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A 67-year-old man presents with malaise, weight loss

67 years old | Male

Vignette:

A 67-year-old man presents with malaise, weight loss and intermittent fever 6 weeks after a laparoscopic appendicectomy. He has a 6 cm lesion in the right lobe of the liver that contains multiple small foci of gas.

Summary:

malaise | weight loss | intermittent fever | weeks | appendicectomy | lesion in the right lobe of the liver | foci of gas

Dx:

Pyogenic liver abscess

Ref:

ccu hepatology EMQ 2.2 page 174

Rank

Disease

Weight

1 Systemic lupus erythematosus 259.0
2 Brucellosis 241.0
3 Amebic Liver Abscess 232.0
4 Klebsiella pneumoniae liver abscess 228.0
5 Addison Disease 228.0
6 Pyogenic Liver Abscess 223.0
7 Alcoholic Liver Disease 208.0
8 Giardiasis 206.0
9 Renal and perinephric abscess 199.0
10 Chronic bacterial prostatitis 190.0
11 Sarcoidosis 186.0
12 pancreatic cancer 178.0
13 Salmonella infection 178.0
14 Alcoholic Liver Cirrhosis 169.0
15 Alcoholic Fatty Liver 169.0
16 Toxic Megacolon 166.0
17 Crohn Disease 166.0
18 Gastric cancer 160.0
19 Multiple Sclerosis 154.0
20 Polyarteritis nodosa 153.0
21 Chronic Pancreatitis 152.0
22 Infectious mononucleosis 146.0
23 Acute Clonorchiasis 145.0
24 Graves Disease 142.0
25 Acute Lymphoblastic leukemia in children 140.0
26 Systemic sclerosis 139.0
27 Alcoholic hepatitis 138.0
28 Churg-Strauss Syndrome 138.0
29 Liver disease 133.0
30 Primary biliary cirrhosis 133.0
31 Malaria 133.0
32 Rocky Mountain spotted fever 133.0
33 Primary sclerosing cholangitis 132.0
34 Intussusception 132.0
35 Granulomatosis with polyangiitis 130.0
36 Anemia of chronic disease 130.0
37 Cryptococcosis 128.0
38 Type 1 Diabetes mellitus 127.0
39 Tuberculous Peritonitis 126.0
40 Ulcerative Colitis 125.0
41 Chronic heart failure 123.0
42 Intestinal Entamoeba histolytica amebiasis 123.0
43 Liver Cirrhosis 117.0
44 Celiac Disease 117.0
45 Acute Myeloid Leukemia in adults 117.0
46 Ovarian Cancer 116.0
47 Adrenal crisis 116.0
48 Ruptured ectopic pregnancy 114.0
49 Diabetic Amyotrophy 113.0
50 Esophagitis 113.0
51 Pneumonia 112.0
52 Acute peptic ulcer 112.0
53 Amyloidosis 111.0
54 Acute Lymphocytic Leukemia in Adults 109.0
55 Intestinal Obstruction 109.0
56 STI HIV Pharyngitis 108.0
57 Bacterial pharyngitis 106.0
58 Central hypothyroidism 106.0
59 Ectopic Pregnancy 106.0
60 Acute Bacterial Prostatitis 104.0
61 Campylobacter infection 104.0
62 Biliary cirrhosis 102.0
63 Systemic vasculitis 102.0
64 Autoimmune hepatitis 100.0
65 Cystic Fibrosis 100.0
66 Cellulitis 100.0
67 Short bowel syndrome 99.0
68 Acute bacterial meningitis in adults 99.0
69 Osteoarthritis 98.0
70 Choledocholithiasis 98.0
71 Endometritis 97.0
72 Ischemic optic neuropathy 97.0
73 posteriorischemic optic neuropathy 97.0
74 anterior ischemic optic neuropathy 97.0
75 Periorbital and orbital cellulitis 97.0
76 Acalculous Cholecystitis 96.0
77 chronic acalculous cholecystitis 96.0
78 Mesenteric ischemia 95.0
79 Aseptic meningitis 95.0
80 Psoas Abscess 95.0
81 Chronic Kidney Diseases 94.0
82 Stroke 94.0
83 Chronic Hepatitis 93.0
84 Adrenocortical carcinoma 93.0
85 mucosal Eosinophilic gastroenteritis 93.0
86 Acute Cholecystitis 91.0
87 Emphysematous cholecystitis 91.0
88 Hyperthyroidism 89.0
89 Gallbladder cancer 88.0
90 Acute perforated appendicitis 88.0
