63 years old | Female
A 63-year-old woman is admitted to the hospital with new-onset ascites. She has a history of long-standing diabetes and hypertension. She has never formally been given a diagnosis of liver disease. Despite increasing abdominal distension, she has lost 13.5 kg in the last year. Physical exam reveals a lethargic-appearing woman with temporal wasting, massive ascites, and 2+ pitting edema. She has numerous spider nevi over her chest wall and marked palmar erythema.
new-onset | ascites | diabetes | hypertension | abdominal distension | weight loss | lethargic | temporal wasting | pitting edema | spider nevi over chest | palmar erythema
Non-Alcoholic Fatty Liver Disease Hepatic steatosis
https://online.epocrates.com/diseases/79622/Hepatic-steatosis/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Primary sclerosing cholangitis | 481.0 |
2 | Biliary cirrhosis | 481.0 |
3 | Primary biliary cirrhosis | 461.0 |
4 | Liver Cirrhosis | 456.0 |
5 | Hepatocellular carcinoma | 409.0 |
6 | Hepatic Encephalopathy | 404.0 |
7 | Tuberculous Peritonitis | 400.0 |
8 | Hereditary hemochromatosis | 389.0 |
9 | Non-alcoholic Fatty Liver Disease | 351.0 |
10 | Chronic heart failure | 348.0 |
11 | Amebic Liver Abscess | 329.0 |
12 | Mesenteric ischemia | 329.0 |
13 | Hepatorenal Syndrome | 328.0 |
14 | Alcoholic Fatty Liver | 326.0 |
15 | Alcoholic hepatitis | 320.0 |
16 | Chronic Kidney Diseases | 320.0 |
17 | Aortic Dissection | 320.0 |
18 | Klebsiella pneumoniae liver abscess | 308.0 |
19 | Alcoholic Liver Cirrhosis | 301.0 |
20 | Acute Cholecystitis | 298.0 |
21 | Alcoholic Liver Disease | 296.0 |
22 | Pyogenic Liver Abscess | 289.0 |
23 | Gastroparesis | 287.0 |
24 | Diabetic Amyotrophy | 287.0 |
25 | Brucellosis | 283.0 |
26 | pancreatic cancer | 279.0 |
27 | Eclampsia | 271.0 |
28 | Stable ischemic heart disease | 271.0 |
29 | Cushing syndrome | 270.0 |
30 | Emphysematous cholecystitis | 262.0 |
31 | Kidney stones | 260.0 |
32 | Cystic Fibrosis | 260.0 |
33 | Graves Disease | 260.0 |
34 | Polyarteritis nodosa | 259.0 |
35 | Diabetic Neuropathy | 258.0 |
36 | Acute bacterial meningitis in adults | 258.0 |
37 | Type 2 Diabetes mellitus | 255.0 |
38 | Stroke | 255.0 |
39 | Intra-abdominal abscess | 248.0 |
40 | Salmonella infection | 248.0 |
41 | Ischemic stroke | 242.0 |
42 | Chronic atrial fibrillation | 241.0 |
43 | Analgesic nephropathy | 240.0 |
44 | Liver Abscess | 235.0 |
45 | Sarcoidosis | 235.0 |
46 | Chronic Hepatitis | 234.0 |
47 | Colorectal cancer | 231.0 |
48 | Celiac Disease | 231.0 |
49 | Spontaneous bacterial peritonitis | 228.0 |
50 | Ruptured ectopic pregnancy | 228.0 |
51 | Renal and perinephric abscess | 225.0 |
52 | Henoch-Schonlein purpura | 225.0 |
