Supporting Hours : Monday to Saturday - 8am to 10pm

43 yo obese F with RUQ pain, and jaundice

43 years old | Female

Vignette:

43 yo obese F with RUQ pain, and jaundice. She was diagnosed with asymptomatic gallstones 1 yr ago. She is found to be hypotensive on exam

Summary:

obese | RUQ pain | jaundice | gallstones | hypotensive

Dx:

cholangitis acute cholangitis Ascending cholangitis

Ref:

https://memorang.com/flashcards/172350/Nausea/Vomiting,+Abdominal+Pain

Rank

Disease

Weight

1 Acute Cholangitis 314.0
2 Acute Pancreatitis 300.0
3 Gallstone pancreatitis 288.0
4 Liver Cirrhosis 239.0
5 Biliary cirrhosis 239.0
6 Cholangiocarcinoma 224.0
7 Choledocholithiasis 223.0
8 Primary biliary cirrhosis 221.0
9 Gallbladder cancer 211.0
10 Hepatocellular carcinoma 209.0
11 Primary sclerosing cholangitis 205.0
12 Acute Cholecystitis 205.0
13 Emphysematous cholecystitis 201.0
14 Gallstones 200.0
15 Mirizzi Syndrome 195.0
16 Eclampsia 182.0
17 Non-ST-elevation myocardial infarction 175.0
18 Papilledema 167.0
19 pancreatic cancer 162.0
20 Preeclampsia 162.0
21 Thrombotic thrombocytopenic purpura 162.0
22 Acute Liver Failure 160.0
23 Short bowel syndrome 153.0
24 chronic acalculous cholecystitis 152.0
25 Kidney stones 151.0
26 biliary SOD 146.0
27 Biliary cyst 142.0
28 Hypertriglyceridemia 139.0
29 Liver disease 138.0
30 Type 2 Diabetes mellitus 137.0
31 Chronic bacterial prostatitis 137.0
32 Colorectal cancer 136.0
33 Common cutaneous drug reactions 136.0
34 ST-elevation myocardial infarction 135.0
35 Chronic Cholecystitis 131.0
36 Obstructive Sleep Apnea 130.0
37 Hiatus hernia 129.0
38 Diabetic Ketoacidosis 128.0
39 Pyogenic Liver Abscess 128.0
40 Acalculous Cholecystitis 122.0
41 Budd Chiari Syndrome 121.0
42 Chronic atrial fibrillation 119.0
43 Acute fatty liver of pregnancy 116.0
44 Autoimmune hepatitis 114.0
45 Non-alcoholic Fatty Liver Disease 112.0
46 Gout 112.0
47 Gastroesophageal reflux disease 108.0
48 Toxic Megacolon 107.0
49 Achilles tendinopathy 106.0
50 Achilles tendon rupture 106.0
51 Addison Disease 106.0
52 Extrahepatic Cholestasis 106.0
53 Acute Hepatitis 102.0
54 Adrenal crisis 102.0
55 Anaphylaxis 102.0
56 Abnormal uterine bleeding 101.0
57 Migraine headache in adults 101.0
58 Erectile dysfunction 101.0
59 Stable ischemic heart disease 101.0
60 Cholangitis 101.0
61 Chronic Clonorchiasis 100.0
62 Acute perforated appendicitis 98.0
63 pancreatic SOD 97.0
64 Aortic Dissection 95.0
65 Varicose veins 94.0
66 Alcoholic hepatitis 92.0
67 Klebsiella pneumoniae liver abscess 92.0
68 Non-cholera Vibrio infections 91.0
69 Acute bacterial meningitis in children 90.0
70 Chronic Pancreatitis 88.0
71 Gilbert syndrome 88.0
72 Extraintestinal Entamoeba histolytica amebiasis 87.0
73 Bacterial gastroenteritis 85.0
74 Listerial gastroenteritis 85.0
75 Intraperitoneal bleeding 85.0
76 Candidal intertrigo 84.0
77 Alcoholic Liver Disease 84.0
