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37 yoM with severe epigastric pain, nausea, vomiting

37 years old | Male

Vignette:

37 yoM with severe epigastric pain, nausea, vomiting and mild fever. He appears toxic. He has a history of intermittent epigastric pain that is relieved by food and antiacids. He also smokes heavily and takes aspirin daily

Summary:

severe pain | epigastric pain | nausea | vomiting | mild fever | toxic | intermittent | relieved by food | relieved by antiacids | smoking | aspirin

Dx:

peptic ulcer perforated peptic ulcer

Ref:

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

Rank

Disease

Weight

1 Acute peptic ulcer 543.0
2 Peptic Ulcer 434.0
3 Mesenteric ischemia 426.0
4 Acute Pancreatitis 406.0
5 Acute Cholecystitis 387.0
6 biliary SOD 386.0
7 Duodenal Ulcer 383.0
8 Gastric Ulcer 383.0
9 Chronic bacterial prostatitis 365.0
10 Emphysematous cholecystitis 354.0
11 Chronic Pancreatitis 353.0
12 pancreatic SOD 348.0
13 Gastric Outlet Obstruction 333.0
14 pancreatic cancer 331.0
15 Acute Appendicitis 325.0
16 Gallstone pancreatitis 323.0
17 Acute fatty liver of pregnancy 314.0
18 Intussusception 305.0
19 Acute perforated appendicitis 303.0
20 Gastric cancer 297.0
21 Pyogenic Liver Abscess 289.0
22 biliary colic 287.0
23 Sphincter of Oddi Dysfunction 283.0
24 Gallbladder Dyskinesia 279.0
25 Ovarian and fallopian tube torsion 278.0
26 Choledocholithiasis 276.0
27 Acute intermittent porphyria 276.0
28 Klebsiella pneumoniae liver abscess 274.0
29 Crohn Disease 267.0
30 Alcoholic Liver Disease 264.0
31 Gastroparesis 263.0
32 Rocky Mountain spotted fever 263.0
33 Hiatus hernia 260.0
34 Acute bacterial meningitis in adults 258.0
35 Esophagitis 253.0
36 mucosal Eosinophilic gastroenteritis 250.0
37 Gallstones 242.0
38 ST-elevation myocardial infarction 240.0
39 Intestinal Obstruction 239.0
40 Ovarian Torsion 235.0
41 Choledochal Cyst 234.0
42 Dyspepsia 230.0
43 Bladder Cancer 226.0
44 Alcoholic Liver Cirrhosis 226.0
45 Migraine headache in adults 226.0
46 Ruptured ectopic pregnancy 224.0
47 Systemic lupus erythematosus 224.0
48 Ulcerative Colitis 221.0
49 Listerial gastroenteritis 219.0
50 Infectious mononucleosis 218.0
51 Ectopic Pregnancy 215.0
52 Acute Hepatitis 211.0
53 Hereditary Angioedema 210.0
54 Irritable Bowel Syndrome 206.0
55 Ischemic stroke 205.0
56 Gallbladder cancer 205.0
57 Labyrinthitis 204.0
58 Diverticulitis 203.0
59 Acute Clonorchiasis 203.0
60 Non-small cell lung cancer 203.0
61 Acalculous Cholecystitis 202.0
62 chronic acalculous cholecystitis 202.0
63 Gastritis 202.0
64 Amebic Liver Abscess 200.0
65 Non-ST-elevation myocardial infarction 197.0
66 Graves Disease 195.0
67 Autoimmune hepatitis 194.0
68 Aseptic meningitis 193.0
69 Acute Cholangitis 192.0
70 Acute pyelonephritis in adults 191.0
71 Pneumonia 189.0
72 Common cutaneous drug reactions 189.0
73 Alcoholic hepatitis 188.0
74 Acetaminophen overdose 187.0
75 Sigmoid volvulus 186.0
76 Motion Sickness 186.0
77 Muscle Layer Eosinophilic gastroenteritis 185.0
78 Acute bacterial meningitis in children 184.0
79 Brucellosis 184.0
80 Gastric Volvulus 183.0
81 Inguinal hernia 182.0
82 Sarcoidosis 182.0
83 Pyelonephritis 181.0
84 Angle Closure Glaucoma 177.0
85 Ileus 176.0
86 Acute viral meningitis 176.0
87 Non-cholera Vibrio infections 176.0
88 Acute Liver Failure 173.0
89 Chronic Cholecystitis 173.0
90 Polyarteritis nodosa 173.0
91 Stroke 172.0
92 Bacterial gastroenteritis 170.0
93 Giardiasis 166.0
