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A 77-year-old man with weight loss

77 years old | Male

Vignette:

A 77-year-old man presents to his primary care physician with weight loss of 15 pounds and a 3-month history of dysphagia and abdominal pain. The only abnormal finding on physical examination is stools positive for occult blood. He is referred for an upper endoscopy, which shows an exophytic, ulcerated mass in the cardia of the stomach. Biopsy reveals moderately differentiated adenocarcinoma.

Summary:

weight loss | dysphagia | 3 months | abdominal pain | occult blood

Dx:

Gastric Cancer Stomach cancer

Ref:

https://online.epocrates.com/diseases/264/Gastric-cancer

Rank

Disease

Weight

1 Esophagitis 241.0
2 pancreatic cancer 237.0
3 Mesenteric ischemia 193.0
4 Muscle Layer Eosinophilic gastroenteritis 181.0
5 Brucellosis 180.0
6 Psoas Abscess 179.0
7 Giardiasis 175.0
8 mucosal Eosinophilic gastroenteritis 173.0
9 Systemic lupus erythematosus 173.0
10 Chronic Pancreatitis 169.0
11 Salmonella infection 169.0
12 Crohn Disease 168.0
13 Intestinal Entamoeba histolytica amebiasis 168.0
14 Intussusception 166.0
15 Amebic Liver Abscess 166.0
16 Sarcoidosis 162.0
17 subserosal eosinophilic gastroenteritis 159.0
18 Celiac Disease 157.0
19 Acute peptic ulcer 157.0
20 Adrenal crisis 156.0
21 Addison Disease 151.0
22 Zollinger-Ellison Syndrome 149.0
23 Intestinal Obstruction 148.0
24 Tuberculous Peritonitis 145.0
25 Diabetic Amyotrophy 144.0
26 Listerial gastroenteritis 142.0
27 Gastric cancer 140.0
28 Churg-Strauss Syndrome 140.0
29 Infectious mononucleosis 140.0
30 Campylobacter infection 139.0
31 Liver Cirrhosis 135.0
32 Renal and perinephric abscess 135.0
33 Toxic Megacolon 134.0
34 Intestinal malrotation 133.0
35 Alcoholic Liver Disease 131.0
36 Non-small cell lung cancer 131.0
37 Renal Cell Carcinoma 130.0
38 Acute intermittent porphyria 130.0
39 Gastric Volvulus 129.0
40 Sigmoid volvulus 129.0
41 Duodenal Ulcer 126.0
42 Gastric Ulcer 126.0
43 Acute Clonorchiasis 125.0
44 Acute Appendicitis 124.0
45 Pyogenic Liver Abscess 123.0
46 Ovarian Cancer 123.0
47 Shigellosis 123.0
48 Primary biliary cirrhosis 122.0
49 Graves Disease 122.0
50 Peritoneal dialysis associated peritonitis 122.0
51 Gastric Outlet Obstruction 121.0
52 Biliary cirrhosis 120.0
53 Primary sclerosing cholangitis 120.0
54 Ulcerative Colitis 120.0
55 Gallbladder cancer 119.0
56 Endometriosis 118.0
57 Irritable Bowel Syndrome 117.0
58 Colorectal cancer 115.0
59 Granulomatosis with polyangiitis 114.0
60 Peptic Ulcer 113.0
61 Cholangiocarcinoma 112.0
62 Bacterial gastroenteritis 112.0
63 Acute pyelonephritis in adults 112.0
64 Alcoholic hepatitis 110.0
65 Aortic Dissection 108.0
66 Hyperthyroidism 107.0
67 Eosinophilic gastroenteritis 106.0
68 Polyarteritis nodosa 106.0
69 Alcoholic Liver Cirrhosis 105.0
70 Hereditary Angioedema 105.0
71 Anthrax 103.0
72 Alcoholic Fatty Liver 102.0
73 Klebsiella pneumoniae liver abscess 102.0
74 Hepatocellular carcinoma 102.0
75 Wilson disease 102.0
76 Malt lymphoma 101.0
77 Liver disease 100.0
78 Typhoid infection 100.0
79 Anaphylaxis 100.0
80 Acute Myeloid Leukemia in adults 98.0
