27 years old | Male
A 27-year-old man presents with crampy abdominal pain of sudden onset, emesis, and failure to pass any gas or stool for 24 hours. The patient has no history of prior surgery. Physical exam reveals peritonitis, and abdominal x-rays demonstrate air-fluid levels.
crampy abdominal pain | sudden onset | emesis | failure to pass gas | failure to pass stool | 24 hours | peritonitis | radiograph air-fluid levels
Intestinal Obstruction Small bowel obstruction
https://online.epocrates.com/diseases/99322/Small-bowel-obstruction/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Intestinal Obstruction | 370.0 |
2 | Emphysematous cholecystitis | 253.0 |
3 | Acute Cholecystitis | 253.0 |
4 | Acute Appendicitis | 222.0 |
5 | Acute perforated appendicitis | 222.0 |
6 | Intussusception | 220.0 |
7 | Acute Pancreatitis | 218.0 |
8 | Anaphylaxis | 214.0 |
9 | Hereditary Angioedema | 210.0 |
10 | Ileus | 203.0 |
11 | Aortic Dissection | 200.0 |
12 | Spontaneous bacterial peritonitis | 197.0 |
13 | Non-cholera Vibrio infections | 197.0 |
14 | Sigmoid volvulus | 196.0 |
15 | Mesenteric ischemia | 192.0 |
16 | Diverticulitis | 191.0 |
17 | Amebic Liver Abscess | 189.0 |
18 | Ovarian and fallopian tube torsion | 184.0 |
19 | Acute peptic ulcer | 176.0 |
20 | Diabetic Ketoacidosis | 176.0 |
21 | Adrenal crisis | 174.0 |
22 | Acute intermittent porphyria | 170.0 |
23 | Gallstone pancreatitis | 169.0 |
24 | pancreatic cancer | 166.0 |
25 | Gallbladder cancer | 164.0 |
26 | Peritoneal dialysis associated peritonitis | 164.0 |
27 | chronic acalculous cholecystitis | 164.0 |
28 | Acalculous Cholecystitis | 163.0 |
29 | Tuberculous Peritonitis | 163.0 |
30 | Addison Disease | 163.0 |
31 | Intestinal malrotation | 159.0 |
32 | Pyogenic Liver Abscess | 159.0 |
33 | Acute fatty liver of pregnancy | 159.0 |
34 | Kidney stones | 159.0 |
35 | Foreign body ingestion | 157.0 |
36 | mucosal Eosinophilic gastroenteritis | 156.0 |
37 | Shigellosis | 154.0 |
38 | Gastroparesis | 153.0 |
39 | Esophagitis | 153.0 |
40 | Meckel diverticulum | 152.0 |
41 | Gastric Outlet Obstruction | 150.0 |
42 | Biliary cirrhosis | 146.0 |
43 | Primary sclerosing cholangitis | 146.0 |
44 | Primary biliary cirrhosis | 146.0 |
45 | Anthrax | 144.0 |
46 | Alcoholic Fatty Liver | 140.0 |
47 | biliary colic | 140.0 |
48 | Endometriosis | 139.0 |
49 | Campylobacter infection | 139.0 |
50 | Rocky Mountain spotted fever | 138.0 |
51 | Crohn Disease | 137.0 |
52 | Hepatorenal Syndrome | 135.0 |
53 | Bacterial pharyngitis | 135.0 |
54 | Toxic Megacolon | 132.0 |
55 | Autosomal Dominant Polycystic Kidney Disease | 132.0 |
56 | Viral Gastroenteritis | 131.0 |
57 | Hemolytic uremic syndrome | 131.0 |
58 | Non-ST-elevation myocardial infarction | 130.0 |
59 | Ulcerative Colitis | 129.0 |
