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A 35-year-old woman presents with symptoms of worsening nausea

35 years old | Female

Vignette:

A 35-year-old woman presents with symptoms of worsening nausea, vomiting, abdominal pain, and bloating of 2 years' duration. Symptoms are typically postprandial and have been progressively getting worse. Patient recollects that she had a "viral illness" before the onset of the above symptoms. She has had significant weight loss related to the disease and multiple hospital admissions related to nausea and vomiting.

Summary:

worsening | nausea | vomiting | abdominal pain | bloating | 2 years duration | postprandial | progressive | history of viral illness | weight loss

Dx:

Gastroparesis

Ref:

https://online.epocrates.com/diseases/64222/Gastroparesis/Common-Vignette

Rank

Disease

Weight

1 Gastroparesis 456.0
2 Intussusception 452.0
3 Esophagitis 434.0
4 Ruptured ectopic pregnancy 433.0
5 Acute Appendicitis 431.0
6 Hereditary Angioedema 425.0
7 Acute Pancreatitis 424.0
8 Mesenteric ischemia 424.0
9 Intestinal Obstruction 412.0
10 Giardiasis 410.0
11 Addison Disease 379.0
12 Gastric Outlet Obstruction 379.0
13 pancreatic cancer 367.0
14 Acute Cholecystitis 364.0
15 Emphysematous cholecystitis 364.0
16 Acute perforated appendicitis 360.0
17 Sigmoid volvulus 358.0
18 mucosal Eosinophilic gastroenteritis 357.0
19 Acute intermittent porphyria 357.0
20 Acute peptic ulcer 353.0
21 Alcoholic Liver Disease 348.0
22 Tuberculous Peritonitis 337.0
23 Crohn Disease 332.0
24 Kidney stones 332.0
25 Anaphylaxis 332.0
26 biliary colic 326.0
27 Ovarian and fallopian tube torsion 322.0
28 Dyspepsia 319.0
29 Aortic Dissection 316.0
30 Ovarian Cancer 314.0
31 Gallstone pancreatitis 307.0
32 Gallbladder cancer 306.0
33 Ulcerative Colitis 299.0
34 Amebic Liver Abscess 293.0
35 Brucellosis 288.0
36 Alcoholic Liver Cirrhosis 286.0
37 Listerial gastroenteritis 285.0
38 Bacterial pharyngitis 284.0
39 Chronic Pancreatitis 281.0
40 Irritable Bowel Syndrome 277.0
41 Diabetic Ketoacidosis 275.0
42 Autoimmune hepatitis 273.0
43 Gastritis 273.0
44 Primary sclerosing cholangitis 271.0
45 Adrenal crisis 270.0
46 Acute fatty liver of pregnancy 269.0
47 Diverticulitis 268.0
48 Lactose intolerance 267.0
49 Gastric Volvulus 265.0
50 Muscle Layer Eosinophilic gastroenteritis 264.0
51 Ileus 263.0
52 Choledochal Cyst 260.0
53 Biliary cirrhosis 257.0
54 Primary biliary cirrhosis 257.0
55 Spontaneous bacterial peritonitis 253.0
56 Pyogenic Liver Abscess 251.0
57 Food poisoning 248.0
58 Liver Cirrhosis 247.0
59 Angle Closure Glaucoma 245.0
60 Alcoholic Fatty Liver 244.0
61 Cholangiocarcinoma 244.0
62 Meckel diverticulum 242.0
63 Systemic lupus erythematosus 240.0
64 Type 2 Diabetes mellitus 239.0
65 Alcoholic hepatitis 238.0
66 Liver disease 238.0
67 Acute pyelonephritis in adults 238.0
68 Migraine headache in adults 235.0
69 Splenic Infarction 234.0
70 Systemic sclerosis 234.0
71 Campylobacter infection 234.0
72 Intestinal Pseudo Obstruction 234.0