81 Hyperosmolar Hyperglycemic state 97.0
82 Hemolytic uremic syndrome 97.0
83 Gastrointestinal Hemorrhage 95.0
84 Lower gastrointestinal hemorrhage 95.0
85 Upper gastrointestinal hemorrhage 95.0
86 Systemic sclerosis 94.0
87 Anemia of chronic disease 94.0
88 Amyloidosis 94.0
89 Foreign body ingestion 93.0
90 Gastroparesis 92.0
91 Pneumonia 92.0
92 Adrenocortical carcinoma 91.0
93 Chronic bacterial prostatitis 91.0
94 Autosomal Dominant Polycystic Kidney Disease 90.0
95 Bacterial pharyngitis 90.0
96 Acute Lymphoblastic leukemia in children 88.0
97 Short bowel syndrome 88.0
98 Urinary Tract Obstruction 87.0
99 Pheochromocytoma 87.0
100 Ectopic Pregnancy 86.0
101 Ruptured ectopic pregnancy 86.0
102 Food poisoning 84.0
103 Fibromyalgia 84.0
104 Biliary cyst 83.0
105 Choledochal Cyst 83.0
106 Gastroesophageal reflux disease 82.0
107 Parkinson disease 82.0
108 Lung Cancer 81.0
109 Chronic heart failure 81.0
110 Acute Cholangitis 81.0
111 Acute Cholecystitis 81.0
112 Emphysematous cholecystitis 81.0
113 Rumination Syndrome 80.0
114 Toxic thyroid adenoma 80.0
115 Laryngeal Cancer 79.0
116 Foodborne E coli infection 78.0
117 Non-ST-elevation myocardial infarction 78.0
118 Multiple Sclerosis 78.0
119 Pancreatic Pseudocyst 77.0
120 Cystic Fibrosis 77.0
121 Lactose intolerance 77.0
122 Clonorchiasis 75.0
123 Inflammatory Bowel Diseases 75.0
124 Adrenal Suppression 75.0
125 Acalculous Cholecystitis 75.0
126 chronic acalculous cholecystitis 75.0
127 Ruptured ovarian cyst 75.0
128 Acute perforated appendicitis 74.0
129 Budd Chiari Syndrome 73.0
130 Type 1 Diabetes mellitus 73.0
131 Achalasia 73.0
132 Zenker diverticulum 73.0
133 Chronic Kidney Diseases 73.0
134 Multiple endocrine neoplasia 2A 73.0
135 Kawasaki disease 73.0
136 Peutz-Jeghers Syndrome 72.0
137 Diabetes Mellitus 71.0
138 Oropharyngeal cancer 71.0
139 Kidney stones 71.0
140 Autoimmune hepatitis 70.0
141 Amebiasis 70.0
142 Extraintestinal Entamoeba histolytica amebiasis 69.0
143 Familial adenomatous polyposis syndrome 68.0
144 Ileus 67.0
145 Primary Myelofibrosis 67.0
146 Hiatus hernia 67.0
147 Bladder Cancer 66.0
148 Cholera 66.0
149 Oral candidiasis 65.0
150 Limited cutaneous systemic sclerosis 65.0
151 Tetanus 65.0
152 Acute Renal vein thrombosis 65.0
153 Ruptured Tuboovarian abscess 64.0
154 Diverticulitis 64.0
155 Chronic Myeloid Leukemia 64.0
156 Acute viral meningitis 64.0
157 Pelvic inflammatory disease 63.0
158 Acute pelvic inflammatory disease 63.0
159 Clostridium difficile infection 63.0
160 Autoimmune Pancreatitis 62.0
161 Glomerulonephritis 62.0
162 Intestinal Pseudo Obstruction 62.0
163 posteriorischemic optic neuropathy 61.0
164 Diabetic Ketoacidosis 61.0
165 Anaplastic thyroid cancer 61.0
166 Multiple Myeloma 61.0
167 Amphetamine use disorder 61.0
168 Secondary hyperparathyroidism 61.0
169 Pyelonephritis 61.0
170 Choledocholithiasis 60.0
171 Panic disorder in adults 59.0
172 Gastroenteritis 59.0
173 Rheumatoid Arthritis 56.0
174 Rocky Mountain spotted fever 56.0
175 Meckel diverticulum 55.0
176 Dyspepsia 54.0
177 COVID19 54.0
178 Thrombotic thrombocytopenic purpura 54.0
179 Annular pancreas 53.0
