57 years old | Female
A 57-year-old woman with a history of hypertension and hypercholesterolemia presents to the emergency department with a 24-hour history of gradually worsening left-lower quadrant abdominal pain associated with nausea and vomiting. Prior to this episode, the patient did not have any significant gastrointestinal problems, except slight constipation and occasional dyspepsia after heavy meals. She felt feverish but did not take her temperature. Her family history is negative for gastrointestinal disorders.
hypertension | hypercholesterolemia | hours | gradually worsening | left-lower quadrant abdominal pain | nausea | vomiting | constipation | dyspepsia | after heavy meals | feverish
Diverticulitis
https://online.epocrates.com/diseases/1622/Diverticular-disease/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Acute Cholecystitis | 483.0 |
2 | Acute perforated appendicitis | 438.0 |
3 | Acute Pancreatitis | 437.0 |
4 | Acute Appendicitis | 429.0 |
5 | Emphysematous cholecystitis | 421.0 |
6 | Intussusception | 366.0 |
7 | Acute intermittent porphyria | 348.0 |
8 | Gastroparesis | 335.0 |
9 | Gallstone pancreatitis | 333.0 |
10 | Stable ischemic heart disease | 331.0 |
11 | Choledocholithiasis | 326.0 |
12 | Mesenteric ischemia | 323.0 |
13 | Rocky Mountain spotted fever | 321.0 |
14 | Kidney stones | 319.0 |
15 | Intestinal Obstruction | 318.0 |
16 | Ulcerative Colitis | 317.0 |
17 | Migraine headache in adults | 314.0 |
18 | Diverticulitis | 300.0 |
19 | Acute peptic ulcer | 295.0 |
20 | Gallstones | 293.0 |
21 | Anaphylaxis | 292.0 |
22 | mucosal Eosinophilic gastroenteritis | 291.0 |
23 | Pyogenic Liver Abscess | 288.0 |
24 | Amebic Liver Abscess | 283.0 |
25 | Brucellosis | 275.0 |
26 | Ischemic stroke | 274.0 |
27 | Alcoholic Liver Disease | 273.0 |
28 | Polyarteritis nodosa | 272.0 |
29 | Spontaneous bacterial peritonitis | 271.0 |
30 | Psoas Abscess | 266.0 |
31 | Klebsiella pneumoniae liver abscess | 263.0 |
32 | ST-elevation myocardial infarction | 262.0 |
33 | Crohn Disease | 261.0 |
34 | Analgesic nephropathy | 260.0 |
35 | Pneumonia | 260.0 |
36 | Graves Disease | 258.0 |
37 | Acute pyelonephritis in adults | 257.0 |
38 | Ovarian and fallopian tube torsion | 256.0 |
39 | Acute fatty liver of pregnancy | 253.0 |
40 | Acute bacterial meningitis in adults | 252.0 |
41 | Aortic Dissection | 247.0 |
42 | Autosomal Dominant Polycystic Kidney Disease | 245.0 |
43 | Esophagitis | 243.0 |
44 | Food poisoning | 242.0 |
45 | Addison Disease | 240.0 |
46 | Gallbladder cancer | 238.0 |
47 | Intestinal Pseudo Obstruction | 238.0 |
48 | Non-ST-elevation myocardial infarction | 238.0 |
49 | Intra-abdominal abscess | 238.0 |
50 | Type 2 Diabetes mellitus | 237.0 |
51 | pancreatic cancer | 237.0 |
52 | Hepatocellular carcinoma | 234.0 |
53 | Hereditary Angioedema | 234.0 |
54 | Gastroesophageal reflux disease | 233.0 |
55 | Acute viral meningitis | 233.0 |
56 | Gallbladder Dyskinesia | 231.0 |
57 | Autoimmune hepatitis | 230.0 |
