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A 75-year-old man with a past history of hypertension and ischemic

75 years old | Male

Vignette:

A 75-year-old man with a past history of hypertension and ischemic heart disease presents with a 2-day history of bleeding per rectum. Prior to this he had constipation and left lower abdominal pain for 1 week. He does not have any fever, nausea, or vomiting, but feels tired and lethargic.

Summary:

history of hypertension | history of ischemic heart disease | 2-day | rectal bleeding | constipation | left lower abdominal pain | 1 week | tired | lethargic

Dx:

Diverticulitis bleeding diverticular disease

Ref:

https://online.epocrates.com/diseases/1622/Diverticular-disease/Common-Vignette

Rank

Disease

Weight

1 Mesenteric ischemia 301.0
2 Colorectal cancer 245.0
3 Hereditary hemochromatosis 236.0
4 Cushing syndrome 235.0
5 Primary sclerosing cholangitis 229.0
6 Chronic heart failure 215.0
7 Stable ischemic heart disease 212.0
8 Intussusception 211.0
9 Primary biliary cirrhosis 210.0
10 Hepatic Encephalopathy 208.0
11 Liver Cirrhosis 199.0
12 Biliary cirrhosis 197.0
13 Chronic Kidney Diseases 196.0
14 Brucellosis 186.0
15 Acute intermittent porphyria 182.0
16 Adrenocortical carcinoma 181.0
17 Graves Disease 179.0
18 COPD Exacerbation 176.0
19 Diverticulitis 176.0
20 Non-alcoholic Fatty Liver Disease 170.0
21 Hyperosmolar Hyperglycemic state 167.0
22 Hepatocellular carcinoma 162.0
23 Ovarian Cancer 162.0
24 Ulcerative Colitis 160.0
25 pancreatic cancer 158.0
26 Polyarteritis nodosa 157.0
27 Chronic atrial fibrillation 156.0
28 Acromegaly 155.0
29 Hemolytic uremic syndrome 153.0
30 Hypothyroidism 150.0
31 Alcoholic hepatitis 148.0
32 Henoch-Schonlein purpura 147.0
33 Hemorrhagic stroke 146.0
34 Type 2 Diabetes mellitus 144.0
35 Intestinal Pseudo Obstruction 143.0
36 Aortic Dissection 142.0
37 Anal Fissure 140.0
38 Tuberculous Peritonitis 139.0
39 Alcoholic Fatty Liver 139.0
40 Sigmoid volvulus 139.0
41 Ileus 138.0
42 Amebic Liver Abscess 137.0
43 Ischemic stroke 137.0
44 Klebsiella pneumoniae liver abscess 136.0
45 Kidney stones 136.0
46 Alzheimer disease 135.0
47 Intra-abdominal abscess 135.0
48 Sarcoidosis 134.0
49 Psoas Abscess 134.0
50 Chronic Myeloid Leukemia 133.0
51 Autoimmune hepatitis 132.0
52 Gout 132.0
53 Non-ST-elevation myocardial infarction 131.0
54 Salmonella infection 131.0
55 Acute peptic ulcer 131.0
56 Acute Cholecystitis 130.0
57 anterior ischemic optic neuropathy 129.0
58 Eclampsia 128.0
59 Crohn Disease 128.0
60 Acute viral meningitis 126.0
61 Hyperparathyroidism 125.0
62 Gastroparesis 125.0
63 Intestinal Entamoeba histolytica amebiasis 125.0
64 Systemic lupus erythematosus 124.0
65 Intestinal malrotation 124.0
66 Amyloidosis 123.0
67 Heparin-induced thrombocytopenia 122.0
68 Hyperaldosteronism 121.0
69 Systemic sclerosis 121.0
70 Anaphylaxis 121.0
71 Transient ischemic attack 121.0
72 Acute bacterial meningitis in adults 120.0
73 Obstructive Sleep Apnea 117.0
74 Chronic Pancreatitis 116.0
75 Migraine headache in adults 116.0
76 Non-diabetic hypoglycemia 115.0
77 Adrenal crisis 114.0
78 Pyogenic Liver Abscess 113.0
79 Addison Disease 112.0
80 Emphysematous cholecystitis 111.0
81 Pneumonia 110.0
82 Hypercalcemia 110.0
83 Insomnia in adults 110.0
84 Food poisoning 109.0
85 Stroke 108.0
86 Painless thyroiditis 108.0
87 Type 1 Diabetes mellitus 107.0
88 Duodenal Ulcer 107.0