180 Henoch-Schonlein purpura 53.0
181 Sialadenitis 53.0
182 Intraperitoneal bleeding 53.0
183 Intra-abdominal abscess 53.0
184 Acetaminophen overdose 53.0
185 Hepatic Encephalopathy 52.0
186 Ovarian and fallopian tube torsion 52.0
187 Spontaneous bacterial peritonitis 52.0
188 Analgesic nephropathy 51.0
189 Osteoporosis 50.0
190 Central hypothyroidism 50.0
191 Subdural hematoma 50.0
192 Tuboovarian abscess 50.0
193 Acute fatty liver of pregnancy 50.0
194 Breast Cancer 50.0
195 Thyroid lymphoma 49.0
196 Endometrial cancer 49.0
197 Chronic pyelonephritis 49.0
198 Chronic Hepatitis 48.0
199 Chronic Clonorchiasis 48.0
200 Ischemic optic neuropathy 48.0
201 anterior ischemic optic neuropathy 48.0
202 COPD Exacerbation 48.0
203 Non-cholera Vibrio infections 47.0
204 Gastritis 46.0
205 Cryptococcosis 46.0
206 Viral Gastroenteritis 46.0
207 Autosomal Recessive Polycystic Kidney Disease 44.0
208 Malaria 44.0
209 Endometritis 43.0
210 Aortic coarctation 43.0
211 Gallstones 42.0
212 Insect bites and stings 42.0
213 Oropharyngeal and esophageal candidiasis 42.0
214 Angiodysplasia of the colon 42.0
215 Common cutaneous drug reactions 41.0
216 Familial Mediterranean fever 41.0
217 Chronic fatigue syndrome 41.0
218 Epiploic appendagitis 41.0
219 Chronic pelvic pain in women 41.0
220 Leiomyomas 40.0
221 Hypothyroidism 40.0
222 Acute Cystitis(Men) 40.0
223 Urinary tract infection 40.0
224 Cystitis 40.0
225 Painless thyroiditis 39.0
226 Abetalipoproteinemia 39.0
227 Multiple endocrine neoplasia 2B 39.0
228 Influenza 38.0
229 Abnormal uterine bleeding 38.0
230 Systemic vasculitis 38.0
231 Hyperaldosteronism 38.0
232 Ankylosing spondylitis 37.0
233 Globus Sensation 36.0
234 STI HIV Pharyngitis 36.0
235 Obstructive Sleep Apnea 36.0
236 Guillain-Barre syndrome 36.0
237 Chronic Lymphocytic Leukemia 36.0
238 Disseminated intravascular coagulation 36.0
239 Prostatitis 36.0
240 Chronic prostatitis 36.0
241 Atopic dermatitis 36.0
242 Hyperprolactinemia 35.0
243 Acute bacterial meningitis in neonates 35.0
244 Chronic meningitis 34.0
245 Hereditary hemochromatosis 34.0
246 Menopause 34.0
247 Acute Lymphocytic Leukemia in Adults 34.0
248 Myasthenia Gravis 34.0
249 Neonatal Myasthenia Gravis 34.0
250 Congenital Myasthenic Syndromes 34.0
251 Cystic thyroid nodule 34.0
252 Bullous pemphigoid 34.0
253 Abdominal compartment syndrome 34.0
254 Ovarian Hyperstimulation Syndrome 34.0
255 Hypertriglyceridemia 34.0
256 Inguinal hernia 33.0
257 Intrahepatic cholestasis of pregnancy 33.0
258 Stable angina 32.0
259 Graves ophthalmopathy 32.0
260 Dubin-Johnson syndrome 32.0
261 Hyperparathyroidism 31.0
262 Prolactinoma 31.0
263 Heparin-induced thrombocytopenia 31.0
264 Premature labor 31.0
265 Hepatorenal Syndrome 30.0
266 Osteomalacia 30.0
267 Eclampsia 30.0
268 Type 2 Diabetes mellitus 29.0
269 Unstable angina 29.0
270 Psychogenic polydipsia 29.0
271 Mallory-Weiss syndrome 29.0
272 Migraine headache in adults 29.0
273 Alzheimer disease 29.0
274 Hypogammaglobulinemia 28.0
275 Renal Artery Stenosis 27.0
276 Von willebrand disease 27.0
277 Acute Hepatitis 26.0
278 Simple kidney cyst 26.0
279 Animal bites 26.0
280 Peritonitis 26.0