78 Gallbladder Dyskinesia 82.0
79 Clonorchiasis 82.0
80 Gastroenteritis 81.0
81 Osteoarthritis 80.0
82 Anthrax 80.0
83 Choledochal Cyst 79.0
84 Intestinal Obstruction 79.0
85 Foodborne E coli infection 78.0
86 Clostridium difficile infection 77.0
87 Sphincter of Oddi Dysfunction 77.0
88 Dubin-Johnson syndrome 77.0
89 Leiomyomas 76.0
90 Mesenteric ischemia 76.0
91 Breast Cancer 75.0
92 Ulcerative Colitis 75.0
93 Gastroparesis 75.0
94 Tuberculous Peritonitis 74.0
95 Amebic Liver Abscess 72.0
96 biliary obstruction 72.0
97 chronic biliary obstruction 72.0
98 biliary colic 71.0
99 Wilson disease 71.0
100 mucosal Eosinophilic gastroenteritis 71.0
101 Cholecystitis 69.0
102 Eosinophilic gastroenteritis 69.0
103 Abdominal compartment syndrome 69.0
104 subserosal eosinophilic gastroenteritis 69.0
105 Muscle Layer Eosinophilic gastroenteritis 69.0
106 Chronic heart failure 68.0
107 Celiac Disease 68.0
108 Acute peptic ulcer 68.0
109 Peritoneal dialysis associated peritonitis 68.0
110 Viral Gastroenteritis 68.0
111 Rotor syndrome 68.0
112 Autosomal Dominant Polycystic Kidney Disease 67.0
113 Hyperosmolar Hyperglycemic state 67.0
114 Disseminated intravascular coagulation 67.0
115 Acute peritonitis 66.0
116 Diabetes Mellitus 65.0
117 Acute Appendicitis 64.0
118 Crohn Disease 62.0
119 Endometrial cancer 61.0
120 Inflammatory Bowel Diseases 61.0
121 Sigmoid volvulus 61.0
122 Gastric cancer 61.0
123 Umbilical hernia 59.0
124 Acetaminophen overdose 59.0
125 Acute Mitral regurgitation 58.0
126 Diabetic Kidney Disease 57.0
127 Malaria 57.0
128 Cushing syndrome 56.0
129 Irritable Bowel Syndrome 56.0
130 Rocky Mountain spotted fever 56.0
131 Chronic Hepatitis 55.0
132 Acute atrial fibrillation 54.0
133 Hepatic Encephalopathy 54.0
134 Food poisoning 54.0
135 Spontaneous bacterial peritonitis 54.0
136 Bacterial pharyngitis 54.0
137 Tetanus 53.0
138 Type 1 Diabetes mellitus 52.0
139 Intrahepatic cholestasis of pregnancy 52.0
140 Amebiasis 52.0
141 Foreign body ingestion 52.0
142 Shigellosis 52.0
143 Adrenal Suppression 51.0
144 Insect bites and stings 51.0
145 Non-small cell lung cancer 51.0
146 Vulvovaginal candidiasis 51.0
147 Carpal Tunnel Syndrome 50.0
148 Rheumatoid Arthritis 50.0
149 Psoriasis 50.0
150 Balanitis 50.0
151 Deep venous thrombosis 50.0
152 Secondary hypogonadism 50.0
153 Dermatophyte infections 50.0
154 Osteomalacia 50.0
155 Primary hypogonadism 50.0
156 Cellulitis 50.0
157 Androgenetic alopecia 50.0
158 Multiple Myeloma 50.0
159 Ovarian Hyperstimulation Syndrome 50.0
160 Cholestasis 50.0
161 Intrahepatic Cholestasis 50.0
162 Acute heart failure 50.0
163 Mallory-Weiss syndrome 50.0
164 Acute bacterial meningitis in adults 50.0
165 Hereditary Angioedema 49.0
166 Ovarian Cancer 49.0
167 Ectopic Pregnancy 49.0
168 Hemolytic uremic syndrome 49.0
169 Asthma 48.0
170 Diabetic Amyotrophy 48.0
171 Zollinger-Ellison Syndrome 48.0