53 | Autosomal Recessive Polycystic Kidney Disease | 224.0 |
54 | Acute intermittent porphyria | 223.0 |
55 | Intussusception | 221.0 |
56 | Endometrial cancer | 221.0 |
57 | Adrenocortical carcinoma | 220.0 |
58 | Chronic Pancreatitis | 219.0 |
59 | Intestinal Obstruction | 217.0 |
60 | Transient ischemic attack | 217.0 |
61 | Autoimmune hepatitis | 210.0 |
62 | Non-ST-elevation myocardial infarction | 209.0 |
63 | Ankylosing spondylitis | 209.0 |
64 | Ischemic optic neuropathy | 206.0 |
65 | posteriorischemic optic neuropathy | 206.0 |
66 | Hereditary Angioedema | 205.0 |
67 | Crohn Disease | 204.0 |
68 | Ovarian Cancer | 202.0 |
69 | Preeclampsia | 201.0 |
70 | Rheumatoid Arthritis | 200.0 |
71 | Addison Disease | 199.0 |
72 | Liver disease | 198.0 |
73 | Ovarian and fallopian tube torsion | 197.0 |
74 | Bacterial pharyngitis | 197.0 |
75 | Chronic liver disease | 196.0 |
76 | anterior ischemic optic neuropathy | 196.0 |
77 | Pneumonia | 195.0 |
78 | Cholangiocarcinoma | 194.0 |
79 | COPD Exacerbation | 193.0 |
80 | Glomerulonephritis | 191.0 |
81 | Prinzmetal angina | 190.0 |
82 | Deep venous thrombosis | 190.0 |
83 | Psoas Abscess | 189.0 |
84 | Osteoporosis | 189.0 |
85 | Non-diabetic hypoglycemia | 188.0 |
86 | Choledocholithiasis | 187.0 |
87 | Gastric Outlet Obstruction | 185.0 |
88 | Renal Artery Stenosis | 185.0 |
89 | Giardiasis | 185.0 |
90 | Hyperaldosteronism | 185.0 |
91 | Bell palsy | 184.0 |
92 | Acute Liver Failure | 182.0 |
93 | Systemic lupus erythematosus | 180.0 |
94 | Alzheimer disease | 180.0 |
95 | Cataract | 175.0 |
96 | Food poisoning | 173.0 |
97 | Gallbladder cancer | 170.0 |
98 | Anaphylaxis | 170.0 |
99 | Acute bacterial meningitis in neonates | 168.0 |
100 | Hemolytic uremic syndrome | 167.0 |
101 | Granulomatosis with polyangiitis | 167.0 |
102 | Obstructive Sleep Apnea | 166.0 |
103 | Type 1 Diabetes mellitus | 166.0 |
104 | Hemorrhagic stroke | 164.0 |
105 | Urinary Tract Obstruction | 163.0 |
106 | Guillain-Barre syndrome | 163.0 |
107 | Hypertriglyceridemia | 163.0 |
108 | Acute pyelonephritis in adults | 162.0 |
109 | Budd Chiari Syndrome | 161.0 |
110 | Short bowel syndrome | 161.0 |
111 | Aortic coarctation | 160.0 |
112 | Primary Myelofibrosis | 159.0 |
113 | Insomnia in adults | 159.0 |
114 | Acromegaly | 156.0 |
115 | Systemic sclerosis | 155.0 |
116 | Gout | 154.0 |
117 | Painless thyroiditis | 154.0 |
118 | Renal Cell Carcinoma | 153.0 |
119 | Cryptococcosis | 153.0 |
120 | Hyperosmolar Hyperglycemic state | 153.0 |
121 | Hyperparathyroidism | 152.0 |
122 | Esophagitis | 151.0 |
123 | Central retinal artery occlusion | 150.0 |
124 | Cellulitis | 150.0 |
125 | Wilson disease | 149.0 |
126 | Ovarian Hyperstimulation Syndrome | 148.0 |
127 | Premenstrual syndrome | 148.0 |