60 | Splenic Infarction | 127.0 |
61 | Gastritis | 126.0 |
62 | Alcoholic Liver Disease | 126.0 |
63 | Klebsiella pneumoniae liver abscess | 126.0 |
64 | Ruptured ovarian cyst | 126.0 |
65 | Acute pericarditis | 125.0 |
66 | Food poisoning | 124.0 |
67 | Muscle Layer Eosinophilic gastroenteritis | 123.0 |
68 | Intestinal Pseudo Obstruction | 123.0 |
69 | Angle Closure Glaucoma | 123.0 |
70 | Acute Cholangitis | 122.0 |
71 | Liver Cirrhosis | 121.0 |
72 | Labyrinthitis | 121.0 |
73 | Travelers diarrhea | 120.0 |
74 | Giardiasis | 120.0 |
75 | Sarcoidosis | 120.0 |
76 | Acetaminophen overdose | 118.0 |
77 | Migraine headache in adults | 117.0 |
78 | Cholera | 115.0 |
79 | Bell palsy | 114.0 |
80 | Intra-abdominal abscess | 113.0 |
81 | Ruptured ectopic pregnancy | 112.0 |
82 | Typhoid infection | 112.0 |
83 | biliary SOD | 112.0 |
84 | Colorectal cancer | 111.0 |
85 | Gastric Volvulus | 111.0 |
86 | Acute pelvic inflammatory disease | 111.0 |
87 | Lactose intolerance | 110.0 |
88 | Ovarian Torsion | 110.0 |
89 | Chronic heart failure | 109.0 |
90 | Systemic sclerosis | 109.0 |
91 | Thrombotic thrombocytopenic purpura | 108.0 |
92 | Stroke | 108.0 |
93 | subserosal eosinophilic gastroenteritis | 107.0 |
94 | Intraperitoneal bleeding | 106.0 |
95 | Non-small cell lung cancer | 106.0 |
96 | Foodborne E coli infection | 105.0 |
97 | Cataract | 105.0 |
98 | Kawasaki disease | 104.0 |
99 | Alcoholic hepatitis | 103.0 |
100 | Alcoholic Liver Cirrhosis | 103.0 |
101 | Ischemic stroke | 103.0 |
102 | Gallbladder Dyskinesia | 103.0 |
103 | Stable ischemic heart disease | 103.0 |
104 | Analgesic nephropathy | 102.0 |
105 | Churg-Strauss Syndrome | 102.0 |
106 | Irritable Bowel Syndrome | 101.0 |
107 | Ovarian Cancer | 101.0 |
108 | Choledocholithiasis | 101.0 |
109 | Chronic Kidney Diseases | 101.0 |
110 | Acute Clonorchiasis | 100.0 |
111 | Intestinal Entamoeba histolytica amebiasis | 100.0 |
112 | Common cold(adults) | 100.0 |
113 | Listerial gastroenteritis | 99.0 |
114 | Type 2 Diabetes mellitus | 99.0 |
115 | Diabetic Neuropathy | 99.0 |
116 | Salmonella infection | 97.0 |
117 | Epiploic appendagitis | 97.0 |
118 | Chronic bacterial prostatitis | 97.0 |
119 | Polyarteritis nodosa | 96.0 |
120 | Hyperosmolar Hyperglycemic state | 96.0 |
121 | Duodenal Ulcer | 95.0 |
122 | Gastric Ulcer | 95.0 |
123 | Liver disease | 94.0 |
124 | Acute otitis media | 94.0 |
125 | Acute viral meningitis | 93.0 |
126 | Choledochal Cyst | 92.0 |
127 | Central retinal artery occlusion | 92.0 |
128 | Eosinophilic gastroenteritis | 91.0 |
129 | Henoch-Schonlein purpura | 91.0 |
130 | Hemorrhagic stroke | 91.0 |
131 | Amphetamine use disorder | 90.0 |
132 | Acute bacterial meningitis in children | 90.0 |
133 | Alopecia areata | 90.0 |
134 | Cystic Fibrosis | 89.0 |