172 Lactose intolerance 48.0
173 Endometriosis 48.0
174 Autoimmune Pancreatitis 47.0
175 Sialadenitis 47.0
176 Renal and perinephric abscess 46.0
177 Intussusception 46.0
178 Pancreatitis 45.0
179 Acute intermittent porphyria 44.0
180 Hypothyroidism 44.0
181 Lung Cancer 43.0
182 Ruptured Tuboovarian abscess 43.0
183 Ileus 43.0
184 Cholera 43.0
185 Pheochromocytoma 42.0
186 Cystic Fibrosis 42.0
187 Hereditary hemochromatosis 42.0
188 Unstable angina 42.0
189 Renal Cell Carcinoma 41.0
190 Musculoskeletal lower back pain 41.0
191 Sunburn 41.0
192 Gallbladder Empyema 40.0
193 Pancreatic Pseudocyst 40.0
194 Bladder Cancer 40.0
195 Sarcoidosis 40.0
196 Intestinal Entamoeba histolytica amebiasis 40.0
197 Typhoid infection 40.0
198 Hyperprolactinemia 40.0
199 Ovarian and fallopian tube torsion 39.0
200 Intra-abdominal abscess 39.0
201 Salmonella infection 39.0
202 Upper gastrointestinal hemorrhage 39.0
203 Lower gastrointestinal hemorrhage 39.0
204 Gastrointestinal Hemorrhage 39.0
205 Hypercalcemia 38.0
206 Hepatorenal Syndrome 38.0
207 Gastric Volvulus 38.0
208 Chronic Myeloid Leukemia 38.0
209 Familial adenomatous polyposis syndrome 38.0
210 Travelers diarrhea 38.0
211 Primary Myelofibrosis 37.0
212 Intestinal Pseudo Obstruction 37.0
213 Acute viral meningitis 37.0
214 Chronic Kidney Diseases 36.0
215 Diverticulitis 36.0
216 Kawasaki disease 36.0
217 Churg-Strauss Syndrome 35.0
218 Rotator Cuff Tears 34.0
219 Rosacea 34.0
220 Hyperparathyroidism 34.0
221 Alcoholic Liver Cirrhosis 34.0
222 Hypoparathyroidism 34.0
223 Peritonitis 34.0
224 Secondary Peritonitis 34.0
225 Stevens-Johnson syndrome 34.0
226 Candida Balanitis 34.0
227 Oropharyngeal and esophageal candidiasis 34.0
228 Oral candidiasis 34.0
229 Gestational diabetes mellitus 33.0
230 Gastritis 33.0
231 Meckel diverticulum 33.0
232 anterior ischemic optic neuropathy 33.0
233 Ischemic optic neuropathy 33.0
234 posteriorischemic optic neuropathy 33.0
235 Ruptured ovarian cyst 32.0
236 Chronic Renal vein thrombosis 31.0
237 Acute Clonorchiasis 31.0
238 Systemic sclerosis 30.0
239 Esophagitis 30.0
240 Hyperglycemia 30.0
241 Renal vein thrombosis 30.0
242 Acute Renal vein thrombosis 30.0
243 Multiple endocrine neoplasia 2B 29.0
244 Infectious mononucleosis 29.0
245 Graves Disease 28.0
246 Ischemic stroke 27.0
247 Annular pancreas 27.0
248 Panic disorder in adults 27.0
249 Acute pyelonephritis in adults 27.0
250 Analgesic nephropathy 26.0
251 Fibromyalgia 26.0
252 Gastric Outlet Obstruction 26.0
253 Peptic Ulcer 25.0
254 Epiploic appendagitis 25.0
255 Gastric Ulcer 25.0
256 Duodenal Ulcer 25.0
257 Inguinal hernia 25.0
258 Peutz-Jeghers Syndrome 25.0
259 Chronic pelvic pain in women 25.0
260 Amphetamine use disorder 25.0
261 Pseudohypoparathyroidism 24.0
262 Intestinal malrotation 24.0
263 Rumination Syndrome 23.0
264 Polyarteritis nodosa 23.0
265 Acute Myeloid Leukemia in children 23.0
