45 years old | Male
A 45-year-old man with a personal and family history of nephrocalcinosis presents to his family medicine doctor with recurrent epigastric pain associated with bloating and diarrhea. He is started empirically on an oral proton-pump inhibitor and notes improvement in the frequency and quantity of diarrhea, although he continues to experience epigastric pain.
nephrocalcinosis | recurrent epigastric pain | bloating | diarrhea | oral proton-pump inhibitor
Zollinger-Ellison Syndrome Gastrinoma
https://online.epocrates.com/diseases/40822/Zollinger-Ellison-syndrome/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Giardiasis | 217.0 |
2 | Duodenal Ulcer | 157.0 |
3 | Gastric Ulcer | 157.0 |
4 | Hereditary Angioedema | 153.0 |
5 | Intestinal Entamoeba histolytica amebiasis | 150.0 |
6 | Zollinger-Ellison Syndrome | 149.0 |
7 | Acute peptic ulcer | 147.0 |
8 | Sigmoid volvulus | 147.0 |
9 | Gastric Outlet Obstruction | 146.0 |
10 | Intestinal Pseudo Obstruction | 145.0 |
11 | Ovarian Cancer | 143.0 |
12 | Gastroparesis | 142.0 |
13 | Hemolytic uremic syndrome | 142.0 |
14 | Lactose intolerance | 141.0 |
15 | Food poisoning | 139.0 |
16 | Mesenteric ischemia | 137.0 |
17 | Premenstrual syndrome | 134.0 |
18 | Dyspepsia | 133.0 |
19 | Irritable Bowel Syndrome | 132.0 |
20 | Bacterial gastroenteritis | 130.0 |
21 | Sarcoidosis | 127.0 |
22 | Crohn Disease | 127.0 |
23 | Non-cholera Vibrio infections | 127.0 |
24 | pancreatic cancer | 126.0 |
25 | Celiac Disease | 125.0 |
26 | Ruptured ectopic pregnancy | 121.0 |
27 | mucosal Eosinophilic gastroenteritis | 116.0 |
28 | Analgesic nephropathy | 106.0 |
29 | Diverticulitis | 106.0 |
30 | Hyperparathyroidism | 103.0 |
31 | Systemic sclerosis | 103.0 |
32 | Acute Pancreatitis | 101.0 |
33 | Acute Cholecystitis | 101.0 |
34 | Emphysematous cholecystitis | 101.0 |
35 | Intussusception | 101.0 |
36 | Acute perforated appendicitis | 100.0 |
37 | Chronic Pancreatitis | 100.0 |
38 | Peptic Ulcer | 99.0 |
39 | Eosinophilic gastroenteritis | 97.0 |
40 | Anal Fissure | 95.0 |
41 | Listerial gastroenteritis | 94.0 |
42 | Muscle Layer Eosinophilic gastroenteritis | 92.0 |
43 | subserosal eosinophilic gastroenteritis | 92.0 |
44 | Systemic lupus erythematosus | 92.0 |
45 | Abdominal compartment syndrome | 91.0 |
46 | Alcoholic hepatitis | 89.0 |
47 | Hiatus hernia | 89.0 |
48 | Gallstone pancreatitis | 89.0 |
49 | Acute viral meningitis | 86.0 |
50 | Cystic Fibrosis | 85.0 |
51 | Malaria | 85.0 |
52 | Gastritis | 84.0 |
53 | Short bowel syndrome | 84.0 |
54 | Travelers diarrhea | 84.0 |
55 | Abetalipoproteinemia | 84.0 |
56 | Salmonella infection | 84.0 |
57 | Gastric cancer | 83.0 |
58 | Bacterial pharyngitis | 83.0 |
59 | Extraintestinal Entamoeba histolytica amebiasis | 82.0 |
60 | Anthrax | 79.0 |
61 | Leiomyomas | 78.0 |
62 | Primary sclerosing cholangitis | 76.0 |
63 | Diabetes Mellitus | 76.0 |
64 | Type 2 Diabetes mellitus | 76.0 |
65 | Type 1 Diabetes mellitus | 76.0 |
66 | Ulcerative Colitis | 75.0 |
67 | Viral Gastroenteritis | 75.0 |
68 | Gastric Volvulus | 73.0 |
