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A 57-year-old woman with a history of hypertension and hypercholesterolemia

57 years old | Female

Vignette:

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.

Summary:

hypertension | hypercholesterolemia | hours | gradually worsening | left-lower quadrant abdominal pain | nausea | vomiting | constipation | dyspepsia | after heavy meals | feverish

Dx:

Diverticulitis

Ref:

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