13 years old | Male
A 13-year-old boy with declining cognitive performance and tremor is found to have an elevatedALTof192iU/L.
declining cognitive performance | tremor | elevated ALT
Wilson’s disease
ccu hepatology EMQ 6.2 page 176
Rank |
Disease |
Weight |
---|---|---|
1 | Primary biliary cirrhosis | 180.0 |
2 | Graves Disease | 156.0 |
3 | Hepatic Encephalopathy | 153.0 |
4 | Acute Cholangitis | 143.0 |
5 | Hyperthyroidism | 136.0 |
6 | Wilson disease | 134.0 |
7 | Non-diabetic hypoglycemia | 134.0 |
8 | Eclampsia | 133.0 |
9 | Biliary cirrhosis | 132.0 |
10 | Common cutaneous drug reactions | 126.0 |
11 | Chronic Hepatitis | 124.0 |
12 | Parkinson disease | 121.0 |
13 | Primary sclerosing cholangitis | 116.0 |
14 | Gallstone pancreatitis | 114.0 |
15 | Acute intermittent porphyria | 108.0 |
16 | Acute Liver Failure | 101.0 |
17 | Fungal meningitis | 100.0 |
18 | Spontaneous bacterial peritonitis | 99.0 |
19 | Acute fatty liver of pregnancy | 97.0 |
20 | Klebsiella pneumoniae liver abscess | 97.0 |
21 | Preeclampsia | 95.0 |
22 | Alcoholic hepatitis | 92.0 |
23 | Autoimmune hepatitis | 92.0 |
24 | Liver Cirrhosis | 91.0 |
25 | Toxic thyroid adenoma | 86.0 |
26 | Graves ophthalmopathy | 84.0 |
27 | Hemolytic uremic syndrome | 84.0 |
28 | chronic acalculous cholecystitis | 83.0 |
29 | Hypothyroidism | 82.0 |
30 | Choledocholithiasis | 81.0 |
31 | Alcoholic Liver Disease | 79.0 |
32 | Alcoholic Fatty Liver | 79.0 |
33 | Toxic Megacolon | 77.0 |
34 | Systemic lupus erythematosus | 75.0 |
35 | Fibromyalgia | 75.0 |
36 | Alcoholic Liver Cirrhosis | 73.0 |
37 | Acute Hepatitis | 72.0 |
38 | Acute disseminated encephalomyelitis | 72.0 |
39 | Adrenocortical carcinoma | 72.0 |
40 | Brucellosis | 72.0 |
41 | Acetaminophen overdose | 71.0 |
42 | Acute atrial fibrillation | 70.0 |
43 | Infectious mononucleosis | 69.0 |
44 | Pheochromocytoma | 68.0 |
45 | Gallbladder Dyskinesia | 65.0 |
46 | Non-alcoholic Fatty Liver Disease | 64.0 |
47 | Acute bacterial meningitis in neonates | 63.0 |
48 | Malaria | 62.0 |
49 | Rocky Mountain spotted fever | 62.0 |
50 | Ovarian Hyperstimulation Syndrome | 60.0 |
51 | Acute heart failure | 59.0 |
52 | Pyogenic Liver Abscess | 59.0 |
53 | Familial Mediterranean fever | 57.0 |
54 | biliary SOD | 55.0 |
55 | Alzheimer disease | 54.0 |
56 | Hepatocellular carcinoma | 53.0 |
57 | Pseudohypoparathyroidism | 53.0 |
58 | Hypercalcemia | 50.0 |
59 | Multiple Sclerosis | 50.0 |
60 | Anaphylaxis | 50.0 |
61 | Acute respiratory failure | 50.0 |
62 | Short bowel syndrome | 50.0 |
63 | Aseptic meningitis | 50.0 |
64 | Parkinsonism | 50.0 |
65 | Breast Cancer | 50.0 |
66 | Subdural hematoma | 49.0 |
67 | Chronic liver disease | 48.0 |