266 Prinzmetal angina 23.0
267 Cataract 22.0
268 Acne vulgaris 22.0
269 Acne fulminans 22.0
270 Acne conglobata 22.0
271 Gram-negative folliculitis 22.0
272 Excoriated acne 22.0
273 Autosomal Recessive Polycystic Kidney Disease 22.0
274 Amyloidosis 22.0
275 Campylobacter infection 22.0
276 Glomerulonephritis 22.0
277 Adrenocortical carcinoma 21.0
278 Guillain-Barre syndrome 21.0
279 Secondary hyperparathyroidism 20.0
280 Acute Lymphoblastic leukemia in children 20.0
281 Anemia of chronic disease 20.0
282 Liver Abscess 20.0
283 Motion Sickness 20.0
284 Pityriasis rosea 20.0
285 Acromegaly 19.0
286 Animal bites 19.0
287 Bullous pemphigoid 19.0
288 Heparin-induced thrombocytopenia 18.0
289 Urinary Tract Obstruction 18.0
290 Ruptured ectopic pregnancy 18.0
291 Acute cervical spine trauma 18.0
292 COPD Exacerbation 18.0
293 Hyperthyroidism 17.0
294 Miliaria 17.0
295 Multiple endocrine neoplasia 2A 16.0
296 Atopic dermatitis 16.0
297 Menopause 15.0
298 Barrett esophagus 15.0
299 Discogenic low back pain 15.0
300 Fibrocystic breasts 15.0
301 Male factor infertility 15.0
302 Brucellosis 15.0
303 Alcoholic Fatty Liver 15.0
304 Parkinson disease 15.0
305 Diabetic Neuropathy 14.0
306 Aortic stenosis 14.0
307 Mitral Valve Prolapse 14.0
308 Toxic thyroid adenoma 14.0
309 Drowning 14.0
310 Herpes zoster 14.0
311 Medullary thyroid cancer 13.0
312 Limited cutaneous systemic sclerosis 13.0
313 Ankylosing spondylitis 13.0
314 Mitral Stenosis 13.0
315 cholestatic liver disease 13.0
316 Blepharitis 13.0
317 Milk-alkali syndrome 13.0
318 Acute Milk-alkali syndrome 13.0
319 Chronic Milk-alkali syndrome 13.0
320 Simple kidney cyst 12.0
321 Giardiasis 12.0
322 Ovarian Torsion 12.0
323 Chronic Mitral regurgitation 12.0
324 Premature labor 11.0
325 Laryngeal Cancer 11.0
326 Nephrogenic diabetes insipidus 11.0
327 Central diabetes insipidus 11.0
328 Alopecia areata 11.0
329 Acute Lymphocytic Leukemia in Adults 10.0
330 Toxic multinodular goiter 10.0
331 Acute respiratory failure 10.0
332 Familial Mediterranean fever 9.0
333 chronic cholestatic liver disease 9.0
334 Keloid 9.0
335 Alzheimer disease 9.0
336 COVID19 7.0
337 Ascites 7.0
338 Graves ophthalmopathy 7.0
339 Dyspepsia 7.0
340 Pulmonary Embolism 6.0
341 Transient ischemic attack 6.0
342 Angiodysplasia of the colon 6.0
343 Acute Myeloid Leukemia in adults 5.0
344 Anaplastic thyroid cancer 5.0
345 Chronic Lymphocytic Leukemia 4.0
346 Psoriatic arthritis 4.0
347 Systemic lupus erythematosus 4.0
348 Aortic coarctation 4.0
349 Pelvic inflammatory disease 2.0
350 Acute pelvic inflammatory disease 2.0
351 Hyperaldosteronism 2.0
352 Acute pericarditis 1.0
353 Narcolepsy 0.0
354 Hemorrhoids 0.0
355 Abetalipoproteinemia 0.0
356 Immune thrombocytopenia 0.0
357 Psychogenic polydipsia 0.0
358 Phenylketonuria 0.0
359 Bed bugs 0.0
360 Myasthenia Gravis 0.0
361 Neonatal Myasthenia Gravis 0.0
362 Congenital Myasthenic Syndromes 0.0