128 | Diabetic Ketoacidosis | 146.0 |
129 | Hyperprolactinemia | 145.0 |
130 | Diabetes Mellitus | 144.0 |
131 | Gingivitis | 143.0 |
132 | Balanitis | 142.0 |
133 | Carpal Tunnel Syndrome | 141.0 |
134 | Dyspepsia | 140.0 |
135 | Ulcerative Colitis | 137.0 |
136 | Acute Myeloid Leukemia in adults | 137.0 |
137 | Graves ophthalmopathy | 136.0 |
138 | Oral candidiasis | 135.0 |
139 | Toxic Megacolon | 135.0 |
140 | Gallstones | 133.0 |
141 | Ascites | 132.0 |
142 | Abdominal compartment syndrome | 130.0 |
143 | Autoimmune Pancreatitis | 129.0 |
144 | Hyperthyroidism | 129.0 |
145 | Open Angle Glaucoma | 129.0 |
146 | Peyronie Disease | 129.0 |
147 | Dry eye | 129.0 |
148 | Secondary hypogonadism | 129.0 |
149 | Labyrinthitis | 129.0 |
150 | Achilles tendinopathy | 129.0 |
151 | Achilles tendon rupture | 129.0 |
152 | Acute bacterial meningitis in children | 128.0 |
153 | Gastric cancer | 126.0 |
154 | Clostridium difficile infection | 126.0 |
155 | Amyloidosis | 126.0 |
156 | Amphetamine use disorder | 125.0 |
157 | Sigmoid volvulus | 125.0 |
158 | Peutz-Jeghers Syndrome | 124.0 |
159 | Erectile dysfunction | 124.0 |
160 | Muscle Layer Eosinophilic gastroenteritis | 123.0 |
161 | End Stage Renal Disease | 123.0 |
162 | Leiomyomas | 121.0 |
163 | Acute viral meningitis | 121.0 |
164 | Sialadenitis | 121.0 |
165 | Unstable angina | 120.0 |
166 | Diabetic Kidney Disease | 120.0 |
167 | Chronic Mitral regurgitation | 119.0 |
168 | Osteomyelitis | 119.0 |
169 | Acute Lymphoblastic leukemia in children | 119.0 |
170 | Central hypothyroidism | 118.0 |
171 | Abnormal uterine bleeding | 118.0 |
172 | Acute peptic ulcer | 117.0 |
173 | Chronic bacterial prostatitis | 117.0 |
174 | Kawasaki disease | 117.0 |
175 | Chronic pyelonephritis | 117.0 |
176 | Mitral Stenosis | 116.0 |
177 | Animal bites | 116.0 |
178 | Non-small cell lung cancer | 116.0 |
179 | Umbilical hernia | 116.0 |
180 | Bladder Cancer | 116.0 |
181 | Lung Cancer | 115.0 |
182 | mucosal Eosinophilic gastroenteritis | 114.0 |
183 | Adrenal crisis | 114.0 |
184 | Stable angina | 113.0 |
185 | Benign Prostatic Hyperplasia | 112.0 |
186 | Priapism | 112.0 |
187 | Acute fatty liver of pregnancy | 112.0 |
188 | Androgenetic alopecia | 112.0 |
189 | Adrenal Suppression | 111.0 |
190 | subserosal eosinophilic gastroenteritis | 109.0 |
191 | Hypercalcemia | 109.0 |
192 | Autosomal Dominant Polycystic Kidney Disease | 108.0 |
193 | Acute respiratory failure | 108.0 |
194 | Infectious mononucleosis | 107.0 |
195 | Intraperitoneal bleeding | 106.0 |
196 | Acute Pancreatitis | 106.0 |
197 | Hypothyroidism | 106.0 |
198 | Malaria | 106.0 |
199 | Psychogenic polydipsia | 106.0 |
200 | Churg-Strauss Syndrome | 105.0 |
201 | Secondary hyperparathyroidism | 104.0 |
