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67-year-old male presents with alternating diarrhea and constipation

0 years old | Male

Vignette:

67-year-old male presents with alternating diarrhea and constipation decreased stool caliber, and blood in the store for the past eight months. He also reports unintentional weight loss. He is on a low fiber diet and has a family history of colon cancer. His last colonoscopy was 12 years ago

Summary:

alternating diarrhea and constipation | decreased stool caliber | blood in the stool | weight loss | low fiber diet | family history of colorectal cancer

Dx:

colorectal cancer

Ref:

https://memorang.com/flashcards/172353/Constipation-or-Diarrhea+Blood+in+stool

Rank

Disease

Weight

1 Colorectal cancer 238.0
2 Intestinal Entamoeba histolytica amebiasis 215.0
3 Acute peptic ulcer 153.0
4 pancreatic cancer 152.0
5 Brucellosis 142.0
6 Crohn Disease 140.0
7 Primary sclerosing cholangitis 138.0
8 Liver Cirrhosis 137.0
9 Salmonella infection 137.0
10 Diabetic Amyotrophy 130.0
11 Systemic lupus erythematosus 130.0
12 Addison Disease 126.0
13 Graves Disease 126.0
14 Duodenal Ulcer 125.0
15 Gastric Ulcer 125.0
16 Celiac Disease 124.0
17 Mesenteric ischemia 122.0
18 Ulcerative Colitis 121.0
19 Giardiasis 120.0
20 Type 1 Diabetes mellitus 118.0
21 Peutz-Jeghers Syndrome 115.0
22 Intussusception 109.0
23 Alcoholic Liver Disease 108.0
24 Biliary cirrhosis 107.0
25 Primary biliary cirrhosis 107.0
26 Alcoholic Fatty Liver 105.0
27 mucosal Eosinophilic gastroenteritis 101.0
28 Gastric cancer 100.0
29 Intestinal malrotation 100.0
30 Peptic Ulcer 95.0
31 Short bowel syndrome 94.0
32 Endometrial cancer 93.0
33 Esophagitis 92.0
34 Intestinal Obstruction 88.0
35 Campylobacter infection 88.0
36 Irritable Bowel Syndrome 87.0
37 Alcoholic Liver Cirrhosis 85.0
38 Polyarteritis nodosa 85.0
39 Hepatocellular carcinoma 82.0
40 Gastric Outlet Obstruction 82.0
41 Hyperthyroidism 81.0
42 Hereditary hemochromatosis 81.0
43 Alcoholic hepatitis 81.0
44 Hemolytic uremic syndrome 79.0
45 Sarcoidosis 78.0
46 Churg-Strauss Syndrome 77.0
47 Gastrointestinal Hemorrhage 76.0
48 Lower gastrointestinal hemorrhage 76.0
49 Upper gastrointestinal hemorrhage 76.0
50 Renal and perinephric abscess 75.0
51 Anal Fissure 74.0
52 Eosinophilic gastroenteritis 71.0
53 Muscle Layer Eosinophilic gastroenteritis 71.0
54 subserosal eosinophilic gastroenteritis 71.0
55 Amyloidosis 71.0
56 Central hypothyroidism 68.0
57 Inflammatory Bowel Diseases 68.0
58 Tuberculous Peritonitis 68.0
59 Cystic Fibrosis 68.0
60 Acute Myeloid Leukemia in adults 68.0
61 Diabetes Mellitus 66.0
62 Osteoporosis 66.0
63 Amebiasis 66.0
64 Familial adenomatous polyposis syndrome 66.0
65 Listerial gastroenteritis 65.0
66 Abetalipoproteinemia 65.0
67 Chronic Pancreatitis 65.0
68 Amebic Liver Abscess 64.0
69 Viral Gastroenteritis 64.0
70 Non-cholera Vibrio infections 63.0
71 Cholangiocarcinoma 62.0
72 Primary Myelofibrosis 60.0
73 Ovarian Cancer 59.0
74 Graves ophthalmopathy 59.0
75 Painless thyroiditis 59.0
76 Lung Cancer 59.0
77 Liver disease 57.0
78 Klebsiella pneumoniae liver abscess 57.0
79 Systemic sclerosis 57.0
80 Food poisoning 57.0
81 Typhoid infection 57.0
82 Malt lymphoma 57.0
83 Type 2 Diabetes mellitus 56.0