281 Acute peritonitis 26.0
282 Enterovesical fistula 26.0
283 Obstructive cervical goiters 25.0
284 biliary SOD 25.0
285 Penis Carcinoma 24.0
286 Hypercalcemia 24.0
287 Acute Liver Failure 24.0
288 Testicular cancer 24.0
289 Optic neuritis 24.0
290 Neuropapillitis 24.0
291 Sphincter of Oddi Dysfunction 24.0
292 pancreatic SOD 24.0
293 Stevens-Johnson syndrome 24.0
294 Mitral Stenosis 23.0
295 Diabetic Neuropathy 23.0
296 biliary colic 23.0
297 Acute Cystitis(Women) 23.0
298 Osteoarthritis 23.0
299 Renal vein thrombosis 23.0
300 Chronic Renal vein thrombosis 23.0
301 Cholecystitis 21.0
302 Chronic Cholecystitis 21.0
303 Middle East respiratory syndrome 21.0
304 Blepharitis 21.0
305 Ischemic stroke 20.0
306 Acute pericarditis 20.0
307 Mirizzi Syndrome 20.0
308 Preeclampsia 20.0
309 Exocrine pancreatic insufficiency 20.0
310 Vaginitis 20.0
311 Urethritis 20.0
312 Phimosis 20.0
313 Paraphimosis 20.0
314 Travelers diarrhea 20.0
315 Acute bacterial meningitis in children 19.0
316 Splenic Infarction 19.0
317 Gout 19.0
318 Gallbladder Dyskinesia 19.0
319 Tinea versicolor 19.0
320 Hyperglycemia 18.0
321 Acromegaly 18.0
322 Primary hypogonadism 18.0
323 Secondary hypogonadism 18.0
324 Phenylketonuria 18.0
325 Osteomyelitis 18.0
326 Barrett esophagus 18.0
327 Rotor syndrome 18.0
328 Carpal Tunnel Syndrome 18.0
329 Acute Bacterial Prostatitis 17.0
330 Medullary thyroid cancer 17.0
331 Cushing syndrome 16.0
332 Umbilical hernia 16.0
333 Ascites 16.0
334 Splenic abscess 16.0
335 Splenic Rupture 16.0
336 Peroneal Neuropathy 14.0
337 Fungal meningitis 14.0
338 Substernal goiter 14.0
339 Common cold(adults) 13.0
340 Asthma 13.0
341 Extrahepatic Cholestasis 13.0
342 Intrahepatic Cholestasis 13.0
343 Acute Myeloid Leukemia in children 13.0
344 Non-alcoholic Fatty Liver Disease 12.0
345 Gilbert syndrome 12.0
346 Goiter 11.0
347 Diffuse nontoxic goiter 11.0
348 Toxic multinodular goiter 11.0
349 Cervical goiter 11.0
350 Secondary Peritonitis 11.0
351 ST-elevation myocardial infarction 10.0
352 Hemorrhagic stroke 10.0
353 Bed bugs 10.0
354 Gestational diabetes mellitus 10.0
355 Liver Abscess 10.0
356 Acne fulminans 9.0
357 Priapism 9.0
358 Tinnitus 9.0
359 Atypical pneumonia 9.0
360 Pseudohypoparathyroidism 8.0
361 Primary ciliary dyskinesia 7.0
362 Kartagener syndrome 7.0
363 Epididymo-orchitis 6.0
364 Acute Pancreatitis 5.0
365 Gallstone pancreatitis 5.0
366 Acute bacterial meningitis in adults 5.0
367 Diabetic Kidney Disease 5.0
368 Alopecia areata 4.0
369 Benign Prostatic Hyperplasia 4.0
370 Drowning 4.0
371 Acute Bronchitis 3.0
372 endocarditis 1.0
373 Hemorrhoids 0.0
374 Acne conglobata 0.0
375 Recurrent aphthous stomatitis 0.0
376 Immune thrombocytopenia 0.0
377 Discogenic low back pain 0.0
378 Androgenetic alopecia 0.0
379 Premenstrual syndrome 0.0
380 Nasal polyps 0.0
381 Visceral leishmaniasis 0.0
382 Labyrinthitis 0.0
383 Croup 0.0
384 Stable ischemic heart disease 0.0
385 Motion Sickness 0.0
386 Ovarian Torsion 0.0
387 Acute epididymitis 0.0
388 Hodgkin lymphoma 0.0
389 Musculoskeletal lower back pain 0.0
390 Acute disseminated encephalomyelitis 0.0
391 Bell palsy 0.0
392 Myoclonus 0.0