68 | Extraintestinal Entamoeba histolytica amebiasis | 48.0 |
69 | Bacterial gastroenteritis | 46.0 |
70 | Listerial gastroenteritis | 46.0 |
71 | Chronic bacterial prostatitis | 46.0 |
72 | Painless thyroiditis | 46.0 |
73 | Osteoarthritis | 45.0 |
74 | Tuberculous Peritonitis | 44.0 |
75 | Toxic multinodular goiter | 44.0 |
76 | Cholangiocarcinoma | 43.0 |
77 | Renal and perinephric abscess | 43.0 |
78 | COVID19 | 41.0 |
79 | Autoimmune Pancreatitis | 41.0 |
80 | Acute peritonitis | 40.0 |
81 | Hyperparathyroidism | 40.0 |
82 | Primary Myelofibrosis | 40.0 |
83 | Hyperaldosteronism | 40.0 |
84 | Acute viral meningitis | 40.0 |
85 | Testicular cancer | 40.0 |
86 | Acute Lymphocytic Leukemia in Adults | 39.0 |
87 | Chronic Lymphocytic Leukemia | 39.0 |
88 | Cystic Fibrosis | 39.0 |
89 | Chronic Kidney Diseases | 39.0 |
90 | Essential Tremor | 39.0 |
91 | Kawasaki disease | 38.0 |
92 | Osteoporosis | 38.0 |
93 | Chronic atrial fibrillation | 38.0 |
94 | Acalculous Cholecystitis | 38.0 |
95 | Type 2 Diabetes mellitus | 36.0 |
96 | Pulmonary Embolism | 36.0 |
97 | Chronic Mitral regurgitation | 36.0 |
98 | Mirizzi Syndrome | 36.0 |
99 | Influenza | 35.0 |
100 | Hereditary hemochromatosis | 35.0 |
101 | Multiple endocrine neoplasia 2A | 35.0 |
102 | Gestational diabetes mellitus | 35.0 |
103 | Hypoparathyroidism | 34.0 |
104 | Typhoid infection | 34.0 |
105 | Candidal intertrigo | 34.0 |
106 | Candida Balanitis | 34.0 |
107 | Oropharyngeal and esophageal candidiasis | 34.0 |
108 | Vulvovaginal candidiasis | 34.0 |
109 | Oral candidiasis | 34.0 |
110 | Acute pyelonephritis in adults | 34.0 |
111 | Insect bites and stings | 33.0 |
112 | Goiter | 32.0 |
113 | Diffuse nontoxic goiter | 32.0 |
114 | Obstructive cervical goiters | 32.0 |
115 | Cervical goiter | 32.0 |
116 | Acute bacterial meningitis in adults | 32.0 |
117 | Colorectal cancer | 32.0 |
118 | Systemic sclerosis | 31.0 |
119 | Foreign body ingestion | 31.0 |
120 | Balanitis | 31.0 |
121 | Ileus | 30.0 |
122 | Hyperglycemia | 30.0 |
123 | Type 1 Diabetes mellitus | 30.0 |
124 | Renal vein thrombosis | 30.0 |
125 | Chronic Renal vein thrombosis | 30.0 |
126 | Acute Renal vein thrombosis | 30.0 |
127 | Gout | 30.0 |
128 | Celiac Disease | 30.0 |
129 | Sarcoidosis | 30.0 |
130 | Chronic Pancreatitis | 30.0 |
131 | Autoimmune hemolytic anemia | 30.0 |
132 | End Stage Renal Disease | 30.0 |
133 | Pharyngitis | 30.0 |
134 | STI HIV Pharyngitis | 30.0 |
135 | Herpes pharyngitis | 30.0 |
136 | Cholestasis | 30.0 |
137 | Intrahepatic Cholestasis | 30.0 |
138 | Food poisoning | 30.0 |
139 | Chronic fatigue syndrome | 28.0 |
140 | Campylobacter infection | 28.0 |
141 | Diabetic Kidney Disease | 28.0 |
142 | Diabetic Ketoacidosis | 27.0 |