135 | Sphincter of Oddi Dysfunction | 89.0 |
136 | pancreatic SOD | 89.0 |
137 | Dyspepsia | 88.0 |
138 | Gallstones | 88.0 |
139 | Malaria | 88.0 |
140 | Peptic Ulcer | 87.0 |
141 | ST-elevation myocardial infarction | 87.0 |
142 | Hypertriglyceridemia | 86.0 |
143 | Panic disorder in adults | 84.0 |
144 | COPD Exacerbation | 84.0 |
145 | Gastroenteritis | 83.0 |
146 | Biliary cyst | 83.0 |
147 | Hypercalcemia | 82.0 |
148 | Common cutaneous drug reactions | 82.0 |
149 | Brucellosis | 82.0 |
150 | Acute Hepatitis | 82.0 |
151 | Carpal Tunnel Syndrome | 82.0 |
152 | Motion Sickness | 82.0 |
153 | Gastrointestinal Hemorrhage | 81.0 |
154 | Lower gastrointestinal hemorrhage | 81.0 |
155 | Upper gastrointestinal hemorrhage | 81.0 |
156 | Pancreatic Pseudocyst | 81.0 |
157 | Chronic Hepatitis | 81.0 |
158 | Eclampsia | 81.0 |
159 | Bacterial gastroenteritis | 80.0 |
160 | Transient ischemic attack | 80.0 |
161 | Cellulitis | 79.0 |
162 | Candidal intertrigo | 79.0 |
163 | Wilson disease | 77.0 |
164 | Ascites | 76.0 |
165 | Acute peritonitis | 75.0 |
166 | Adrenal Suppression | 75.0 |
167 | Acute bacterial meningitis in neonates | 74.0 |
168 | Leiomyomas | 73.0 |
169 | Acute Liver Failure | 73.0 |
170 | Cholangiocarcinoma | 73.0 |
171 | Gout | 73.0 |
172 | End Stage Renal Disease | 73.0 |
173 | Chronic pyelonephritis | 73.0 |
174 | Insect bites and stings | 72.0 |
175 | Gastric cancer | 71.0 |
176 | Primary Myelofibrosis | 71.0 |
177 | Autosomal Recessive Polycystic Kidney Disease | 71.0 |
178 | Aseptic meningitis | 71.0 |
179 | Hepatocellular carcinoma | 70.0 |
180 | Ankylosing spondylitis | 69.0 |
181 | Clostridium difficile infection | 69.0 |
182 | Inguinal hernia | 68.0 |
183 | Adrenocortical carcinoma | 68.0 |
184 | Cushing syndrome | 68.0 |
185 | Pyelonephritis | 68.0 |
186 | Ovarian Hyperstimulation Syndrome | 67.0 |
187 | Budd Chiari Syndrome | 66.0 |
188 | Graves Disease | 66.0 |
189 | Torsion of appendix of testis | 65.0 |
190 | Diabetes Mellitus | 64.0 |
191 | Heparin-induced thrombocytopenia | 64.0 |
192 | Ruptured Tuboovarian abscess | 64.0 |
193 | Preeclampsia | 64.0 |
194 | Inflammatory Bowel Diseases | 63.0 |
195 | Hiatus hernia | 63.0 |
196 | Annular pancreas | 62.0 |
197 | Pneumonia | 62.0 |
198 | Psoas Abscess | 62.0 |
199 | Chronic fatigue syndrome | 61.0 |
200 | Chronic Renal vein thrombosis | 61.0 |
201 | Urinary Tract Obstruction | 61.0 |
202 | Fibromyalgia | 60.0 |
203 | Hepatic Encephalopathy | 60.0 |
204 | Diabetic Kidney Disease | 60.0 |
205 | Mallory-Weiss syndrome | 60.0 |
206 | Zollinger-Ellison Syndrome | 59.0 |
207 | Rheumatoid Arthritis | 59.0 |
208 | Granulomatosis with polyangiitis | 59.0 |
209 | Pheochromocytoma | 58.0 |
210 | Lung Cancer | 58.0 |
211 | Familial Mediterranean fever | 57.0 |
212 | Subdural hematoma | 57.0 |
