343 Hypoparathyroidism 11.0
344 Acute epididymitis 11.0
345 Fibromyalgia 11.0
346 Foodborne E coli infection 10.0
347 Umbilical hernia 10.0
348 Acute Bacterial Prostatitis 9.0
349 Endometritis 9.0
350 Splenic abscess 9.0
351 Acute Bronchitis 8.0
352 Common cold(children) 8.0
353 Milk-alkali syndrome 8.0
354 Acute Milk-alkali syndrome 8.0
355 Chronic Milk-alkali syndrome 8.0
356 Thrombotic thrombocytopenic purpura 8.0
357 Inguinal hernia 7.0
358 Irritable Bowel Syndrome 6.0
359 Discogenic low back pain 6.0
360 Pelvic inflammatory disease 6.0
361 Male factor infertility 6.0
362 Ichthyosis 6.0
363 Rocky Mountain spotted fever 5.0
364 Bed bugs 5.0
365 Scleritis 5.0
366 Anterior scleritis 5.0
367 Posterior scleritis 5.0
368 Ischemic stroke 4.0
369 Hemorrhagic stroke 4.0
370 Periorbital and orbital cellulitis 4.0
371 Paraneoplastic Syndromes 4.0
372 Drowning 4.0
373 Non-cholera Vibrio infections 3.0
374 Pulmonary Embolism 2.0
375 Acute pericarditis 1.0
376 Chronic Renal vein thrombosis 1.0
377 Chlamydia pneumoniae infection 1.0
378 Immune thrombocytopenia 0.0
379 Hemorrhoids 0.0
380 Globus Sensation 0.0
381 Recurrent aphthous stomatitis 0.0
382 Premenstrual syndrome 0.0
383 Nasal polyps 0.0
384 Acute Cystitis(Men) 0.0
385 Visceral leishmaniasis 0.0
386 Essential Tremor 0.0
387 Trachoma 0.0
388 Myasthenia Gravis 0.0
389 Neonatal Myasthenia Gravis 0.0
390 Congenital Myasthenic Syndromes 0.0
391 Acute atrial fibrillation 0.0
392 Musculoskeletal lower back pain 0.0