143 | Hiatus hernia | 27.0 |
144 | cholestatic liver disease | 27.0 |
145 | Viral pharyngitis | 27.0 |
146 | Hyperprolactinemia | 27.0 |
147 | Liver disease | 26.0 |
148 | Gastric Outlet Obstruction | 26.0 |
149 | Non-small cell lung cancer | 26.0 |
150 | Chronic Clonorchiasis | 26.0 |
151 | Mitral Stenosis | 26.0 |
152 | Acute peptic ulcer | 25.0 |
153 | Gastroenteritis | 25.0 |
154 | Eosinophilic gastroenteritis | 25.0 |
155 | mucosal Eosinophilic gastroenteritis | 25.0 |
156 | Muscle Layer Eosinophilic gastroenteritis | 25.0 |
157 | subserosal eosinophilic gastroenteritis | 25.0 |
158 | Anaplastic thyroid cancer | 25.0 |
159 | Acute Myeloid Leukemia in children | 25.0 |
160 | Ovarian Cancer | 25.0 |
161 | chronic biliary obstruction | 25.0 |
162 | Bacterial pharyngitis | 24.0 |
163 | Optic neuritis | 24.0 |
164 | Neuropapillitis | 24.0 |
165 | Shigellosis | 24.0 |
166 | Autosomal Recessive Polycystic Kidney Disease | 24.0 |
167 | Ulcerative Colitis | 23.0 |
168 | Polyarteritis nodosa | 23.0 |
169 | Dystonia | 23.0 |
170 | Guillain-Barre syndrome | 22.0 |
171 | Gallstones | 22.0 |
172 | Budd Chiari Syndrome | 21.0 |
173 | Churg-Strauss Syndrome | 21.0 |
174 | Gallbladder cancer | 21.0 |
175 | Viral Gastroenteritis | 20.0 |
176 | Irritable Bowel Syndrome | 20.0 |
177 | Migraine | 20.0 |
178 | Paraphimosis | 20.0 |
179 | Obstructive Sleep Apnea | 20.0 |
180 | Pneumonia | 20.0 |
181 | Rheumatoid Arthritis | 20.0 |
182 | Immune thrombocytopenia | 20.0 |
183 | Aortic coarctation | 20.0 |
184 | chronic cholestatic liver disease | 20.0 |
185 | Glomerulonephritis | 20.0 |
186 | Acute Mitral regurgitation | 20.0 |
187 | pancreatic SOD | 20.0 |
188 | Amebic Liver Abscess | 20.0 |
189 | Atypical pneumonia | 20.0 |
190 | Ascites | 19.0 |
191 | Intussusception | 19.0 |
192 | COPD Exacerbation | 19.0 |
193 | Foodborne E coli infection | 19.0 |
194 | pancreatic cancer | 18.0 |
195 | Bullous pemphigoid | 18.0 |
196 | Hyperosmolar Hyperglycemic state | 18.0 |
197 | Amebiasis | 18.0 |
198 | Ovarian Torsion | 18.0 |
199 | Amphetamine use disorder | 18.0 |
200 | Disseminated intravascular coagulation | 18.0 |
201 | Croup | 18.0 |
202 | Multiple endocrine neoplasia 2B | 18.0 |
203 | Chronic Cholecystitis | 18.0 |
204 | Intrahepatic cholestasis of pregnancy | 18.0 |
205 | Adrenal crisis | 17.0 |
206 | Hepatorenal Syndrome | 17.0 |
207 | Intestinal Entamoeba histolytica amebiasis | 17.0 |
208 | Esophagitis | 17.0 |
209 | Penis Carcinoma | 16.0 |
210 | Milk-alkali syndrome | 16.0 |
211 | Acute Milk-alkali syndrome | 16.0 |
212 | Chronic Milk-alkali syndrome | 16.0 |
213 | Multiple Myeloma | 16.0 |
214 | Cholera | 16.0 |
215 | Allergic rhinitis | 16.0 |
