53 years old | Male
A 53-year-old Asian man presents as an emergency patient with an acute onset of right lower abdominal pain of 3 days' duration. He does not report any prodromal symptoms. On examination, he has a fever and right-sided abdominal tenderness lateral to McBurney point, and cough tenderness is positive.
acute onset | right lower abdominal pain | 3 days | fever | right-sided abdominal tenderness | McBurney point tenderness | cough tenderness
Diverticulitis right-sided diverticular disease
https://online.epocrates.com/diseases/1622/Diverticular-disease/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Spontaneous bacterial peritonitis | 316.0 |
2 | Acute pelvic inflammatory disease | 290.0 |
3 | Acute perforated appendicitis | 286.0 |
4 | Toxic Megacolon | 275.0 |
5 | Sigmoid volvulus | 271.0 |
6 | Acute Appendicitis | 255.0 |
7 | Ruptured ovarian cyst | 250.0 |
8 | Crohn Disease | 240.0 |
9 | Pelvic inflammatory disease | 232.0 |
10 | Intestinal Obstruction | 231.0 |
11 | Ovarian and fallopian tube torsion | 219.0 |
12 | Epiploic appendagitis | 217.0 |
13 | Ruptured ectopic pregnancy | 210.0 |
14 | Acute Cholecystitis | 207.0 |
15 | Emphysematous cholecystitis | 207.0 |
16 | Tuberculous Peritonitis | 197.0 |
17 | Rocky Mountain spotted fever | 195.0 |
18 | Amebic Liver Abscess | 194.0 |
19 | Peritoneal dialysis associated peritonitis | 194.0 |
20 | Foreign body ingestion | 184.0 |
21 | Bacterial pharyngitis | 181.0 |
22 | Klebsiella pneumoniae liver abscess | 181.0 |
23 | Mesenteric ischemia | 178.0 |
24 | Acalculous Cholecystitis | 178.0 |
25 | chronic acalculous cholecystitis | 178.0 |
26 | Pyogenic Liver Abscess | 178.0 |
27 | Psoas Abscess | 178.0 |
28 | Ruptured Tuboovarian abscess | 176.0 |
29 | Acute bacterial meningitis in adults | 168.0 |
30 | Intussusception | 166.0 |
31 | Listerial gastroenteritis | 166.0 |
32 | Alopecia areata | 165.0 |
33 | Chronic Pancreatitis | 163.0 |
34 | Acute peritonitis | 160.0 |
35 | Diabetic Ketoacidosis | 157.0 |
36 | Adrenal crisis | 154.0 |
37 | Aortic Dissection | 151.0 |
38 | Anaphylaxis | 149.0 |
39 | Acute Cholangitis | 149.0 |
40 | Acute peptic ulcer | 148.0 |
41 | Familial Mediterranean fever | 148.0 |
42 | Choledochal Cyst | 147.0 |
43 | Secondary Peritonitis | 147.0 |
44 | Gastric Volvulus | 146.0 |
45 | Salmonella infection | 142.0 |
46 | Viral Gastroenteritis | 141.0 |
47 | Chronic bacterial prostatitis | 139.0 |
48 | Kawasaki disease | 137.0 |
49 | Acute Pancreatitis | 135.0 |
50 | Gallstone pancreatitis | 135.0 |
51 | Pneumonia | 134.0 |
52 | biliary colic | 133.0 |
53 | Bacterial gastroenteritis | 133.0 |
54 | Tuboovarian abscess | 129.0 |
55 | Primary sclerosing cholangitis | 128.0 |