84 Extraintestinal Entamoeba histolytica amebiasis 56.0
85 Gastroparesis 56.0
86 Intra-abdominal abscess 55.0
87 Cryptococcosis 55.0
88 Achalasia 55.0
89 Acute Clonorchiasis 53.0
90 Henoch-Schonlein purpura 53.0
91 Toxic thyroid adenoma 53.0
92 Autoimmune Pancreatitis 52.0
93 Systemic vasculitis 52.0
94 Oropharyngeal cancer 52.0
95 Zollinger-Ellison Syndrome 51.0
96 Rumination Syndrome 50.0
97 STI HIV Pharyngitis 50.0
98 Foodborne E coli infection 50.0
99 Anemia of chronic disease 50.0
100 Clonorchiasis 50.0
101 Psoas Abscess 50.0
102 Hyperosmolar Hyperglycemic state 50.0
103 Bacterial gastroenteritis 49.0
104 Pheochromocytoma 49.0
105 Toxic Megacolon 49.0
106 Pancreatic Pseudocyst 49.0
107 Diverticulitis 48.0
108 Ruptured Tuboovarian abscess 48.0
109 Ischemic optic neuropathy 48.0
110 posteriorischemic optic neuropathy 48.0
111 anterior ischemic optic neuropathy 48.0
112 Oral candidiasis 47.0
113 Secondary hyperparathyroidism 47.0
114 Chronic Myeloid Leukemia 46.0
115 Chronic bacterial prostatitis 46.0
116 Acute Lymphoblastic leukemia in children 46.0
117 Amphetamine use disorder 46.0
118 Pyogenic Liver Abscess 45.0
119 Autosomal Dominant Polycystic Kidney Disease 45.0
120 Hypothyroidism 45.0
121 Hemorrhoids 45.0
122 Gallbladder cancer 45.0
123 Adrenal crisis 45.0
124 Aseptic meningitis 44.0
125 Familial Mediterranean fever 41.0
126 Adrenal Suppression 41.0
127 Annular pancreas 39.0
128 Hypogammaglobulinemia 39.0
129 Pneumonia 38.0
130 Hyperparathyroidism 37.0
131 Cellulitis 37.0
132 Acute intermittent porphyria 36.0
133 Non-small cell lung cancer 36.0
134 Hyperprolactinemia 35.0
135 Granulomatosis with polyangiitis 35.0
136 Acute Appendicitis 34.0
137 Secondary Peritonitis 34.0
138 Acute perforated appendicitis 34.0
139 Tuboovarian abscess 34.0
140 Analgesic nephropathy 34.0
141 Dyspepsia 34.0
142 Renal Cell Carcinoma 34.0
143 Chronic heart failure 34.0
144 Chronic meningitis 34.0
145 Peritoneal dialysis associated peritonitis 33.0
146 Multiple endocrine neoplasia 2A 33.0
147 Multiple endocrine neoplasia 2B 33.0
148 Foreign body ingestion 33.0
149 Ankylosing spondylitis 33.0
150 Rheumatoid Arthritis 33.0
151 Chronic Clonorchiasis 32.0
152 Chronic pelvic pain in women 32.0
153 Anthrax 32.0
154 Goiter 31.0
155 Diffuse nontoxic goiter 31.0
156 Toxic multinodular goiter 31.0
157 Obstructive cervical goiters 31.0
158 Cervical goiter 31.0
159 Cholera 30.0
160 Meckel diverticulum 30.0
161 Heparin-induced thrombocytopenia 30.0
162 Osteomalacia 30.0
163 Ileus 29.0
164 Intestinal Pseudo Obstruction 29.0
165 Sigmoid volvulus 29.0
166 Budd Chiari Syndrome 29.0
167 Chronic Kidney Diseases 29.0
168 Acute Lymphocytic Leukemia in Adults 28.0
169 Hypercalcemia 27.0
170 Abnormal uterine bleeding 27.0
171 Acute bacterial meningitis in neonates 26.0
172 Bladder Cancer 26.0
173 Hepatic Encephalopathy 26.0
174 Hereditary Angioedema 25.0
175 Acute viral meningitis 25.0
176 Gastritis 25.0
177 Adrenocortical carcinoma 25.0
178 Aortic Dissection 25.0
179 Gastroenteritis 24.0
180 Kawasaki disease 24.0
181 Guillain-Barre syndrome 24.0
182 COVID19 24.0
183 Autoimmune hepatitis 24.0
184 Wilson disease 24.0
185 Penis Carcinoma 24.0
186 Multiple Myeloma 24.0
187 Endometriosis 23.0
188 Leiomyomas 23.0
189 Malaria 23.0