202 | Intestinal Pseudo Obstruction | 103.0 |
203 | Achalasia | 101.0 |
204 | Gestational diabetes mellitus | 101.0 |
205 | Tetanus | 99.0 |
206 | Anemia of chronic disease | 99.0 |
207 | Foreign body ingestion | 99.0 |
208 | ST-elevation myocardial infarction | 98.0 |
209 | Diverticulitis | 96.0 |
210 | Gastric Volvulus | 96.0 |
211 | Campylobacter infection | 95.0 |
212 | Gallstone pancreatitis | 94.0 |
213 | Portal hypertension | 93.0 |
214 | Acute peritonitis | 93.0 |
215 | Anthrax | 93.0 |
216 | Acetaminophen overdose | 93.0 |
217 | Chronic Myeloid Leukemia | 92.0 |
218 | Dermatophyte infections | 92.0 |
219 | Simple kidney cyst | 91.0 |
220 | Gastroesophageal reflux disease | 90.0 |
221 | Influenza | 90.0 |
222 | Pheochromocytoma | 90.0 |
223 | Meckel diverticulum | 90.0 |
224 | Acute Appendicitis | 89.0 |
225 | Ileus | 89.0 |
226 | Acne fulminans | 88.0 |
227 | Acne conglobata | 88.0 |
228 | Gram-negative folliculitis | 88.0 |
229 | Excoriated acne | 88.0 |
230 | Candidiasis | 88.0 |
231 | Candidal intertrigo | 88.0 |
232 | Candida Balanitis | 88.0 |
233 | Oropharyngeal and esophageal candidiasis | 88.0 |
234 | Vulvovaginal candidiasis | 88.0 |
235 | Inflammatory Bowel Diseases | 87.0 |
236 | Acute pericarditis | 86.0 |
237 | Multiple endocrine neoplasia 2A | 86.0 |
238 | Pancreatic Pseudocyst | 84.0 |
239 | Acute perforated appendicitis | 84.0 |
240 | Intestinal malrotation | 84.0 |
241 | Familial adenomatous polyposis syndrome | 83.0 |
242 | Duodenal Ulcer | 82.0 |
243 | Gastric Ulcer | 82.0 |
244 | Acute pelvic inflammatory disease | 82.0 |
245 | Acute Lymphocytic Leukemia in Adults | 82.0 |
246 | Acute disseminated encephalomyelitis | 82.0 |
247 | Musculoskeletal sprains and strains | 82.0 |
248 | Familial Mediterranean fever | 82.0 |
249 | Lactose intolerance | 81.0 |
250 | Heparin-induced thrombocytopenia | 81.0 |
251 | Acute Clonorchiasis | 80.0 |
252 | Multiple Sclerosis | 79.0 |
253 | Menopause | 78.0 |
254 | Goiter | 78.0 |
255 | Diffuse nontoxic goiter | 78.0 |
256 | Toxic multinodular goiter | 78.0 |
257 | Cervical goiter | 78.0 |
258 | Peptic Ulcer | 77.0 |
259 | Eosinophilic gastroenteritis | 77.0 |
260 | Tinea versicolor | 77.0 |
261 | Alopecia areata | 77.0 |
262 | Atypical pneumonia | 77.0 |
263 | Hypoparathyroidism | 76.0 |
264 | Toxic thyroid adenoma | 76.0 |
265 | Extraintestinal Entamoeba histolytica amebiasis | 76.0 |
266 | biliary colic | 75.0 |
267 | Acute Hepatitis | 75.0 |
268 | Ruptured ovarian cyst | 75.0 |
269 | Splenic Infarction | 75.0 |
270 | Intestinal Entamoeba histolytica amebiasis | 74.0 |
271 | Sunburn | 73.0 |
272 | Malt lymphoma | 72.0 |
273 | Obstructive cervical goiters | 72.0 |
274 | Shigellosis | 71.0 |
275 | Aortic stenosis | 70.0 |
