60 years old | Female
A 60-year-old woman with a past medical history of obesity, diabetes, and dyslipidemia is noted to have abnormal liver enzymes with elevated aminotransferases (ALT: 68 U/L, AST: 82 U/L), and normal alkaline phosphatase and bilirubin. She denies significant alcohol consumption, and tests for viral hepatitis and autoimmune markers are negative. An abdominal ultrasound reveals evidence of fatty infiltration of the liver and slight enlargement of the spleen.
obesity | diabetes | dyslipidemia | elevated ALT | elevated AST | ultrasound reveal fatty infiltration of the liver | ultrasound reveal slight enlargement of the spleen
Liver Cirrhosis Biliary Cirrhosis Primary Biliary Cirrhosis
https://online.epocrates.com/diseases/27822/Cirrhosis/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Non-alcoholic Fatty Liver Disease | 374.0 |
2 | Hepatocellular carcinoma | 308.0 |
3 | Chronic Hepatitis | 292.0 |
4 | Biliary cirrhosis | 291.0 |
5 | Eclampsia | 283.0 |
6 | Non-ST-elevation myocardial infarction | 281.0 |
7 | Primary biliary cirrhosis | 280.0 |
8 | Primary sclerosing cholangitis | 275.0 |
9 | Gallstone pancreatitis | 274.0 |
10 | Liver Cirrhosis | 271.0 |
11 | Choledocholithiasis | 259.0 |
12 | ST-elevation myocardial infarction | 259.0 |
13 | Hypertriglyceridemia | 250.0 |
14 | Chronic atrial fibrillation | 244.0 |
15 | Kidney stones | 219.0 |
16 | Type 2 Diabetes mellitus | 215.0 |
17 | Alcoholic Fatty Liver | 214.0 |
18 | Stable ischemic heart disease | 211.0 |
19 | Alcoholic hepatitis | 211.0 |
20 | Preeclampsia | 208.0 |
21 | Ischemic stroke | 200.0 |
22 | Klebsiella pneumoniae liver abscess | 196.0 |
23 | Autoimmune hepatitis | 192.0 |
24 | Obstructive Sleep Apnea | 184.0 |
25 | Acute intermittent porphyria | 183.0 |
26 | Chronic Kidney Diseases | 182.0 |
27 | Gout | 182.0 |
28 | Hepatic Encephalopathy | 176.0 |
29 | Acute Liver Failure | 174.0 |
30 | Adrenocortical carcinoma | 173.0 |
31 | Alcoholic Liver Disease | 172.0 |
32 | Deep venous thrombosis | 170.0 |
33 | Acute Cholangitis | 169.0 |
34 | Erectile dysfunction | 168.0 |
35 | Infectious mononucleosis | 167.0 |
36 | chronic acalculous cholecystitis | 166.0 |
37 | Alcoholic Liver Cirrhosis | 164.0 |
38 | Autosomal Recessive Polycystic Kidney Disease | 159.0 |
39 | Acute fatty liver of pregnancy | 158.0 |
40 | Acute Hepatitis | 157.0 |
41 | Achilles tendinopathy | 156.0 |
42 | Achilles tendon rupture | 156.0 |
43 | Hemolytic uremic syndrome | 156.0 |
44 | Pyogenic Liver Abscess | 153.0 |
45 | pancreatic cancer | 152.0 |
46 | Colorectal cancer | 151.0 |
47 | Stroke | 151.0 |
48 | Diabetic Amyotrophy | 150.0 |
49 | Hereditary hemochromatosis | 150.0 |
50 | Breast Cancer | 145.0 |
51 | Familial Mediterranean fever | 144.0 |
52 | Amebic Liver Abscess | 142.0 |
53 | Chronic Lymphocytic Leukemia | 137.0 |
54 | Analgesic nephropathy | 136.0 |
55 | Gallbladder cancer | 135.0 |
56 | Aortic Dissection | 135.0 |
57 | Gallstones | 134.0 |
58 | Autoimmune Pancreatitis | 134.0 |
59 | Common cutaneous drug reactions | 134.0 |
60 | Acute Cholecystitis | 131.0 |
61 | Androgenetic alopecia | 130.0 |
62 | Gallbladder Dyskinesia | 130.0 |
63 | Abnormal uterine bleeding | 129.0 |
64 | Acute Pancreatitis | 128.0 |
65 | Cushing syndrome | 128.0 |
66 | Endometrial cancer | 128.0 |
67 | Migraine headache in adults | 126.0 |
