45 years old | Male
A 45-year-old male presents with abdominal pain, diarrhea, and heartburn. Physical exam is unremarkable. On endoscopy he is found to have multiple gastric and duodenal ulcers. The patient is prescribed proton-pump inhibitors and treated for Helicobacter pylori, which relieves his symptoms temporarily. However, he has multiple recurrences of symptoms and ulcers.
abdominal pain | diarrhea | heartburn | endoscopy multiple gastric ulcer | endoscopy multiple duodenal ulcer | proton-pump inhibitors | Helicobacter pylori | multiple recurrences | recurrent ulcers
Zollinger-Ellison Syndrome Gastrinoma
https://online.epocrates.com/diseases/408/Gastrinoma
Rank |
Disease |
Weight |
---|---|---|
1 | Zollinger-Ellison Syndrome | 396.0 |
2 | Duodenal Ulcer | 267.0 |
3 | Gastric Ulcer | 267.0 |
4 | Acute peptic ulcer | 232.0 |
5 | Giardiasis | 225.0 |
6 | Peptic Ulcer | 220.0 |
7 | pancreatic cancer | 217.0 |
8 | Crohn Disease | 205.0 |
9 | Hereditary Angioedema | 204.0 |
10 | Bacterial gastroenteritis | 190.0 |
11 | Intestinal Entamoeba histolytica amebiasis | 186.0 |
12 | Irritable Bowel Syndrome | 164.0 |
13 | Hemolytic uremic syndrome | 161.0 |
14 | Food poisoning | 161.0 |
15 | mucosal Eosinophilic gastroenteritis | 160.0 |
16 | Peritoneal dialysis associated peritonitis | 159.0 |
17 | Intestinal Pseudo Obstruction | 156.0 |
18 | Gastritis | 156.0 |
19 | Listerial gastroenteritis | 154.0 |
20 | Non-cholera Vibrio infections | 150.0 |
21 | Endometriosis | 148.0 |
22 | Lactose intolerance | 143.0 |
23 | Mesenteric ischemia | 142.0 |
24 | Adrenal crisis | 140.0 |
25 | Amebic Liver Abscess | 135.0 |
26 | Acute Appendicitis | 134.0 |
27 | Eosinophilic gastroenteritis | 132.0 |
28 | Muscle Layer Eosinophilic gastroenteritis | 132.0 |
29 | subserosal eosinophilic gastroenteritis | 132.0 |
30 | Gastric Volvulus | 131.0 |
31 | Gastrointestinal Hemorrhage | 130.0 |
32 | Lower gastrointestinal hemorrhage | 130.0 |
33 | Upper gastrointestinal hemorrhage | 130.0 |
34 | Sigmoid volvulus | 129.0 |
35 | Acute intermittent porphyria | 125.0 |
36 | Shigellosis | 124.0 |
37 | Campylobacter infection | 124.0 |
38 | Choledochal Cyst | 122.0 |
39 | Ovarian Cancer | 121.0 |
40 | Acute viral meningitis | 121.0 |
41 | Viral Gastroenteritis | 121.0 |
42 | Kawasaki disease | 120.0 |
43 | Ulcerative Colitis | 119.0 |
44 | Psoas Abscess | 118.0 |
45 | Sarcoidosis | 118.0 |
46 | Salmonella infection | 118.0 |
47 | Gastroenteritis | 118.0 |
48 | Cholera | 117.0 |
49 | Tuberculous Peritonitis | 116.0 |
50 | Acute perforated appendicitis | 116.0 |
51 | Chronic Pancreatitis | 114.0 |
52 | Thrombotic thrombocytopenic purpura | 112.0 |
53 | Acute pyelonephritis in adults | 112.0 |
54 | Toxic Megacolon | 111.0 |
55 | Analgesic nephropathy | 110.0 |
56 | Churg-Strauss Syndrome | 110.0 |
57 | Systemic sclerosis | 110.0 |