213 | Chronic Pancreatitis | 56.0 |
214 | Vulvovaginal candidiasis | 56.0 |
215 | Autoimmune hepatitis | 55.0 |
216 | Obstructive Sleep Apnea | 55.0 |
217 | Acute disseminated encephalomyelitis | 55.0 |
218 | Atopic dermatitis | 55.0 |
219 | Systemic vasculitis | 54.0 |
220 | Acromegaly | 54.0 |
221 | Acute Lymphoblastic leukemia in children | 54.0 |
222 | Multiple Sclerosis | 54.0 |
223 | Migraine | 54.0 |
224 | Parkinson disease | 54.0 |
225 | Systemic lupus erythematosus | 53.0 |
226 | anterior ischemic optic neuropathy | 53.0 |
227 | Croup | 53.0 |
228 | Musculoskeletal sprains and strains | 53.0 |
229 | Infectious mononucleosis | 51.0 |
230 | Umbilical hernia | 51.0 |
231 | Fungal meningitis | 51.0 |
232 | Papilledema | 51.0 |
233 | Glomerulonephritis | 50.0 |
234 | Exocrine pancreatic insufficiency | 50.0 |
235 | Breast Cancer | 50.0 |
236 | Anemia of chronic disease | 50.0 |
237 | Varicocele | 50.0 |
238 | Acute bacterial meningitis in adults | 50.0 |
239 | Milk-alkali syndrome | 50.0 |
240 | Chronic meningitis | 50.0 |
241 | Chronic Milk-alkali syndrome | 50.0 |
242 | Acute Milk-alkali syndrome | 50.0 |
243 | Infertility in women | 50.0 |
244 | Pulmonary Embolism | 49.0 |
245 | Hyperparathyroidism | 48.0 |
246 | Multiple endocrine neoplasia 2B | 48.0 |
247 | Premature labor | 48.0 |
248 | Charcot-Marie-Tooth Disease | 48.0 |
249 | Unstable angina | 48.0 |
250 | Multiple endocrine neoplasia 2A | 47.0 |
251 | Chronic atrial fibrillation | 47.0 |
252 | posteriorischemic optic neuropathy | 47.0 |
253 | Autoimmune Pancreatitis | 45.0 |
254 | Aortic coarctation | 45.0 |
255 | Amyloidosis | 45.0 |
256 | Meniere disease | 45.0 |
257 | Celiac Disease | 44.0 |
258 | Hereditary hemochromatosis | 44.0 |
259 | Abdominal compartment syndrome | 44.0 |
260 | Familial adenomatous polyposis syndrome | 44.0 |
261 | Type 1 Diabetes mellitus | 42.0 |
262 | Hyperthyroidism | 41.0 |
263 | Chronic pelvic pain in women | 41.0 |
264 | Empyema | 41.0 |
265 | Stevens-Johnson syndrome | 41.0 |
266 | Secondary Peritonitis | 41.0 |
267 | Bladder Cancer | 40.0 |
268 | Blepharitis | 40.0 |
269 | COVID19 | 39.0 |
270 | Chronic Cholecystitis | 39.0 |
271 | Allergic rhinitis | 39.0 |
272 | Achilles tendinopathy | 39.0 |
273 | Achilles tendon rupture | 39.0 |
274 | Acute bacterial rhinosinusitis | 39.0 |
275 | Rumination Syndrome | 38.0 |
276 | Hyperprolactinemia | 38.0 |
277 | Guillain-Barre syndrome | 38.0 |
278 | Chronic Lymphocytic Leukemia | 37.0 |
279 | Pelvic inflammatory disease | 36.0 |
280 | Endometrial cancer | 36.0 |
281 | Malt lymphoma | 36.0 |
282 | Diabetic Amyotrophy | 36.0 |
283 | Short bowel syndrome | 35.0 |
284 | Acute Myeloid Leukemia in children | 35.0 |
285 | Non-diabetic hypoglycemia | 35.0 |
286 | Endometritis | 34.0 |