68 | Prinzmetal angina | 124.0 |
69 | Primary Myelofibrosis | 122.0 |
70 | Psoas Abscess | 121.0 |
71 | Renal Cell Carcinoma | 118.0 |
72 | Papilledema | 117.0 |
73 | Kawasaki disease | 117.0 |
74 | Rheumatoid Arthritis | 116.0 |
75 | Wilson disease | 114.0 |
76 | Emphysematous cholecystitis | 113.0 |
77 | Cholestasis | 113.0 |
78 | Diabetic Ketoacidosis | 110.0 |
79 | Thrombotic thrombocytopenic purpura | 110.0 |
80 | Intrahepatic Cholestasis | 110.0 |
81 | Hepatorenal Syndrome | 110.0 |
82 | biliary SOD | 109.0 |
83 | Polyarteritis nodosa | 107.0 |
84 | Chronic heart failure | 106.0 |
85 | Food poisoning | 106.0 |
86 | Acute Lymphocytic Leukemia in Adults | 104.0 |
87 | Osteoporosis | 103.0 |
88 | Candidal intertrigo | 102.0 |
89 | Sarcoidosis | 102.0 |
90 | Hiatus hernia | 101.0 |
91 | Liver Abscess | 101.0 |
92 | Intra-abdominal abscess | 101.0 |
93 | Carpal Tunnel Syndrome | 100.0 |
94 | Balanitis | 100.0 |
95 | Secondary hypogonadism | 100.0 |
96 | Cellulitis | 100.0 |
97 | Peyronie Disease | 100.0 |
98 | Tuberculous Peritonitis | 97.0 |
99 | Central retinal artery occlusion | 94.0 |
100 | Acetaminophen overdose | 94.0 |
101 | Malaria | 93.0 |
102 | Acute heart failure | 92.0 |
103 | Dermatophyte infections | 91.0 |
104 | Gestational diabetes mellitus | 90.0 |
105 | Celiac Disease | 89.0 |
106 | Acromegaly | 88.0 |
107 | Hyperthyroidism | 86.0 |
108 | Non-diabetic hypoglycemia | 85.0 |
109 | Systemic lupus erythematosus | 85.0 |
110 | Mesenteric ischemia | 83.0 |
111 | Varicose veins | 83.0 |
112 | Non-small cell lung cancer | 83.0 |
113 | Ovarian and fallopian tube torsion | 82.0 |
114 | Hyperparathyroidism | 82.0 |
115 | Diabetic Neuropathy | 82.0 |
116 | Cystic Fibrosis | 81.0 |
117 | Gastroesophageal reflux disease | 80.0 |
118 | Osteoarthritis | 80.0 |
119 | Autosomal Dominant Polycystic Kidney Disease | 79.0 |
120 | Hypothyroidism | 79.0 |
121 | Diabetes Mellitus | 78.0 |
122 | Extrahepatic Cholestasis | 78.0 |
123 | Graves Disease | 77.0 |
124 | Acalculous Cholecystitis | 77.0 |
125 | Acne fulminans | 76.0 |
126 | Transient ischemic attack | 76.0 |
127 | Renal Artery Stenosis | 76.0 |
128 | Urinary Tract Obstruction | 75.0 |
129 | Multiple Myeloma | 75.0 |
130 | Henoch-Schonlein purpura | 75.0 |
131 | Brucellosis | 74.0 |
132 | Hyperprolactinemia | 73.0 |
133 | Cataract | 72.0 |
134 | Glomerulonephritis | 71.0 |
135 | Atypical pneumonia | 71.0 |
136 | Leiomyomas | 70.0 |
137 | Renal and perinephric abscess | 70.0 |
138 | Open Angle Glaucoma | 70.0 |
139 | anterior ischemic optic neuropathy | 70.0 |
140 | Tetanus | 70.0 |
141 | Acute bacterial meningitis in adults | 70.0 |
142 | Graves ophthalmopathy | 70.0 |
143 | Intrahepatic cholestasis of pregnancy | 69.0 |
144 | Clostridium difficile infection | 68.0 |
145 | Diabetic Kidney Disease | 68.0 |
146 | Candida Balanitis | 68.0 |
147 | Oropharyngeal and esophageal candidiasis | 68.0 |
148 | Vulvovaginal candidiasis | 68.0 |
149 | Oral candidiasis | 68.0 |
150 | Guillain-Barre syndrome | 67.0 |
151 | Pulmonary Embolism | 66.0 |
152 | Alzheimer disease | 65.0 |
153 | Xanthelasma | 65.0 |
154 | Chronic liver disease | 64.0 |
155 | Gingivitis | 64.0 |
156 | Aortic coarctation | 64.0 |
157 | Acute Myeloid Leukemia in children | 64.0 |
158 | Menopause | 63.0 |
159 | Typhoid infection | 63.0 |
