43 years old | Female
A 43-year-old woman with a prior history of open cholecystectomy presents with gradual onset of nausea, vomiting, absolute constipation, and abdominal distention. Physical exam does not demonstrate peritonitis. Abdominal x-rays demonstrate scattered air-fluid levels.
prior history of open cholecystectomy | history of abdominal surgery | gradual onset | nausea | vomiting | constipation | abdominal distention | radiograph scattered air-fluid levels
Intestinal Obstruction Small bowel obstruction
https://online.epocrates.com/diseases/99322/Small-bowel-obstruction/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Gastroparesis | 394.0 |
2 | Intestinal Obstruction | 375.0 |
3 | Sigmoid volvulus | 362.0 |
4 | Ruptured ectopic pregnancy | 353.0 |
5 | Acute Pancreatitis | 335.0 |
6 | Acute Appendicitis | 302.0 |
7 | Intussusception | 301.0 |
8 | Hereditary Angioedema | 298.0 |
9 | Acute intermittent porphyria | 297.0 |
10 | Migraine headache in adults | 297.0 |
11 | Acute perforated appendicitis | 275.0 |
12 | Mesenteric ischemia | 274.0 |
13 | Intestinal Pseudo Obstruction | 268.0 |
14 | Ileus | 267.0 |
15 | Gastric Outlet Obstruction | 267.0 |
16 | Gastritis | 264.0 |
17 | Acute peptic ulcer | 246.0 |
18 | Ovarian Cancer | 237.0 |
19 | Kidney stones | 228.0 |
20 | Diverticulitis | 227.0 |
21 | Alcoholic Liver Disease | 222.0 |
22 | Gallstone pancreatitis | 219.0 |
23 | Giardiasis | 218.0 |
24 | mucosal Eosinophilic gastroenteritis | 213.0 |
25 | Pyogenic Liver Abscess | 211.0 |
26 | Acute Cholecystitis | 211.0 |
27 | Emphysematous cholecystitis | 211.0 |
28 | Ulcerative Colitis | 207.0 |
29 | Acute fatty liver of pregnancy | 207.0 |
30 | Irritable Bowel Syndrome | 198.0 |
31 | Addison Disease | 197.0 |
32 | Esophagitis | 195.0 |
33 | Ovarian and fallopian tube torsion | 194.0 |
34 | Anaphylaxis | 192.0 |
35 | Klebsiella pneumoniae liver abscess | 190.0 |
36 | Ovarian Torsion | 189.0 |
37 | Ovarian Hyperstimulation Syndrome | 184.0 |
38 | Alcoholic Liver Cirrhosis | 183.0 |
39 | Dyspepsia | 181.0 |
40 | Gallbladder cancer | 179.0 |
41 | Food poisoning | 177.0 |
42 | Muscle Layer Eosinophilic gastroenteritis | 177.0 |
43 | Angle Closure Glaucoma | 177.0 |
44 | Lactose intolerance | 176.0 |
45 | Rocky Mountain spotted fever | 176.0 |
46 | Crohn Disease | 173.0 |
47 | Meckel diverticulum | 172.0 |
48 | Hiatus hernia | 170.0 |
49 | Gastric Volvulus | 169.0 |
50 | Ectopic Pregnancy | 166.0 |
51 | biliary colic | 166.0 |
52 | Choledochal Cyst | 165.0 |
53 | Hypercalcemia | 165.0 |
54 | Amebic Liver Abscess | 162.0 |
55 | Diabetic Ketoacidosis | 162.0 |
56 | Gallbladder Dyskinesia | 160.0 |
57 | Type 2 Diabetes mellitus | 160.0 |
58 | Bacterial pharyngitis | 159.0 |
59 | Foreign body ingestion | 159.0 |
60 | Primary biliary cirrhosis | 158.0 |
61 | Spontaneous bacterial peritonitis | 158.0 |
62 | Primary sclerosing cholangitis | 156.0 |
63 | Migraine | 155.0 |
64 | biliary SOD | 154.0 |
65 | Liver disease | 153.0 |
66 | Systemic sclerosis | 150.0 |
67 | Acute disseminated encephalomyelitis | 149.0 |