73 Rocky Mountain spotted fever 233.0
74 Diabetic Neuropathy 232.0
75 Toxic Megacolon 232.0
76 Salmonella infection 231.0
77 Acute pericarditis 230.0
78 Bacterial gastroenteritis 229.0
79 Ascites 227.0
80 Ruptured ovarian cyst 226.0
81 Acute Cholangitis 226.0
82 Peptic Ulcer 221.0
83 Duodenal Ulcer 219.0
84 Gastric Ulcer 219.0
85 Type 1 Diabetes mellitus 219.0
86 Diabetic Amyotrophy 218.0
87 Diabetes Mellitus 217.0
88 Non-cholera Vibrio infections 217.0
89 chronic acalculous cholecystitis 216.0
90 Anthrax 216.0
91 Ovarian Hyperstimulation Syndrome 215.0
92 Acute pelvic inflammatory disease 214.0
93 Sarcoidosis 214.0
94 Psoas Abscess 214.0
95 Chronic Kidney Diseases 213.0
96 subserosal eosinophilic gastroenteritis 212.0
97 Intraperitoneal bleeding 212.0
98 Labyrinthitis 211.0
99 Amphetamine use disorder 211.0
100 Foreign body ingestion 211.0
101 Hiatus hernia 210.0
102 Klebsiella pneumoniae liver abscess 210.0
103 Acalculous Cholecystitis 209.0
104 Celiac Disease 208.0
105 Zollinger-Ellison Syndrome 208.0
106 Acute Clonorchiasis 208.0
107 Gallstones 206.0
108 Peritoneal dialysis associated peritonitis 204.0
109 Intestinal malrotation 204.0
110 biliary SOD 202.0
111 Polyarteritis nodosa 202.0
112 Choledocholithiasis 201.0
113 Chronic Hepatitis 201.0
114 Autosomal Dominant Polycystic Kidney Disease 201.0
115 Analgesic nephropathy 200.0
116 Hemolytic uremic syndrome 199.0
117 Graves Disease 196.0
118 Gastric cancer 194.0
119 Acute viral meningitis 194.0
120 Acetaminophen overdose 194.0
121 Urinary Tract Obstruction 193.0
122 Ankylosing spondylitis 191.0
123 Gallbladder Dyskinesia 190.0
124 Bell palsy 189.0
125 Ovarian Torsion 189.0
126 Chronic heart failure 187.0
127 Cataract 185.0
128 Rumination Syndrome 184.0
129 Hypertriglyceridemia 183.0
130 Typhoid infection 183.0
131 Pyelonephritis 183.0
132 Eosinophilic gastroenteritis 182.0
133 Chronic bacterial prostatitis 182.0
134 Acute bacterial meningitis in children 181.0
135 Acute bacterial meningitis in adults 180.0
136 Gastroesophageal reflux disease 179.0
137 Lung Cancer 179.0
138 Thrombotic thrombocytopenic purpura 178.0
139 Hepatocellular carcinoma 175.0
140 Acute Hepatitis 171.0
141 Pancreatic Pseudocyst 170.0
142 Hypercalcemia 170.0
143 Acute otitis media 169.0
144 Peutz-Jeghers Syndrome 169.0
145 Hemorrhagic stroke 168.0
146 Churg-Strauss Syndrome 167.0
147 Inguinal hernia 167.0
148 Viral Gastroenteritis 165.0
149 Hyperthyroidism 163.0
150 Amyloidosis 162.0
151 Non-small cell lung cancer 162.0
152 Annular pancreas 161.0
153 Ischemic stroke 161.0
154 COPD Exacerbation 161.0
155 Pneumonia 160.0
156 Malaria 160.0
157 Henoch-Schonlein purpura 159.0
158 Colorectal cancer 158.0
159 Short bowel syndrome 157.0
160 Chronic pyelonephritis 157.0
161 Renal and perinephric abscess 157.0
162 Adrenal Suppression 157.0
163 Acute Liver Failure 156.0
164 Non-ST-elevation myocardial infarction 156.0
165 Renal Cell Carcinoma 155.0
166 Alopecia areata 154.0
167 Sphincter of Oddi Dysfunction 154.0