56 | Periorbital and orbital cellulitis | 128.0 |
57 | Intestinal malrotation | 128.0 |
58 | Meckel diverticulum | 127.0 |
59 | Acute pyelonephritis in adults | 127.0 |
60 | Campylobacter infection | 126.0 |
61 | Food poisoning | 125.0 |
62 | Brucellosis | 125.0 |
63 | Chronic prostatitis | 125.0 |
64 | Common cutaneous drug reactions | 125.0 |
65 | Diverticulitis | 124.0 |
66 | Splenic Infarction | 124.0 |
67 | Endometritis | 124.0 |
68 | Biliary cirrhosis | 121.0 |
69 | Primary biliary cirrhosis | 121.0 |
70 | Foodborne E coli infection | 121.0 |
71 | Ectopic Pregnancy | 119.0 |
72 | Acute pericarditis | 118.0 |
73 | COPD Exacerbation | 118.0 |
74 | Churg-Strauss Syndrome | 117.0 |
75 | Shigellosis | 116.0 |
76 | Lactose intolerance | 116.0 |
77 | Ankylosing spondylitis | 116.0 |
78 | Addison Disease | 115.0 |
79 | Croup | 115.0 |
80 | Intestinal Entamoeba histolytica amebiasis | 114.0 |
81 | Systemic lupus erythematosus | 113.0 |
82 | Ulcerative Colitis | 112.0 |
83 | Anthrax | 112.0 |
84 | Renal and perinephric abscess | 112.0 |
85 | Mirizzi Syndrome | 111.0 |
86 | Malaria | 111.0 |
87 | Autoimmune hepatitis | 110.0 |
88 | Acute intermittent porphyria | 110.0 |
89 | Acute viral meningitis | 109.0 |
90 | Alcoholic hepatitis | 108.0 |
91 | Acute Lymphoblastic leukemia in children | 108.0 |
92 | Sarcoidosis | 105.0 |
93 | Alcoholic Liver Disease | 104.0 |
94 | Liver Cirrhosis | 102.0 |
95 | Acute otitis media | 101.0 |
96 | Influenza | 100.0 |
97 | mucosal Eosinophilic gastroenteritis | 99.0 |
98 | Intra-abdominal abscess | 99.0 |
99 | Acute bacterial meningitis in neonates | 99.0 |
100 | Kidney stones | 98.0 |
101 | Muscle Layer Eosinophilic gastroenteritis | 97.0 |
102 | subserosal eosinophilic gastroenteritis | 97.0 |
103 | Splenic abscess | 97.0 |
104 | Tetanus | 97.0 |
105 | Chronic Renal vein thrombosis | 95.0 |
106 | Giardiasis | 95.0 |
107 | Intraperitoneal bleeding | 94.0 |
108 | Empyema | 94.0 |
109 | Erythema nodosum | 93.0 |
110 | Inflammatory Bowel Diseases | 93.0 |
111 | pancreatic cancer | 91.0 |
112 | Acute bacterial meningitis in children | 91.0 |
113 | Ischemic stroke | 91.0 |
114 | Middle East respiratory syndrome | 90.0 |
115 | Choledocholithiasis | 89.0 |
116 | Zollinger-Ellison Syndrome | 89.0 |
117 | biliary SOD | 89.0 |
118 | Acute Lymphocytic Leukemia in Adults | 89.0 |
119 | Alcoholic Fatty Liver | 88.0 |
120 | Cellulitis | 88.0 |
121 | Granulomatosis with polyangiitis | 88.0 |
122 | Pyelonephritis | 88.0 |
123 | Anemia of chronic disease | 88.0 |
124 | Achilles tendinopathy | 88.0 |
125 | Achilles tendon rupture | 88.0 |
126 | Budd Chiari Syndrome | 87.0 |
127 | Abdominal compartment syndrome | 87.0 |
128 | Gallbladder Dyskinesia | 86.0 |