68 | Non-cholera Vibrio infections | 147.0 |
69 | Ascites | 146.0 |
70 | Acute pericarditis | 146.0 |
71 | Diabetic Neuropathy | 146.0 |
72 | Thrombotic thrombocytopenic purpura | 146.0 |
73 | Biliary cirrhosis | 145.0 |
74 | Peptic Ulcer | 145.0 |
75 | Alcoholic Fatty Liver | 144.0 |
76 | Brucellosis | 144.0 |
77 | pancreatic cancer | 143.0 |
78 | Anthrax | 143.0 |
79 | Henoch-Schonlein purpura | 143.0 |
80 | Alcoholic hepatitis | 142.0 |
81 | Inguinal hernia | 140.0 |
82 | Splenic Infarction | 139.0 |
83 | Acute viral meningitis | 138.0 |
84 | Hyperparathyroidism | 137.0 |
85 | Motion Sickness | 136.0 |
86 | Familial Mediterranean fever | 135.0 |
87 | Duodenal Ulcer | 134.0 |
88 | Gastric Ulcer | 134.0 |
89 | Premenstrual syndrome | 134.0 |
90 | Acetaminophen overdose | 132.0 |
91 | Intra-abdominal abscess | 130.0 |
92 | Acute Hepatitis | 130.0 |
93 | Liver Cirrhosis | 130.0 |
94 | Sphincter of Oddi Dysfunction | 130.0 |
95 | pancreatic SOD | 130.0 |
96 | Aseptic meningitis | 130.0 |
97 | Abdominal compartment syndrome | 130.0 |
98 | Acute bacterial meningitis in adults | 129.0 |
99 | Toxic Megacolon | 129.0 |
100 | Gallstones | 128.0 |
101 | Choledocholithiasis | 128.0 |
102 | Hemolytic uremic syndrome | 127.0 |
103 | Type 1 Diabetes mellitus | 126.0 |
104 | Typhoid infection | 126.0 |
105 | Aortic Dissection | 125.0 |
106 | Diabetes Mellitus | 124.0 |
107 | Campylobacter infection | 123.0 |
108 | Pyelonephritis | 122.0 |
109 | Acute Liver Failure | 120.0 |
110 | Viral Gastroenteritis | 120.0 |
111 | Analgesic nephropathy | 119.0 |
112 | Autosomal Dominant Polycystic Kidney Disease | 119.0 |
113 | Labyrinthitis | 118.0 |
114 | Tuberculous Peritonitis | 116.0 |
115 | Liver Abscess | 115.0 |
116 | Peutz-Jeghers Syndrome | 115.0 |
117 | Milk-alkali syndrome | 115.0 |
118 | Acute Milk-alkali syndrome | 115.0 |
119 | Chronic Milk-alkali syndrome | 115.0 |
120 | Osteoporosis | 113.0 |
121 | Hemorrhagic stroke | 112.0 |
122 | Gastric cancer | 111.0 |
123 | Adrenal crisis | 111.0 |
124 | Amphetamine use disorder | 108.0 |
125 | Acute Clonorchiasis | 108.0 |
126 | Clostridium difficile infection | 107.0 |
127 | Non-ST-elevation myocardial infarction | 107.0 |
128 | Acute bacterial meningitis in children | 107.0 |
129 | Acute pyelonephritis in adults | 107.0 |
130 | Autoimmune hepatitis | 106.0 |
131 | Intraperitoneal bleeding | 106.0 |
132 | Hypothyroidism | 106.0 |
133 | Chronic pyelonephritis | 106.0 |
134 | Acute otitis media | 105.0 |
135 | Ankylosing spondylitis | 105.0 |
136 | Annular pancreas | 104.0 |
137 | Sarcoidosis | 104.0 |
138 | Celiac Disease | 103.0 |
139 | Salmonella infection | 103.0 |
140 | Ischemic stroke | 103.0 |
141 | Stable ischemic heart disease | 102.0 |
142 | Leiomyomas | 102.0 |
143 | Polyarteritis nodosa | 102.0 |
144 | Papilledema | 102.0 |
145 | Chronic heart failure | 100.0 |
146 | Amyloidosis | 100.0 |
147 | End Stage Renal Disease | 100.0 |
148 | Subdural hematoma | 100.0 |
149 | Umbilical hernia | 97.0 |
150 | Pancreatic Pseudocyst | 96.0 |