58 | Foodborne E coli infection | 107.0 |
59 | Anaphylaxis | 106.0 |
60 | Gastric cancer | 105.0 |
61 | Malaria | 105.0 |
62 | Acute Cholecystitis | 103.0 |
63 | Pheochromocytoma | 100.0 |
64 | Anthrax | 100.0 |
65 | Gastroesophageal reflux disease | 98.0 |
66 | Colorectal cancer | 96.0 |
67 | Addison Disease | 96.0 |
68 | Anal Fissure | 95.0 |
69 | Esophagitis | 94.0 |
70 | Intussusception | 94.0 |
71 | Emphysematous cholecystitis | 93.0 |
72 | Systemic lupus erythematosus | 92.0 |
73 | Diverticulitis | 89.0 |
74 | Hepatocellular carcinoma | 89.0 |
75 | Celiac Disease | 89.0 |
76 | Spontaneous bacterial peritonitis | 87.0 |
77 | Klebsiella pneumoniae liver abscess | 87.0 |
78 | Autosomal Dominant Polycystic Kidney Disease | 87.0 |
79 | Intra-abdominal abscess | 87.0 |
80 | Intestinal malrotation | 87.0 |
81 | Brucellosis | 87.0 |
82 | Pyogenic Liver Abscess | 86.0 |
83 | Annular pancreas | 86.0 |
84 | Ectopic Pregnancy | 86.0 |
85 | Ruptured ectopic pregnancy | 86.0 |
86 | Ruptured Tuboovarian abscess | 84.0 |
87 | Abetalipoproteinemia | 84.0 |
88 | Biliary cyst | 83.0 |
89 | Diabetic Amyotrophy | 83.0 |
90 | Barrett esophagus | 82.0 |
91 | Acute Cholangitis | 81.0 |
92 | Choledocholithiasis | 81.0 |
93 | Renal Cell Carcinoma | 81.0 |
94 | Adrenocortical carcinoma | 79.0 |
95 | Gallstones | 78.0 |
96 | Malt lymphoma | 78.0 |
97 | Rumination Syndrome | 76.0 |
98 | Primary sclerosing cholangitis | 76.0 |
99 | Acalculous Cholecystitis | 75.0 |
100 | chronic acalculous cholecystitis | 75.0 |
101 | Ruptured ovarian cyst | 75.0 |
102 | Gallbladder cancer | 74.0 |
103 | Intestinal Obstruction | 74.0 |
104 | Autoimmune hepatitis | 74.0 |
105 | Hyperthyroidism | 74.0 |
106 | Graves Disease | 74.0 |
107 | Short bowel syndrome | 74.0 |
108 | Amebiasis | 74.0 |
109 | Achalasia | 72.0 |
110 | Kidney stones | 71.0 |
111 | Henoch-Schonlein purpura | 71.0 |
112 | Tuboovarian abscess | 70.0 |
113 | Urinary Tract Obstruction | 70.0 |
114 | Rocky Mountain spotted fever | 70.0 |
115 | Inflammatory Bowel Diseases | 68.0 |
116 | Liver Cirrhosis | 68.0 |
117 | Liver disease | 68.0 |
118 | Biliary cirrhosis | 68.0 |
119 | Primary biliary cirrhosis | 68.0 |
120 | Parkinson disease | 68.0 |
121 | Hiatus hernia | 67.0 |
122 | Fibromyalgia | 67.0 |
123 | Pelvic inflammatory disease | 66.0 |
124 | Acute pelvic inflammatory disease | 66.0 |
125 | Gastroparesis | 66.0 |
126 | Glomerulonephritis | 66.0 |
127 | Acute Renal vein thrombosis | 65.0 |
128 | Non-ST-elevation myocardial infarction | 65.0 |
129 | Erectile dysfunction | 65.0 |
130 | Diabetic Ketoacidosis | 64.0 |
131 | Aortic Dissection | 64.0 |
132 | Chronic pelvic pain in women | 64.0 |
133 | Bruxism | 64.0 |
134 | Renal and perinephric abscess | 63.0 |
135 | Panic disorder in adults | 63.0 |
136 | Alcoholic hepatitis | 62.0 |
137 | Polyarteritis nodosa | 62.0 |