91 Viral pharyngitis 88.0
92 Influenza 88.0
93 Painless thyroiditis 88.0
94 Irritable Bowel Syndrome 88.0
95 Acute Pancreatitis 88.0
96 Gallstone pancreatitis 88.0
97 Listerial gastroenteritis 87.0
98 Pheochromocytoma 87.0
99 Cholangiocarcinoma 86.0
100 Obstructive Sleep Apnea 86.0
101 Duodenal Ulcer 85.0
102 Gastric Ulcer 85.0
103 Gastroparesis 84.0
104 Viral Gastroenteritis 83.0
105 Typhoid infection 82.0
106 Adrenal Suppression 82.0
107 Gastric Outlet Obstruction 82.0
108 Ischemic stroke 81.0
109 Secondary Peritonitis 80.0
110 Pharyngitis 80.0
111 Genital herpes 80.0
112 Fibromyalgia 80.0
113 Abetalipoproteinemia 80.0
114 Non-small cell lung cancer 80.0
115 Peptic Ulcer 80.0
116 Glomerulonephritis 79.0
117 Acute viral meningitis 79.0
118 Chronic Mitral regurgitation 78.0
119 Extraintestinal Entamoeba histolytica amebiasis 78.0
120 Hepatocellular carcinoma 77.0
121 Acute viral rhinosinusitis 77.0
122 Hypothyroidism 76.0
123 Primary Myelofibrosis 76.0
124 Ruptured Tuboovarian abscess 76.0
125 Spontaneous bacterial peritonitis 75.0
126 Acute Hepatitis 75.0
127 Empyema 75.0
128 Pelvic inflammatory disease 75.0
129 Acute Appendicitis 74.0
130 Acute pelvic inflammatory disease 74.0
131 Acute bacterial meningitis in neonates 74.0
132 Autosomal Dominant Polycystic Kidney Disease 73.0
133 Chronic Myeloid Leukemia 73.0
134 Gastritis 72.0
135 Diabetic Ketoacidosis 72.0
136 Muscle Layer Eosinophilic gastroenteritis 72.0
137 Lung Cancer 72.0
138 Acromegaly 72.0
139 Multiple Myeloma 72.0
140 Hyperosmolar Hyperglycemic state 72.0
141 ST-elevation myocardial infarction 72.0
142 Acute Liver Failure 71.0
143 COPD Exacerbation 71.0
144 Travelers diarrhea 70.0
145 Hemolytic uremic syndrome 70.0
146 Stevens-Johnson syndrome 70.0
147 Autoimmune Pancreatitis 68.0
148 Hyperaldosteronism 68.0
149 Aortic stenosis 68.0
150 Premenstrual syndrome 68.0
151 Osteomyelitis 68.0
152 Osteomalacia 68.0
153 Malt lymphoma 68.0
154 Achalasia 67.0
155 Colorectal cancer 66.0
156 Acne fulminans 66.0
157 Rheumatoid Arthritis 66.0
158 Renal Cell Carcinoma 66.0
159 Shigellosis 66.0
160 Acute pyelonephritis in adults 66.0
161 Inflammatory Bowel Diseases 65.0
162 Mitral Stenosis 65.0
163 Gastrointestinal Hemorrhage 65.0
164 Lower gastrointestinal hemorrhage 65.0
165 Upper gastrointestinal hemorrhage 65.0
166 Secondary hyperparathyroidism 65.0
167 Diabetes Mellitus 65.0
168 Non-diabetic hypoglycemia 65.0
169 Amphetamine use disorder 65.0
170 Peutz-Jeghers Syndrome 64.0
171 Chronic meningitis 64.0
172 Graves ophthalmopathy 63.0
173 Clonorchiasis 62.0
174 COVID19 61.0
175 Acute Myeloid Leukemia in children 61.0
176 Goiter 61.0
177 Abnormal uterine bleeding 61.0
178 Ankylosing spondylitis 61.0
179 Obstructive cervical goiters 61.0
180 Toxic multinodular goiter 61.0
181 Diffuse nontoxic goiter 61.0
182 Cervical goiter 61.0
183 Amebiasis 61.0
184 Non-alcoholic Fatty Liver Disease 60.0
185 Osteoporosis 60.0
186 Anaplastic thyroid cancer 60.0
187 Familial adenomatous polyposis syndrome 60.0
188 Toxic thyroid adenoma 60.0
189 Fungal meningitis 59.0
190 Common cold(adults) 58.0
191 Autosomal Recessive Polycystic Kidney Disease 58.0
192 Food poisoning 58.0
193 Acute peritonitis 58.0
194 Analgesic nephropathy 57.0
195 Hyperparathyroidism 57.0
196 Pancreatic Pseudocyst 57.0
197 Herpes pharyngitis 56.0
198 Chronic pyelonephritis 56.0
