40 years old | Female
A 40-year-old woman presents with acute onset of upper abdominal pain and ascites. She has been on the combined oral contraceptive pill for 7 years. On exam she has tender hepatomegaly. There is no hepatojugular reflux and no lower limb edema. Cardiovascular exam revealed no medical abnormalities. She is known to have polycythemia vera of 10 years' duration.
acute onset | upper abdominal pain | ascites | oral contraceptive pill | liver tenderness | hepatomegaly | polycythemia vera
Budd Chiari syndrome
https://online.epocrates.com/diseases/87422/Budd-Chiari-syndrome/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Primary sclerosing cholangitis | 284.0 |
2 | Amebic Liver Abscess | 262.0 |
3 | Biliary cirrhosis | 256.0 |
4 | Primary biliary cirrhosis | 251.0 |
5 | Acute Cholecystitis | 241.0 |
6 | Tuberculous Peritonitis | 238.0 |
7 | Liver Cirrhosis | 237.0 |
8 | Hereditary hemochromatosis | 230.0 |
9 | Budd Chiari Syndrome | 200.0 |
10 | Ruptured ectopic pregnancy | 199.0 |
11 | Emphysematous cholecystitis | 196.0 |
12 | Chronic heart failure | 192.0 |
13 | Autoimmune hepatitis | 191.0 |
14 | Mesenteric ischemia | 190.0 |
15 | Klebsiella pneumoniae liver abscess | 187.0 |
16 | Spontaneous bacterial peritonitis | 186.0 |
17 | Pyogenic Liver Abscess | 178.0 |
18 | Common cutaneous drug reactions | 171.0 |
19 | pancreatic cancer | 168.0 |
20 | Intestinal Obstruction | 168.0 |
21 | Alcoholic hepatitis | 166.0 |
22 | Cholangiocarcinoma | 159.0 |
23 | Acute Pancreatitis | 158.0 |
24 | Gallstone pancreatitis | 158.0 |
25 | Extraintestinal Entamoeba histolytica amebiasis | 153.0 |
26 | biliary colic | 151.0 |
27 | Hepatorenal Syndrome | 147.0 |
28 | Hepatocellular carcinoma | 146.0 |
29 | Liver Abscess | 143.0 |
30 | Acute pericarditis | 142.0 |
31 | Alcoholic Fatty Liver | 142.0 |
32 | Acute Liver Failure | 137.0 |
33 | Aortic Dissection | 136.0 |
34 | Acalculous Cholecystitis | 136.0 |
35 | chronic acalculous cholecystitis | 136.0 |
36 | Choledochal Cyst | 133.0 |
37 | Ectopic Pregnancy | 133.0 |
38 | Liver disease | 131.0 |
39 | Pulmonary Embolism | 130.0 |
40 | Splenic Infarction | 129.0 |
41 | Wilson disease | 129.0 |
42 | Acute Cholangitis | 126.0 |
43 | Choledocholithiasis | 124.0 |
44 | Alcoholic Liver Disease | 123.0 |
45 | Primary Myelofibrosis | 121.0 |
46 | Acute Lymphoblastic leukemia in children | 121.0 |
47 | Alcoholic Liver Cirrhosis | 120.0 |
48 | Hemolytic uremic syndrome | 119.0 |
49 | Acute Hepatitis | 118.0 |
50 | Acute peptic ulcer | 117.0 |
51 | Gastroparesis | 117.0 |
52 | Ruptured ovarian cyst | 115.0 |
53 | Chronic liver disease | 114.0 |
54 | Acute Lymphocytic Leukemia in Adults | 113.0 |
55 | Systemic sclerosis | 110.0 |
56 | Acute Appendicitis | 107.0 |