138 | Pyelonephritis | 61.0 |
139 | Chronic Myeloid Leukemia | 61.0 |
140 | Diabetes Mellitus | 61.0 |
141 | Hyperprolactinemia | 61.0 |
142 | Extraintestinal Entamoeba histolytica amebiasis | 59.0 |
143 | Acute Clonorchiasis | 58.0 |
144 | Typhoid infection | 55.0 |
145 | Dyspepsia | 54.0 |
146 | Intraperitoneal bleeding | 53.0 |
147 | Acetaminophen overdose | 53.0 |
148 | Anemia of chronic disease | 53.0 |
149 | Common cutaneous drug reactions | 53.0 |
150 | Foreign body ingestion | 52.0 |
151 | Autoimmune Pancreatitis | 51.0 |
152 | Clostridium difficile infection | 51.0 |
153 | Familial adenomatous polyposis syndrome | 51.0 |
154 | Ileus | 50.0 |
155 | Acute fatty liver of pregnancy | 50.0 |
156 | Bacterial pharyngitis | 50.0 |
157 | Breast Cancer | 50.0 |
158 | Endometrial cancer | 50.0 |
159 | Osteoporosis | 50.0 |
160 | Hypothyroidism | 49.0 |
161 | Cholangiocarcinoma | 48.0 |
162 | Type 1 Diabetes mellitus | 48.0 |
163 | Multiple endocrine neoplasia 2B | 48.0 |
164 | Multiple endocrine neoplasia 2A | 48.0 |
165 | Stevens-Johnson syndrome | 48.0 |
166 | Budd Chiari Syndrome | 47.0 |
167 | Endometritis | 47.0 |
168 | Hyperosmolar Hyperglycemic state | 47.0 |
169 | Acute bacterial meningitis in children | 47.0 |
170 | Chronic bacterial prostatitis | 46.0 |
171 | Amphetamine use disorder | 46.0 |
172 | Alcoholic Liver Disease | 46.0 |
173 | Secondary Peritonitis | 45.0 |
174 | Type 2 Diabetes mellitus | 45.0 |
175 | Hyperparathyroidism | 45.0 |
176 | Hypogammaglobulinemia | 45.0 |
177 | Ovarian Hyperstimulation Syndrome | 44.0 |
178 | Pneumonia | 44.0 |
179 | Hypertriglyceridemia | 44.0 |
180 | Acute otitis media | 44.0 |
181 | Chronic Clonorchiasis | 42.0 |
182 | Epiploic appendagitis | 41.0 |
183 | Acute pericarditis | 41.0 |
184 | Meckel diverticulum | 41.0 |
185 | Abnormal uterine bleeding | 41.0 |
186 | Wilson disease | 40.0 |
187 | Bladder Cancer | 40.0 |
188 | Urinary tract infection | 40.0 |
189 | Acute Cystitis(Men) | 40.0 |
190 | Cystitis | 40.0 |
191 | Heparin-induced thrombocytopenia | 40.0 |
192 | Non-small cell lung cancer | 40.0 |
193 | Exocrine pancreatic insufficiency | 40.0 |
194 | Amyloidosis | 40.0 |
195 | Obstructive Sleep Apnea | 39.0 |
196 | Familial Mediterranean fever | 39.0 |
197 | Alcoholic Liver Cirrhosis | 38.0 |
198 | Acute Myeloid Leukemia in adults | 38.0 |
199 | Acute bacterial meningitis in neonates | 38.0 |
200 | Middle East respiratory syndrome | 38.0 |
201 | Pancreatic Pseudocyst | 36.0 |
202 | Leiomyomas | 36.0 |
203 | Hypercalcemia | 36.0 |
204 | Chronic Lymphocytic Leukemia | 36.0 |
205 | STI HIV Pharyngitis | 36.0 |
206 | Globus Sensation | 36.0 |
207 | Stable ischemic heart disease | 36.0 |
208 | Prostatitis | 36.0 |
209 | Chronic prostatitis | 36.0 |
210 | COVID19 | 35.0 |
211 | Abdominal compartment syndrome | 34.0 |
212 | Chronic Kidney Diseases | 34.0 |