190 Zenker diverticulum 23.0
191 Anaplastic thyroid cancer 23.0
192 Thrombotic thrombocytopenic purpura 22.0
193 Acute bacterial meningitis in children 22.0
194 Aortic coarctation 22.0
195 Chronic Hepatitis 21.0
196 Autosomal Recessive Polycystic Kidney Disease 21.0
197 Spontaneous bacterial peritonitis 20.0
198 Acute disseminated encephalomyelitis 20.0
199 Migraine 20.0
200 Anaphylaxis 20.0
201 Influenza 20.0
202 Choledocholithiasis 20.0
203 Testicular cancer 20.0
204 Disseminated intravascular coagulation 20.0
205 Intrahepatic cholestasis of pregnancy 20.0
206 Prolactinoma 20.0
207 Gastroesophageal reflux disease 19.0
208 Rocky Mountain spotted fever 18.0
209 Hepatorenal Syndrome 18.0
210 Shigellosis 18.0
211 Hyperglycemia 18.0
212 Ovarian and fallopian tube torsion 18.0
213 Renal Artery Stenosis 18.0
214 Laryngeal Cancer 18.0
215 Chronic pyelonephritis 18.0
216 Hyperaldosteronism 18.0
217 Psychogenic polydipsia 18.0
218 Primary hypogonadism 18.0
219 Secondary hypogonadism 18.0
220 Phenylketonuria 18.0
221 Osteomyelitis 18.0
222 Lactose intolerance 17.0
223 Multiple Sclerosis 17.0
224 Pelvic inflammatory disease 17.0
225 Acute pelvic inflammatory disease 17.0
226 Urinary Tract Obstruction 16.0
227 Menopause 16.0
228 Parkinson disease 15.0
229 Gastric Volvulus 15.0
230 Diabetic Ketoacidosis 15.0
231 Angiodysplasia of the colon 15.0
232 Mallory-Weiss syndrome 15.0
233 Clostridium difficile infection 15.0
234 Von willebrand disease 15.0
235 Acute otitis media 14.0
236 Stevens-Johnson syndrome 14.0
237 Acromegaly 14.0
238 Peroneal Neuropathy 14.0
239 Unstable angina 14.0
240 Fungal meningitis 14.0
241 Insect bites and stings 14.0
242 Umbilical hernia 13.0
243 Medullary thyroid cancer 12.0
244 Acute Liver Failure 12.0
245 Glomerulonephritis 12.0
246 Stable angina 12.0
247 Limited cutaneous systemic sclerosis 12.0
248 Inguinal hernia 11.0
249 Animal bites 11.0
250 Discogenic low back pain 11.0
251 Simple kidney cyst 11.0
252 Diabetic Neuropathy 11.0
253 Thyroid lymphoma 10.0
254 Psoriasis 9.0
255 Acute Bacterial Prostatitis 9.0
256 Mitral Stenosis 9.0
257 Endometritis 9.0
258 Gallstones 8.0
259 Infectious mononucleosis 8.0
260 Chronic Lymphocytic Leukemia 8.0
261 Pseudohypoparathyroidism 8.0
262 Premenstrual syndrome 7.0
263 Tinnitus 7.0
264 Atypical pneumonia 7.0
265 Travelers diarrhea 7.0
266 Migraine headache in adults 6.0
267 Non-alcoholic Fatty Liver Disease 6.0
268 Obstructive Sleep Apnea 6.0
269 Cushing syndrome 6.0
270 Acute Pancreatitis 5.0
271 Gallstone pancreatitis 5.0
272 Common cold(adults) 5.0
273 Ovarian Hyperstimulation Syndrome 4.0
274 Ischemic stroke 4.0
275 Hemorrhagic stroke 4.0
276 ST-elevation myocardial infarction 4.0
277 Non-ST-elevation myocardial infarction 4.0
278 Ovarian Torsion 3.0
279 Acute Bronchitis 3.0
280 Alopecia areata 2.0
281 Acute Hepatitis 1.0
282 Gallbladder Dyskinesia 0.0
283 biliary SOD 0.0
284 Motion Sickness 0.0
285 Recurrent aphthous stomatitis 0.0
286 Acne conglobata 0.0
287 Globus Sensation 0.0
288 Immune thrombocytopenia 0.0
289 Androgenetic alopecia 0.0
290 Common cutaneous drug reactions 0.0
291 Nasal polyps 0.0
292 Sialadenitis 0.0
293 Asthma 0.0
294 Acute Cystitis(Men) 0.0
295 Visceral leishmaniasis 0.0
296 Musculoskeletal lower back pain 0.0