168 pancreatic SOD 154.0
169 Acute Lymphoblastic leukemia in children 154.0
170 Epiploic appendagitis 153.0
171 Common cutaneous drug reactions 153.0
172 Stable ischemic heart disease 152.0
173 Cellulitis 149.0
174 Shigellosis 149.0
175 Cholera 149.0
176 Hyperparathyroidism 148.0
177 Ectopic Pregnancy 148.0
178 Malt lymphoma 147.0
179 Intra-abdominal abscess 147.0
180 Autosomal Recessive Polycystic Kidney Disease 146.0
181 Endometriosis 145.0
182 Osteoporosis 143.0
183 Acute disseminated encephalomyelitis 142.0
184 Aseptic meningitis 139.0
185 Infectious mononucleosis 138.0
186 Central retinal artery occlusion 137.0
187 Papilledema 136.0
188 Motion Sickness 136.0
189 Fungal meningitis 135.0
190 Chronic meningitis 134.0
191 Intestinal Entamoeba histolytica amebiasis 134.0
192 Leiomyomas 133.0
193 Cryptococcosis 132.0
194 Chronic Renal vein thrombosis 131.0
195 Torsion of appendix of testis 130.0
196 Anemia of chronic disease 130.0
197 Hepatorenal Syndrome 129.0
198 Pheochromocytoma 129.0
199 Wilson disease 127.0
200 Primary Myelofibrosis 127.0
201 Foodborne E coli infection 127.0
202 Kawasaki disease 127.0
203 Heparin-induced thrombocytopenia 125.0
204 Inflammatory Bowel Diseases 125.0
205 Abdominal compartment syndrome 125.0
206 Hepatic Encephalopathy 120.0
207 anterior ischemic optic neuropathy 120.0
208 Clostridium difficile infection 120.0
209 Budd Chiari Syndrome 119.0
210 Panic disorder in adults 118.0
211 Autoimmune Pancreatitis 117.0
212 Premenstrual syndrome 117.0
213 Cystic Fibrosis 113.0
214 Adrenocortical carcinoma 113.0
215 Familial adenomatous polyposis syndrome 109.0
216 Herpes zoster 109.0
217 STI HIV Pharyngitis 108.0
218 Musculoskeletal sprains and strains 107.0
219 Transient ischemic attack 107.0
220 Umbilical hernia 106.0
221 Glomerulonephritis 106.0
222 Rheumatoid Arthritis 105.0
223 Migraine 104.0
224 ST-elevation myocardial infarction 104.0
225 Acute Myeloid Leukemia in adults 103.0
226 Chronic pelvic pain in women 101.0
227 Carpal Tunnel Syndrome 100.0
228 Varicocele 100.0
229 Croup 100.0
230 End Stage Renal Disease 100.0
231 Milk-alkali syndrome 100.0
232 Breast Cancer 100.0
233 Subdural hematoma 100.0
234 Meniere disease 100.0
235 Acute Milk-alkali syndrome 100.0
236 Chronic Milk-alkali syndrome 100.0
237 Anal Cancer 98.0
238 Unstable angina 97.0
239 Hyperosmolar Hyperglycemic state 97.0
240 Insect bites and stings 96.0
241 Charcot-Marie-Tooth Disease 95.0
242 Cushing syndrome 95.0
243 Acromegaly 95.0
244 Diabetic Kidney Disease 93.0
245 Obstructive Sleep Apnea 93.0
246 Gout 93.0
247 Ruptured Tuboovarian abscess 93.0
248 Acute peritonitis 92.0
249 Hyperprolactinemia 91.0
250 Granulomatosis with polyangiitis 91.0
251 Hereditary hemochromatosis 90.0
252 Achalasia 90.0
253 Familial Mediterranean fever 90.0
254 Travelers diarrhea 90.0
255 Endometrial cancer 90.0
256 Biliary cyst 88.0
257 Multiple Myeloma 87.0
258 Herpes pharyngitis 86.0
259 Pelvic inflammatory disease 86.0
260 Influenza 85.0
261 Chronic Myeloid Leukemia 85.0
