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36-year old Asian woman complains of 8 months sub-sternal chest burning

36 years old | Male

Vignette:

36-year old Asian woman complains of 8 months sub-sternal chest burning 3x a week, worse at night and after large meals. She has been taking ranitidine and had temporary relief, but now is experiencing substantial periods of discomfor

Summary:

substernal chest burning | worse at night | worse after large meals | relief by ranitidine | discomfort

Dx:

Gastroesophageal reflux disease GERD

Ref:

https://memorang.com/flashcards/51755/Vignettes

Rank

Disease

Weight

1 Gastroesophageal reflux disease 225.0
2 Panic disorder in adults 170.0
3 Duodenal Ulcer 162.0
4 Gastric Ulcer 162.0
5 Prinzmetal angina 151.0
6 Peptic Ulcer 133.0
7 Acute peptic ulcer 129.0
8 Choledocholithiasis 110.0
9 Acute Pancreatitis 104.0
10 Gallstone pancreatitis 104.0
11 Travelers diarrhea 100.0
12 Dyspepsia 99.0
13 Non-ST-elevation myocardial infarction 93.0
14 Carpal Tunnel Syndrome 93.0
15 Gallstones 91.0
16 Irritable Bowel Syndrome 88.0
17 Fibromyalgia 86.0
18 Hyperprolactinemia 85.0
19 Gastric Volvulus 83.0
20 Barrett esophagus 82.0
21 Asthma 79.0
22 Analgesic nephropathy 78.0
23 Sphincter of Oddi Dysfunction 78.0
24 pancreatic SOD 78.0
25 Esophagitis 77.0
26 Primary biliary cirrhosis 77.0
27 Gilbert syndrome 76.0
28 Lactose intolerance 75.0
29 Obstructive Sleep Apnea 75.0
30 Ovarian Hyperstimulation Syndrome 75.0
31 Zollinger-Ellison Syndrome 72.0
32 Ulcerative Colitis 69.0
33 Stable ischemic heart disease 69.0
34 ST-elevation myocardial infarction 68.0
35 Systemic sclerosis 67.0
36 Crohn Disease 66.0
37 Autoimmune hepatitis 65.0
38 Achalasia 65.0
39 Limited cutaneous systemic sclerosis 62.0
40 Hiatus hernia 61.0
41 Endometriosis 59.0
42 Acute pericarditis 59.0
43 Acute Cholecystitis 58.0
44 Annular pancreas 58.0
45 biliary colic 57.0
46 Chronic Myeloid Leukemia 56.0
47 Addison Disease 55.0
48 pancreatic cancer 54.0
49 Systemic lupus erythematosus 54.0
50 Croup 53.0
51 Foodborne E coli infection 53.0
52 mucosal Eosinophilic gastroenteritis 52.0
53 Muscle Layer Eosinophilic gastroenteritis 52.0
54 Ankylosing spondylitis 50.0
55 Gastroparesis 50.0
56 Intestinal Obstruction 50.0
57 Intestinal Pseudo Obstruction 50.0
58 Ovarian Cancer 50.0
59 Peutz-Jeghers Syndrome 47.0
60 Varicose veins 46.0
61 Cholera 46.0
62 Hyperparathyroidism 44.0
63 Primary sclerosing cholangitis 43.0
64 Anterior scleritis 40.0
65 Stable angina 40.0
66 Diabetic Amyotrophy 40.0
67 Sarcoidosis 39.0
68 Influenza 39.0
69 Graves ophthalmopathy 39.0
70 Chronic pelvic pain in women 39.0
71 biliary SOD 38.0
72 Diabetes Mellitus 38.0
73 Type 2 Diabetes mellitus 38.0
74 Type 1 Diabetes mellitus 38.0
75 Choledochal Cyst 38.0
76 Emphysematous cholecystitis 37.0
77 Chronic Cholecystitis 37.0
78 Thrombotic thrombocytopenic purpura 36.0
79 Gallbladder Dyskinesia 36.0
80 Hepatocellular carcinoma 35.0
81 Non-alcoholic Fatty Liver Disease 34.0
82 Ascites 34.0
83 Bacterial gastroenteritis 34.0
84 Listerial gastroenteritis 34.0
85 Ectopic Pregnancy 34.0
86 Ruptured ectopic pregnancy 34.0
87 Acute intermittent porphyria 34.0
88 Acute Lymphoblastic leukemia in children 34.0
89 Amyloidosis 33.0
90 Short bowel syndrome 33.0
91 Enterovaginal fistula 33.0
92 Vaginitis 33.0
93 Vulvovaginal candidiasis 33.0
94 Eclampsia 33.0
95 Preeclampsia 33.0
96 Gingivitis 33.0
97 Hypercalcemia 32.0
98 Anthrax 32.0
99 Graves Disease 31.0
100 Scleritis 31.0
101 Posterior scleritis 31.0
102 Osteomalacia 31.0
103 Inflammatory Bowel Diseases 30.0
104 subserosal eosinophilic gastroenteritis 29.0