151 | subserosal eosinophilic gastroenteritis | 95.0 |
152 | Anal Fissure | 95.0 |
153 | Hypertriglyceridemia | 94.0 |
154 | ST-elevation myocardial infarction | 94.0 |
155 | Non-small cell lung cancer | 94.0 |
156 | Graves Disease | 92.0 |
157 | Painless thyroiditis | 92.0 |
158 | Chronic bacterial prostatitis | 91.0 |
159 | Travelers diarrhea | 90.0 |
160 | Common cutaneous drug reactions | 89.0 |
161 | Diabetic Amyotrophy | 88.0 |
162 | Systemic lupus erythematosus | 88.0 |
163 | Colorectal cancer | 87.0 |
164 | Secondary Peritonitis | 87.0 |
165 | Urinary Tract Obstruction | 85.0 |
166 | Cholangiocarcinoma | 85.0 |
167 | Malaria | 85.0 |
168 | Bell palsy | 84.0 |
169 | Acalculous Cholecystitis | 84.0 |
170 | chronic acalculous cholecystitis | 84.0 |
171 | Meniere disease | 84.0 |
172 | Autosomal Recessive Polycystic Kidney Disease | 82.0 |
173 | Peritoneal dialysis associated peritonitis | 82.0 |
174 | Listerial gastroenteritis | 82.0 |
175 | Adrenal Suppression | 82.0 |
176 | Fungal meningitis | 82.0 |
177 | Heparin-induced thrombocytopenia | 81.0 |
178 | Infectious mononucleosis | 81.0 |
179 | Chronic pelvic pain in women | 81.0 |
180 | Eosinophilic gastroenteritis | 80.0 |
181 | Wilson disease | 80.0 |
182 | Hepatic Encephalopathy | 79.0 |
183 | Cellulitis | 79.0 |
184 | Shigellosis | 79.0 |
185 | Multiple endocrine neoplasia 2A | 79.0 |
186 | Diabetic Kidney Disease | 78.0 |
187 | Hyperthyroidism | 77.0 |
188 | Intestinal malrotation | 77.0 |
189 | Foodborne E coli infection | 76.0 |
190 | Acute pelvic inflammatory disease | 75.0 |
191 | Cataract | 75.0 |
192 | Ruptured ovarian cyst | 75.0 |
193 | Chronic Pancreatitis | 75.0 |
194 | Hepatorenal Syndrome | 75.0 |
195 | Alopecia areata | 75.0 |
196 | Cholera | 75.0 |
197 | Rumination Syndrome | 75.0 |
198 | Acute Lymphoblastic leukemia in children | 75.0 |
199 | Epiploic appendagitis | 71.0 |
200 | Pneumonia | 70.0 |
201 | Primary Myelofibrosis | 70.0 |
202 | Short bowel syndrome | 70.0 |
203 | Inflammatory Bowel Diseases | 70.0 |
204 | Mallory-Weiss syndrome | 70.0 |
205 | Central retinal artery occlusion | 68.0 |
206 | Pheochromocytoma | 68.0 |
207 | Acromegaly | 68.0 |
208 | COPD Exacerbation | 68.0 |
209 | Unstable angina | 68.0 |
210 | Kawasaki disease | 67.0 |
211 | Zollinger-Ellison Syndrome | 66.0 |
212 | Torsion of appendix of testis | 65.0 |
213 | Hereditary hemochromatosis | 65.0 |
214 | Hepatocellular carcinoma | 64.0 |
215 | Ruptured Tuboovarian abscess | 63.0 |
216 | Gastroesophageal reflux disease | 62.0 |
217 | Chronic Hepatitis | 62.0 |
218 | Chronic Kidney Diseases | 62.0 |
219 | Malt lymphoma | 62.0 |
220 | Acute Cholangitis | 60.0 |
221 | Sunburn | 60.0 |
222 | Budd Chiari Syndrome | 59.0 |
223 | Panic disorder in adults | 59.0 |
224 | Familial adenomatous polyposis syndrome | 58.0 |
225 | Cushing syndrome | 56.0 |
226 | Bacterial gastroenteritis | 56.0 |
227 | Insect bites and stings | 54.0 |
228 | Chronic Renal vein thrombosis | 54.0 |
229 | Lung Cancer | 54.0 |
230 | Endometrial cancer | 54.0 |
231 | anterior ischemic optic neuropathy | 53.0 |