58 | Adrenocortical carcinoma | 229.0 |
59 | Labyrinthitis | 228.0 |
60 | Peptic Ulcer | 228.0 |
61 | Primary sclerosing cholangitis | 226.0 |
62 | Henoch-Schonlein purpura | 226.0 |
63 | Amphetamine use disorder | 226.0 |
64 | Primary biliary cirrhosis | 225.0 |
65 | Prinzmetal angina | 224.0 |
66 | Muscle Layer Eosinophilic gastroenteritis | 224.0 |
67 | Hemorrhagic stroke | 223.0 |
68 | biliary colic | 223.0 |
69 | Diabetic Neuropathy | 221.0 |
70 | Hypercalcemia | 220.0 |
71 | Duodenal Ulcer | 220.0 |
72 | Gastric Ulcer | 220.0 |
73 | Acute disseminated encephalomyelitis | 219.0 |
74 | Gastritis | 218.0 |
75 | Choledochal Cyst | 218.0 |
76 | Chronic bacterial prostatitis | 214.0 |
77 | Alcoholic Fatty Liver | 214.0 |
78 | Alcoholic Liver Cirrhosis | 214.0 |
79 | Salmonella infection | 211.0 |
80 | Chronic Kidney Diseases | 210.0 |
81 | Irritable Bowel Syndrome | 210.0 |
82 | Kawasaki disease | 206.0 |
83 | Non-cholera Vibrio infections | 206.0 |
84 | Splenic Infarction | 204.0 |
85 | Hepatic Encephalopathy | 203.0 |
86 | Ruptured ectopic pregnancy | 202.0 |
87 | Gastric Outlet Obstruction | 202.0 |
88 | Influenza | 201.0 |
89 | Cushing syndrome | 201.0 |
90 | Sigmoid volvulus | 201.0 |
91 | Hyperparathyroidism | 200.0 |
92 | Sarcoidosis | 200.0 |
93 | Campylobacter infection | 198.0 |
94 | Meckel diverticulum | 196.0 |
95 | Non-alcoholic Fatty Liver Disease | 195.0 |
96 | Ovarian Cancer | 193.0 |
97 | Diabetic Ketoacidosis | 192.0 |
98 | Liver Abscess | 191.0 |
99 | Ruptured Tuboovarian abscess | 191.0 |
100 | Stroke | 190.0 |
101 | Chronic pyelonephritis | 190.0 |
102 | Heparin-induced thrombocytopenia | 189.0 |
103 | Systemic lupus erythematosus | 188.0 |
104 | Pyelonephritis | 188.0 |
105 | Ovarian Torsion | 187.0 |
106 | Tuberculous Peritonitis | 185.0 |
107 | Hemolytic uremic syndrome | 185.0 |
108 | Gout | 184.0 |
109 | Acalculous Cholecystitis | 184.0 |
110 | chronic acalculous cholecystitis | 184.0 |
111 | Alcoholic hepatitis | 183.0 |
112 | Thrombotic thrombocytopenic purpura | 183.0 |
113 | Malaria | 183.0 |
114 | Chronic Pancreatitis | 181.0 |
115 | Chronic heart failure | 181.0 |
116 | Acute pericarditis | 181.0 |
117 | Giardiasis | 181.0 |
118 | Aseptic meningitis | 180.0 |
119 | Biliary cirrhosis | 178.0 |
120 | Infectious mononucleosis | 178.0 |
121 | Angle Closure Glaucoma | 177.0 |
122 | Acute pelvic inflammatory disease | 175.0 |
123 | Hyperthyroidism | 174.0 |
124 | Acute Hepatitis | 173.0 |
125 | subserosal eosinophilic gastroenteritis | 173.0 |
126 | Adrenal crisis | 171.0 |
127 | Hiatus hernia | 171.0 |
128 | Acute bacterial meningitis in children | 170.0 |
129 | Lactose intolerance | 170.0 |
130 | Acute Cholangitis | 169.0 |
131 | Acute bacterial meningitis in neonates | 168.0 |
132 | Hypertriglyceridemia | 168.0 |
133 | COPD Exacerbation | 168.0 |
134 | Cellulitis | 166.0 |
135 | Autosomal Recessive Polycystic Kidney Disease | 165.0 |
136 | Common cutaneous drug reactions | 164.0 |
137 | Periorbital and orbital cellulitis | 164.0 |