57 | Anaphylaxis | 107.0 |
58 | Sarcoidosis | 107.0 |
59 | Acute intermittent porphyria | 107.0 |
60 | Deep venous thrombosis | 107.0 |
61 | subserosal eosinophilic gastroenteritis | 105.0 |
62 | Bacterial pharyngitis | 105.0 |
63 | Acetaminophen overdose | 104.0 |
64 | Type 2 Diabetes mellitus | 103.0 |
65 | Anthrax | 103.0 |
66 | Erythema nodosum | 102.0 |
67 | Toxic Megacolon | 101.0 |
68 | Gastric Volvulus | 100.0 |
69 | Esophagitis | 100.0 |
70 | Chronic Renal vein thrombosis | 100.0 |
71 | Colorectal cancer | 99.0 |
72 | Acute Clonorchiasis | 99.0 |
73 | Ovarian and fallopian tube torsion | 97.0 |
74 | Foreign body ingestion | 97.0 |
75 | Hereditary Angioedema | 96.0 |
76 | Ovarian Hyperstimulation Syndrome | 93.0 |
77 | Diabetic Neuropathy | 92.0 |
78 | mucosal Eosinophilic gastroenteritis | 91.0 |
79 | Ovarian Cancer | 91.0 |
80 | Gallstones | 90.0 |
81 | Acute peritonitis | 90.0 |
82 | Muscle Layer Eosinophilic gastroenteritis | 89.0 |
83 | Acute heart failure | 89.0 |
84 | Central retinal artery occlusion | 87.0 |
85 | Giardiasis | 87.0 |
86 | Addison Disease | 86.0 |
87 | Autosomal Recessive Polycystic Kidney Disease | 86.0 |
88 | Anemia of chronic disease | 86.0 |
89 | Intraperitoneal bleeding | 85.0 |
90 | Food poisoning | 85.0 |
91 | Brucellosis | 85.0 |
92 | Gastritis | 84.0 |
93 | Bell palsy | 84.0 |
94 | COPD Exacerbation | 84.0 |
95 | Infectious mononucleosis | 84.0 |
96 | Acute pelvic inflammatory disease | 83.0 |
97 | Kidney stones | 83.0 |
98 | Psoas Abscess | 83.0 |
99 | Non-alcoholic Fatty Liver Disease | 82.0 |
100 | Autosomal Dominant Polycystic Kidney Disease | 82.0 |
101 | Intussusception | 81.0 |
102 | Lung Cancer | 78.0 |
103 | Short bowel syndrome | 78.0 |
104 | Rocky Mountain spotted fever | 78.0 |
105 | Hyperprolactinemia | 78.0 |
106 | Chronic Clonorchiasis | 77.0 |
107 | Gallbladder cancer | 77.0 |
108 | Diabetic Ketoacidosis | 76.0 |
109 | Hypothyroidism | 76.0 |
110 | Alopecia areata | 76.0 |
111 | Zollinger-Ellison Syndrome | 75.0 |
112 | Pneumonia | 75.0 |
113 | Cataract | 75.0 |
114 | Eosinophilic gastroenteritis | 74.0 |
115 | Diverticulitis | 74.0 |
116 | Portal hypertension | 73.0 |
117 | Campylobacter infection | 73.0 |
118 | Chronic Hepatitis | 72.0 |
119 | Familial Mediterranean fever | 72.0 |
120 | Cholecystitis | 72.0 |
121 | Chronic Cholecystitis | 71.0 |
122 | Motion Sickness | 70.0 |
123 | Mitral Stenosis | 69.0 |
124 | Non-small cell lung cancer | 69.0 |
125 | Non-ST-elevation myocardial infarction | 69.0 |
126 | Angle Closure Glaucoma | 68.0 |
127 | Ankylosing spondylitis | 68.0 |
128 | Inflammatory Bowel Diseases | 67.0 |
129 | Aortic coarctation | 67.0 |
130 | Chronic Milk-alkali syndrome | 67.0 |
131 | Acute Milk-alkali syndrome | 67.0 |