129 | Graves Disease | 86.0 |
130 | Chlamydia pneumoniae infection | 86.0 |
131 | Peritonitis | 85.0 |
132 | Bell palsy | 84.0 |
133 | Alcoholic Liver Cirrhosis | 84.0 |
134 | Preeclampsia | 84.0 |
135 | Heparin-induced thrombocytopenia | 84.0 |
136 | Gastroenteritis | 84.0 |
137 | Esophagitis | 83.0 |
138 | Inguinal hernia | 83.0 |
139 | Ascites | 80.0 |
140 | COVID19 | 80.0 |
141 | Cholangiocarcinoma | 79.0 |
142 | Extraintestinal Entamoeba histolytica amebiasis | 79.0 |
143 | Ovarian Torsion | 79.0 |
144 | Acute Liver Failure | 78.0 |
145 | Musculoskeletal sprains and strains | 78.0 |
146 | pancreatic SOD | 78.0 |
147 | Eosinophilic gastroenteritis | 77.0 |
148 | Acute heart failure | 77.0 |
149 | Type 2 Diabetes mellitus | 76.0 |
150 | Infectious mononucleosis | 76.0 |
151 | Acute Clonorchiasis | 76.0 |
152 | Cataract | 75.0 |
153 | Liver Abscess | 75.0 |
154 | Eclampsia | 75.0 |
155 | Hiatus hernia | 74.0 |
156 | Polyarteritis nodosa | 74.0 |
157 | Acute Bacterial Prostatitis | 74.0 |
158 | Autosomal Dominant Polycystic Kidney Disease | 73.0 |
159 | Thrombotic thrombocytopenic purpura | 73.0 |
160 | Aseptic meningitis | 73.0 |
161 | Upper gastrointestinal hemorrhage | 72.0 |
162 | Lower gastrointestinal hemorrhage | 72.0 |
163 | Gastrointestinal Hemorrhage | 72.0 |
164 | Duodenal Ulcer | 70.0 |
165 | Gastric Ulcer | 70.0 |
166 | Gastroparesis | 70.0 |
167 | Diabetic Neuropathy | 69.0 |
168 | Cystitis | 69.0 |
169 | Angle Closure Glaucoma | 68.0 |
170 | Central retinal artery occlusion | 68.0 |
171 | Clostridium difficile infection | 68.0 |
172 | Animal bites | 68.0 |
173 | Non-cholera Vibrio infections | 68.0 |
174 | Systemic vasculitis | 68.0 |
175 | Splenic Rupture | 67.0 |
176 | Epilepsy | 67.0 |
177 | Viral pharyngitis | 67.0 |
178 | Pharyngitis | 67.0 |
179 | Genital herpes | 67.0 |
180 | Chronic meningitis | 67.0 |
181 | Torsion of appendix of testis | 65.0 |
182 | Common cold(children) | 65.0 |
183 | Cushing syndrome | 65.0 |
184 | Acute Hepatitis | 64.0 |
185 | Ovarian Cancer | 64.0 |
186 | Gastritis | 63.0 |
187 | Cryptococcosis | 63.0 |
188 | Stevens-Johnson syndrome | 63.0 |
189 | Non-ST-elevation myocardial infarction | 63.0 |
190 | Biliary cyst | 63.0 |
191 | Celiac Disease | 62.0 |
192 | Chronic pelvic pain in women | 62.0 |
193 | Sphincter of Oddi Dysfunction | 62.0 |
194 | Gallstones | 61.0 |
195 | Ileus | 61.0 |
196 | Cholangitis | 61.0 |
197 | Pancreatitis | 61.0 |
198 | Acute viral rhinosinusitis | 61.0 |
199 | Endometriosis | 61.0 |
200 | Chronic Clonorchiasis | 60.0 |
201 | Hepatic Encephalopathy | 60.0 |
202 | Hypertriglyceridemia | 60.0 |
203 | Morton neuroma | 60.0 |
204 | Cholera | 59.0 |
205 | Dyspepsia | 58.0 |