199 Kawasaki disease 56.0
200 Non-cholera Vibrio infections 56.0
201 Acute pericarditis 54.0
202 Hereditary Angioedema 54.0
203 Ruptured ovarian cyst 54.0
204 Migraine 53.0
205 Motion Sickness 53.0
206 Bladder Cancer 52.0
207 Hepatic Encephalopathy 52.0
208 Ileus 52.0
209 Oropharyngeal cancer 52.0
210 Balanitis 51.0
211 Peritoneal dialysis associated peritonitis 51.0
212 Gilbert syndrome 51.0
213 Hemorrhagic stroke 51.0
214 Liver Abscess 51.0
215 Autoimmune hemolytic anemia 50.0
216 End Stage Renal Disease 50.0
217 Acute fatty liver of pregnancy 50.0
218 Psoriasis 50.0
219 Aortic Dissection 50.0
220 Charcot-Marie-Tooth Disease 50.0
221 Insomnia in adults 50.0
222 Acute Rhinosinusitis 50.0
223 Chronic pelvic pain in women 50.0
224 Acute bacterial rhinosinusitis 50.0
225 Milk-alkali syndrome 50.0
226 Acute Milk-alkali syndrome 50.0
227 Chronic Milk-alkali syndrome 50.0
228 Intestinal malrotation 50.0
229 Annular pancreas 49.0
230 Animal bites 49.0
231 Insect bites and stings 49.0
232 Acute disseminated encephalomyelitis 48.0
233 Croup 48.0
234 subserosal eosinophilic gastroenteritis 48.0
235 Rotator Cuff Tears 47.0
236 Oral candidiasis 47.0
237 Chronic Clonorchiasis 46.0
238 Parkinson disease 46.0
239 Erectile dysfunction 46.0
240 Musculoskeletal sprains and strains 46.0
241 Heparin-induced thrombocytopenia 46.0
242 Chronic prostatitis 46.0
243 cholestatic liver disease 45.0
244 Common cutaneous drug reactions 45.0
245 Chlamydia pneumoniae infection 45.0
246 Acute intermittent porphyria 44.0
247 Anthrax 44.0
248 Type 2 Diabetes mellitus 43.0
249 Primary ciliary dyskinesia 43.0
250 Kartagener syndrome 43.0
251 Acute bacterial meningitis in children 43.0
252 Eosinophilic gastroenteritis 43.0
253 Angiodysplasia of the colon 43.0
254 Aortic coarctation 43.0
255 Erythema nodosum 43.0
256 Seborrheic keratosis 43.0
257 Gallstones 42.0
258 Ovarian and fallopian tube torsion 42.0
259 Cushing syndrome 42.0
260 Non-ST-elevation myocardial infarction 42.0
261 Rumination Syndrome 42.0
262 Allergic rhinitis 41.0
263 Bullous pemphigoid 41.0
264 Hypercalcemia 40.0
265 Common cold(children) 40.0
266 Zollinger-Ellison Syndrome 40.0
267 Dyspepsia 40.0
268 Acute Cholangitis 40.0
269 Labyrinthitis 39.0
270 Hepatorenal Syndrome 37.0
271 Anaphylaxis 37.0
272 Acute otitis media 37.0
273 Bacterial conjunctivitis 36.0
274 Viral conjunctivitis 36.0
275 Henoch-Schonlein purpura 36.0
276 Guillain-Barre syndrome 36.0
277 Endometrial cancer 36.0
278 Familial Mediterranean fever 36.0
279 Tuboovarian abscess 36.0
280 Budd Chiari Syndrome 35.0
281 Stable angina 35.0
282 Renal Artery Stenosis 35.0
283 Abdominal compartment syndrome 34.0
284 Acute Mitral regurgitation 34.0
285 Gingivitis 34.0
286 Sunburn 34.0
287 Diabetic Kidney Disease 34.0
288 Chronic atrial fibrillation 34.0
289 Nasal polyps 34.0
290 Cholera 34.0
291 Menopause 34.0
292 Multiple endocrine neoplasia 2B 34.0
293 chronic cholestatic liver disease 33.0
294 Urinary Tract Obstruction 33.0
295 Meckel diverticulum 33.0
296 Hypogammaglobulinemia 33.0
297 Ovarian Torsion 33.0
298 Herpes zoster 32.0
299 Thrombotic thrombocytopenic purpura 32.0
300 Hereditary hemochromatosis 32.0
301 Hyperprolactinemia 32.0
302 Laryngeal Cancer 32.0
303 Splenic abscess 32.0
304 Tetanus 32.0
305 Gastroesophageal reflux disease 31.0
306 Lactose intolerance 31.0
