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 192- TIA TIA 191- gout gout 190- TEST pelvic pain 189- A 45-year- Cirrhosis 188- A 58-year-old man has diabetes and recent onset of ascites Pancreatitis 187- A 43-year-old man with essential thrombocythaemia presents with sudden onset of abdominal pain Budd–Chiari syndrome 186- A 67-year-old woman with known cirrhosis presents with confusion Spontaneous bacterial peritonitis 185- A 45-year-old woman with tiredness and pruritus PBC 184- A 35-year-old with haemophilia with lethargy chronic hepatitis c 183- A 13-year-old boy with declining cognitive performance Wilson’s disease 182- A 67-year-old man is incidentally found to have an elevatedALT Non-alcoholic fatty liver disease 181- A 63-year-old man with a 10-year history of primary sclerosing cholangitis Cholangiocarcinoma 180- A 67-year-old man presents with malaise, weight loss Pyogenic liver abscess 179- A 58-year-old man presents with cirrhosis secondary to non-alcoholic fatty liver disease HCC 178- A 75-year-old woman presents with painless jaundice Carcinoma of the head of the pancreas 177- A 65-year-old man presents with gradually increasing jaundice Alcoholic hepatitis 176- A 48-year-old woman presents with jaundice associated with right upper quadrant pain Common bile duct stones 175- A 72-year-old man who is under the haematologists for polycythaemia Budd–Chiarisyndrome 174- A 21-year-old man consults his GP with a 2-week history of lethargy, nausea and myalgia acute hepatitis 173- A 66-year-old man with a long history of ulcerative colitis treated with azathioprine PSC 172- A 42-year-old woman presents with right upper quadrant pain and jaundice gallstones 171- A 72-year-old man with right upper quadrant pain and fever pyogenic liver abscesses 170- A 67-year-old man with cirrhosis and confusion HE 169- A 58-year-old woman with a distended abdomen Cirrhosis 168- A 16-year-old boy with cognitive deterioration, ataxia WD 167- A 57-year-old man with diabetes and elevated alanine aminotransferase NAFLD 166- A 53-year-old man with a history of high alcohol intake Alcoholic hepatitis 165- Acute deterioration in a 21-year-old man with chronic hepatitis B virus infection chronic HDV 164- A 34-year-old man from Hong Kong with jaundice and vomiting Acute HBV 163- Fatigue and deranged liver function tests in a patient with haemophilia chronic HCV 162- Deranged liver function tests in a patient with ulcerative colitis PSC 161- A 25-year-old woman with malaise and elevated liver enzymes autoimmune hepatitis 160- A 40-year-old woman with lethargy and pruritus primary biliary cirrhosis 159- A 23-year-old woman with vomiting and epigastric pain ALF 158- A 72-year-old man with painless jaundice pancreatic Cancer 157- A 45-year-old woman presenting with severe right upper quadrant pain Choledocholithiasis 156- A 25-year-old man with nausea, vomiting and jaundice hepatitis 155- A 55-year-old man complaining of abdominal pain Intestinal Obstruction 154- A 52-year-old man 2 weeks of upper abdominal pain peptic ulcer 153- A 33-year-old African-American man acute visit with nausea and diarrhea hepatitis 152- A 28-year-old white woman complaint of con­stipation and abdominal pain IBS 151- A 57-year-old man malaise for several weeks Pancreatic Cancer 150- A28-year-old man nausea, vomiting, diffuse abdominal pain Acute Viral Hepatitis 149- A42-year-old Hispanic woman 24 hours of severe, steady epigastric abdominal pain Pancreatitis, Gallstones 148- A 4 9 - y e a r - o l d w o m a n with progressive abdominal swelling Cirrhosis 147- A 61-year-old man comes to the emergency center complaining of 3 days of worsening abdominal pain Acute Sigmoid Diverticulitis 146- A 28-year-old man comes to the emergency center complaining of 2 days of abdominal pain and diarrhea UC 145- A 37-year-old executive returns to your clinic for follow-up of recurrent upper abdominal pain PUD 144- A 26-year-old woman with lower abdominal pain appendicitis 143- A 26-year-old man with abdominal pain IBS 142- A 31 year-old male with history of recurrent venous thromboembolic disease Budd Chiari syndrome 141- You are visited by a 22-year-old ceramics student at the local art college celiac