216 | Non-cholera Vibrio infections | 16.0 |
217 | Insomnia in adults | 16.0 |
218 | Diabetes Mellitus | 16.0 |
219 | Bladder Cancer | 16.0 |
220 | Lung Cancer | 15.0 |
221 | Herpes zoster | 15.0 |
222 | Acute bacterial meningitis in children | 15.0 |
223 | Acute Cholecystitis | 15.0 |
224 | Emphysematous cholecystitis | 15.0 |
225 | Peutz-Jeghers Syndrome | 15.0 |
226 | Psoas Abscess | 15.0 |
227 | Ruptured Tuboovarian abscess | 14.0 |
228 | Acute Pancreatitis | 14.0 |
229 | Acute otitis media | 14.0 |
230 | Common cold(children) | 14.0 |
231 | Chronic heart failure | 14.0 |
232 | Cushing syndrome | 14.0 |
233 | Stroke | 14.0 |
234 | Central hypothyroidism | 14.0 |
235 | Nephrogenic diabetes insipidus | 14.0 |
236 | Central diabetes insipidus | 14.0 |
237 | Cryptococcosis | 14.0 |
238 | Peroneal Neuropathy | 14.0 |
239 | Stable angina | 14.0 |
240 | Extrahepatic Cholestasis | 14.0 |
241 | biliary obstruction | 14.0 |
242 | Menopause | 13.0 |
243 | Premenstrual syndrome | 13.0 |
244 | Addison Disease | 12.0 |
245 | Lactose intolerance | 12.0 |
246 | Common cold(adults) | 12.0 |
247 | Acute bacterial rhinosinusitis | 12.0 |
248 | Phenylketonuria | 12.0 |
249 | Clonorchiasis | 12.0 |
250 | Asthma | 11.0 |
251 | Atopic dermatitis | 11.0 |
252 | Crohn Disease | 10.0 |
253 | Thyroid lymphoma | 10.0 |
254 | Chronic Myeloid Leukemia | 10.0 |
255 | Systemic vasculitis | 10.0 |
256 | Gastritis | 10.0 |
257 | Inguinal hernia | 9.0 |
258 | Sunburn | 9.0 |
259 | Hereditary Angioedema | 8.0 |
260 | Drowning | 8.0 |
261 | Acute Lymphoblastic leukemia in children | 8.0 |
262 | Amyloidosis | 8.0 |
263 | Familial adenomatous polyposis syndrome | 8.0 |
264 | Paraneoplastic Syndromes | 7.0 |
265 | Aortic Dissection | 7.0 |
266 | Hemorrhagic stroke | 7.0 |
267 | Ischemic stroke | 7.0 |
268 | Gastroesophageal reflux disease | 7.0 |
269 | Periorbital and orbital cellulitis | 7.0 |
270 | Hemorrhoids | 6.0 |
271 | Thrombotic thrombocytopenic purpura | 6.0 |
272 | Psychogenic polydipsia | 6.0 |
273 | Endometriosis | 6.0 |
274 | Carpal Tunnel Syndrome | 6.0 |
275 | Anthrax | 6.0 |
276 | Leiomyomas | 5.0 |
277 | Renal Cell Carcinoma | 5.0 |
278 | Bed bugs | 5.0 |
279 | Ankylosing spondylitis | 4.0 |
280 | Migraine headache in adults | 4.0 |
281 | Hypogammaglobulinemia | 4.0 |
282 | Inflammatory Bowel Diseases | 3.0 |
283 | Alopecia areata | 3.0 |
284 | Chlamydia pneumoniae infection | 2.0 |
285 | Granulomatosis with polyangiitis | 2.0 |
286 | Acute Clonorchiasis | 0.0 |
287 | Bruxism | 0.0 |
288 | Myasthenia Gravis | 0.0 |
289 | Neonatal Myasthenia Gravis | 0.0 |
290 | Congenital Myasthenic Syndromes | 0.0 |
291 | Tetanus | 0.0 |
292 | Bell palsy | 0.0 |
293 | Stevens-Johnson syndrome | 0.0 |