132 | Epiploic appendagitis | 66.0 |
133 | Polyarteritis nodosa | 66.0 |
134 | Malaria | 66.0 |
135 | Chronic Myeloid Leukemia | 66.0 |
136 | Torsion of appendix of testis | 65.0 |
137 | Croup | 65.0 |
138 | Shigellosis | 65.0 |
139 | Ulcerative Colitis | 64.0 |
140 | Peritoneal dialysis associated peritonitis | 64.0 |
141 | Chronic Mitral regurgitation | 63.0 |
142 | Cystic Fibrosis | 63.0 |
143 | Clostridium difficile infection | 63.0 |
144 | Adrenal crisis | 63.0 |
145 | Umbilical hernia | 63.0 |
146 | Dyspepsia | 62.0 |
147 | Gastric cancer | 62.0 |
148 | Acute bacterial meningitis in children | 62.0 |
149 | Renal and perinephric abscess | 62.0 |
150 | Upper gastrointestinal hemorrhage | 62.0 |
151 | Lower gastrointestinal hemorrhage | 62.0 |
152 | Gastrointestinal Hemorrhage | 62.0 |
153 | Acute perforated appendicitis | 61.0 |
154 | Chronic Pancreatitis | 61.0 |
155 | Listerial gastroenteritis | 60.0 |
156 | Celiac Disease | 59.0 |
157 | COVID19 | 59.0 |
158 | Graves Disease | 59.0 |
159 | Ischemic stroke | 59.0 |
160 | Sigmoid volvulus | 59.0 |
161 | Adrenocortical carcinoma | 58.0 |
162 | Acromegaly | 58.0 |
163 | Candidal intertrigo | 58.0 |
164 | Candida Balanitis | 58.0 |
165 | Oropharyngeal and esophageal candidiasis | 58.0 |
166 | Vulvovaginal candidiasis | 58.0 |
167 | Oral candidiasis | 58.0 |
168 | Chronic bacterial prostatitis | 57.0 |
169 | Tinea versicolor | 57.0 |
170 | Crohn Disease | 56.0 |
171 | Autoimmune Pancreatitis | 56.0 |
172 | Ileus | 55.0 |
173 | Kawasaki disease | 55.0 |
174 | Acute Myeloid Leukemia in children | 55.0 |
175 | Bacterial gastroenteritis | 54.0 |
176 | Churg-Strauss Syndrome | 54.0 |
177 | Familial adenomatous polyposis syndrome | 54.0 |
178 | Ascites | 53.0 |
179 | Carpal Tunnel Syndrome | 53.0 |
180 | Musculoskeletal sprains and strains | 53.0 |
181 | Transient ischemic attack | 53.0 |
182 | Duodenal Ulcer | 52.0 |
183 | Gastric Ulcer | 52.0 |
184 | Acute bacterial meningitis in adults | 52.0 |
185 | Diabetes Mellitus | 52.0 |
186 | Analgesic nephropathy | 52.0 |
187 | Hypertriglyceridemia | 52.0 |
188 | Chronic prostatitis | 51.0 |
189 | Ruptured Tuboovarian abscess | 51.0 |
190 | Candidiasis | 51.0 |
191 | Acute otitis media | 50.0 |
192 | Varicocele | 50.0 |
193 | Cellulitis | 50.0 |
194 | Heparin-induced thrombocytopenia | 50.0 |
195 | Stable ischemic heart disease | 50.0 |
196 | Clonorchiasis | 49.0 |
197 | Charcot-Marie-Tooth Disease | 48.0 |
198 | Endometriosis | 48.0 |
199 | Granulomatosis with polyangiitis | 47.0 |
200 | Acne fulminans | 47.0 |
201 | Fibromyalgia | 47.0 |
202 | Pancreatic Pseudocyst | 46.0 |
203 | Rheumatoid Arthritis | 46.0 |
204 | Typhoid infection | 46.0 |
205 | Lactose intolerance | 46.0 |