138 | Viral Gastroenteritis | 164.0 |
139 | Colorectal cancer | 162.0 |
140 | Central retinal artery occlusion | 162.0 |
141 | Granulomatosis with polyangiitis | 162.0 |
142 | Transient ischemic attack | 162.0 |
143 | End Stage Renal Disease | 160.0 |
144 | Chronic Hepatitis | 160.0 |
145 | Anthrax | 160.0 |
146 | Acute Liver Failure | 157.0 |
147 | Acute otitis media | 156.0 |
148 | Migraine | 155.0 |
149 | biliary SOD | 154.0 |
150 | Liver Cirrhosis | 153.0 |
151 | Renal and perinephric abscess | 153.0 |
152 | anterior ischemic optic neuropathy | 153.0 |
153 | Hypothyroidism | 152.0 |
154 | Hereditary hemochromatosis | 152.0 |
155 | Annular pancreas | 149.0 |
156 | Ankylosing spondylitis | 148.0 |
157 | Anal Fissure | 148.0 |
158 | Glomerulonephritis | 147.0 |
159 | Obstructive Sleep Apnea | 146.0 |
160 | Ileus | 146.0 |
161 | pancreatic SOD | 146.0 |
162 | Foreign body ingestion | 146.0 |
163 | Hepatorenal Syndrome | 144.0 |
164 | Milk-alkali syndrome | 143.0 |
165 | Acute Milk-alkali syndrome | 143.0 |
166 | Inguinal hernia | 143.0 |
167 | Eclampsia | 142.0 |
168 | Aortic coarctation | 142.0 |
169 | Eosinophilic gastroenteritis | 142.0 |
170 | Bacterial pharyngitis | 142.0 |
171 | Diabetes Mellitus | 141.0 |
172 | Acute Clonorchiasis | 141.0 |
173 | Systemic sclerosis | 139.0 |
174 | Rumination Syndrome | 139.0 |
175 | Dyspepsia | 138.0 |
176 | Asthma | 137.0 |
177 | Papilledema | 136.0 |
178 | Motion Sickness | 136.0 |
179 | Acromegaly | 135.0 |
180 | Acetaminophen overdose | 135.0 |
181 | Typhoid infection | 135.0 |
182 | Bell palsy | 134.0 |
183 | Familial Mediterranean fever | 134.0 |
184 | Stable angina | 133.0 |
185 | Secondary Peritonitis | 132.0 |
186 | Ascites | 131.0 |
187 | Fungal meningitis | 131.0 |
188 | Inflammatory Bowel Diseases | 130.0 |
189 | Sphincter of Oddi Dysfunction | 130.0 |
190 | Alzheimer disease | 128.0 |
191 | Tuboovarian abscess | 128.0 |
192 | Listerial gastroenteritis | 128.0 |
193 | Pancreatic Pseudocyst | 126.0 |
194 | Type 1 Diabetes mellitus | 125.0 |
195 | Cataract | 125.0 |
196 | Diabetic Kidney Disease | 125.0 |
197 | Ovarian Hyperstimulation Syndrome | 125.0 |
198 | Diabetic Amyotrophy | 124.0 |
199 | Epiploic appendagitis | 124.0 |
200 | Ruptured ovarian cyst | 124.0 |
201 | Chronic atrial fibrillation | 123.0 |
202 | Chronic Milk-alkali syndrome | 123.0 |
203 | Peritoneal dialysis associated peritonitis | 123.0 |
204 | Insect bites and stings | 121.0 |
205 | Peutz-Jeghers Syndrome | 120.0 |
206 | Churg-Strauss Syndrome | 119.0 |
207 | Amyloidosis | 118.0 |
208 | Anemia of chronic disease | 118.0 |
209 | Cholera | 117.0 |
210 | Gastric Volvulus | 116.0 |
211 | Pharyngitis | 116.0 |
212 | Viral pharyngitis | 116.0 |
213 | Endometrial cancer | 114.0 |
214 | Gastric cancer | 114.0 |
215 | Renal Cell Carcinoma | 113.0 |
216 | Animal bites | 113.0 |
217 | Non-small cell lung cancer | 112.0 |
218 | Cryptococcosis | 111.0 |
219 | Subdural hematoma | 111.0 |
220 | Osteomyelitis | 110.0 |