232 | Musculoskeletal sprains and strains | 53.0 |
233 | Transient ischemic attack | 53.0 |
234 | Gout | 52.0 |
235 | Cystic Fibrosis | 51.0 |
236 | Varicocele | 50.0 |
237 | Croup | 50.0 |
238 | Breast Cancer | 50.0 |
239 | Acute bacterial meningitis in neonates | 50.0 |
240 | Chronic meningitis | 50.0 |
241 | Goiter | 50.0 |
242 | Diffuse nontoxic goiter | 50.0 |
243 | Toxic multinodular goiter | 50.0 |
244 | Obstructive cervical goiters | 50.0 |
245 | Cervical goiter | 50.0 |
246 | Xanthelasma | 50.0 |
247 | Autoimmune Pancreatitis | 49.0 |
248 | Osteomyelitis | 49.0 |
249 | Stable angina | 49.0 |
250 | Charcot-Marie-Tooth Disease | 48.0 |
251 | Cryptococcosis | 48.0 |
252 | Influenza | 47.0 |
253 | Herpes zoster | 46.0 |
254 | Psoas Abscess | 46.0 |
255 | Anaplastic thyroid cancer | 45.0 |
256 | Central hypothyroidism | 45.0 |
257 | Portal hypertension | 43.0 |
258 | Acute peritonitis | 43.0 |
259 | Chronic Mitral regurgitation | 43.0 |
260 | Chlamydia pneumoniae infection | 43.0 |
261 | Periorbital and orbital cellulitis | 42.0 |
262 | Multiple Sclerosis | 42.0 |
263 | Carpal Tunnel Syndrome | 41.0 |
264 | Empyema | 41.0 |
265 | Hypoparathyroidism | 41.0 |
266 | Hyperprolactinemia | 41.0 |
267 | Stroke | 41.0 |
268 | Rheumatoid Arthritis | 40.0 |
269 | Acute heart failure | 40.0 |
270 | Sialadenitis | 39.0 |
271 | Secondary hyperparathyroidism | 38.0 |
272 | Aortic coarctation | 38.0 |
273 | Multiple Myeloma | 37.0 |
274 | Multiple endocrine neoplasia 2B | 37.0 |
275 | Psychogenic polydipsia | 37.0 |
276 | Gilbert syndrome | 37.0 |
277 | Mitral Stenosis | 36.0 |
278 | COVID19 | 36.0 |
279 | Hypogammaglobulinemia | 36.0 |
280 | Parkinson disease | 36.0 |
281 | Renal Cell Carcinoma | 35.0 |
282 | Chronic Cholecystitis | 35.0 |
283 | Chronic liver disease | 34.0 |
284 | Prinzmetal angina | 34.0 |
285 | Intrahepatic cholestasis of pregnancy | 34.0 |
286 | Acute Lymphocytic Leukemia in Adults | 34.0 |
287 | Toxic thyroid adenoma | 34.0 |
288 | Stevens-Johnson syndrome | 34.0 |
289 | Exocrine pancreatic insufficiency | 34.0 |
290 | Guillain-Barre syndrome | 32.0 |
291 | Non-alcoholic Fatty Liver Disease | 31.0 |
292 | Chronic Lymphocytic Leukemia | 31.0 |
293 | Acute bacterial rhinosinusitis | 30.0 |
294 | Atopic dermatitis | 30.0 |
295 | posteriorischemic optic neuropathy | 30.0 |
296 | Acute Myeloid Leukemia in children | 30.0 |
297 | Premature labor | 30.0 |
298 | Obstructive Sleep Apnea | 29.0 |
299 | Splenic abscess | 29.0 |
300 | Allergic rhinitis | 29.0 |
301 | Aortic stenosis | 29.0 |
302 | Granulomatosis with polyangiitis | 29.0 |
303 | Common cold(adults) | 28.0 |
304 | Testicular cancer | 28.0 |
305 | Chronic Clonorchiasis | 26.0 |
306 | Fibromyalgia | 26.0 |
307 | Prolactinoma | 25.0 |
308 | Abnormal uterine bleeding | 25.0 |
309 | Acute cervical spine trauma | 25.0 |
310 | Achalasia | 24.0 |
311 | Anemia of chronic disease | 24.0 |
312 | Acute respiratory failure | 24.0 |
313 | Glomerulonephritis | 24.0 |
314 | Acute Myeloid Leukemia in adults | 24.0 |
315 | Intestinal Entamoeba histolytica amebiasis | 24.0 |