160 | Rocky Mountain spotted fever | 63.0 |
161 | Asthma | 61.0 |
162 | Gastroparesis | 60.0 |
163 | Ovarian Hyperstimulation Syndrome | 60.0 |
164 | Extraintestinal Entamoeba histolytica amebiasis | 60.0 |
165 | Mirizzi Syndrome | 60.0 |
166 | Hypercalcemia | 59.0 |
167 | End Stage Renal Disease | 59.0 |
168 | Chronic Pancreatitis | 58.0 |
169 | Acute viral meningitis | 58.0 |
170 | Acne vulgaris | 56.0 |
171 | Acne conglobata | 56.0 |
172 | Gram-negative folliculitis | 56.0 |
173 | Excoriated acne | 56.0 |
174 | Lung Cancer | 56.0 |
175 | Anemia of chronic disease | 55.0 |
176 | Benign Prostatic Hyperplasia | 54.0 |
177 | Stable angina | 54.0 |
178 | Salmonella infection | 54.0 |
179 | Umbilical hernia | 53.0 |
180 | Hyperosmolar Hyperglycemic state | 53.0 |
181 | Cholangiocarcinoma | 53.0 |
182 | Acute Lymphoblastic leukemia in children | 53.0 |
183 | Simple kidney cyst | 52.0 |
184 | chronic biliary obstruction | 51.0 |
185 | Psoriasis | 50.0 |
186 | Osteomalacia | 50.0 |
187 | Primary hypogonadism | 50.0 |
188 | Pneumonia | 50.0 |
189 | Priapism | 50.0 |
190 | Ischemic optic neuropathy | 50.0 |
191 | posteriorischemic optic neuropathy | 50.0 |
192 | Bell palsy | 50.0 |
193 | Dry eye | 50.0 |
194 | Insomnia in adults | 50.0 |
195 | Acute pyelonephritis in adults | 50.0 |
196 | Animal bites | 50.0 |
197 | COPD Exacerbation | 50.0 |
198 | Chronic Myeloid Leukemia | 50.0 |
199 | Labyrinthitis | 50.0 |
200 | Chronic pyelonephritis | 50.0 |
201 | Amphetamine use disorder | 49.0 |
202 | Ankylosing spondylitis | 48.0 |
203 | Sialadenitis | 47.0 |
204 | Viral pharyngitis | 47.0 |
205 | Osteomyelitis | 46.0 |
206 | Familial adenomatous polyposis syndrome | 46.0 |
207 | Toxic thyroid adenoma | 46.0 |
208 | Crohn Disease | 45.0 |
209 | Peutz-Jeghers Syndrome | 45.0 |
210 | Addison Disease | 43.0 |
211 | Ulcerative Colitis | 43.0 |
212 | Bladder Cancer | 43.0 |
213 | Psychogenic polydipsia | 43.0 |
214 | Musculoskeletal lower back pain | 41.0 |
215 | Unstable angina | 41.0 |
216 | Hyperaldosteronism | 41.0 |
217 | Acute respiratory failure | 41.0 |
218 | pancreatic SOD | 41.0 |
219 | Systemic sclerosis | 40.0 |
220 | Acute bacterial meningitis in neonates | 40.0 |
221 | Adrenal Suppression | 39.0 |
222 | Acute Myeloid Leukemia in adults | 36.0 |
223 | Spontaneous bacterial peritonitis | 36.0 |
224 | Medullary thyroid cancer | 35.0 |
225 | Shigellosis | 35.0 |
226 | Granulomatosis with polyangiitis | 35.0 |
227 | Chronic Cholecystitis | 35.0 |
228 | Rotator Cuff Tears | 34.0 |
229 | Rosacea | 34.0 |
230 | COVID19 | 34.0 |
231 | Amyloidosis | 34.0 |
232 | Candidiasis | 34.0 |
233 | Drowning | 34.0 |
234 | Foodborne E coli infection | 34.0 |
235 | Secondary hyperparathyroidism | 33.0 |
236 | Portal hypertension | 33.0 |
237 | Splenic abscess | 33.0 |
238 | Splenic Rupture | 33.0 |
239 | Type 1 Diabetes mellitus | 32.0 |
240 | Discogenic low back pain | 30.0 |
241 | Male factor infertility | 30.0 |
242 | Tinea versicolor | 30.0 |
243 | Inflammatory Bowel Diseases | 30.0 |
244 | Churg-Strauss Syndrome | 29.0 |
245 | Painless thyroiditis | 29.0 |
246 | Milk-alkali syndrome | 28.0 |
247 | Acute Milk-alkali syndrome | 28.0 |
248 | Multiple endocrine neoplasia 2B | 27.0 |
249 | Hereditary Angioedema | 27.0 |
250 | Prolactinoma | 27.0 |
251 | Abetalipoproteinemia | 27.0 |
252 | Acute atrial fibrillation | 26.0 |