221 | Urinary Tract Obstruction | 109.0 |
222 | Unstable angina | 109.0 |
223 | Sunburn | 106.0 |
224 | Acute Lymphoblastic leukemia in children | 106.0 |
225 | Celiac Disease | 105.0 |
226 | Adrenal Suppression | 105.0 |
227 | Primary Myelofibrosis | 104.0 |
228 | Clostridium difficile infection | 103.0 |
229 | Zollinger-Ellison Syndrome | 103.0 |
230 | Ectopic Pregnancy | 103.0 |
231 | Candidal intertrigo | 102.0 |
232 | Candida Balanitis | 102.0 |
233 | Oropharyngeal and esophageal candidiasis | 102.0 |
234 | Vulvovaginal candidiasis | 102.0 |
235 | Oral candidiasis | 102.0 |
236 | STI HIV Pharyngitis | 102.0 |
237 | Malt lymphoma | 102.0 |
238 | Endometritis | 102.0 |
239 | Osteoporosis | 101.0 |
240 | Rheumatoid Arthritis | 101.0 |
241 | Open Angle Glaucoma | 100.0 |
242 | Lung Cancer | 100.0 |
243 | Peyronie Disease | 100.0 |
244 | Croup | 100.0 |
245 | Chronic meningitis | 100.0 |
246 | Pelvic inflammatory disease | 99.0 |
247 | Chronic prostatitis | 99.0 |
248 | Splenic abscess | 98.0 |
249 | Toxic Megacolon | 98.0 |
250 | Preeclampsia | 97.0 |
251 | COVID19 | 97.0 |
252 | Chronic Cholecystitis | 97.0 |
253 | Foodborne E coli infection | 96.0 |
254 | Cholangiocarcinoma | 95.0 |
255 | Empyema | 94.0 |
256 | Tetanus | 93.0 |
257 | Acne fulminans | 92.0 |
258 | Mitral Stenosis | 92.0 |
259 | Multiple endocrine neoplasia 2A | 91.0 |
260 | Carpal Tunnel Syndrome | 91.0 |
261 | Acute Lymphocytic Leukemia in Adults | 90.0 |
262 | Fibromyalgia | 89.0 |
263 | Chlamydia pneumoniae infection | 89.0 |
264 | Hyperaldosteronism | 88.0 |
265 | Short bowel syndrome | 88.0 |
266 | Acute peritonitis | 88.0 |
267 | Liver disease | 88.0 |
268 | Guillain-Barre syndrome | 87.0 |
269 | Pheochromocytoma | 86.0 |
270 | Leiomyomas | 84.0 |
271 | Familial adenomatous polyposis syndrome | 84.0 |
272 | Meniere disease | 84.0 |
273 | Systemic vasculitis | 81.0 |
274 | posteriorischemic optic neuropathy | 80.0 |
275 | Androgenetic alopecia | 80.0 |
276 | Deep venous thrombosis | 80.0 |
277 | Psychogenic polydipsia | 80.0 |
278 | Painless thyroiditis | 79.0 |
279 | Wilson disease | 77.0 |
280 | Acute respiratory failure | 77.0 |
281 | Atypical pneumonia | 77.0 |
282 | Common cold(children) | 77.0 |
283 | Renal Artery Stenosis | 76.0 |
284 | Anaplastic thyroid cancer | 76.0 |
285 | Erectile dysfunction | 76.0 |
286 | Herpes pharyngitis | 76.0 |
287 | Alopecia areata | 76.0 |
288 | Menopause | 74.0 |
289 | Goiter | 74.0 |
290 | Diffuse nontoxic goiter | 74.0 |
291 | Toxic multinodular goiter | 74.0 |
292 | Cervical goiter | 74.0 |
293 | Hypoparathyroidism | 74.0 |
294 | Gilbert syndrome | 74.0 |
295 | Bacterial gastroenteritis | 74.0 |
296 | Travelers diarrhea | 74.0 |
297 | Cystic Fibrosis | 73.0 |
298 | Autoimmune Pancreatitis | 72.0 |
299 | Extrahepatic Cholestasis | 72.0 |
300 | Intrahepatic Cholestasis | 72.0 |
301 | Obstructive cervical goiters | 71.0 |
302 | Acute Myeloid Leukemia in children | 71.0 |
303 | Priapism | 70.0 |
304 | Achalasia | 70.0 |