307 Inguinal hernia 31.0
308 Hypoparathyroidism 30.0
309 Deep venous thrombosis 30.0
310 Chronic fatigue syndrome 30.0
311 Mirizzi Syndrome 30.0
312 Splenic Rupture 30.0
313 Epilepsy 30.0
314 Unstable angina 29.0
315 Miliaria 29.0
316 Myasthenia Gravis 29.0
317 Neonatal Myasthenia Gravis 29.0
318 Congenital Myasthenic Syndromes 29.0
319 Foodborne E coli infection 28.0
320 Pyelonephritis 28.0
321 Wilson disease 27.0
322 Clostridium difficile infection 27.0
323 Disseminated intravascular coagulation 27.0
324 Pancreatitis 27.0
325 Cholangitis 27.0
326 Cholecystitis 27.0
327 Chronic Cholecystitis 27.0
328 Stable ischemic heart disease 26.0
329 Tinea versicolor 26.0
330 Chronic Lymphocytic Leukemia 25.0
331 Testicular cancer 25.0
332 Hypertriglyceridemia 25.0
333 Intra-abdominal abscess 25.0
334 Endometriosis 24.0
335 Penis Carcinoma 24.0
336 Bacterial gastroenteritis 24.0
337 Pseudohypoparathyroidism 24.0
338 Multiple endocrine neoplasia 2A 24.0
339 Diverticulitis 24.0
340 Urinary tract infection 24.0
341 Cystitis 24.0
342 Simple kidney cyst 23.0
343 Zenker diverticulum 23.0
344 Migraine headache in adults 22.0
345 Splenic Infarction 22.0
346 Ascites 21.0
347 Gallbladder Empyema 21.0
348 Eclampsia 20.0
349 Thyroid lymphoma 20.0
350 Preeclampsia 20.0
351 Intrahepatic cholestasis of pregnancy 20.0
352 Prolactinoma 20.0
353 Peritonitis 20.0
354 Prostatitis 20.0
355 Chronic liver disease 19.0
356 Portal hypertension 19.0
357 Ovarian Hyperstimulation Syndrome 19.0
358 Leiomyomas 18.0
359 Rotor syndrome 18.0
360 Psychogenic polydipsia 18.0
361 Asthma 18.0
362 Hyperglycemia 18.0
363 Diabetic Neuropathy 18.0
364 Primary hypogonadism 18.0
365 Secondary hypogonadism 18.0
366 Phenylketonuria 18.0
367 Gastroenteritis 18.0
368 Foreign body ingestion 18.0
369 Acute Bronchitis 16.0
370 Alzheimer disease 16.0
371 Pressure ulcer 16.0
372 Hiatus hernia 16.0
373 Hemorrhoids 15.0
374 Mallory-Weiss syndrome 15.0
375 Substernal goiter 15.0
376 Subdural hematoma 15.0
377 Atypical pneumonia 14.0
378 Nephrogenic diabetes insipidus 14.0
379 Central diabetes insipidus 14.0
380 Acute respiratory failure 14.0
381 Limited cutaneous systemic sclerosis 14.0
382 Peroneal Neuropathy 14.0
383 Atopic dermatitis 13.0
384 Optic neuritis 12.0
385 Neuropapillitis 12.0
386 Von willebrand disease 12.0
387 Premature labor 11.0
388 Acute epididymitis 11.0
389 Psoriatic arthritis 10.0
390 Dacryocystitis 10.0
391 Acute atrial fibrillation 10.0
392 Acne conglobata 10.0
393 Gastric Volvulus 10.0
394 Acne vulgaris 10.0
395 Gram-negative folliculitis 10.0
396 Excoriated acne 10.0
397 Sialadenitis 9.0
398 Umbilical hernia 9.0
399 Epididymo-orchitis 9.0
400 Kidney stones 9.0
401 Epiploic appendagitis 8.0
402 Paraneoplastic Syndromes 7.0
403 Benign Prostatic Hyperplasia 7.0
404 Pulmonary Embolism 6.0
405 Acetaminophen overdose 5.0
406 Pityriasis rosea 5.0
407 Drowning 5.0
408 Rosacea 5.0
409 Alopecia areata 3.0
410 Dermatophyte infections 3.0
411 Carpal Tunnel Syndrome 0.0
412 Bell palsy 0.0
413 Acute Cystitis(Men) 0.0
414 Immune thrombocytopenia 0.0
415 Discogenic low back pain 0.0
416 Globus Sensation 0.0
417 Recurrent aphthous stomatitis 0.0
418 Androgenetic alopecia 0.0
419 Visceral leishmaniasis 0.0
420 biliary colic 0.0
421 Acute Cystitis(Women) 0.0
422 Acute heart failure 0.0
423 Musculoskeletal lower back pain 0.0