253 | Acute disseminated encephalomyelitis | 26.0 |
254 | Cholera | 25.0 |
255 | Goiter | 25.0 |
256 | Diffuse nontoxic goiter | 25.0 |
257 | Toxic multinodular goiter | 25.0 |
258 | Cervical goiter | 25.0 |
259 | Influenza | 24.0 |
260 | biliary obstruction | 24.0 |
261 | Pseudohypoparathyroidism | 23.0 |
262 | Acute bacterial meningitis in children | 23.0 |
263 | Hypogammaglobulinemia | 23.0 |
264 | Testicular cancer | 23.0 |
265 | Obstructive cervical goiters | 22.0 |
266 | Aortic stenosis | 21.0 |
267 | Splenic Infarction | 21.0 |
268 | Multiple endocrine neoplasia 2A | 20.0 |
269 | Acute pericarditis | 20.0 |
270 | Intestinal Pseudo Obstruction | 20.0 |
271 | Sunburn | 20.0 |
272 | Hypoparathyroidism | 20.0 |
273 | Clonorchiasis | 20.0 |
274 | Chronic Clonorchiasis | 20.0 |
275 | Liver disease | 20.0 |
276 | Pancreatic Pseudocyst | 19.0 |
277 | Achalasia | 18.0 |
278 | Central hypothyroidism | 18.0 |
279 | Systemic vasculitis | 18.0 |
280 | Acute cervical spine trauma | 18.0 |
281 | Gastritis | 18.0 |
282 | Chronic Renal vein thrombosis | 17.0 |
283 | Pheochromocytoma | 16.0 |
284 | Adrenal crisis | 16.0 |
285 | Ascites | 16.0 |
286 | Intussusception | 16.0 |
287 | Barrett esophagus | 15.0 |
288 | Fibrocystic breasts | 15.0 |
289 | Budd Chiari Syndrome | 15.0 |
290 | Pressure ulcer | 15.0 |
291 | Ichthyosis | 15.0 |
292 | Hemorrhagic stroke | 15.0 |
293 | Acute Rhinosinusitis | 15.0 |
294 | Acute viral rhinosinusitis | 15.0 |
295 | Acute bacterial rhinosinusitis | 15.0 |
296 | Heparin-induced thrombocytopenia | 14.0 |
297 | Mitral Stenosis | 14.0 |
298 | Musculoskeletal sprains and strains | 14.0 |
299 | Cryptococcosis | 13.0 |
300 | Anaphylaxis | 13.0 |
301 | Annular pancreas | 12.0 |
302 | Substernal goiter | 12.0 |
303 | Campylobacter infection | 11.0 |
304 | Multiple Sclerosis | 11.0 |
305 | Acute epididymitis | 11.0 |
306 | Fibromyalgia | 11.0 |
307 | Chronic bacterial prostatitis | 10.0 |
308 | Insect bites and stings | 9.0 |
309 | Tinnitus | 9.0 |
310 | Acute Renal vein thrombosis | 9.0 |
311 | Common cold(adults) | 8.0 |
312 | Non-cholera Vibrio infections | 8.0 |
313 | Chronic Milk-alkali syndrome | 8.0 |
314 | Anaplastic thyroid cancer | 8.0 |
315 | Acute Cystitis(Men) | 7.0 |
316 | Cystitis | 7.0 |
317 | Urinary tract infection | 7.0 |
318 | Acute Cystitis(Women) | 7.0 |
319 | Dubin-Johnson syndrome | 7.0 |
320 | Thyroid lymphoma | 6.0 |
321 | Fungal meningitis | 6.0 |
322 | Acute Bronchitis | 5.0 |
323 | Bed bugs | 5.0 |
324 | Pyelonephritis | 5.0 |
325 | Toxic Megacolon | 5.0 |
326 | Lactose intolerance | 5.0 |
327 | Esophagitis | 5.0 |
328 | Bacterial pharyngitis | 5.0 |
329 | Allergic rhinitis | 5.0 |
330 | Psoriatic arthritis | 4.0 |
331 | Paraneoplastic Syndromes | 4.0 |
332 | Chlamydia pneumoniae infection | 4.0 |
333 | Alopecia areata | 3.0 |
334 | Penis Carcinoma | 1.0 |
335 | endocarditis | 1.0 |
336 | Common cold(children) | 1.0 |
337 | Narcolepsy | 0.0 |
338 | Oropharyngeal cancer | 0.0 |
339 | Panic disorder in adults | 0.0 |
340 | Orthostatic hypotension | 0.0 |
341 | Acute Clonorchiasis | 0.0 |
342 | Immune thrombocytopenia | 0.0 |
343 | Phenylketonuria | 0.0 |
344 | Disseminated intravascular coagulation | 0.0 |
345 | Stevens-Johnson syndrome | 0.0 |
346 | Hodgkin lymphoma | 0.0 |
347 | Measles | 0.0 |
348 | Visceral leishmaniasis | 0.0 |