305 | Mallory-Weiss syndrome | 70.0 |
306 | Multiple Sclerosis | 68.0 |
307 | Musculoskeletal sprains and strains | 68.0 |
308 | Chronic Myeloid Leukemia | 68.0 |
309 | Chronic pelvic pain in women | 68.0 |
310 | Stevens-Johnson syndrome | 68.0 |
311 | Aortic stenosis | 67.0 |
312 | Intestinal Entamoeba histolytica amebiasis | 67.0 |
313 | Common cold(adults) | 66.0 |
314 | Sialadenitis | 66.0 |
315 | Limited cutaneous systemic sclerosis | 66.0 |
316 | Herpes zoster | 66.0 |
317 | Acute Myeloid Leukemia in adults | 65.0 |
318 | Torsion of appendix of testis | 65.0 |
319 | Pancreatitis | 65.0 |
320 | Gingivitis | 64.0 |
321 | Multiple Myeloma | 62.0 |
322 | Cholecystitis | 62.0 |
323 | Gastroenteritis | 62.0 |
324 | Multiple endocrine neoplasia 2B | 61.0 |
325 | Shigellosis | 61.0 |
326 | Central hypothyroidism | 60.0 |
327 | Panic disorder in adults | 59.0 |
328 | Acute bacterial rhinosinusitis | 59.0 |
329 | Budd Chiari Syndrome | 58.0 |
330 | Non-diabetic hypoglycemia | 58.0 |
331 | Chronic Clonorchiasis | 57.0 |
332 | Chronic Renal vein thrombosis | 56.0 |
333 | Graves ophthalmopathy | 55.0 |
334 | Bacterial conjunctivitis | 55.0 |
335 | Viral conjunctivitis | 55.0 |
336 | Intestinal malrotation | 55.0 |
337 | Benign Prostatic Hyperplasia | 54.0 |
338 | Acute heart failure | 54.0 |
339 | Cholestasis | 53.0 |
340 | Intrahepatic cholestasis of pregnancy | 53.0 |
341 | Intraperitoneal bleeding | 53.0 |
342 | Abnormal uterine bleeding | 52.0 |
343 | Prolactinoma | 52.0 |
344 | Hyperosmolar Hyperglycemic state | 51.0 |
345 | Balanitis | 50.0 |
346 | Ischemic optic neuropathy | 50.0 |
347 | Achilles tendinopathy | 50.0 |
348 | Insomnia in adults | 50.0 |
349 | Achilles tendon rupture | 50.0 |
350 | Dry eye | 50.0 |
351 | Secondary hypogonadism | 50.0 |
352 | Endometriosis | 50.0 |
353 | Varicocele | 50.0 |
354 | Breast Cancer | 50.0 |
355 | Mirizzi Syndrome | 50.0 |
356 | Acute Bacterial Prostatitis | 50.0 |
357 | Splenic Rupture | 50.0 |
358 | Epilepsy | 50.0 |
359 | Genital herpes | 50.0 |
360 | Hypogammaglobulinemia | 49.0 |
361 | Charcot-Marie-Tooth Disease | 48.0 |
362 | Premature labor | 48.0 |
363 | Simple kidney cyst | 47.0 |
364 | Cystitis | 47.0 |
365 | Urinary tract infection | 47.0 |
366 | Umbilical hernia | 47.0 |
367 | Gestational diabetes mellitus | 46.0 |
368 | Xanthelasma | 46.0 |
369 | Rotator Cuff Tears | 46.0 |
370 | Chronic liver disease | 45.0 |
371 | Hyperprolactinemia | 45.0 |
372 | Dermatophyte infections | 45.0 |
373 | Cholangitis | 45.0 |
374 | Acute viral rhinosinusitis | 45.0 |
375 | Prostatitis | 44.0 |
376 | Acute cervical spine trauma | 43.0 |
377 | Bladder Cancer | 43.0 |
378 | Tinnitus | 43.0 |
379 | Chronic fatigue syndrome | 43.0 |
380 | Testicular cancer | 43.0 |
381 | Medullary thyroid cancer | 41.0 |
382 | Atopic dermatitis | 41.0 |
383 | Toxic thyroid adenoma | 39.0 |
384 | Pulmonary Embolism | 38.0 |
385 | Uveitis | 36.0 |
386 | Anterior uveitis | 36.0 |
387 | Intermediate uveitis | 36.0 |
388 | Posterior uveitis | 36.0 |