69 | Chronic Myeloid Leukemia | 73.0 |
70 | Acute Appendicitis | 72.0 |
71 | Choledocholithiasis | 72.0 |
72 | Cholera | 72.0 |
73 | biliary colic | 71.0 |
74 | Primary biliary cirrhosis | 70.0 |
75 | Ascites | 69.0 |
76 | Osteoporosis | 69.0 |
77 | Liver disease | 68.0 |
78 | Liver Cirrhosis | 68.0 |
79 | Biliary cirrhosis | 68.0 |
80 | Graves Disease | 67.0 |
81 | biliary SOD | 66.0 |
82 | Brucellosis | 66.0 |
83 | Prostatitis | 66.0 |
84 | Chronic prostatitis | 66.0 |
85 | Acute Bacterial Prostatitis | 66.0 |
86 | Chronic bacterial prostatitis | 66.0 |
87 | Foodborne E coli infection | 65.0 |
88 | Gastrointestinal Hemorrhage | 65.0 |
89 | Lower gastrointestinal hemorrhage | 65.0 |
90 | Upper gastrointestinal hemorrhage | 65.0 |
91 | Globus Sensation | 65.0 |
92 | Gallstones | 64.0 |
93 | Choledochal Cyst | 64.0 |
94 | Hyperthyroidism | 64.0 |
95 | Foreign body ingestion | 63.0 |
96 | Henoch-Schonlein purpura | 63.0 |
97 | Malt lymphoma | 61.0 |
98 | Campylobacter infection | 61.0 |
99 | Spontaneous bacterial peritonitis | 61.0 |
100 | Hepatocellular carcinoma | 60.0 |
101 | Ovarian Hyperstimulation Syndrome | 60.0 |
102 | Kawasaki disease | 60.0 |
103 | Chronic pelvic pain in women | 59.0 |
104 | Gastroenteritis | 59.0 |
105 | Meckel diverticulum | 58.0 |
106 | Familial Mediterranean fever | 58.0 |
107 | Secondary Peritonitis | 57.0 |
108 | Amebic Liver Abscess | 57.0 |
109 | Alcoholic Liver Disease | 57.0 |
110 | Peutz-Jeghers Syndrome | 56.0 |
111 | Painless thyroiditis | 56.0 |
112 | Biliary cyst | 55.0 |
113 | Acalculous Cholecystitis | 54.0 |
114 | chronic acalculous cholecystitis | 54.0 |
115 | Tuberculous Peritonitis | 54.0 |
116 | Exocrine pancreatic insufficiency | 54.0 |
117 | Ovarian Torsion | 54.0 |
118 | Rumination Syndrome | 54.0 |
119 | Thrombotic thrombocytopenic purpura | 54.0 |
120 | Polyarteritis nodosa | 53.0 |
121 | Amyloidosis | 53.0 |
122 | Intraperitoneal bleeding | 53.0 |
123 | Alcoholic Liver Cirrhosis | 53.0 |
124 | Amebiasis | 53.0 |
125 | Sphincter of Oddi Dysfunction | 51.0 |
126 | pancreatic SOD | 51.0 |
127 | Intestinal Obstruction | 50.0 |
128 | Ileus | 50.0 |
129 | Alcoholic Fatty Liver | 50.0 |
130 | Umbilical hernia | 50.0 |
131 | Peritoneal dialysis associated peritonitis | 50.0 |
132 | Anaphylaxis | 50.0 |
133 | Pheochromocytoma | 50.0 |
134 | Diabetic Amyotrophy | 50.0 |
135 | Multiple Sclerosis | 50.0 |
136 | Acute intermittent porphyria | 49.0 |
137 | Autoimmune Pancreatitis | 48.0 |
138 | Autoimmune hepatitis | 48.0 |
139 | Acute Liver Failure | 48.0 |
140 | Acute bacterial meningitis in children | 47.0 |
141 | Intra-abdominal abscess | 46.0 |
142 | Hypogammaglobulinemia | 46.0 |
143 | Hyperprolactinemia | 46.0 |
144 | Cholangiocarcinoma | 45.0 |
145 | Colorectal cancer | 44.0 |
146 | Klebsiella pneumoniae liver abscess | 44.0 |
147 | Endometrial cancer | 44.0 |
148 | Acute otitis media | 44.0 |
149 | Chronic Milk-alkali syndrome | 43.0 |
150 | Cholecystitis | 43.0 |
151 | Gallbladder Dyskinesia | 43.0 |
152 | Chronic Cholecystitis | 43.0 |
153 | Preeclampsia | 43.0 |
154 | COPD Exacerbation | 43.0 |