287 | Sunburn | 34.0 |
288 | Oral candidiasis | 34.0 |
289 | Oropharyngeal and esophageal candidiasis | 34.0 |
290 | Candida Balanitis | 34.0 |
291 | Peutz-Jeghers Syndrome | 32.0 |
292 | Gastroesophageal reflux disease | 32.0 |
293 | Herpes zoster | 32.0 |
294 | Splenic abscess | 32.0 |
295 | Limited cutaneous systemic sclerosis | 32.0 |
296 | Stable angina | 32.0 |
297 | Hypogammaglobulinemia | 32.0 |
298 | Acute Myeloid Leukemia in adults | 31.0 |
299 | Liver Abscess | 31.0 |
300 | Cryptococcosis | 31.0 |
301 | Insomnia in adults | 31.0 |
302 | Disseminated intravascular coagulation | 29.0 |
303 | Renal Cell Carcinoma | 29.0 |
304 | Influenza | 29.0 |
305 | Hypoparathyroidism | 29.0 |
306 | Acute cervical spine trauma | 29.0 |
307 | Acute respiratory failure | 29.0 |
308 | Dry eye | 29.0 |
309 | Hypothyroidism | 28.0 |
310 | Chronic Myeloid Leukemia | 28.0 |
311 | Gilbert syndrome | 27.0 |
312 | Varicose veins | 27.0 |
313 | Osteoarthritis | 27.0 |
314 | Acute Rhinosinusitis | 27.0 |
315 | Acute viral rhinosinusitis | 27.0 |
316 | Anaplastic thyroid cancer | 26.0 |
317 | Prinzmetal angina | 26.0 |
318 | Hyperaldosteronism | 26.0 |
319 | Simple kidney cyst | 26.0 |
320 | Tetanus | 26.0 |
321 | Chronic Clonorchiasis | 25.0 |
322 | Dubin-Johnson syndrome | 25.0 |
323 | Multiple Myeloma | 25.0 |
324 | Prolactinoma | 25.0 |
325 | Abnormal uterine bleeding | 25.0 |
326 | Renal and perinephric abscess | 24.0 |
327 | Periorbital and orbital cellulitis | 24.0 |
328 | Prostatitis | 24.0 |
329 | Chronic prostatitis | 24.0 |
330 | Acute Bacterial Prostatitis | 24.0 |
331 | Globus Sensation | 24.0 |
332 | Non-alcoholic Fatty Liver Disease | 23.0 |
333 | Portal hypertension | 23.0 |
334 | Chronic Mitral regurgitation | 23.0 |
335 | Von willebrand disease | 22.0 |
336 | Common cold(children) | 22.0 |
337 | Animal bites | 22.0 |
338 | Rosacea | 22.0 |
339 | Peritonitis | 22.0 |
340 | Cholecystitis | 21.0 |
341 | Amebiasis | 21.0 |
342 | Chlamydia pneumoniae infection | 21.0 |
343 | Tuboovarian abscess | 20.0 |
344 | Mirizzi Syndrome | 20.0 |
345 | Alzheimer disease | 20.0 |
346 | Zenker diverticulum | 20.0 |
347 | Pancreatitis | 20.0 |
348 | Acne fulminans | 20.0 |
349 | Priapism | 20.0 |
350 | Tinnitus | 20.0 |
351 | Oropharyngeal cancer | 20.0 |
352 | Atypical pneumonia | 20.0 |
353 | Parkinsonism | 20.0 |
354 | Candidiasis | 20.0 |
355 | Erectile dysfunction | 20.0 |
356 | Keloid | 19.0 |
357 | Achalasia | 18.0 |
358 | Uveitis | 18.0 |
359 | Anterior uveitis | 18.0 |
360 | Intermediate uveitis | 18.0 |
361 | Posterior uveitis | 18.0 |
362 | Pan uveitis | 18.0 |
363 | Peroneal Neuropathy | 18.0 |
364 | Osteoporosis | 18.0 |
365 | Bed bugs | 17.0 |
366 | Open Angle Glaucoma | 17.0 |
367 | Renal Artery Stenosis | 17.0 |
368 | Peyronie Disease | 17.0 |