262 Aortic coarctation 85.0
263 Acute bacterial meningitis in neonates 85.0
264 Gastroenteritis 83.0
265 Acute viral rhinosinusitis 83.0
266 Empyema 82.0
267 Chlamydia pneumoniae infection 82.0
268 Mallory-Weiss syndrome 81.0
269 Gastrointestinal Hemorrhage 81.0
270 Lower gastrointestinal hemorrhage 81.0
271 Upper gastrointestinal hemorrhage 81.0
272 Painless thyroiditis 80.0
273 Secondary hyperparathyroidism 79.0
274 COVID19 78.0
275 posteriorischemic optic neuropathy 78.0
276 Oral candidiasis 78.0
277 Chronic Clonorchiasis 77.0
278 Acute Lymphocytic Leukemia in Adults 77.0
279 Fibromyalgia 77.0
280 Toxic thyroid adenoma 76.0
281 Amebiasis 76.0
282 Guillain-Barre syndrome 75.0
283 Hypothyroidism 74.0
284 Acute heart failure 74.0
285 Stable angina 73.0
286 Clonorchiasis 72.0
287 Oropharyngeal cancer 72.0
288 Viral pharyngitis 70.0
289 Asthma 69.0
290 Multiple endocrine neoplasia 2B 68.0
291 Stevens-Johnson syndrome 68.0
292 Intrahepatic cholestasis of pregnancy 67.0
293 Pharyngitis 66.0
294 Portal hypertension 66.0
295 Chronic Mitral regurgitation 66.0
296 Psychogenic polydipsia 66.0
297 Bladder Cancer 66.0
298 Atopic dermatitis 65.0
299 Acute Renal vein thrombosis 65.0
300 Secondary Peritonitis 64.0
301 Anaplastic thyroid cancer 64.0
302 Multiple endocrine neoplasia 2A 64.0
303 Extraintestinal Entamoeba histolytica amebiasis 63.0
304 Sunburn 60.0
305 Non-alcoholic Fatty Liver Disease 59.0
306 Splenic abscess 59.0
307 Hypoparathyroidism 58.0
308 Chronic Lymphocytic Leukemia 58.0
309 Testicular cancer 58.0
310 Mitral Stenosis 57.0
311 Laryngeal Cancer 57.0
312 Simple kidney cyst 56.0
313 Chronic Cholecystitis 56.0
314 Common cold(adults) 55.0
315 Endometritis 54.0
316 Exocrine pancreatic insufficiency 54.0
317 Limited cutaneous systemic sclerosis 53.0
318 Chronic fatigue syndrome 52.0
319 Gilbert syndrome 52.0
320 Abnormal uterine bleeding 52.0
321 Hypogammaglobulinemia 51.0
322 Tuboovarian abscess 50.0
323 Central hypothyroidism 50.0
324 Chronic liver disease 48.0
325 Systemic vasculitis 48.0
326 Premature labor 48.0
327 Multiple Sclerosis 48.0
328 Ischemic optic neuropathy 48.0
329 Allergic rhinitis 47.0
330 Periorbital and orbital cellulitis 47.0
331 Immune thrombocytopenia 47.0
332 Rotator Cuff Tears 46.0
333 Parkinson disease 46.0
334 Hyperaldosteronism 45.0
335 Prolactinoma 45.0
336 Liver Abscess 44.0
337 Aortic stenosis 44.0
338 Eclampsia 44.0
339 Stroke 41.0
340 Acute Cystitis(Men) 40.0
341 Urinary tract infection 40.0
342 Cystitis 40.0
343 Acute bacterial rhinosinusitis 39.0
344 Atypical pneumonia 39.0
345 Abetalipoproteinemia 39.0
346 Animal bites 38.0
347 Primary hypogonadism 38.0
348 Secondary hypogonadism 38.0
349 Viral conjunctivitis 36.0
350 Common cold(children) 36.0
351 Uveitis 36.0
352 Anterior uveitis 36.0
353 Intermediate uveitis 36.0
354 Posterior uveitis 36.0
355 Pan uveitis 36.0
356 Globus Sensation 36.0
357 Prostatitis 36.0
358 Chronic prostatitis 36.0
359 Middle East respiratory syndrome 35.0
360 Prinzmetal angina 34.0
361 Acute epididymitis 34.0