206 | Colorectal cancer | 58.0 |
207 | Ovarian Hyperstimulation Syndrome | 58.0 |
208 | Insect bites and stings | 58.0 |
209 | Prostatitis | 56.0 |
210 | Amebiasis | 56.0 |
211 | Cholecystitis | 56.0 |
212 | Chronic Cholecystitis | 56.0 |
213 | Acute disseminated encephalomyelitis | 55.0 |
214 | Acute fatty liver of pregnancy | 55.0 |
215 | Liver disease | 55.0 |
216 | Acne fulminans | 55.0 |
217 | Labyrinthitis | 55.0 |
218 | Fungal meningitis | 55.0 |
219 | Fibromyalgia | 55.0 |
220 | Irritable Bowel Syndrome | 54.0 |
221 | Stroke | 54.0 |
222 | Urinary tract infection | 54.0 |
223 | Peptic Ulcer | 53.0 |
224 | Pancreatic Pseudocyst | 53.0 |
225 | Hepatocellular carcinoma | 53.0 |
226 | Primary Myelofibrosis | 53.0 |
227 | STI HIV Pharyngitis | 53.0 |
228 | Acute Myeloid Leukemia in children | 53.0 |
229 | Transient ischemic attack | 53.0 |
230 | Adrenocortical carcinoma | 52.0 |
231 | Hepatorenal Syndrome | 52.0 |
232 | Gallbladder cancer | 51.0 |
233 | Travelers diarrhea | 51.0 |
234 | Peutz-Jeghers Syndrome | 51.0 |
235 | Varicocele | 50.0 |
236 | Autosomal Recessive Polycystic Kidney Disease | 50.0 |
237 | Rheumatoid Arthritis | 50.0 |
238 | ST-elevation myocardial infarction | 50.0 |
239 | Stable ischemic heart disease | 50.0 |
240 | Clonorchiasis | 50.0 |
241 | Annular pancreas | 49.0 |
242 | Hereditary Angioedema | 49.0 |
243 | Hyperthyroidism | 49.0 |
244 | Chronic pyelonephritis | 49.0 |
245 | Charcot-Marie-Tooth Disease | 48.0 |
246 | Hemolytic uremic syndrome | 48.0 |
247 | Hereditary hemochromatosis | 48.0 |
248 | Viral conjunctivitis | 48.0 |
249 | Bacterial conjunctivitis | 48.0 |
250 | Autoimmune Pancreatitis | 47.0 |
251 | Panic disorder in adults | 47.0 |
252 | Intestinal Pseudo Obstruction | 47.0 |
253 | Wilson disease | 46.0 |
254 | Hypothyroidism | 46.0 |
255 | Systemic sclerosis | 46.0 |
256 | Analgesic nephropathy | 46.0 |
257 | Osteomyelitis | 46.0 |
258 | Leiomyomas | 45.0 |
259 | Hemorrhagic stroke | 45.0 |
260 | Hyperosmolar Hyperglycemic state | 45.0 |
261 | Carpal Tunnel Syndrome | 44.0 |
262 | Common cold(adults) | 44.0 |
263 | Chronic Myeloid Leukemia | 44.0 |
264 | Chronic Hepatitis | 43.0 |
265 | Pheochromocytoma | 43.0 |
266 | Amphetamine use disorder | 42.0 |
267 | Non-small cell lung cancer | 42.0 |
268 | Lung Cancer | 41.0 |
269 | Chronic heart failure | 41.0 |
270 | Short bowel syndrome | 41.0 |
271 | Adrenal Suppression | 40.0 |
272 | Renal vein thrombosis | 40.0 |
273 | Acute Renal vein thrombosis | 40.0 |
274 | Hypoparathyroidism | 39.0 |
275 | Achalasia | 38.0 |
276 | Chronic Kidney Diseases | 38.0 |
277 | Gilbert syndrome | 38.0 |
278 | Premature labor | 38.0 |
279 | Breast Cancer | 38.0 |
280 | Anaplastic thyroid cancer | 37.0 |