206 | Recurrent aphthous stomatitis | 46.0 |
207 | Foodborne E coli infection | 46.0 |
208 | Type 1 Diabetes mellitus | 45.0 |
209 | Intestinal Entamoeba histolytica amebiasis | 45.0 |
210 | Irritable Bowel Syndrome | 44.0 |
211 | Chronic Kidney Diseases | 44.0 |
212 | Amyloidosis | 44.0 |
213 | Viral Gastroenteritis | 44.0 |
214 | Salmonella infection | 44.0 |
215 | Hiatus hernia | 43.0 |
216 | Annular pancreas | 42.0 |
217 | Acute fatty liver of pregnancy | 42.0 |
218 | Hemorrhagic stroke | 42.0 |
219 | Acute Bacterial Prostatitis | 42.0 |
220 | Chronic pelvic pain in women | 42.0 |
221 | Empyema | 41.0 |
222 | Chlamydia pneumoniae infection | 41.0 |
223 | Insect bites and stings | 41.0 |
224 | biliary SOD | 40.0 |
225 | Amphetamine use disorder | 40.0 |
226 | Meckel diverticulum | 40.0 |
227 | Acute Myeloid Leukemia in adults | 40.0 |
228 | ST-elevation myocardial infarction | 40.0 |
229 | Intra-abdominal abscess | 39.0 |
230 | Panic disorder in adults | 39.0 |
231 | Multiple endocrine neoplasia 2B | 39.0 |
232 | Gastroenteritis | 38.0 |
233 | Thrombotic thrombocytopenic purpura | 38.0 |
234 | Multiple endocrine neoplasia 2A | 38.0 |
235 | Biliary cyst | 38.0 |
236 | Gastric Outlet Obstruction | 38.0 |
237 | Intestinal malrotation | 38.0 |
238 | Cushing syndrome | 37.0 |
239 | Mirizzi Syndrome | 37.0 |
240 | Splenic Rupture | 37.0 |
241 | Glomerulonephritis | 37.0 |
242 | Guillain-Barre syndrome | 37.0 |
243 | Peutz-Jeghers Syndrome | 37.0 |
244 | Intestinal Pseudo Obstruction | 37.0 |
245 | Leiomyomas | 36.0 |
246 | Diabetic Amyotrophy | 36.0 |
247 | Prostatitis | 36.0 |
248 | Peptic Ulcer | 35.0 |
249 | Cholera | 35.0 |
250 | Adrenal Suppression | 35.0 |
251 | Pheochromocytoma | 35.0 |
252 | Hepatic Encephalopathy | 34.0 |
253 | Splenic abscess | 34.0 |
254 | Tuboovarian abscess | 34.0 |
255 | Acute pyelonephritis in adults | 34.0 |
256 | Gallbladder Dyskinesia | 33.0 |
257 | Eclampsia | 33.0 |
258 | Chronic Lymphocytic Leukemia | 33.0 |
259 | Obstructive Sleep Apnea | 33.0 |
260 | Acute viral meningitis | 32.0 |
261 | Preeclampsia | 32.0 |
262 | Abdominal compartment syndrome | 32.0 |
263 | Non-cholera Vibrio infections | 31.0 |
264 | Endometritis | 31.0 |
265 | Systemic lupus erythematosus | 30.0 |
266 | Breast Cancer | 30.0 |
267 | Urinary Tract Obstruction | 29.0 |
268 | Hyperparathyroidism | 29.0 |
269 | Secondary Peritonitis | 29.0 |
270 | Multiple Sclerosis | 28.0 |
271 | Abetalipoproteinemia | 27.0 |
272 | Hyperthyroidism | 26.0 |
273 | Gilbert syndrome | 26.0 |
274 | Stevens-Johnson syndrome | 26.0 |
275 | Renal vein thrombosis | 26.0 |
276 | Acute Renal vein thrombosis | 26.0 |
277 | anterior ischemic optic neuropathy | 25.0 |
278 | Inguinal hernia | 25.0 |