105 Hypertriglyceridemia 29.0
106 Gastric cancer 28.0
107 Chronic Clonorchiasis 28.0
108 Urethritis 28.0
109 Multiple Sclerosis 28.0
110 Autoimmune Pancreatitis 27.0
111 Biliary cirrhosis 27.0
112 Alcoholic Liver Cirrhosis 27.0
113 Amebic Liver Abscess 27.0
114 Pyogenic Liver Abscess 27.0
115 Klebsiella pneumoniae liver abscess 27.0
116 Menopause 27.0
117 Campylobacter infection 27.0
118 Pelvic inflammatory disease 27.0
119 Acute pelvic inflammatory disease 27.0
120 Celiac Disease 26.0
121 Chronic Pancreatitis 26.0
122 Dry eye 26.0
123 Colorectal cancer 25.0
124 Amphetamine use disorder 25.0
125 Eosinophilic gastroenteritis 24.0
126 Hypothyroidism 24.0
127 Pneumonia 24.0
128 Cushing syndrome 24.0
129 Aortic coarctation 24.0
130 Hemorrhagic stroke 24.0
131 Ischemic stroke 24.0
132 Malt lymphoma 24.0
133 Giardiasis 24.0
134 Acute bacterial rhinosinusitis 24.0
135 Cholangiocarcinoma 23.0
136 Migraine headache in adults 23.0
137 Infertility in women 23.0
138 Candidal intertrigo 23.0
139 Candida Balanitis 23.0
140 Oropharyngeal and esophageal candidiasis 23.0
141 Oral candidiasis 23.0
142 Hyperthyroidism 22.0
143 Tuberculous Peritonitis 22.0
144 Common cold(adults) 22.0
145 Familial adenomatous polyposis syndrome 21.0
146 Diabetic Kidney Disease 21.0
147 Gastritis 20.0
148 Aortic stenosis 20.0
149 Heparin-induced thrombocytopenia 20.0
150 Brucellosis 20.0
151 Food poisoning 20.0
152 End Stage Renal Disease 20.0
153 Acute fatty liver of pregnancy 20.0
154 Lung Cancer 20.0
155 Pheochromocytoma 20.0
156 Anaphylaxis 19.0
157 Cholecystitis 19.0
158 Acalculous Cholecystitis 19.0
159 Sigmoid volvulus 19.0
160 Splenic abscess 19.0
161 Acute Rhinosinusitis 19.0
162 Familial Mediterranean fever 18.0
163 Acute Clonorchiasis 18.0
164 Inguinal hernia 18.0
165 Acute Cholangitis 18.0
166 Acute Myeloid Leukemia in adults 18.0
167 Rocky Mountain spotted fever 18.0
168 Meckel diverticulum 18.0
169 Mitral Stenosis 17.0
170 Anemia of chronic disease 17.0
171 Liver disease 17.0
172 Pancreatic Pseudocyst 17.0
173 Acute Appendicitis 17.0
174 Intussusception 17.0
175 Gastric Outlet Obstruction 17.0
176 Non-cholera Vibrio infections 17.0
177 Aseptic meningitis 17.0
178 Ovarian and fallopian tube torsion 16.0
179 Priapism 16.0
180 Peyronie Disease 16.0
181 Empyema 16.0
182 Cryptococcosis 16.0
183 Aortic Dissection 15.0
184 Multiple Myeloma 15.0
185 Diverticulitis 15.0
186 Ileus 15.0
187 Infectious mononucleosis 15.0
188 Secondary Peritonitis 14.0
189 Hepatorenal Syndrome 14.0
190 Chronic bacterial prostatitis 14.0
191 Papilledema 14.0
192 Motion Sickness 14.0
193 Ovarian Torsion 14.0
194 Renal and perinephric abscess 14.0
195 Acute Hepatitis 13.0
196 Extrahepatic Cholestasis 13.0
197 Liver Cirrhosis 13.0
198 Acute perforated appendicitis 13.0
199 Pyelonephritis 13.0
200 Adrenal crisis 13.0
201 Migraine 13.0
202 Diabetic Neuropathy 13.0
203 Milk-alkali syndrome 13.0
204 Breast Cancer 13.0
205 Premenstrual syndrome 13.0
206 Subdural hematoma 13.0
207 Non-small cell lung cancer 13.0
208 Acute Milk-alkali syndrome 13.0
209 Chronic Milk-alkali syndrome 13.0
210 Stevens-Johnson syndrome 13.0
211 Acne fulminans 13.0
212 Penis Carcinoma 13.0
213 Cystic Fibrosis 12.0
214 Alcoholic Fatty Liver 12.0
215 Budd Chiari Syndrome 12.0
216 Mesenteric ischemia 12.0
217 Chronic liver disease 12.0
218 Portal hypertension 12.0
219 Acute peritonitis 12.0
220 Leiomyomas 12.0
221 Kidney stones 12.0
222 Acute disseminated encephalomyelitis 12.0
223 Henoch-Schonlein purpura 12.0
224 Polyarteritis nodosa 12.0
225 Autosomal Recessive Polycystic Kidney Disease 12.0
226 Chronic Mitral regurgitation 12.0