155 | Autosomal Dominant Polycystic Kidney Disease | 41.0 |
156 | Addison Disease | 41.0 |
157 | Milk-alkali syndrome | 40.0 |
158 | Acute Milk-alkali syndrome | 40.0 |
159 | Chronic Clonorchiasis | 40.0 |
160 | Familial adenomatous polyposis syndrome | 40.0 |
161 | Heparin-induced thrombocytopenia | 40.0 |
162 | Inguinal hernia | 40.0 |
163 | Chronic Hepatitis | 40.0 |
164 | Multiple endocrine neoplasia 2A | 39.0 |
165 | Intestinal malrotation | 38.0 |
166 | Bruxism | 38.0 |
167 | Erectile dysfunction | 38.0 |
168 | Annular pancreas | 37.0 |
169 | Diabetic Neuropathy | 36.0 |
170 | Wilson disease | 36.0 |
171 | Multiple endocrine neoplasia 2B | 36.0 |
172 | STI HIV Pharyngitis | 36.0 |
173 | Hypercalcemia | 35.0 |
174 | Gastroesophageal reflux disease | 35.0 |
175 | Inflammatory Bowel Diseases | 35.0 |
176 | Endometriosis | 35.0 |
177 | Bladder Cancer | 35.0 |
178 | Urinary Tract Obstruction | 34.0 |
179 | Acute heart failure | 34.0 |
180 | Acute Lymphoblastic leukemia in children | 34.0 |
181 | Ruptured Tuboovarian abscess | 34.0 |
182 | Stevens-Johnson syndrome | 34.0 |
183 | Aseptic meningitis | 34.0 |
184 | Acute fatty liver of pregnancy | 33.0 |
185 | Hypothyroidism | 33.0 |
186 | Churg-Strauss Syndrome | 33.0 |
187 | Atopic dermatitis | 33.0 |
188 | Pancreatic Pseudocyst | 32.0 |
189 | Ankylosing spondylitis | 32.0 |
190 | Acromegaly | 31.0 |
191 | Disseminated intravascular coagulation | 30.0 |
192 | Medullary thyroid cancer | 30.0 |
193 | Clostridium difficile infection | 29.0 |
194 | Chronic Lymphocytic Leukemia | 29.0 |
195 | Blepharitis | 29.0 |
196 | Hepatorenal Syndrome | 28.0 |
197 | Adrenal crisis | 28.0 |
198 | Hypertriglyceridemia | 27.0 |
199 | Graves ophthalmopathy | 27.0 |
200 | Tinea versicolor | 27.0 |
201 | COVID19 | 25.0 |
202 | Carpal Tunnel Syndrome | 25.0 |
203 | Primary Myelofibrosis | 24.0 |
204 | Hereditary hemochromatosis | 24.0 |
205 | Allergic rhinitis | 24.0 |
206 | Abnormal uterine bleeding | 24.0 |
207 | Mallory-Weiss syndrome | 23.0 |
208 | Common cutaneous drug reactions | 23.0 |
209 | Psoriasis | 23.0 |
210 | Ectopic Pregnancy | 23.0 |
211 | Acute Lymphocytic Leukemia in Adults | 22.0 |
212 | Discogenic low back pain | 22.0 |
213 | Parkinson disease | 22.0 |
214 | Budd Chiari Syndrome | 21.0 |
215 | Pyogenic Liver Abscess | 21.0 |
216 | Esophagitis | 20.0 |
217 | Chronic liver disease | 20.0 |
218 | Portal hypertension | 20.0 |
219 | Acute peritonitis | 20.0 |
220 | Autosomal Recessive Polycystic Kidney Disease | 20.0 |
221 | Chronic Mitral regurgitation | 20.0 |
222 | Tuboovarian abscess | 20.0 |
223 | Pneumonia | 20.0 |
224 | Epidemic keratoconjunctivitis | 20.0 |
225 | Acute bacterial meningitis in neonates | 20.0 |
226 | Rocky Mountain spotted fever | 20.0 |
227 | Acute pericarditis | 20.0 |
228 | Acute Myeloid Leukemia in adults | 19.0 |
229 | Tinnitus | 18.0 |
230 | Atypical pneumonia | 18.0 |
231 | Acute Cystitis(Men) | 18.0 |
232 | Optic neuritis | 18.0 |
233 | Neuropapillitis | 18.0 |
234 | Eclampsia | 17.0 |
235 | Infectious mononucleosis | 17.0 |
236 | Gilbert syndrome | 17.0 |
