62 years old | Male
A 62-year-old man presents for a routine initial visit in New York. He has occasional arthralgia or myalgia, and takes an ACE inhibitor and a thiazide diuretic for hypertension. A retired accountant and nonsmoker, he drinks 1 or 2 beers per week and denies current drug use. Physical examination is normal except for being overweight. Routine blood chemistries are normal, but a screening hepatitis C virus antibody test is positive. At follow-up, the patient is concerned about whether he will develop liver problems. He had heard on television that new oral medications are easier to take than older regimens that used injections and asks about the next diagnostic and treatment steps.
arthralgia | myalgia | takes an ACE inhibitor | hypertension | alcohol | overweight
Chronic Hepatitis Hepatitis Hepatitis C Acute Hepatitis Autoimmune hepatitis
https://online.epocrates.com/diseases/12822/Hepatitis-C/Common-Vignette
Rank |
Disease |
Weight |
---|---|---|
1 | Hepatocellular carcinoma | 311.0 |
2 | Chronic atrial fibrillation | 304.0 |
3 | Polyarteritis nodosa | 248.0 |
4 | Systemic lupus erythematosus | 244.0 |
5 | Chronic Hepatitis | 235.0 |
6 | Liver Cirrhosis | 229.0 |
7 | Gout | 223.0 |
8 | Hereditary hemochromatosis | 222.0 |
9 | Hepatic Encephalopathy | 221.0 |
10 | Non-ST-elevation myocardial infarction | 203.0 |
11 | Stable ischemic heart disease | 203.0 |
12 | Colorectal cancer | 201.0 |
13 | Pneumonia | 199.0 |
14 | Eclampsia | 195.0 |
15 | Sarcoidosis | 190.0 |
16 | Prinzmetal angina | 190.0 |
17 | Osteoarthritis | 183.0 |
18 | Henoch-Schonlein purpura | 182.0 |
19 | Endometrial cancer | 182.0 |
20 | Autoimmune hepatitis | 177.0 |
21 | Primary biliary cirrhosis | 173.0 |
22 | Primary sclerosing cholangitis | 171.0 |
23 | Alzheimer disease | 168.0 |
24 | Preeclampsia | 168.0 |
25 | Rheumatoid Arthritis | 166.0 |
26 | Fibromyalgia | 166.0 |
27 | Kidney stones | 166.0 |
28 | Non-alcoholic Fatty Liver Disease | 164.0 |
29 | Influenza | 163.0 |
30 | Thrombotic thrombocytopenic purpura | 160.0 |
31 | Biliary cirrhosis | 159.0 |
32 | Rocky Mountain spotted fever | 158.0 |
33 | Bruxism | 156.0 |
34 | Achilles tendinopathy | 156.0 |
35 | Achilles tendon rupture | 156.0 |
36 | Ischemic optic neuropathy | 155.0 |
37 | Acute bacterial meningitis in children | 155.0 |
38 | Chronic Kidney Diseases | 154.0 |
39 | Brucellosis | 153.0 |
40 | Balanitis | 151.0 |
41 | Acute Liver Failure | 147.0 |
42 | Acute Pancreatitis | 145.0 |
43 | Gallstone pancreatitis | 145.0 |
44 | Acne fulminans | 144.0 |
45 | Tetanus | 141.0 |
46 | Chronic Pancreatitis | 141.0 |
47 | Non-diabetic hypoglycemia | 140.0 |
48 | Erectile dysfunction | 136.0 |
49 | Acute viral meningitis | 135.0 |
50 | ST-elevation myocardial infarction | 134.0 |
51 | Graves Disease | 132.0 |
52 | Menopause | 132.0 |
