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A 53-year-old Asian man presents as an emergency patient with an acute onset

53 years old | Male

Vignette:

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.

Summary:

acute onset | right lower abdominal pain | 3 days | fever | right-sided abdominal tenderness | McBurney point tenderness | cough tenderness

Dx:

Diverticulitis right-sided diverticular disease

Ref:

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