281 | Mitral Stenosis | 36.0 |
282 | Diabetic Amyotrophy | 36.0 |
283 | Glomerulonephritis | 36.0 |
284 | Psoriasis | 36.0 |
285 | Acute bacterial rhinosinusitis | 36.0 |
286 | Sunburn | 35.0 |
287 | Non-diabetic hypoglycemia | 35.0 |
288 | Urinary Tract Obstruction | 34.0 |
289 | Hyperparathyroidism | 34.0 |
290 | Gingivitis | 34.0 |
291 | Pulmonary Embolism | 33.0 |
292 | Multiple Sclerosis | 33.0 |
293 | Bladder Cancer | 31.0 |
294 | Rumination Syndrome | 29.0 |
295 | Intrahepatic cholestasis of pregnancy | 29.0 |
296 | Typhoid infection | 28.0 |
297 | Hyperprolactinemia | 28.0 |
298 | Hypercalcemia | 27.0 |
299 | Herpes zoster | 27.0 |
300 | Herpes pharyngitis | 27.0 |
301 | Phenylketonuria | 27.0 |
302 | Subdural hematoma | 27.0 |
303 | Kartagener syndrome | 27.0 |
304 | Primary ciliary dyskinesia | 27.0 |
305 | Acetaminophen overdose | 26.0 |
306 | Epididymo-orchitis | 25.0 |
307 | Acromegaly | 25.0 |
308 | Disseminated intravascular coagulation | 25.0 |
309 | Sialadenitis | 25.0 |
310 | Gastric cancer | 24.0 |
311 | Type 1 Diabetes mellitus | 24.0 |
312 | Renal Cell Carcinoma | 24.0 |
313 | Nasal polyps | 24.0 |
314 | Hypogammaglobulinemia | 24.0 |
315 | Acute epididymitis | 24.0 |
316 | Multiple endocrine neoplasia 2B | 24.0 |
317 | Dacryocystitis | 24.0 |
318 | Parkinson disease | 24.0 |
319 | Gastroesophageal reflux disease | 23.0 |
320 | Non-alcoholic Fatty Liver Disease | 23.0 |
321 | Portal hypertension | 23.0 |
322 | Chronic Mitral regurgitation | 23.0 |
323 | Obstructive Sleep Apnea | 23.0 |
324 | Multiple Myeloma | 23.0 |
325 | Gout | 22.0 |
326 | Papilledema | 22.0 |
327 | Acute Myeloid Leukemia in adults | 22.0 |
328 | Familial adenomatous polyposis syndrome | 22.0 |
329 | Limited cutaneous systemic sclerosis | 22.0 |
330 | Alzheimer disease | 22.0 |
331 | Aortic coarctation | 20.0 |
332 | Enterovesical fistula | 20.0 |
333 | Epidemic keratoconjunctivitis | 20.0 |
334 | Bullous pemphigoid | 20.0 |
335 | Umbilical hernia | 19.0 |
336 | Dubin-Johnson syndrome | 19.0 |
337 | anterior ischemic optic neuropathy | 18.0 |
338 | Acute Bronchitis | 18.0 |
339 | Allergic rhinitis | 18.0 |
340 | Chronic atrial fibrillation | 18.0 |
341 | Uveitis | 18.0 |
342 | Anterior uveitis | 18.0 |
343 | Intermediate uveitis | 18.0 |
344 | Posterior uveitis | 18.0 |
345 | Pan uveitis | 18.0 |
346 | Balanitis | 18.0 |
347 | End Stage Renal Disease | 18.0 |
348 | Pressure ulcer | 18.0 |
349 | Cystic Fibrosis | 17.0 |
350 | iritis | 17.0 |
351 | Acute Cystitis(Women) | 17.0 |
352 | Ischemic optic neuropathy | 17.0 |
353 | posteriorischemic optic neuropathy | 17.0 |
354 | Acute respiratory failure | 17.0 |
355 | Insomnia in adults | 17.0 |