53 | Hypertriglyceridemia | 132.0 |
54 | Acute Hepatitis | 131.0 |
55 | posteriorischemic optic neuropathy | 131.0 |
56 | anterior ischemic optic neuropathy | 131.0 |
57 | Transient ischemic attack | 131.0 |
58 | Cushing syndrome | 129.0 |
59 | Abnormal uterine bleeding | 129.0 |
60 | pancreatic cancer | 128.0 |
61 | Campylobacter infection | 125.0 |
62 | Systemic vasculitis | 124.0 |
63 | Acute intermittent porphyria | 124.0 |
64 | Celiac Disease | 122.0 |
65 | Cataract | 122.0 |
66 | Adrenal Suppression | 121.0 |
67 | Type 2 Diabetes mellitus | 120.0 |
68 | Leiomyomas | 120.0 |
69 | Anemia of chronic disease | 119.0 |
70 | Glomerulonephritis | 118.0 |
71 | Secondary hypogonadism | 118.0 |
72 | Granulomatosis with polyangiitis | 117.0 |
73 | Aortic Dissection | 117.0 |
74 | Papilledema | 117.0 |
75 | Analgesic nephropathy | 116.0 |
76 | Diabetic Kidney Disease | 115.0 |
77 | Malaria | 114.0 |
78 | Gastritis | 113.0 |
79 | Viral pharyngitis | 113.0 |
80 | Adrenocortical carcinoma | 113.0 |
81 | Obstructive Sleep Apnea | 110.0 |
82 | Primary Myelofibrosis | 109.0 |
83 | Psoriasis | 108.0 |
84 | Migraine headache in adults | 108.0 |
85 | Renal Cell Carcinoma | 107.0 |
86 | Chronic heart failure | 106.0 |
87 | STI HIV Pharyngitis | 105.0 |
88 | Lactose intolerance | 104.0 |
89 | Hyperparathyroidism | 104.0 |
90 | Alcoholic hepatitis | 104.0 |
91 | Hypothyroidism | 102.0 |
92 | Chronic Myeloid Leukemia | 102.0 |
93 | Chronic bacterial prostatitis | 101.0 |
94 | Acute Cholecystitis | 101.0 |
95 | Liver Abscess | 101.0 |
96 | Amebic Liver Abscess | 101.0 |
97 | Laryngeal Cancer | 101.0 |
98 | Foreign body ingestion | 101.0 |
99 | Hiatus hernia | 101.0 |
100 | Acute Clonorchiasis | 100.0 |
101 | Cellulitis | 100.0 |
102 | Gallbladder cancer | 100.0 |
103 | Androgenetic alopecia | 100.0 |
104 | Insomnia in adults | 100.0 |
105 | Carpal Tunnel Syndrome | 100.0 |
106 | Alcoholic Fatty Liver | 100.0 |
107 | Deep venous thrombosis | 100.0 |
108 | Primary hypogonadism | 100.0 |
109 | Oropharyngeal cancer | 98.0 |
110 | Gingivitis | 96.0 |
111 | Systemic sclerosis | 95.0 |
112 | Dermatophyte infections | 95.0 |
113 | Breast Cancer | 95.0 |
114 | COVID19 | 94.0 |
115 | Multiple Myeloma | 94.0 |
116 | Gallstones | 94.0 |
117 | Choledocholithiasis | 94.0 |
118 | Hyperaldosteronism | 94.0 |
119 | Stevens-Johnson syndrome | 93.0 |
120 | Anthrax | 91.0 |
121 | Salmonella infection | 91.0 |
122 | Labyrinthitis | 91.0 |
123 | Gastroesophageal reflux disease | 91.0 |
124 | Diabetic Ketoacidosis | 89.0 |
125 | Osteomalacia | 88.0 |
126 | Ischemic stroke | 87.0 |
127 | Chronic Milk-alkali syndrome | 86.0 |
128 | Acute Lymphoblastic leukemia in children | 85.0 |
129 | Acute Myeloid Leukemia in children | 83.0 |
130 | Psoriatic arthritis | 83.0 |
131 | Emphysematous cholecystitis | 83.0 |