389 | Pan uveitis | 36.0 |
390 | Chronic Lymphocytic Leukemia | 36.0 |
391 | Secondary hyperparathyroidism | 36.0 |
392 | Parkinson disease | 36.0 |
393 | Acute Bronchitis | 35.0 |
394 | Acne conglobata | 34.0 |
395 | Gram-negative folliculitis | 34.0 |
396 | Excoriated acne | 34.0 |
397 | Candidiasis | 34.0 |
398 | Peritonitis | 34.0 |
399 | Erythema nodosum | 34.0 |
400 | Pressure ulcer | 33.0 |
401 | Laryngeal Cancer | 33.0 |
402 | Dacryocystitis | 33.0 |
403 | Acute atrial fibrillation | 32.0 |
404 | Disseminated intravascular coagulation | 32.0 |
405 | Drowning | 31.0 |
406 | Tinea versicolor | 30.0 |
407 | Acute epididymitis | 29.0 |
408 | Allergic rhinitis | 29.0 |
409 | Nasal polyps | 28.0 |
410 | Optic neuritis | 28.0 |
411 | Neuropapillitis | 28.0 |
412 | Paraneoplastic Syndromes | 27.0 |
413 | Miliaria | 27.0 |
414 | Discogenic low back pain | 26.0 |
415 | Bed bugs | 26.0 |
416 | Phenylketonuria | 25.0 |
417 | Male factor infertility | 24.0 |
418 | Portal hypertension | 23.0 |
419 | Chronic Mitral regurgitation | 23.0 |
420 | Psoriasis | 23.0 |
421 | Bullous pemphigoid | 21.0 |
422 | Oropharyngeal cancer | 20.0 |
423 | Ichthyosis | 20.0 |
424 | Pseudohypoparathyroidism | 20.0 |
425 | Epidemic keratoconjunctivitis | 20.0 |
426 | Thyroid lymphoma | 19.0 |
427 | Biliary cyst | 19.0 |
428 | Premenstrual syndrome | 18.0 |
429 | Amebiasis | 18.0 |
430 | Extraintestinal Entamoeba histolytica amebiasis | 17.0 |
431 | Gallbladder Empyema | 16.0 |
432 | Gastrointestinal Hemorrhage | 16.0 |
433 | Lower gastrointestinal hemorrhage | 16.0 |
434 | Upper gastrointestinal hemorrhage | 16.0 |
435 | Clonorchiasis | 15.0 |
436 | Epididymo-orchitis | 15.0 |
437 | Acne vulgaris | 14.0 |
438 | Middle East respiratory syndrome | 14.0 |
439 | Pityriasis rosea | 12.0 |
440 | Von willebrand disease | 10.0 |
441 | Acute Renal vein thrombosis | 9.0 |
442 | Substernal goiter | 8.0 |
443 | Scleritis | 8.0 |
444 | Anterior scleritis | 8.0 |
445 | Posterior scleritis | 8.0 |
446 | Primary ciliary dyskinesia | 8.0 |
447 | Kartagener syndrome | 8.0 |
448 | Cryptorchidism | 8.0 |
449 | Acute Cystitis(Men) | 7.0 |
450 | Acute Cystitis(Women) | 7.0 |
451 | Psoriatic arthritis | 7.0 |
452 | Immune thrombocytopenia | 6.0 |
453 | Angiodysplasia of the colon | 6.0 |
454 | endocarditis | 2.0 |
455 | Penis Carcinoma | 1.0 |
456 | Essential Tremor | 0.0 |
457 | Trachoma | 0.0 |
458 | Myasthenia Gravis | 0.0 |
459 | Neonatal Myasthenia Gravis | 0.0 |
460 | Congenital Myasthenic Syndromes | 0.0 |
461 | Conjunctivitis | 0.0 |
462 | Allergic conjunctivitis | 0.0 |
463 | Ligneous conjunctivitis | 0.0 |
464 | Vernal keratoconjunctivitis | 0.0 |
465 | Atopic keratoconjunctivitis | 0.0 |
466 | Noninfectious nonallergic conjunctivitis | 0.0 |
467 | Abetalipoproteinemia | 0.0 |
468 | Recurrent aphthous stomatitis | 0.0 |
469 | Zenker diverticulum | 0.0 |
470 | Transverse myelitis | 0.0 |
471 | Hemorrhoids | 0.0 |
472 | Osteoarthritis | 0.0 |
473 | Musculoskeletal lower back pain | 0.0 |