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A 58-year-old man presents with cirrhosis secondary to non-alcoholic fatty liver disease

58 years old | Male

Vignette:

A 58-year-old man presents with cirrhosis secondary to non-alcoholic fatty liver disease and an elevated α-fetoprotein with an arterially enhancing lesion on CT examination of the abdomen.

Summary:

cirrhosis | non alcoholic fatty liver disease | elevated alpha fetoprotein | arterially enhancing lesion on CT

Dx:

HCC

Ref:

ccu hepatology EMQ 2.1 page 174

Rank

Disease

Weight
1 Hepatocellular carcinoma 169.0
2 Cholangiocarcinoma 101.0
3 Spontaneous bacterial peritonitis 101.0
4 Gallstones 95.0
5 Choledocholithiasis 95.0
6 Primary biliary cirrhosis 84.0
7 Primary sclerosing cholangitis 84.0
8 Biliary cirrhosis 84.0
9 Liver Cirrhosis 84.0
10 Ascites 74.0
11 Hereditary hemochromatosis 62.0
12 Wilson disease 51.0
13 Testicular cancer 50.0
14 Secondary hypogonadism 50.0
15 Primary hypogonadism 50.0
16 Hyperprolactinemia 50.0
17 Acetaminophen overdose 50.0
18 Chronic liver disease 50.0
19 Balanitis 50.0
20 Cystic Fibrosis 50.0
21 Abdominal compartment syndrome 50.0
22 Osteoporosis 50.0
23 biliary obstruction 50.0
24 Tuberculous Peritonitis 50.0
25 chronic biliary obstruction 50.0
26 Autoimmune hepatitis 46.0
27 Acute intermittent porphyria 46.0
28 Chronic Hepatitis 46.0
29 Budd Chiari Syndrome 42.0
30 Hepatic Encephalopathy 40.0
31 Portal hypertension 39.0
32 Non-cholera Vibrio infections 36.0
33 Non-diabetic hypoglycemia 30.0
34 Kawasaki disease 23.0
35 Acute Bacterial Prostatitis 23.0
36 Polyarteritis nodosa 23.0
37 Psoas Abscess 22.0
38 Excoriated acne 20.0
39 Gram-negative folliculitis 20.0
40 Acne conglobata 20.0
41 Non-alcoholic Fatty Liver Disease 20.0
42 Emphysematous cholecystitis 18.0
43 Acute Cholecystitis 18.0
44 Inflammatory Bowel Diseases 18.0
45 Diabetic Ketoacidosis 18.0
46 Toxic Megacolon 16.0
47 anterior ischemic optic neuropathy 16.0
48 Ischemic optic neuropathy 16.0
49 Renal and perinephric abscess 16.0
50 posteriorischemic optic neuropathy 16.0
51 Rheumatoid Arthritis 16.0
52 Gallstone pancreatitis 15.0
53 Extraintestinal Entamoeba histolytica amebiasis 15.0
54 Acute Pancreatitis 15.0
55 Amebic Liver Abscess 15.0
56 Hypothyroidism 15.0
57 Gout 14.0
58 COVID19 14.0
59 Erectile dysfunction 14.0
60 Acne fulminans 13.0
61 Hepatorenal Syndrome 13.0
62 Acute disseminated encephalomyelitis 12.0
63 Pneumonia 12.0
64 Diverticulitis 12.0
65 Acute Liver Failure 10.0
66 Acromegaly 10.0
67 Acute Cholangitis 8.0
68 Leiomyomas 5.0
69 Alcoholic hepatitis 2.0
70 Acute Hepatitis 1.0
71 Disseminated intravascular coagulation 0.0