316 | Medullary thyroid cancer | 24.0 |
317 | Pelvic inflammatory disease | 23.0 |
318 | Paraneoplastic Syndromes | 23.0 |
319 | Drowning | 23.0 |
320 | Gastroenteritis | 23.0 |
321 | Endometriosis | 23.0 |
322 | Animal bites | 22.0 |
323 | Renal and perinephric abscess | 22.0 |
324 | Asthma | 22.0 |
325 | Discogenic low back pain | 22.0 |
326 | Chronic Myeloid Leukemia | 21.0 |
327 | Common cold(children) | 20.0 |
328 | Pancreatitis | 20.0 |
329 | Acne fulminans | 20.0 |
330 | Priapism | 20.0 |
331 | Tinnitus | 20.0 |
332 | Oropharyngeal cancer | 20.0 |
333 | Atypical pneumonia | 20.0 |
334 | Tuboovarian abscess | 20.0 |
335 | Optic neuritis | 20.0 |
336 | Neuropapillitis | 20.0 |
337 | Uveitis | 18.0 |
338 | Anterior uveitis | 18.0 |
339 | Intermediate uveitis | 18.0 |
340 | Posterior uveitis | 18.0 |
341 | Pan uveitis | 18.0 |
342 | Bed bugs | 17.0 |
343 | Pulmonary Embolism | 16.0 |
344 | Acute atrial fibrillation | 16.0 |
345 | Gastrointestinal Hemorrhage | 16.0 |
346 | Lower gastrointestinal hemorrhage | 16.0 |
347 | Upper gastrointestinal hemorrhage | 16.0 |
348 | Simple kidney cyst | 15.0 |
349 | Limited cutaneous systemic sclerosis | 15.0 |
350 | Churg-Strauss Syndrome | 15.0 |
351 | Bullous pemphigoid | 15.0 |
352 | Preeclampsia | 14.0 |
353 | Eclampsia | 14.0 |
354 | Middle East respiratory syndrome | 14.0 |
355 | Graves ophthalmopathy | 14.0 |
356 | Disseminated intravascular coagulation | 14.0 |
357 | Alzheimer disease | 13.0 |
358 | Chronic atrial fibrillation | 12.0 |
359 | Extraintestinal Entamoeba histolytica amebiasis | 12.0 |
360 | Adrenocortical carcinoma | 11.0 |
361 | Endometritis | 11.0 |
362 | Mirizzi Syndrome | 10.0 |
363 | Pressure ulcer | 10.0 |
364 | Von willebrand disease | 10.0 |
365 | Dacryocystitis | 9.0 |
366 | Scleritis | 8.0 |
367 | Anterior scleritis | 8.0 |
368 | Posterior scleritis | 8.0 |
369 | Clonorchiasis | 8.0 |
370 | Cryptorchidism | 8.0 |
371 | Pseudohypoparathyroidism | 7.0 |
372 | Acute Bronchitis | 7.0 |
373 | Hyperaldosteronism | 6.0 |
374 | Immune thrombocytopenia | 6.0 |
375 | Angiodysplasia of the colon | 6.0 |
376 | Primary ciliary dyskinesia | 5.0 |
377 | Kartagener syndrome | 5.0 |
378 | Biliary cyst | 5.0 |
379 | Thyroid lymphoma | 4.0 |
380 | Essential Tremor | 0.0 |
381 | Trachoma | 0.0 |
382 | Myasthenia Gravis | 0.0 |
383 | Neonatal Myasthenia Gravis | 0.0 |
384 | Congenital Myasthenic Syndromes | 0.0 |
385 | Conjunctivitis | 0.0 |
386 | Epidemic keratoconjunctivitis | 0.0 |
387 | Bacterial conjunctivitis | 0.0 |
388 | Viral conjunctivitis | 0.0 |
389 | Allergic conjunctivitis | 0.0 |
390 | Ligneous conjunctivitis | 0.0 |
391 | Vernal keratoconjunctivitis | 0.0 |
392 | Atopic keratoconjunctivitis | 0.0 |
393 | Noninfectious nonallergic conjunctivitis | 0.0 |
394 | Abetalipoproteinemia | 0.0 |
395 | Acute epididymitis | 0.0 |
396 | Hyperosmolar Hyperglycemic state | 0.0 |
397 | Acute Cystitis(Men) | 0.0 |
398 | Recurrent aphthous stomatitis | 0.0 |
399 | Zenker diverticulum | 0.0 |
400 | Transverse myelitis | 0.0 |