276 | Systemic vasculitis | 70.0 |
277 | Chronic Clonorchiasis | 69.0 |
278 | Gastritis | 69.0 |
279 | Cholera | 69.0 |
280 | Chronic Lymphocytic Leukemia | 69.0 |
281 | Multiple endocrine neoplasia 2B | 69.0 |
282 | Pseudohypoparathyroidism | 69.0 |
283 | Irritable Bowel Syndrome | 68.0 |
284 | Hiatus hernia | 68.0 |
285 | Angle Closure Glaucoma | 68.0 |
286 | Croup | 68.0 |
287 | Clonorchiasis | 68.0 |
288 | Acne vulgaris | 67.0 |
289 | STI HIV Pharyngitis | 66.0 |
290 | Psoriatic arthritis | 66.0 |
291 | Torsion of appendix of testis | 65.0 |
292 | Abetalipoproteinemia | 64.0 |
293 | COVID19 | 63.0 |
294 | Medullary thyroid cancer | 63.0 |
295 | Fibromyalgia | 62.0 |
296 | Multiple Myeloma | 62.0 |
297 | Acalculous Cholecystitis | 61.0 |
298 | chronic acalculous cholecystitis | 61.0 |
299 | Amebiasis | 61.0 |
300 | Asthma | 60.0 |
301 | Foodborne E coli infection | 60.0 |
302 | Annular pancreas | 58.0 |
303 | Extrahepatic Cholestasis | 58.0 |
304 | Intrahepatic Cholestasis | 58.0 |
305 | Insect bites and stings | 58.0 |
306 | Anaplastic thyroid cancer | 58.0 |
307 | Prolactinoma | 58.0 |
308 | Chronic Renal vein thrombosis | 55.0 |
309 | Typhoid infection | 55.0 |
310 | Acute Rhinosinusitis | 55.0 |
311 | Rocky Mountain spotted fever | 54.0 |
312 | Chronic pelvic pain in women | 53.0 |
313 | Inguinal hernia | 52.0 |
314 | Oropharyngeal cancer | 52.0 |
315 | Allergic rhinitis | 51.0 |
316 | Acute otitis media | 50.0 |
317 | Choledochal Cyst | 50.0 |
318 | Varicocele | 50.0 |
319 | Acute Cholangitis | 50.0 |
320 | Travelers diarrhea | 50.0 |
321 | Charcot-Marie-Tooth Disease | 48.0 |
322 | Chlamydia pneumoniae infection | 48.0 |
323 | Acute cervical spine trauma | 46.0 |
324 | Ovarian Torsion | 46.0 |
325 | Osteoarthritis | 45.0 |
326 | Acute bacterial rhinosinusitis | 45.0 |
327 | Acute viral rhinosinusitis | 45.0 |
328 | Zollinger-Ellison Syndrome | 44.0 |
329 | Discogenic low back pain | 44.0 |
330 | Common cutaneous drug reactions | 42.0 |
331 | Rumination Syndrome | 42.0 |
332 | Epiploic appendagitis | 41.0 |
333 | Empyema | 41.0 |
334 | Common cold(adults) | 41.0 |
335 | Drowning | 41.0 |
336 | Gilbert syndrome | 40.0 |
337 | Pressure ulcer | 39.0 |
338 | Intrahepatic cholestasis of pregnancy | 38.0 |
339 | Hypogammaglobulinemia | 38.0 |
340 | Acute Myeloid Leukemia in children | 38.0 |
341 | Acute heart failure | 37.0 |
342 | Uveitis | 36.0 |
343 | Anterior uveitis | 36.0 |
344 | Intermediate uveitis | 36.0 |
345 | Posterior uveitis | 36.0 |
346 | Pan uveitis | 36.0 |
347 | Exocrine pancreatic insufficiency | 34.0 |
348 | Chronic meningitis | 34.0 |
349 | Bacterial gastroenteritis | 34.0 |
350 | Aseptic meningitis | 34.0 |
351 | Male factor infertility | 33.0 |
352 | Ichthyosis | 33.0 |