132 | Acromegaly | 83.0 |
133 | Listerial gastroenteritis | 82.0 |
134 | Kawasaki disease | 82.0 |
135 | Lung Cancer | 82.0 |
136 | Diabetic Neuropathy | 82.0 |
137 | Alcoholic Liver Disease | 82.0 |
138 | Alcoholic Liver Cirrhosis | 82.0 |
139 | Hemorrhagic stroke | 81.0 |
140 | Acute Bacterial Prostatitis | 81.0 |
141 | Autosomal Recessive Polycystic Kidney Disease | 81.0 |
142 | Hereditary Angioedema | 80.0 |
143 | Chronic pelvic pain in women | 80.0 |
144 | Stroke | 80.0 |
145 | Hepatorenal Syndrome | 78.0 |
146 | Intra-abdominal abscess | 78.0 |
147 | Diabetes Mellitus | 78.0 |
148 | Acute respiratory failure | 75.0 |
149 | Crohn Disease | 74.0 |
150 | Addison Disease | 74.0 |
151 | Insect bites and stings | 74.0 |
152 | Varicose veins | 74.0 |
153 | Animal bites | 72.0 |
154 | Achalasia | 70.0 |
155 | Ovarian and fallopian tube torsion | 69.0 |
156 | End Stage Renal Disease | 68.0 |
157 | Candidal intertrigo | 68.0 |
158 | Clostridium difficile infection | 68.0 |
159 | Rosacea | 68.0 |
160 | Ulcerative Colitis | 67.0 |
161 | Acute disseminated encephalomyelitis | 67.0 |
162 | Shigellosis | 66.0 |
163 | Renal Artery Stenosis | 65.0 |
164 | Anaphylaxis | 65.0 |
165 | Acute Lymphocytic Leukemia in Adults | 64.0 |
166 | Aortic coarctation | 64.0 |
167 | Diabetic Amyotrophy | 64.0 |
168 | Hyperthyroidism | 63.0 |
169 | Urinary Tract Obstruction | 63.0 |
170 | Osteomyelitis | 63.0 |
171 | Hemolytic uremic syndrome | 63.0 |
172 | Hyperosmolar Hyperglycemic state | 63.0 |
173 | Infectious mononucleosis | 62.0 |
174 | Non-small cell lung cancer | 62.0 |
175 | Asthma | 62.0 |
176 | COPD Exacerbation | 62.0 |
177 | Common cold(adults) | 61.0 |
178 | Chronic liver disease | 61.0 |
179 | Guillain-Barre syndrome | 61.0 |
180 | Chronic fatigue syndrome | 60.0 |
181 | Hypercalcemia | 60.0 |
182 | Gastroparesis | 60.0 |
183 | Mallory-Weiss syndrome | 60.0 |
184 | Osteoporosis | 58.0 |
185 | Mitral Stenosis | 57.0 |
186 | Gastroenteritis | 57.0 |
187 | Acne conglobata | 56.0 |
188 | Gram-negative folliculitis | 56.0 |
189 | Excoriated acne | 56.0 |
190 | Acute bacterial meningitis in adults | 56.0 |
191 | Wilson disease | 54.0 |
192 | Typhoid infection | 54.0 |
193 | Food poisoning | 54.0 |
194 | Acute bacterial meningitis in neonates | 54.0 |
195 | Drowning | 54.0 |
196 | Hypoparathyroidism | 54.0 |
197 | Umbilical hernia | 53.0 |
198 | Acute Myeloid Leukemia in adults | 52.0 |
199 | Familial Mediterranean fever | 52.0 |
200 | Ankylosing spondylitis | 52.0 |
201 | Eosinophilic gastroenteritis | 52.0 |
202 | mucosal Eosinophilic gastroenteritis | 52.0 |
203 | Muscle Layer Eosinophilic gastroenteritis | 52.0 |
204 | subserosal eosinophilic gastroenteritis | 52.0 |
205 | Acute fatty liver of pregnancy | 52.0 |
206 | Mesenteric ischemia | 51.0 |
207 | Bell palsy | 50.0 |
208 | Cholera | 50.0 |