279 | Pelvic inflammatory disease | 25.0 |
280 | Dubin-Johnson syndrome | 25.0 |
281 | Malt lymphoma | 24.0 |
282 | Cystitis | 24.0 |
283 | Pyelonephritis | 24.0 |
284 | Hypogammaglobulinemia | 24.0 |
285 | Acute atrial fibrillation | 24.0 |
286 | Bladder Cancer | 24.0 |
287 | Globus Sensation | 24.0 |
288 | Gastroesophageal reflux disease | 23.0 |
289 | Systemic vasculitis | 23.0 |
290 | Aseptic meningitis | 23.0 |
291 | Fungal meningitis | 23.0 |
292 | Rumination Syndrome | 23.0 |
293 | Renal Cell Carcinoma | 22.0 |
294 | Hypercalcemia | 22.0 |
295 | Gout | 22.0 |
296 | Chronic fatigue syndrome | 22.0 |
297 | Papilledema | 22.0 |
298 | Tetanus | 22.0 |
299 | Hyperosmolar Hyperglycemic state | 22.0 |
300 | Acute bacterial meningitis in neonates | 21.0 |
301 | Stroke | 20.0 |
302 | Amebiasis | 20.0 |
303 | Kartagener syndrome | 19.0 |
304 | Primary ciliary dyskinesia | 19.0 |
305 | Common cold(adults) | 18.0 |
306 | Allergic rhinitis | 18.0 |
307 | Uveitis | 18.0 |
308 | Anterior uveitis | 18.0 |
309 | Intermediate uveitis | 18.0 |
310 | Posterior uveitis | 18.0 |
311 | Pan uveitis | 18.0 |
312 | Balanitis | 18.0 |
313 | Multiple Myeloma | 18.0 |
314 | Hypoparathyroidism | 17.0 |
315 | iritis | 17.0 |
316 | Epilepsy | 17.0 |
317 | Herpes pharyngitis | 17.0 |
318 | STI HIV Pharyngitis | 17.0 |
319 | Viral pharyngitis | 17.0 |
320 | Pharyngitis | 17.0 |
321 | Genital herpes | 17.0 |
322 | Ischemic optic neuropathy | 17.0 |
323 | posteriorischemic optic neuropathy | 17.0 |
324 | Travelers diarrhea | 17.0 |
325 | Ovarian Torsion | 17.0 |
326 | Insomnia in adults | 17.0 |
327 | Disseminated intravascular coagulation | 17.0 |
328 | Premature labor | 17.0 |
329 | Chronic meningitis | 17.0 |
330 | Premenstrual syndrome | 17.0 |
331 | Milk-alkali syndrome | 17.0 |
332 | Non-diabetic hypoglycemia | 17.0 |
333 | Henoch-Schonlein purpura | 17.0 |
334 | Animal bites | 16.0 |
335 | Cholangitis | 16.0 |
336 | Pancreatitis | 16.0 |
337 | Acute Rhinosinusitis | 16.0 |
338 | Acute viral rhinosinusitis | 16.0 |
339 | Acute bacterial rhinosinusitis | 16.0 |
340 | Sphincter of Oddi Dysfunction | 16.0 |
341 | pancreatic SOD | 16.0 |
342 | Atopic dermatitis | 16.0 |
343 | Influenza | 15.0 |
344 | Simple kidney cyst | 15.0 |
345 | Prolactinoma | 15.0 |
346 | Subdural hematoma | 15.0 |
347 | Chronic pyelonephritis | 15.0 |
348 | Urinary tract infection | 14.0 |
349 | Labyrinthitis | 14.0 |
350 | Phenylketonuria | 14.0 |
351 | Aortic stenosis | 14.0 |
352 | Mallory-Weiss syndrome | 14.0 |
353 | Intrahepatic cholestasis of pregnancy | 14.0 |
354 | Blepharitis | 14.0 |
355 | Enterovesical fistula | 14.0 |
356 | Cryptococcosis | 13.0 |
357 | Psoriasis | 13.0 |
358 | Optic neuritis | 13.0 |
359 | Neuropapillitis | 13.0 |