94 Chronic prostatitis 165.0
95 Lung Cancer 163.0
96 Hyperthyroidism 163.0
97 Anthrax 163.0
98 Stable ischemic heart disease 162.0
99 Herpes zoster 161.0
100 Analgesic nephropathy 161.0
101 COPD Exacerbation 158.0
102 Food poisoning 156.0
103 Campylobacter infection 154.0
104 Spontaneous bacterial peritonitis 153.0
105 Foreign body ingestion 151.0
106 Gastroesophageal reflux disease 150.0
107 Viral Gastroenteritis 149.0
108 Peritoneal dialysis associated peritonitis 148.0
109 Meckel diverticulum 148.0
110 Secondary Peritonitis 148.0
111 Diabetes Mellitus 148.0
112 Alcoholic Fatty Liver 146.0
113 Primary sclerosing cholangitis 143.0
114 Type 1 Diabetes mellitus 143.0
115 Acute Bacterial Prostatitis 143.0
116 Autosomal Dominant Polycystic Kidney Disease 141.0
117 Multiple Sclerosis 141.0
118 Zollinger-Ellison Syndrome 140.0
119 Gilbert syndrome 140.0
120 Lactose intolerance 139.0
121 Gout 139.0
122 Ovarian Hyperstimulation Syndrome 138.0
123 Prinzmetal angina 138.0
124 Rheumatoid Arthritis 138.0
125 Obstructive Sleep Apnea 137.0
126 Acute respiratory failure 137.0
127 Annular pancreas 135.0
128 Anaphylaxis 135.0
129 Ruptured ovarian cyst 133.0
130 subserosal eosinophilic gastroenteritis 133.0
131 Hemolytic uremic syndrome 133.0
132 Diabetic Kidney Disease 132.0
133 Kidney stones 130.0
134 Addison Disease 130.0
135 Insect bites and stings 130.0
136 Hypercalcemia 129.0
137 Cholecystitis 129.0
138 Cryptococcosis 129.0
139 Psychogenic polydipsia 128.0
140 Prostatitis 128.0
141 Primary biliary cirrhosis 127.0
142 Acne fulminans 126.0
143 Diabetic Ketoacidosis 125.0
144 Acute disseminated encephalomyelitis 125.0
145 Intra-abdominal abscess 125.0
146 Salmonella infection 125.0
147 Thrombotic thrombocytopenic purpura 125.0
148 Adrenal crisis 124.0
149 Chronic atrial fibrillation 124.0
150 Intestinal Pseudo Obstruction 123.0
151 Liver disease 122.0
152 Chronic pyelonephritis 122.0
153 Eosinophilic gastroenteritis 121.0
154 Influenza 120.0
155 Chronic heart failure 118.0
156 Fungal meningitis 118.0
157 Hypertriglyceridemia 117.0
158 Malaria 117.0
159 Periorbital and orbital cellulitis 117.0
160 Asthma 117.0
161 Inflammatory Bowel Diseases 116.0
162 Heparin-induced thrombocytopenia 115.0
163 Kawasaki disease 115.0
164 Pancreatic Pseudocyst 114.0
165 Typhoid infection 114.0
166 Systemic sclerosis 113.0
167 Acute otitis media 113.0
168 Churg-Strauss Syndrome 112.0
169 Panic disorder in adults 112.0
170 Biliary cirrhosis 111.0
171 Renal Cell Carcinoma 111.0
172 Liver Abscess 110.0
173 Abdominal compartment syndrome 108.0
174 Hyperparathyroidism 108.0
175 Malt lymphoma 108.0
176 Mallory-Weiss syndrome 108.0
177 Stable angina 108.0
178 Budd Chiari Syndrome 106.0
179 Migraine 106.0
180 Henoch-Schonlein purpura 105.0
181 Autoimmune Pancreatitis 104.0
182 Cholangiocarcinoma 104.0
183 Atopic dermatitis 104.0
184 Amphetamine use disorder 103.0
185 Cholera 102.0
186 Papilledema 102.0
187 Acute bacterial meningitis in neonates 102.0
188 Ovarian Cancer 101.0
189 Type 2 Diabetes mellitus 101.0
190 Ruptured Tuboovarian abscess 101.0
191 Discogenic low back pain 101.0
192 Laryngeal Cancer 101.0
193 Gingivitis 101.0
194 Erectile dysfunction 101.0
195 Bruxism 101.0
196 Alzheimer disease 101.0
197 End Stage Renal Disease 100.0
198 Milk-alkali syndrome 100.0
199 Subdural hematoma 100.0
200 Acute Milk-alkali syndrome 100.0
201 Chronic Milk-alkali syndrome 100.0
202 Common cold(adults) 99.0
203 Globus Sensation 98.0
204 anterior ischemic optic neuropathy 97.0