89 Gastric Ulcer 107.0
90 Analgesic nephropathy 106.0
91 Hepatorenal Syndrome 106.0
92 Goiter 106.0
93 Diffuse nontoxic goiter 106.0
94 Toxic multinodular goiter 106.0
95 Cervical goiter 106.0
96 Liver disease 106.0
97 Chronic Hepatitis 105.0
98 Diabetic Neuropathy 104.0
99 Multiple Sclerosis 104.0
100 Aortic coarctation 104.0
101 Obstructive cervical goiters 103.0
102 Meckel diverticulum 103.0
103 Autosomal Dominant Polycystic Kidney Disease 101.0
104 Preeclampsia 101.0
105 Liver Abscess 101.0
106 Chronic pelvic pain in women 101.0
107 Secondary hypogonadism 100.0
108 Acute pyelonephritis in adults 100.0
109 Ankylosing spondylitis 99.0
110 Foreign body ingestion 98.0
111 Ruptured Tuboovarian abscess 98.0
112 Endometrial cancer 97.0
113 Kawasaki disease 96.0
114 Prinzmetal angina 95.0
115 Aortic stenosis 95.0
116 Acute disseminated encephalomyelitis 94.0
117 Pheochromocytoma 92.0
118 Infectious mononucleosis 92.0
119 Acute Appendicitis 92.0
120 Acute perforated appendicitis 92.0
121 Glomerulonephritis 91.0
122 Central retinal artery occlusion 91.0
123 Toxic Megacolon 89.0
124 Renal and perinephric abscess 88.0
125 Diabetic Ketoacidosis 88.0
126 Diabetic Amyotrophy 88.0
127 Churg-Strauss Syndrome 87.0
128 Acute bacterial meningitis in neonates 87.0
129 Malaria 87.0
130 Intestinal Obstruction 87.0
131 Central hypothyroidism 86.0
132 Osteomyelitis 86.0
133 Chronic Mitral regurgitation 86.0
134 Alcoholic Liver Cirrhosis 85.0
135 Hypertriglyceridemia 84.0
136 Hemorrhoids 84.0
137 Hyperthyroidism 83.0
138 Familial Mediterranean fever 83.0
139 Migraine 83.0
140 Guillain-Barre syndrome 82.0
141 Influenza 82.0
142 Acute respiratory failure 82.0
143 Balanitis 81.0
144 Cystic Fibrosis 81.0
145 Peutz-Jeghers Syndrome 81.0
146 Hereditary Angioedema 80.0
147 Androgenetic alopecia 80.0
148 Graves ophthalmopathy 80.0
149 Deep venous thrombosis 80.0
150 Endometriosis 80.0
151 Ischemic optic neuropathy 79.0
152 posteriorischemic optic neuropathy 79.0
153 Acute fatty liver of pregnancy 79.0
154 Gastrointestinal Hemorrhage 79.0
155 Lower gastrointestinal hemorrhage 79.0
156 Upper gastrointestinal hemorrhage 79.0
157 Choledocholithiasis 78.0
158 Acetaminophen overdose 78.0
159 Bacterial gastroenteritis 78.0
160 Choledochal Cyst 77.0
161 Gallbladder cancer 76.0
162 Granulomatosis with polyangiitis 76.0
163 Fibromyalgia 76.0
164 Campylobacter infection 76.0
165 Irritable Bowel Syndrome 76.0
166 Open Angle Glaucoma 75.0
167 Mitral Stenosis 74.0
168 Foodborne E coli infection 74.0
169 Acute Myeloid Leukemia in adults 73.0
170 Multiple endocrine neoplasia 2A 72.0
171 Multiple endocrine neoplasia 2B 72.0
172 Thrombotic thrombocytopenic purpura 72.0
173 Shigellosis 72.0
174 Primary Myelofibrosis 71.0
175 Acute bacterial meningitis in children 71.0
176 Acute Mitral regurgitation 70.0
177 Zollinger-Ellison Syndrome 70.0
178 Chronic bacterial prostatitis 69.0
179 Diabetes Mellitus 69.0
180 End Stage Renal Disease 68.0
181 Non-small cell lung cancer 68.0
182 Rheumatoid Arthritis 68.0
183 Candidal intertrigo 68.0
184 Candida Balanitis 68.0
185 Oropharyngeal and esophageal candidiasis 68.0
186 Vulvovaginal candidiasis 68.0
187 Oral candidiasis 68.0
188 Anemia of chronic disease 68.0
189 Drowning 67.0
190 Diabetic Kidney Disease 67.0
191 Giardiasis 67.0
192 Ovarian and fallopian tube torsion 66.0
193 Hyperprolactinemia 66.0
194 Renal Artery Stenosis 65.0
195 Gallstones 65.0