227 Clostridium difficile infection 12.0
228 Acetaminophen overdose 12.0
229 Labyrinthitis 12.0
230 Chronic pyelonephritis 12.0
231 Acute viral meningitis 12.0
232 Churg-Strauss Syndrome 12.0
233 Hereditary hemochromatosis 12.0
234 Gestational diabetes mellitus 12.0
235 Pulmonary Embolism 11.0
236 Acute atrial fibrillation 11.0
237 Hereditary Angioedema 11.0
238 Spontaneous bacterial peritonitis 11.0
239 Peritoneal dialysis associated peritonitis 11.0
240 Diabetic Ketoacidosis 11.0
241 Angle Closure Glaucoma 11.0
242 Acute heart failure 11.0
243 Acute Bacterial Prostatitis 11.0
244 Intra-abdominal abscess 11.0
245 Foreign body ingestion 11.0
246 Adrenal Suppression 11.0
247 Hemolytic uremic syndrome 11.0
248 Prolactinoma 11.0
249 Acute pyelonephritis in adults 11.0
250 Salmonella infection 11.0
251 Typhoid infection 11.0
252 Common cutaneous drug reactions 11.0
253 Meniere disease 11.0
254 Fungal meningitis 11.0
255 Prostate cancer 11.0
256 Acute Myeloid Leukemia in children 11.0
257 Alcoholic Liver Disease 10.0
258 Alcoholic hepatitis 10.0
259 Chronic heart failure 10.0
260 Primary Myelofibrosis 10.0
261 Malaria 10.0
262 Parkinson disease 10.0
263 Bladder Cancer 10.0
264 Acute Lymphocytic Leukemia in Adults 10.0
265 Mitral Valve Prolapse 10.0
266 Viral Gastroenteritis 9.0
267 Splenic Infarction 9.0
268 Unstable angina 9.0
269 Trachoma 9.0
270 Inflammatory Breast Cancer 9.0
271 Intrahepatic cholestasis of pregnancy 9.0
272 Acute bacterial meningitis in adults 9.0
273 Clonorchiasis 8.0
274 Rosacea 8.0
275 chronic acalculous cholecystitis 7.0
276 Wilson disease 7.0
277 Acute Liver Failure 7.0
278 Sunburn 7.0
279 Allergic rhinitis 7.0
280 Phenylketonuria 7.0
281 Sialadenitis 7.0
282 Bacterial pharyngitis 7.0
283 Extraintestinal Entamoeba histolytica amebiasis 7.0
284 Umbilical hernia 7.0
285 Rumination Syndrome 6.0
286 Adrenocortical carcinoma 6.0
287 Blepharitis 6.0
288 Atopic dermatitis 6.0
289 Anaplastic thyroid cancer 6.0
290 Multiple endocrine neoplasia 2B 6.0
291 Toxic Megacolon 5.0
292 Autosomal Dominant Polycystic Kidney Disease 5.0
293 Renal Cell Carcinoma 5.0
294 Abnormal uterine bleeding 5.0
295 Psychogenic polydipsia 5.0
296 Endometrial cancer 5.0
297 Periorbital and orbital cellulitis 5.0
298 Secondary hyperparathyroidism 5.0
299 Systemic vasculitis 5.0
300 Bed bugs 5.0
301 Chronic Lymphocytic Leukemia 5.0
302 Acute bacterial meningitis in children 5.0
303 Chlamydia pneumoniae infection 5.0
304 Hypogammaglobulinemia 5.0
305 Gallbladder cancer 4.0
306 Liver Abscess 4.0
307 Epiploic appendagitis 4.0
308 Cryptorchidism 4.0
309 Primary ciliary dyskinesia 4.0
310 Kartagener syndrome 4.0
311 Acromegaly 4.0
312 Chronic Hepatitis 3.0
313 Testicular cancer 3.0
314 COVID19 3.0
315 Granulomatosis with polyangiitis 3.0
316 Hyperaldosteronism 2.0
317 Rheumatoid Arthritis 2.0
318 Alopecia areata 1.0
319 endocarditis 1.0
320 Shigellosis 1.0
321 Common cold(children) 1.0
322 Globus Sensation 0.0
323 Acute Bronchitis 0.0
324 Alzheimer disease 0.0
325 Conjunctivitis 0.0
326 Epidemic keratoconjunctivitis 0.0
327 Bacterial conjunctivitis 0.0
328 Viral conjunctivitis 0.0
329 Allergic conjunctivitis 0.0
330 Ligneous conjunctivitis 0.0
331 Vernal keratoconjunctivitis 0.0
332 Atopic keratoconjunctivitis 0.0
333 Noninfectious nonallergic conjunctivitis 0.0
334 Abetalipoproteinemia 0.0
335 Acute epididymitis 0.0
336 Hyperosmolar Hyperglycemic state 0.0
337 Immune thrombocytopenia 0.0
338 Insect bites and stings 0.0
339 Pseudohypoparathyroidism 0.0
340 Discogenic low back pain 0.0
341 Recurrent aphthous stomatitis 0.0
342 Transient ischemic attack 0.0