213 | Chronic heart failure | 34.0 |
214 | Ovarian and fallopian tube torsion | 34.0 |
215 | Guillain-Barre syndrome | 34.0 |
216 | Adrenal Suppression | 34.0 |
217 | Acute Lymphoblastic leukemia in children | 34.0 |
218 | Aortic coarctation | 34.0 |
219 | Travelers diarrhea | 34.0 |
220 | Aseptic meningitis | 34.0 |
221 | Infectious mononucleosis | 32.0 |
222 | Dubin-Johnson syndrome | 32.0 |
223 | Medullary thyroid cancer | 32.0 |
224 | Acromegaly | 32.0 |
225 | Disseminated intravascular coagulation | 31.0 |
226 | Gastric Outlet Obstruction | 30.0 |
227 | Eclampsia | 30.0 |
228 | Peutz-Jeghers Syndrome | 30.0 |
229 | Chronic Hepatitis | 29.0 |
230 | Alcoholic Fatty Liver | 29.0 |
231 | Ischemic stroke | 29.0 |
232 | Granulomatosis with polyangiitis | 29.0 |
233 | Menopause | 29.0 |
234 | Influenza | 28.0 |
235 | Multiple Sclerosis | 28.0 |
236 | Ascites | 27.0 |
237 | Inguinal hernia | 27.0 |
238 | Primary Myelofibrosis | 27.0 |
239 | Insect bites and stings | 27.0 |
240 | Diabetic Neuropathy | 27.0 |
241 | Graves ophthalmopathy | 27.0 |
242 | Peritonitis | 26.0 |
243 | Acute peritonitis | 26.0 |
244 | Hepatic Encephalopathy | 26.0 |
245 | Enterovesical fistula | 26.0 |
246 | Multiple Myeloma | 25.0 |
247 | biliary SOD | 25.0 |
248 | Cystic Fibrosis | 24.0 |
249 | Hereditary hemochromatosis | 24.0 |
250 | Sphincter of Oddi Dysfunction | 24.0 |
251 | pancreatic SOD | 24.0 |
252 | Gilbert syndrome | 24.0 |
253 | Atopic dermatitis | 24.0 |
254 | COPD Exacerbation | 24.0 |
255 | biliary colic | 23.0 |
256 | Acute Cystitis(Women) | 23.0 |
257 | Osteoarthritis | 23.0 |
258 | Renal vein thrombosis | 23.0 |
259 | Chronic Renal vein thrombosis | 23.0 |
260 | Autosomal Recessive Polycystic Kidney Disease | 23.0 |
261 | Cushing syndrome | 23.0 |
262 | Von willebrand disease | 23.0 |
263 | Psoriasis | 23.0 |
264 | Prinzmetal angina | 23.0 |
265 | Hepatorenal Syndrome | 22.0 |
266 | Hyperaldosteronism | 22.0 |
267 | Chronic fatigue syndrome | 21.0 |
268 | Cholecystitis | 21.0 |
269 | Chronic Cholecystitis | 21.0 |
270 | Asthma | 21.0 |
271 | Blepharitis | 21.0 |
272 | Mirizzi Syndrome | 20.0 |
273 | Preeclampsia | 20.0 |
274 | Vaginitis | 20.0 |
275 | Urethritis | 20.0 |
276 | Phimosis | 20.0 |
277 | Paraphimosis | 20.0 |
278 | Epidemic keratoconjunctivitis | 20.0 |
279 | Splenic Infarction | 19.0 |
280 | Gout | 19.0 |
281 | Gallbladder Dyskinesia | 19.0 |
282 | Limited cutaneous systemic sclerosis | 19.0 |
283 | Tinea versicolor | 19.0 |
284 | Rotor syndrome | 18.0 |
285 | Premature labor | 18.0 |
286 | Chronic pyelonephritis | 18.0 |
287 | Hemorrhagic stroke | 18.0 |
288 | Tinnitus | 18.0 |
289 | Atypical pneumonia | 18.0 |
290 | Premenstrual syndrome | 18.0 |
291 | End Stage Renal Disease | 18.0 |
292 | Carpal Tunnel Syndrome | 18.0 |
293 | Acute Hepatitis | 17.0 |
294 | Lung Cancer | 16.0 |