209 | Open Angle Glaucoma | 50.0 |
210 | Tuberculous Peritonitis | 50.0 |
211 | Pyogenic Liver Abscess | 50.0 |
212 | Renal and perinephric abscess | 50.0 |
213 | Psoas Abscess | 50.0 |
214 | Benign Prostatic Hyperplasia | 50.0 |
215 | Peyronie Disease | 50.0 |
216 | Priapism | 50.0 |
217 | Dry eye | 50.0 |
218 | Acute pyelonephritis in adults | 50.0 |
219 | Liver disease | 50.0 |
220 | Infertility in women | 50.0 |
221 | Irritable Bowel Syndrome | 49.0 |
222 | Amphetamine use disorder | 49.0 |
223 | Secondary hyperparathyroidism | 49.0 |
224 | Erythema nodosum | 48.0 |
225 | Viral Gastroenteritis | 48.0 |
226 | Bacterial gastroenteritis | 48.0 |
227 | Autosomal Dominant Polycystic Kidney Disease | 47.0 |
228 | Cryptococcosis | 47.0 |
229 | Sialadenitis | 47.0 |
230 | Parkinson disease | 46.0 |
231 | Gestational diabetes mellitus | 46.0 |
232 | Autoimmune Pancreatitis | 45.0 |
233 | Male factor infertility | 45.0 |
234 | Simple kidney cyst | 44.0 |
235 | Psychogenic polydipsia | 43.0 |
236 | Extrahepatic Cholestasis | 42.0 |
237 | Intrahepatic Cholestasis | 42.0 |
238 | Pseudohypoparathyroidism | 41.0 |
239 | Unstable angina | 41.0 |
240 | Central retinal artery occlusion | 41.0 |
241 | Acetaminophen overdose | 41.0 |
242 | Musculoskeletal lower back pain | 41.0 |
243 | Cystic Fibrosis | 40.0 |
244 | Bladder Cancer | 40.0 |
245 | Graves ophthalmopathy | 40.0 |
246 | Anaplastic thyroid cancer | 36.0 |
247 | Churg-Strauss Syndrome | 36.0 |
248 | Klebsiella pneumoniae liver abscess | 36.0 |
249 | Acne vulgaris | 36.0 |
250 | Heparin-induced thrombocytopenia | 36.0 |
251 | Milk-alkali syndrome | 36.0 |
252 | Acute Milk-alkali syndrome | 36.0 |
253 | Chronic pyelonephritis | 36.0 |
254 | Prolactinoma | 35.0 |
255 | Stable angina | 34.0 |
256 | Amyloidosis | 34.0 |
257 | Candidiasis | 34.0 |
258 | Candida Balanitis | 34.0 |
259 | Oropharyngeal and esophageal candidiasis | 34.0 |
260 | Vulvovaginal candidiasis | 34.0 |
261 | Oral candidiasis | 34.0 |
262 | Rotator Cuff Tears | 34.0 |
263 | Multiple endocrine neoplasia 2A | 33.0 |
264 | Pharyngitis | 33.0 |
265 | Bacterial pharyngitis | 33.0 |
266 | Herpes pharyngitis | 33.0 |
267 | Middle East respiratory syndrome | 32.0 |
268 | Spontaneous bacterial peritonitis | 32.0 |
269 | Type 1 Diabetes mellitus | 32.0 |
270 | Hyperprolactinemia | 32.0 |
271 | Subdural hematoma | 32.0 |
272 | Discogenic low back pain | 30.0 |
273 | Painless thyroiditis | 30.0 |
274 | Tinea versicolor | 30.0 |
275 | Atypical pneumonia | 30.0 |
276 | Ruptured Tuboovarian abscess | 29.0 |
277 | Non-cholera Vibrio infections | 27.0 |
278 | Ichthyosis | 27.0 |
279 | Peritoneal dialysis associated peritonitis | 26.0 |
280 | Goiter | 26.0 |
281 | Diffuse nontoxic goiter | 26.0 |
282 | Toxic multinodular goiter | 26.0 |
283 | Cervical goiter | 26.0 |