362 Preeclampsia 34.0
363 Menopause 34.0
364 Dubin-Johnson syndrome 32.0
365 Graves ophthalmopathy 32.0
366 Gingivitis 31.0
367 Phenylketonuria 30.0
368 Acute respiratory failure 30.0
369 Acute Myeloid Leukemia in children 30.0
370 Osteomalacia 30.0
371 Disseminated intravascular coagulation 29.0
372 Bed bugs 28.0
373 Renal Artery Stenosis 27.0
374 Splenic Rupture 27.0
375 Peritonitis 26.0
376 Enterovesical fistula 26.0
377 Pulmonary Embolism 24.0
378 Penis Carcinoma 24.0
379 Scleritis 23.0
380 Anterior scleritis 23.0
381 Posterior scleritis 23.0
382 Pseudohypoparathyroidism 23.0
383 Acute atrial fibrillation 23.0
384 Zenker diverticulum 23.0
385 Acute Cystitis(Women) 23.0
386 Osteoarthritis 23.0
387 Renal vein thrombosis 23.0
388 Von willebrand disease 22.0
389 Acute Bronchitis 21.0
390 Cholecystitis 21.0
391 Blepharitis 21.0
392 Acne fulminans 20.0
393 Recurrent aphthous stomatitis 20.0
394 Pancreatitis 20.0
395 Priapism 20.0
396 Tinnitus 20.0
397 Mirizzi Syndrome 20.0
398 Vaginitis 20.0
399 Urethritis 20.0
400 Phimosis 20.0
401 Paraphimosis 20.0
402 Psoriasis 20.0
403 Oropharyngeal and esophageal candidiasis 20.0
404 Balanitis 20.0
405 Deep venous thrombosis 20.0
406 Bacterial conjunctivitis 19.0
407 Drowning 19.0
408 Tinea versicolor 19.0
409 Rotor syndrome 18.0
410 Hyperglycemia 18.0
411 Osteomyelitis 18.0
412 Acute Bacterial Prostatitis 17.0
413 Nasal polyps 16.0
414 Bullous pemphigoid 16.0
415 Alzheimer disease 16.0
416 Dermatophyte infections 16.0
417 Eyelid Molluscum contagiosum 16.0
418 Paraneoplastic Syndromes 15.0
419 Infertility in women 14.0
420 Peroneal Neuropathy 14.0
421 Extrahepatic Cholestasis 13.0
422 Intrahepatic Cholestasis 13.0
423 Psoriatic arthritis 13.0
424 Primary ciliary dyskinesia 12.0
425 Kartagener syndrome 12.0
426 Chronic atrial fibrillation 12.0
427 Discogenic low back pain 11.0
428 Goiter 11.0
429 Diffuse nontoxic goiter 11.0
430 Toxic multinodular goiter 11.0
431 Obstructive cervical goiters 11.0
432 Cervical goiter 11.0
433 Thyroid lymphoma 10.0
434 Gestational diabetes mellitus 10.0
435 Dacryocystitis 9.0
436 Anal Fissure 9.0
437 Pityriasis rosea 7.0
438 Sexual abuse and assault 7.0
439 Epididymo-orchitis 6.0
440 Angiodysplasia of the colon 6.0
441 Benign Prostatic Hyperplasia 4.0
442 Medullary thyroid cancer 2.0
443 endocarditis 1.0
444 Acne vulgaris 0.0
445 Acne conglobata 0.0
446 Gram-negative folliculitis 0.0
447 Excoriated acne 0.0
448 Essential Tremor 0.0
449 Trachoma 0.0
450 Myasthenia Gravis 0.0
451 Neonatal Myasthenia Gravis 0.0
452 Congenital Myasthenic Syndromes 0.0
453 Conjunctivitis 0.0
454 Epidemic keratoconjunctivitis 0.0
455 Allergic conjunctivitis 0.0
456 Ligneous conjunctivitis 0.0
457 Vernal keratoconjunctivitis 0.0
458 Atopic keratoconjunctivitis 0.0
459 Noninfectious nonallergic conjunctivitis 0.0
460 Hemorrhoids 0.0
461 Hodgkin lymphoma 0.0
462 Androgenetic alopecia 0.0
463 Sialadenitis 0.0
464 Visceral leishmaniasis 0.0
465 Myoclonus 0.0
466 Musculoskeletal lower back pain 0.0