196 Amphetamine use disorder 65.0
197 Typhoid infection 65.0
198 Inflammatory Bowel Diseases 65.0
199 Peptic Ulcer 65.0
200 Acute Liver Failure 64.0
201 Gingivitis 64.0
202 Parkinson disease 64.0
203 Adrenal Suppression 63.0
204 Familial adenomatous polyposis syndrome 63.0
205 Alcoholic Liver Disease 63.0
206 Wilson disease 62.0
207 Urinary Tract Obstruction 62.0
208 Leiomyomas 62.0
209 Erectile dysfunction 62.0
210 Menopause 62.0
211 Cholera 62.0
212 Bladder Cancer 62.0
213 Rocky Mountain spotted fever 62.0
214 Pancreatic Pseudocyst 61.0
215 Spontaneous bacterial peritonitis 61.0
216 Cellulitis 61.0
217 Cholangiocarcinoma 61.0
218 Autosomal Recessive Polycystic Kidney Disease 60.0
219 Osteoporosis 60.0
220 Ruptured ectopic pregnancy 60.0
221 Splenic abscess 60.0
222 Hypoparathyroidism 59.0
223 Medullary thyroid cancer 58.0
224 Cryptococcosis 58.0
225 Anal Cancer 58.0
226 mucosal Eosinophilic gastroenteritis 57.0
227 Insect bites and stings 56.0
228 Multiple Myeloma 56.0
229 Eosinophilic gastroenteritis 56.0
230 Muscle Layer Eosinophilic gastroenteritis 56.0
231 subserosal eosinophilic gastroenteritis 56.0
232 Short bowel syndrome 56.0
233 Celiac Disease 55.0
234 Acute Cholangitis 55.0
235 Autoimmune Pancreatitis 54.0
236 Acne fulminans 54.0
237 Acne conglobata 54.0
238 Gram-negative folliculitis 54.0
239 Excoriated acne 54.0
240 Viral Gastroenteritis 54.0
241 Annular pancreas 53.0
242 Epiploic appendagitis 53.0
243 Asthma 52.0
244 Bacterial pharyngitis 52.0
245 Chronic liver disease 51.0
246 Acute Lymphocytic Leukemia in Adults 51.0
247 Peritoneal dialysis associated peritonitis 51.0
248 Benign Prostatic Hyperplasia 50.0
249 Peyronie Disease 50.0
250 Priapism 50.0
251 Achilles tendinopathy 50.0
252 Achilles tendon rupture 50.0
253 Labyrinthitis 50.0
254 Carpal Tunnel Syndrome 50.0
255 Cataract 50.0
256 Bell palsy 50.0
257 Dry eye 50.0
258 Animal bites 50.0
259 Mitral Valve Prolapse 50.0
260 Tuboovarian abscess 50.0
261 Clostridium difficile infection 49.0
262 Premenstrual syndrome 49.0
263 Stable angina 48.0
264 Acute heart failure 48.0
265 Abnormal uterine bleeding 48.0
266 COVID19 47.0
267 Chronic pyelonephritis 47.0
268 Pseudohypoparathyroidism 47.0
269 Sialadenitis 47.0
270 Gestational diabetes mellitus 46.0
271 Systemic vasculitis 45.0
272 Acute Lymphoblastic leukemia in children 45.0
273 Osteoarthritis 45.0
274 Listerial gastroenteritis 44.0
275 Renal Cell Carcinoma 43.0
276 Acute cervical spine trauma 43.0
277 Psychogenic polydipsia 43.0
278 Testicular cancer 43.0
279 Unstable angina 41.0
280 Anaplastic thyroid cancer 41.0
281 Toxic thyroid adenoma 41.0
282 Dermatophyte infections 41.0
283 Splenic Rupture 40.0
284 Rumination Syndrome 38.0
285 Acute Myeloid Leukemia in children 38.0
286 Budd Chiari Syndrome 37.0
287 Discogenic low back pain 37.0
288 Lactose intolerance 36.0
289 Extraintestinal Entamoeba histolytica amebiasis 35.0
290 Gastric Volvulus 35.0
291 Ruptured ovarian cyst 35.0
292 Milk-alkali syndrome 34.0
293 Common cutaneous drug reactions 34.0
294 Acute Milk-alkali syndrome 34.0
295 Chronic Milk-alkali syndrome 34.0
296 Candidiasis 34.0
297 Extrahepatic Cholestasis 34.0
298 Intrahepatic Cholestasis 34.0
299 Anthrax 34.0
300 Secondary Peritonitis 34.0
301 Pelvic inflammatory disease 34.0
302 Acute pelvic inflammatory disease 34.0
303 Aseptic meningitis 34.0
304 ST-elevation myocardial infarction 33.0
305 Gastritis 33.0