356 | Premenstrual syndrome | 17.0 |
357 | Chronic Milk-alkali syndrome | 17.0 |
358 | Acute Milk-alkali syndrome | 17.0 |
359 | Milk-alkali syndrome | 17.0 |
360 | Parkinsonism | 17.0 |
361 | Infertility in women | 17.0 |
362 | Chronic Lymphocytic Leukemia | 16.0 |
363 | Chronic fatigue syndrome | 16.0 |
364 | Acute Rhinosinusitis | 16.0 |
365 | Motion Sickness | 16.0 |
366 | Gallbladder Empyema | 16.0 |
367 | Simple kidney cyst | 15.0 |
368 | Malt lymphoma | 15.0 |
369 | Acute Cystitis(Men) | 15.0 |
370 | Prolactinoma | 15.0 |
371 | Vaginitis | 15.0 |
372 | Urethritis | 15.0 |
373 | Phimosis | 15.0 |
374 | Paraphimosis | 15.0 |
375 | Henoch-Schonlein purpura | 15.0 |
376 | Chronic liver disease | 14.0 |
377 | Diabetes Mellitus | 14.0 |
378 | Pseudohypoparathyroidism | 14.0 |
379 | Aortic stenosis | 14.0 |
380 | Endometrial cancer | 14.0 |
381 | Menopause | 14.0 |
382 | Laryngeal Cancer | 14.0 |
383 | Osteoarthritis | 13.0 |
384 | Optic neuritis | 13.0 |
385 | Neuropapillitis | 13.0 |
386 | Thyroid lymphoma | 13.0 |
387 | Atypical pneumonia | 13.0 |
388 | Rotator Cuff Tears | 13.0 |
389 | Multiple endocrine neoplasia 2A | 12.0 |
390 | Temporomandibular joint syndrome | 12.0 |
391 | Bruxism | 12.0 |
392 | Angiodysplasia of the colon | 11.0 |
393 | Gestational diabetes mellitus | 11.0 |
394 | Dermatophyte infections | 10.0 |
395 | Bed bugs | 10.0 |
396 | Migraine headache in adults | 10.0 |
397 | Amyloidosis | 10.0 |
398 | Central hypothyroidism | 10.0 |
399 | Diabetic Kidney Disease | 10.0 |
400 | Scleritis | 8.0 |
401 | Anterior scleritis | 8.0 |
402 | Posterior scleritis | 8.0 |
403 | Acute atrial fibrillation | 8.0 |
404 | Miliaria | 7.0 |
405 | Psoriatic arthritis | 7.0 |
406 | Male factor infertility | 6.0 |
407 | Hemorrhoids | 5.0 |
408 | Immune thrombocytopenia | 5.0 |
409 | Psychogenic polydipsia | 5.0 |
410 | Pityriasis rosea | 5.0 |
411 | Ichthyosis | 5.0 |
412 | Hyperaldosteronism | 4.0 |
413 | endocarditis | 2.0 |
414 | Essential Tremor | 0.0 |
415 | Trachoma | 0.0 |
416 | Prinzmetal angina | 0.0 |
417 | Myasthenia Gravis | 0.0 |
418 | Neonatal Myasthenia Gravis | 0.0 |
419 | Congenital Myasthenic Syndromes | 0.0 |
420 | Musculoskeletal lower back pain | 0.0 |
421 | Acne conglobata | 0.0 |
422 | Penis Carcinoma | 0.0 |
423 | Deep venous thrombosis | 0.0 |
424 | Guillain-Barre syndrome | 0.0 |
425 | Goiter | 0.0 |
426 | Recurrent aphthous stomatitis | 0.0 |
427 | Abetalipoproteinemia | 0.0 |
428 | Meniere disease | 0.0 |
429 | Oropharyngeal cancer | 0.0 |
430 | Obstructive cervical goiters | 0.0 |
431 | Toxic multinodular goiter | 0.0 |
432 | Diffuse nontoxic goiter | 0.0 |
433 | Cervical goiter | 0.0 |
434 | Discogenic low back pain | 0.0 |
435 | Measles | 0.0 |