295 | Bullous pemphigoid | 16.0 |
296 | Alzheimer disease | 16.0 |
297 | Mitral Stenosis | 16.0 |
298 | Migraine headache in adults | 16.0 |
299 | Splenic abscess | 16.0 |
300 | Splenic Rupture | 16.0 |
301 | Simple kidney cyst | 15.0 |
302 | Painless thyroiditis | 15.0 |
303 | Insomnia in adults | 15.0 |
304 | Prolactinoma | 15.0 |
305 | Clonorchiasis | 14.0 |
306 | Unstable angina | 14.0 |
307 | Intrahepatic cholestasis of pregnancy | 14.0 |
308 | Systemic vasculitis | 14.0 |
309 | Secondary hyperparathyroidism | 14.0 |
310 | Anaplastic thyroid cancer | 13.0 |
311 | Extrahepatic Cholestasis | 13.0 |
312 | Intrahepatic Cholestasis | 13.0 |
313 | Goiter | 13.0 |
314 | Diffuse nontoxic goiter | 13.0 |
315 | Toxic multinodular goiter | 13.0 |
316 | Obstructive cervical goiters | 13.0 |
317 | Cervical goiter | 13.0 |
318 | Acute Liver Failure | 12.0 |
319 | Rheumatoid Arthritis | 12.0 |
320 | Stable angina | 12.0 |
321 | Psychogenic polydipsia | 12.0 |
322 | Allergic rhinitis | 12.0 |
323 | Peyronie Disease | 12.0 |
324 | Discogenic low back pain | 11.0 |
325 | Mallory-Weiss syndrome | 11.0 |
326 | Bed bugs | 10.0 |
327 | Herpes zoster | 10.0 |
328 | Aortic stenosis | 10.0 |
329 | Gestational diabetes mellitus | 10.0 |
330 | Non-alcoholic Fatty Liver Disease | 9.0 |
331 | Renal Artery Stenosis | 9.0 |
332 | Testicular cancer | 9.0 |
333 | Acute Bacterial Prostatitis | 8.0 |
334 | Ovarian Torsion | 8.0 |
335 | Umbilical hernia | 8.0 |
336 | Common cold(children) | 8.0 |
337 | Primary ciliary dyskinesia | 7.0 |
338 | Kartagener syndrome | 7.0 |
339 | Common cold(adults) | 7.0 |
340 | Diabetic Kidney Disease | 7.0 |
341 | Psoriatic arthritis | 7.0 |
342 | Acute Lymphocytic Leukemia in Adults | 6.0 |
343 | Epididymo-orchitis | 6.0 |
344 | Ramsay Hunt syndrome | 6.0 |
345 | Meniere disease | 6.0 |
346 | Pulmonary Embolism | 6.0 |
347 | Acute atrial fibrillation | 6.0 |
348 | ST-elevation myocardial infarction | 6.0 |
349 | Ankylosing spondylitis | 5.0 |
350 | Thyroid lymphoma | 5.0 |
351 | Benign Prostatic Hyperplasia | 4.0 |
352 | Drowning | 4.0 |
353 | Acute Rhinosinusitis | 4.0 |
354 | Acute viral rhinosinusitis | 4.0 |
355 | Acute bacterial rhinosinusitis | 4.0 |
356 | Migraine | 3.0 |
357 | Acute Bronchitis | 2.0 |
358 | Alopecia areata | 2.0 |
359 | Chlamydia pneumoniae infection | 2.0 |
360 | endocarditis | 1.0 |
361 | Acute Pancreatitis | 0.0 |
362 | Gallstone pancreatitis | 0.0 |
363 | Hemorrhoids | 0.0 |
364 | Immune thrombocytopenia | 0.0 |
365 | Recurrent aphthous stomatitis | 0.0 |
366 | Acute epididymitis | 0.0 |
367 | Hodgkin lymphoma | 0.0 |
368 | Motion Sickness | 0.0 |
369 | Myasthenia Gravis | 0.0 |
370 | Congenital Myasthenic Syndromes | 0.0 |
371 | Neonatal Myasthenia Gravis | 0.0 |
372 | Acute disseminated encephalomyelitis | 0.0 |
373 | Bell palsy | 0.0 |
374 | Myoclonus | 0.0 |