306 Simple kidney cyst 32.0
307 Lung Cancer 32.0
308 Non-cholera Vibrio infections 32.0
309 Acute Hepatitis 31.0
310 Gilbert syndrome 31.0
311 Paraneoplastic Syndromes 30.0
312 Chronic Lymphocytic Leukemia 30.0
313 Tinea versicolor 30.0
314 Atypical pneumonia 30.0
315 Ectopic Pregnancy 30.0
316 Autoimmune hemolytic anemia 30.0
317 Pharyngitis 30.0
318 STI HIV Pharyngitis 30.0
319 Herpes pharyngitis 30.0
320 Acute Rhinosinusitis 30.0
321 Acute bacterial rhinosinusitis 30.0
322 Acute viral rhinosinusitis 30.0
323 Secondary hyperparathyroidism 29.0
324 Disseminated intravascular coagulation 29.0
325 Splenic Infarction 29.0
326 Biliary cyst 29.0
327 Primary ciliary dyskinesia 29.0
328 Kartagener syndrome 29.0
329 Pancreatitis 29.0
330 Inguinal hernia 27.0
331 Acute Clonorchiasis 27.0
332 cholestatic liver disease 27.0
333 Viral pharyngitis 27.0
334 Acalculous Cholecystitis 26.0
335 chronic acalculous cholecystitis 26.0
336 Acute atrial fibrillation 25.0
337 Abetalipoproteinemia 25.0
338 Allergic rhinitis 25.0
339 Gastroesophageal reflux disease 24.0
340 Mallory-Weiss syndrome 24.0
341 Intraperitoneal bleeding 24.0
342 Acute pericarditis 23.0
343 biliary colic 23.0
344 Breast Cancer 22.0
345 Chronic Clonorchiasis 21.0
346 Tetanus 20.0
347 Panic disorder in adults 20.0
348 Sunburn 20.0
349 Optic neuritis 20.0
350 Neuropapillitis 20.0
351 Endometritis 20.0
352 Gastroenteritis 20.0
353 Enterovesical fistula 20.0
354 chronic cholestatic liver disease 20.0
355 Nasal polyps 20.0
356 Gastric cancer 19.0
357 Esophagitis 19.0
358 Uveitis 18.0
359 Anterior uveitis 18.0
360 Intermediate uveitis 18.0
361 Posterior uveitis 18.0
362 Pan uveitis 18.0
363 Achalasia 18.0
364 Croup 18.0
365 Acute Cystitis(Women) 17.0
366 Acute Bacterial Prostatitis 17.0
367 Pulmonary Embolism 16.0
368 Ascites 16.0
369 Hiatus hernia 16.0
370 Male factor infertility 15.0
371 Ichthyosis 15.0
372 Pressure ulcer 15.0
373 Prolactinoma 15.0
374 Angiodysplasia of the colon 15.0
375 Von willebrand disease 15.0
376 Bullous pemphigoid 15.0
377 Abdominal compartment syndrome 15.0
378 Ovarian Hyperstimulation Syndrome 15.0
379 Acute Cystitis(Men) 15.0
380 Cystitis 15.0
381 Vaginitis 15.0
382 Urethritis 15.0
383 Phimosis 15.0
384 Paraphimosis 15.0
385 Acne vulgaris 14.0
386 Musculoskeletal sprains and strains 14.0
387 Umbilical hernia 14.0
388 Herpes zoster 12.0
389 Thyroid lymphoma 11.0
390 Acute epididymitis 11.0
391 Malt lymphoma 11.0
392 Dubin-Johnson syndrome 11.0
393 Rotor syndrome 11.0
394 Amebiasis 11.0
395 Pyelonephritis 10.0
396 Stevens-Johnson syndrome 10.0
397 Gallbladder Dyskinesia 10.0
398 pancreatic SOD 10.0
399 Immune thrombocytopenia 9.0
400 Substernal goiter 8.0
401 Common cold(adults) 8.0
402 Bed bugs 8.0
403 Limited cutaneous systemic sclerosis 8.0
404 Psoriatic arthritis 8.0
405 Premature labor 8.0
406 Cryptorchidism 8.0
407 Hypogammaglobulinemia 6.0
408 Acute Bronchitis 5.0
409 Chlamydia pneumoniae infection 5.0
410 Periorbital and orbital cellulitis 5.0
411 Epididymo-orchitis 4.0
412 Chronic Renal vein thrombosis 2.0
413 Penis Carcinoma 1.0
414 endocarditis 1.0
415 Oropharyngeal cancer 0.0
416 Travelers diarrhea 0.0
417 Recurrent aphthous stomatitis 0.0
418 Congenital Myasthenic Syndromes 0.0
419 Neonatal Myasthenia Gravis 0.0
420 Myasthenia Gravis 0.0
421 Transverse myelitis 0.0
422 Acute Pancreatitis 0.0
423 Gallstone pancreatitis 0.0
424 Ovarian Torsion 0.0