369 | Ischemic optic neuropathy | 17.0 |
370 | Androgenetic alopecia | 17.0 |
371 | Extraintestinal Entamoeba histolytica amebiasis | 16.0 |
372 | Recurrent aphthous stomatitis | 16.0 |
373 | Osteomyelitis | 16.0 |
374 | Gestational diabetes mellitus | 16.0 |
375 | Menopause | 16.0 |
376 | Secondary hyperparathyroidism | 16.0 |
377 | Testicular cancer | 15.0 |
378 | Acute Lymphocytic Leukemia in Adults | 15.0 |
379 | Clonorchiasis | 14.0 |
380 | Psychogenic polydipsia | 14.0 |
381 | Intrahepatic cholestasis of pregnancy | 14.0 |
382 | Chronic liver disease | 14.0 |
383 | Mitral Stenosis | 14.0 |
384 | Enterovesical fistula | 14.0 |
385 | Extrahepatic Cholestasis | 13.0 |
386 | Intrahepatic Cholestasis | 13.0 |
387 | Abetalipoproteinemia | 13.0 |
388 | Aortic stenosis | 13.0 |
389 | Tinea versicolor | 13.0 |
390 | Toxic thyroid adenoma | 12.0 |
391 | Acute Cystitis(Women) | 12.0 |
392 | Optic neuritis | 11.0 |
393 | Neuropapillitis | 11.0 |
394 | Critical Illness Polyneuropathy | 11.0 |
395 | Nephrogenic diabetes insipidus | 11.0 |
396 | Central diabetes insipidus | 11.0 |
397 | Acute Cystitis(Men) | 11.0 |
398 | Cystitis | 11.0 |
399 | Splenic Rupture | 11.0 |
400 | Vaginitis | 11.0 |
401 | Urethritis | 11.0 |
402 | Phimosis | 11.0 |
403 | Paraphimosis | 11.0 |
404 | Ectopic Pregnancy | 10.0 |
405 | Acute heart failure | 10.0 |
406 | Morton neuroma | 10.0 |
407 | Pressure ulcer | 9.0 |
408 | Acute atrial fibrillation | 9.0 |
409 | Scleritis | 8.0 |
410 | Anterior scleritis | 8.0 |
411 | Posterior scleritis | 8.0 |
412 | Bullous pemphigoid | 8.0 |
413 | Goiter | 8.0 |
414 | Diffuse nontoxic goiter | 8.0 |
415 | Toxic multinodular goiter | 8.0 |
416 | Obstructive cervical goiters | 8.0 |
417 | Cervical goiter | 8.0 |
418 | Asthma | 8.0 |
419 | Paraneoplastic Syndromes | 8.0 |
420 | Drowning | 8.0 |
421 | Primary ciliary dyskinesia | 7.0 |
422 | Kartagener syndrome | 7.0 |
423 | Pseudohypoparathyroidism | 7.0 |
424 | Cryptorchidism | 7.0 |
425 | Renal vein thrombosis | 7.0 |
426 | Acute Renal vein thrombosis | 7.0 |
427 | Immune thrombocytopenia | 6.0 |
428 | Painless thyroiditis | 6.0 |
429 | Angiodysplasia of the colon | 6.0 |
430 | Acute Bronchitis | 5.0 |
431 | Osteomalacia | 5.0 |
432 | Dacryocystitis | 5.0 |
433 | Epididymo-orchitis | 3.0 |
434 | Medullary thyroid cancer | 2.0 |
435 | Thyroid lymphoma | 2.0 |
436 | Hemorrhoids | 0.0 |
437 | Acute pyelonephritis in adults | 0.0 |
438 | Discogenic low back pain | 0.0 |
439 | Essential Tremor | 0.0 |
440 | Trachoma | 0.0 |
441 | Myasthenia Gravis | 0.0 |
442 | Neonatal Myasthenia Gravis | 0.0 |
443 | Congenital Myasthenic Syndromes | 0.0 |
444 | Acute epididymitis | 0.0 |
445 | Musculoskeletal lower back pain | 0.0 |
446 | Bruxism | 0.0 |
447 | Mucormycosis | 0.0 |
448 | Myoclonus | 0.0 |