284 | Acute heart failure | 26.0 |
285 | Giardiasis | 25.0 |
286 | Testicular cancer | 25.0 |
287 | Limited cutaneous systemic sclerosis | 24.0 |
288 | Obstructive cervical goiters | 23.0 |
289 | Aseptic meningitis | 23.0 |
290 | Fungal meningitis | 23.0 |
291 | Inflammatory Bowel Diseases | 22.0 |
292 | Acute pericarditis | 22.0 |
293 | Acute Bronchitis | 21.0 |
294 | Recurrent aphthous stomatitis | 20.0 |
295 | Intestinal Pseudo Obstruction | 20.0 |
296 | Sunburn | 20.0 |
297 | Epilepsy | 20.0 |
298 | Central diabetes insipidus | 20.0 |
299 | Penis Carcinoma | 19.0 |
300 | Pancreatic Pseudocyst | 19.0 |
301 | Adrenal crisis | 18.0 |
302 | Uveitis | 18.0 |
303 | Anterior uveitis | 18.0 |
304 | Intermediate uveitis | 18.0 |
305 | Posterior uveitis | 18.0 |
306 | Pan uveitis | 18.0 |
307 | Medullary thyroid cancer | 18.0 |
308 | Multiple endocrine neoplasia 2B | 18.0 |
309 | Acute cervical spine trauma | 18.0 |
310 | Short bowel syndrome | 18.0 |
311 | Bullous pemphigoid | 17.0 |
312 | Toxic thyroid adenoma | 17.0 |
313 | Common cutaneous drug reactions | 16.0 |
314 | Ascites | 16.0 |
315 | Intussusception | 16.0 |
316 | Hypogammaglobulinemia | 15.0 |
317 | Aortic stenosis | 15.0 |
318 | Central hypothyroidism | 15.0 |
319 | Pressure ulcer | 15.0 |
320 | Premenstrual syndrome | 15.0 |
321 | Premature labor | 15.0 |
322 | Sexual abuse and assault | 15.0 |
323 | Barrett esophagus | 15.0 |
324 | Fibrocystic breasts | 15.0 |
325 | Prostate cancer | 14.0 |
326 | Musculoskeletal sprains and strains | 14.0 |
327 | Phenylketonuria | 14.0 |
328 | Dyspepsia | 13.0 |
329 | Annular pancreas | 12.0 |
330 | Pheochromocytoma | 12.0 |
331 | Familial adenomatous polyposis syndrome | 12.0 |
332 | Acute epididymitis | 11.0 |
333 | Foodborne E coli infection | 10.0 |
334 | Acute otitis media | 10.0 |
335 | Multiple Sclerosis | 10.0 |
336 | Substernal goiter | 8.0 |
337 | Bed bugs | 7.0 |
338 | Herpes zoster | 7.0 |
339 | Alopecia areata | 6.0 |
340 | Thyroid lymphoma | 6.0 |
341 | Peutz-Jeghers Syndrome | 6.0 |
342 | Pulmonary Embolism | 5.0 |
343 | Paraneoplastic Syndromes | 4.0 |
344 | Peptic Ulcer | 4.0 |
345 | Duodenal Ulcer | 4.0 |
346 | Gastric Ulcer | 4.0 |
347 | Malt lymphoma | 4.0 |
348 | Chronic Lymphocytic Leukemia | 3.0 |
349 | Pityriasis rosea | 3.0 |
350 | Budd Chiari Syndrome | 2.0 |
351 | Chronic Renal vein thrombosis | 2.0 |
352 | Acute peptic ulcer | 2.0 |
353 | Gastric cancer | 2.0 |
354 | Chronic Clonorchiasis | 2.0 |
355 | Optic neuritis | 1.0 |
356 | Neuropapillitis | 1.0 |
357 | Acute atrial fibrillation | 1.0 |
358 | Chlamydia pneumoniae infection | 1.0 |
359 | Disseminated intravascular coagulation | 1.0 |
360 | Immune thrombocytopenia | 0.0 |
361 | Acute Cystitis(Men) | 0.0 |
362 | Hemorrhoids | 0.0 |
363 | Allergic rhinitis | 0.0 |
364 | Panic disorder in adults | 0.0 |