205 Hepatocellular carcinoma 96.0
206 Liver Cirrhosis 96.0
207 Varicose veins 96.0
208 Celiac Disease 95.0
209 Splenic Infarction 95.0
210 Acute Lymphocytic Leukemia in Adults 94.0
211 Tinnitus 94.0
212 Chronic meningitis 93.0
213 posteriorischemic optic neuropathy 93.0
214 Renal and perinephric abscess 92.0
215 Bacterial pharyngitis 92.0
216 Wilson disease 92.0
217 Acute viral rhinosinusitis 92.0
218 Toxic Megacolon 91.0
219 Psoas Abscess 91.0
220 Hemorrhagic stroke 90.0
221 Meniere disease 90.0
222 Biliary cyst 88.0
223 Colorectal cancer 87.0
224 Tuberculous Peritonitis 86.0
225 Adrenal Suppression 86.0
226 Short bowel syndrome 84.0
227 Acute Lymphoblastic leukemia in children 84.0
228 Stevens-Johnson syndrome 84.0
229 Chronic Hepatitis 83.0
230 Osteoporosis 83.0
231 Sunburn 83.0
232 Acute bacterial rhinosinusitis 83.0
233 Acne conglobata 83.0
234 Acne vulgaris 83.0
235 Gram-negative folliculitis 83.0
236 Excoriated acne 83.0
237 Anal Fissure 82.0
238 Leiomyomas 82.0
239 Foodborne E coli infection 81.0
240 Nasal polyps 81.0
241 COVID19 79.0
242 Preeclampsia 79.0
243 Acute Myeloid Leukemia in adults 78.0
244 Rumination Syndrome 78.0
245 Viral pharyngitis 78.0
246 Empyema 77.0
247 Primary Myelofibrosis 77.0
248 Unstable angina 77.0
249 Pelvic inflammatory disease 74.0
250 Infertility in women 74.0
251 Clostridium difficile infection 74.0
252 Familial adenomatous polyposis syndrome 73.0
253 Mirizzi Syndrome 73.0
254 Deep venous thrombosis 73.0
255 Peutz-Jeghers Syndrome 72.0
256 Granulomatosis with polyangiitis 72.0
257 Dubin-Johnson syndrome 72.0
258 Acute pericarditis 71.0
259 Amyloidosis 70.0
260 Psoriasis 70.0
261 Autosomal Recessive Polycystic Kidney Disease 69.0
262 Extraintestinal Entamoeba histolytica amebiasis 69.0
263 Travelers diarrhea 69.0
264 Familial Mediterranean fever 69.0
265 Graves ophthalmopathy 69.0
266 Acute pelvic inflammatory disease 67.0
267 Tuboovarian abscess 67.0
268 Genital herpes 66.0
269 Breast Cancer 65.0
270 Urinary Tract Obstruction 63.0
271 Croup 63.0
272 Acute Rhinosinusitis 62.0
273 Allergic rhinitis 62.0
274 Cellulitis 62.0
275 Atypical pneumonia 62.0
276 Ischemic optic neuropathy 62.0
277 Hypothyroidism 61.0
278 Splenic abscess 61.0
279 Oropharyngeal cancer 61.0
280 Premature labor 61.0
281 Musculoskeletal sprains and strains 59.0
282 Multiple Myeloma 59.0
283 Pancreatitis 59.0
284 Cystic Fibrosis 58.0
285 Acute Myeloid Leukemia in children 57.0
286 Common cold(children) 56.0
287 Acute peritonitis 56.0
288 Chlamydia pneumoniae infection 54.0
289 Anemia of chronic disease 54.0
290 Intraperitoneal bleeding 53.0
291 Anaplastic thyroid cancer 53.0
292 Acromegaly 52.0
293 Diabetic Neuropathy 51.0
294 Limited cutaneous systemic sclerosis 51.0
295 Gallbladder Empyema 50.0
296 Achalasia 50.0
297 Intestinal malrotation 50.0
298 Recurrent aphthous stomatitis 50.0
299 Musculoskeletal lower back pain 50.0
300 Rubella 50.0
301 Cataract 50.0
302 Peyronie Disease 50.0
303 Shigellosis 49.0
304 Acute heart failure 49.0
305 Endometrial cancer 49.0
306 Gastroenteritis 49.0
307 Splenic Rupture 49.0
308 Pheochromocytoma 48.0
309 Fibromyalgia 48.0
310 Cushing syndrome 48.0
311 Systemic vasculitis 48.0
312 Rosacea 48.0
313 Tetanus 46.0
314 Chronic Clonorchiasis 45.0
315 Animal bites 45.0
316 Blepharitis 44.0
317 Hypogammaglobulinemia 43.0
318 Epiploic appendagitis 43.0
319 Epilepsy 43.0
320 Pharyngitis 43.0
321 Chronic Lymphocytic Leukemia 42.0
322 Multiple endocrine neoplasia 2A 42.0