353 | Migraine | 32.0 |
354 | Non-cholera Vibrio infections | 31.0 |
355 | Milk-alkali syndrome | 31.0 |
356 | Acute Milk-alkali syndrome | 31.0 |
357 | Chronic Milk-alkali syndrome | 31.0 |
358 | Listerial gastroenteritis | 30.0 |
359 | Osteomalacia | 30.0 |
360 | Autoimmune hemolytic anemia | 30.0 |
361 | Pharyngitis | 30.0 |
362 | Herpes pharyngitis | 30.0 |
363 | Ruptured Tuboovarian abscess | 29.0 |
364 | Penis Carcinoma | 28.0 |
365 | Paraneoplastic Syndromes | 28.0 |
366 | Acute epididymitis | 28.0 |
367 | Testicular cancer | 28.0 |
368 | Migraine headache in adults | 27.0 |
369 | Substernal goiter | 27.0 |
370 | cholestatic liver disease | 27.0 |
371 | Viral pharyngitis | 27.0 |
372 | Parkinson disease | 27.0 |
373 | Peritoneal dialysis associated peritonitis | 26.0 |
374 | Primary ciliary dyskinesia | 25.0 |
375 | Kartagener syndrome | 25.0 |
376 | Keloid | 25.0 |
377 | biliary SOD | 24.0 |
378 | Zenker diverticulum | 23.0 |
379 | Limited cutaneous systemic sclerosis | 22.0 |
380 | Gallbladder Dyskinesia | 20.0 |
381 | Bed bugs | 20.0 |
382 | Nasal polyps | 20.0 |
383 | Endometriosis | 20.0 |
384 | chronic cholestatic liver disease | 20.0 |
385 | Acute Mitral regurgitation | 20.0 |
386 | Acute atrial fibrillation | 19.0 |
387 | Thyroid lymphoma | 19.0 |
388 | Hyperglycemia | 18.0 |
389 | Laryngeal Cancer | 18.0 |
390 | Primary hypogonadism | 18.0 |
391 | Phenylketonuria | 18.0 |
392 | Acute Bronchitis | 17.0 |
393 | Splenic abscess | 14.0 |
394 | Peroneal Neuropathy | 14.0 |
395 | Fungal meningitis | 14.0 |
396 | Common cold(children) | 13.0 |
397 | Thrombotic thrombocytopenic purpura | 13.0 |
398 | Optic neuritis | 13.0 |
399 | Neuropapillitis | 13.0 |
400 | Herpes zoster | 12.0 |
401 | Pulmonary Embolism | 11.0 |
402 | Rotor syndrome | 11.0 |
403 | Bullous pemphigoid | 10.0 |
404 | Psoriasis | 10.0 |
405 | Immune thrombocytopenia | 9.0 |
406 | Hemorrhoids | 9.0 |
407 | Acute Bacterial Prostatitis | 9.0 |
408 | Endometritis | 9.0 |
409 | Mallory-Weiss syndrome | 9.0 |
410 | Scleritis | 8.0 |
411 | Anterior scleritis | 8.0 |
412 | Posterior scleritis | 8.0 |
413 | Disseminated intravascular coagulation | 8.0 |
414 | Periorbital and orbital cellulitis | 6.0 |
415 | Pelvic inflammatory disease | 6.0 |
416 | endocarditis | 1.0 |
417 | Essential Tremor | 0.0 |
418 | Trachoma | 0.0 |
419 | Myasthenia Gravis | 0.0 |
420 | Neonatal Myasthenia Gravis | 0.0 |
421 | Congenital Myasthenic Syndromes | 0.0 |
422 | Pulmonary regurgitation | 0.0 |
423 | Panic disorder in adults | 0.0 |
424 | Orthostatic hypotension | 0.0 |
425 | Globus Sensation | 0.0 |
426 | Recurrent aphthous stomatitis | 0.0 |
427 | Acute Cystitis(Men) | 0.0 |
428 | Visceral leishmaniasis | 0.0 |
429 | Musculoskeletal lower back pain | 0.0 |