360 | Anaplastic thyroid cancer | 13.0 |
361 | Rotator Cuff Tears | 13.0 |
362 | Exocrine pancreatic insufficiency | 13.0 |
363 | Common cold(children) | 12.0 |
364 | Gingivitis | 12.0 |
365 | Acute disseminated encephalomyelitis | 12.0 |
366 | Peritonitis | 12.0 |
367 | Acute Cystitis(Women) | 12.0 |
368 | Viral conjunctivitis | 12.0 |
369 | Bacterial conjunctivitis | 12.0 |
370 | Osteomyelitis | 12.0 |
371 | Nasal polyps | 12.0 |
372 | Temporomandibular joint syndrome | 12.0 |
373 | Bruxism | 12.0 |
374 | Dermatophyte infections | 11.0 |
375 | Acute Cystitis(Men) | 11.0 |
376 | Angiodysplasia of the colon | 11.0 |
377 | Endometrial cancer | 11.0 |
378 | Gestational diabetes mellitus | 11.0 |
379 | Vaginitis | 11.0 |
380 | Urethritis | 11.0 |
381 | Phimosis | 11.0 |
382 | Paraphimosis | 11.0 |
383 | Achalasia | 10.0 |
384 | Bed bugs | 10.0 |
385 | Central hypothyroidism | 10.0 |
386 | Diabetic Kidney Disease | 10.0 |
387 | Limited cutaneous systemic sclerosis | 10.0 |
388 | Bullous pemphigoid | 10.0 |
389 | Secondary hyperparathyroidism | 10.0 |
390 | Menopause | 10.0 |
391 | Psychogenic polydipsia | 9.0 |
392 | Sunburn | 9.0 |
393 | Chronic atrial fibrillation | 8.0 |
394 | Scleritis | 8.0 |
395 | Anterior scleritis | 8.0 |
396 | Posterior scleritis | 8.0 |
397 | Epididymo-orchitis | 8.0 |
398 | Medullary thyroid cancer | 8.0 |
399 | Extrahepatic Cholestasis | 8.0 |
400 | Intrahepatic Cholestasis | 8.0 |
401 | Von willebrand disease | 8.0 |
402 | Periorbital and orbital cellulitis | 7.0 |
403 | Herpes zoster | 7.0 |
404 | Miliaria | 7.0 |
405 | Pseudohypoparathyroidism | 7.0 |
406 | Male factor infertility | 6.0 |
407 | Atypical pneumonia | 6.0 |
408 | Acute epididymitis | 6.0 |
409 | Migraine headache in adults | 5.0 |
410 | Hemorrhoids | 5.0 |
411 | Immune thrombocytopenia | 5.0 |
412 | Acute respiratory failure | 5.0 |
413 | Sialadenitis | 5.0 |
414 | Acute Bronchitis | 3.0 |
415 | Thyroid lymphoma | 3.0 |
416 | Testicular cancer | 3.0 |
417 | Hyperaldosteronism | 1.0 |
418 | endocarditis | 1.0 |
419 | Essential Tremor | 0.0 |
420 | Trachoma | 0.0 |
421 | Prinzmetal angina | 0.0 |
422 | Myasthenia Gravis | 0.0 |
423 | Neonatal Myasthenia Gravis | 0.0 |
424 | Congenital Myasthenic Syndromes | 0.0 |
425 | Musculoskeletal lower back pain | 0.0 |
426 | Acne conglobata | 0.0 |
427 | Osteoarthritis | 0.0 |
428 | Penis Carcinoma | 0.0 |
429 | Goiter | 0.0 |
430 | Meniere disease | 0.0 |
431 | Oropharyngeal cancer | 0.0 |
432 | Obstructive cervical goiters | 0.0 |
433 | Toxic multinodular goiter | 0.0 |
434 | Diffuse nontoxic goiter | 0.0 |
435 | Cervical goiter | 0.0 |
436 | Pulmonary regurgitation | 0.0 |
437 | Hodgkin lymphoma | 0.0 |
438 | Myoclonus | 0.0 |
439 | Discogenic low back pain | 0.0 |