323 Tinea versicolor 41.0
324 Central retinal artery occlusion 41.0
325 Chronic Myeloid Leukemia 40.0
326 Ankylosing spondylitis 39.0
327 Eclampsia 39.0
328 Cholangitis 39.0
329 Hereditary hemochromatosis 38.0
330 Endometritis 38.0
331 Carpal Tunnel Syndrome 38.0
332 Chronic pelvic pain in women 37.0
333 Abnormal uterine bleeding 36.0
334 Chronic Kidney Diseases 36.0
335 Prolactinoma 36.0
336 Disseminated intravascular coagulation 36.0
337 Hepatorenal Syndrome 35.0
338 Urinary tract infection 35.0
339 Cystitis 35.0
340 Mitral Stenosis 34.0
341 Psoriatic arthritis 34.0
342 Intrahepatic cholestasis of pregnancy 34.0
343 Toxic thyroid adenoma 34.0
344 Osteomyelitis 34.0
345 Intestinal Entamoeba histolytica amebiasis 34.0
346 Rotator Cuff Tears 34.0
347 Achilles tendon rupture 34.0
348 Acute Cystitis(Men) 32.0
349 Rotor syndrome 32.0
350 Bacterial conjunctivitis 31.0
351 Viral conjunctivitis 31.0
352 Adrenocortical carcinoma 31.0
353 STI HIV Pharyngitis 31.0
354 Cholestasis 30.0
355 Intrahepatic Cholestasis 30.0
356 Umbilical hernia 29.0
357 Drowning 29.0
358 Priapism 29.0
359 Peritonitis 29.0
360 Erythema nodosum 29.0
361 Clonorchiasis 27.0
362 Optic neuritis 27.0
363 Neuropapillitis 27.0
364 Acute Bronchitis 26.0
365 Pulmonary Embolism 26.0
366 Amebiasis 26.0
367 Transient ischemic attack 25.0
368 Primary ciliary dyskinesia 24.0
369 Kartagener syndrome 24.0
370 Ascites 24.0
371 Glomerulonephritis 24.0
372 Hypoparathyroidism 24.0
373 Dry eye 23.0
374 Aortic Dissection 21.0
375 Aortic coarctation 21.0
376 Testicular cancer 20.0
377 Bed bugs 20.0
378 Bullous pemphigoid 20.0
379 Hyperprolactinemia 19.0
380 Extrahepatic Cholestasis 19.0
381 Multiple endocrine neoplasia 2B 18.0
382 Gestational diabetes mellitus 18.0
383 Secondary hyperparathyroidism 18.0
384 Guillain-Barre syndrome 17.0
385 Acute epididymitis 16.0
386 Diabetic Amyotrophy 16.0
387 Gastrointestinal Hemorrhage 16.0
388 Lower gastrointestinal hemorrhage 16.0
389 Upper gastrointestinal hemorrhage 16.0
390 Paraneoplastic Syndromes 15.0
391 Aortic stenosis 15.0
392 Premenstrual syndrome 15.0
393 Male factor infertility 15.0
394 Barrett esophagus 15.0
395 Dacryocystitis 14.0
396 Middle East respiratory syndrome 14.0
397 Epididymo-orchitis 13.0
398 Sialadenitis 13.0
399 Critical Illness Polyneuropathy 13.0
400 Non-diabetic hypoglycemia 13.0
401 Hyperosmolar Hyperglycemic state 12.0
402 Phenylketonuria 12.0
403 Von willebrand disease 10.0
404 Angiodysplasia of the colon 10.0
405 Painless thyroiditis 10.0
406 Herpes pharyngitis 9.0
407 Thyroid lymphoma 9.0
408 Toxic multinodular goiter 9.0
409 Acute Mitral regurgitation 9.0
410 Acute atrial fibrillation 8.0
411 Non-alcoholic Fatty Liver Disease 7.0
412 Immune thrombocytopenia 6.0
413 Miliaria 6.0
414 Acute Cystitis(Women) 5.0
415 Ramsay Hunt syndrome 5.0
416 Hyperaldosteronism 4.0
417 Alopecia areata 2.0
418 Chronic Renal vein thrombosis 1.0
419 Conjunctivitis 0.0
420 Epidemic keratoconjunctivitis 0.0
421 Allergic conjunctivitis 0.0
422 Ligneous conjunctivitis 0.0
423 Vernal keratoconjunctivitis 0.0
424 Atopic keratoconjunctivitis 0.0
425 Noninfectious nonallergic conjunctivitis 0.0
426 Abetalipoproteinemia 0.0
427 Zenker diverticulum 0.0
428 Hemorrhoids 0.0
429 Osteoarthritis 0.0
430 Penis Carcinoma 0.0
431 Goiter 0.0
432 Obstructive cervical goiters 0.0
433 Diffuse nontoxic goiter 0.0
434 Cervical goiter 0.0
435 Bell palsy 0.0
436 Myoclonus 0.0
437 Acute cervical spine trauma 0.0
438 Temporomandibular joint syndrome 0.0