237 | Toxic Megacolon | 17.0 |
238 | Non-alcoholic Fatty Liver Disease | 17.0 |
239 | Mitral Stenosis | 17.0 |
240 | Chronic heart failure | 17.0 |
241 | Middle East respiratory syndrome | 17.0 |
242 | Gallbladder cancer | 16.0 |
243 | Ruptured ovarian cyst | 16.0 |
244 | Guillain-Barre syndrome | 16.0 |
245 | Migraine headache in adults | 16.0 |
246 | Glomerulonephritis | 16.0 |
247 | Acute Cholangitis | 15.0 |
248 | Acute Clonorchiasis | 15.0 |
249 | Shigellosis | 15.0 |
250 | Influenza | 15.0 |
251 | Bullous pemphigoid | 14.0 |
252 | Acetaminophen overdose | 13.0 |
253 | Goiter | 13.0 |
254 | Diabetic Kidney Disease | 13.0 |
255 | Diffuse nontoxic goiter | 13.0 |
256 | Toxic multinodular goiter | 13.0 |
257 | Obstructive cervical goiters | 13.0 |
258 | Cervical goiter | 13.0 |
259 | Pyelonephritis | 12.0 |
260 | Acute pyelonephritis in adults | 12.0 |
261 | ST-elevation myocardial infarction | 12.0 |
262 | Gestational diabetes mellitus | 12.0 |
263 | Achalasia | 12.0 |
264 | Von willebrand disease | 12.0 |
265 | Amphetamine use disorder | 11.0 |
266 | Kidney stones | 10.0 |
267 | Diabetic Ketoacidosis | 10.0 |
268 | Herpes zoster | 10.0 |
269 | End Stage Renal Disease | 10.0 |
270 | Rosacea | 10.0 |
271 | Cushing syndrome | 10.0 |
272 | Renal Cell Carcinoma | 9.0 |
273 | Insomnia in adults | 9.0 |
274 | Prolactinoma | 9.0 |
275 | Common cold(children) | 8.0 |
276 | Endometritis | 8.0 |
277 | Common cold(adults) | 7.0 |
278 | Psoriatic arthritis | 7.0 |
279 | Adrenocortical carcinoma | 7.0 |
280 | Peyronie Disease | 7.0 |
281 | Menopause | 7.0 |
282 | Non-small cell lung cancer | 6.0 |
283 | Multiple Myeloma | 6.0 |
284 | Liver Abscess | 6.0 |
285 | Ramsay Hunt syndrome | 6.0 |
286 | Meniere disease | 6.0 |
287 | Pelvic inflammatory disease | 6.0 |
288 | Acute pelvic inflammatory disease | 6.0 |
289 | Limited cutaneous systemic sclerosis | 6.0 |
290 | Lung Cancer | 5.0 |
291 | Testicular cancer | 5.0 |
292 | Thyroid lymphoma | 5.0 |
293 | Anaplastic thyroid cancer | 5.0 |
294 | Bed bugs | 5.0 |
295 | Hemorrhagic stroke | 4.0 |
296 | Ischemic stroke | 4.0 |
297 | Renal and perinephric abscess | 4.0 |
298 | Acute Rhinosinusitis | 4.0 |
299 | Panic disorder in adults | 4.0 |
300 | Acute viral rhinosinusitis | 4.0 |
301 | Acute bacterial rhinosinusitis | 4.0 |
302 | Migraine | 3.0 |
303 | Alopecia areata | 2.0 |
304 | Acute Bronchitis | 2.0 |
305 | Typhoid infection | 2.0 |
306 | Chlamydia pneumoniae infection | 2.0 |
307 | Acute Hepatitis | 2.0 |
308 | Primary ciliary dyskinesia | 2.0 |
309 | Kartagener syndrome | 2.0 |
310 | Granulomatosis with polyangiitis | 1.0 |
311 | Rheumatoid Arthritis | 1.0 |
312 | Immune thrombocytopenia | 0.0 |
313 | Hemorrhoids | 0.0 |
314 | Motion Sickness | 0.0 |
315 | Recurrent aphthous stomatitis | 0.0 |
316 | Myasthenia Gravis | 0.0 |
317 | Congenital Myasthenic Syndromes | 0.0 |
318 | Neonatal Myasthenia Gravis | 0.0 |
319 | Insect bites and stings | 0.0 |
320 | Alzheimer disease | 0.0 |
321 | Acute disseminated encephalomyelitis | 0.0 |
322 | Bell palsy | 0.0 |
323 | Myoclonus | 0.0 |