disease 140- A 70-year-old woman is admitted to hospital with acute onset of abdominal pain ischaemic bowel 139- A 63-year-old woman is brought in to the surgery by her neighbour who has been worried primary biliary cirrhosis 138- A 38-year-old man has a 2 month history of abdominal pain pud 137- A 70-year-old woman has been complaining of upper abdominal pain cholecystitis 136- A 58-year-old woman consults her general practitioner (GP) with a 2-month history of intermittent du carcinoma of the pancreas 135- A 35-year-old woman has a year-long history of intermittent diarrhoea uc 134- A 67-year-old man attends his general practitioner’s (GP’s) surgery. He says that he has lost 10 kg gastric outlet obstruction 133- A 22-year-old woman complains of tiredness for 6 months celiac disease 132- A 64-year-old woman has a 10-year history of retrosternal pain GERD 131- A 25-year-old woman presents to her general practitioner (GP) complaining of pain in her right loin acute appendicitis 130- A 74-year-old woman has a 10-year history of intermittent lower abdominal pain diverticulitis 129- A 31-year-old woman has a 6-year history of abdominal pain and bloating IBS 128- A 65-year-old man goes to his general practitioner (GP) complaining of diarrhoea giardiasis 127- A 22-year-old man presented with malaise and anorexia for 1 week Hepatitis 126- A man of 45 consults his general practitioner (GP) with a 6-month history of reduced appetite and we ALD 125- A 66-year-old woman, a retired nurse, consults her general practitioner (GP) with a 4-month history colon cancer 124- A 56-year-old woman presents to the emergency department complaining of abdominal pain cholecystitis 123- Case Study: Sudden Abdominal Pain perforated peptic ulcer 122- Iron-Deficiency Anemia Secondary to Asymptomatic Celiac Disease: A Case Study celiac 121- Case Study: Progressive Abdominal Pain appendicitis 120- CASE:Budd-Chiari Syndrome: A Case of Hepatomegaly, Abdominal Pain, and Ascites Budd-Chiari Syndrome 119- Pain in the Right Lower Abdomen appendicitis 118- Epigastric Abdominal Pain and Vomiting bowel obstruction 117- An elderly male with a history of vascular disease presents to the ER with Pain that is out of propo Mesenteric Ischemia 116- A patient presents to the urgent care clinic with abdominal pain, fever, bloody diarrhea Ulcerative colitis 115- A patient presents to your family practice clinic with lower abdominal pain, fever Crohn's disease 114- A patient presents to the ED with RUQ pain, fever, chills, anorexia Liver Abscess 113- A patient presents to the ER with RUQ epigastric pain that is worse for 1-2 hours Biliary Colic 112- A patient presents to the ER with intense, steady, epigastric pain Perforation of peptic ulcer 111- A patient presents to the urgent care clinic with epigastric pain that they describe as burning PUD 110- A patient presents to the ER with gradual, progressive onset of LLQ pain Diverticulitis 109- A patient presents to the urgent care clinic with crampy abdominal pain Bowel obstruction 108- A 30-50 year old female presents to the urgent care clinic with N/V Cholecystitis 107- An alcoholic patient presents to the ER after a lovely evening out to Paula Dean's Pancreatitis 106- A patient presents to the ER with acute RLQ pain, nausea Perforated Appendicitis 105- A patient presents to the ER with N/V and anorexia Acute Appendicitis 104- 38 yo M with dysphagia and pain on swallowing solids Esophagitis 103- 33-year-old female presents with rectal bleeding and diarrhea ulcerative colitis 102- 67-year-old male presents with blood in his stool colorectal cancer 101- 33-year-old male presents with watery diarrhea, diffuse abdominal pain Crohn disease 100- 33-year-old female presents with watery diarrhea, abdominal cramping lactose intolerance 99- 25-year-old male presents with watery diarrhea Gastroenteritis 98- 33-year-old male presents with watery diarrhea, vomiting and diffuse abdominal pain Gastroenteritis 97- 30-year-old female presents with alternating constipation and diarrhea irritable bowel syndrome 96- 67-year-old male presents with alternating diarrhea and constipation colorectal cancer 95- 36-year old Asian woman complains of 8 months sub-sternal chest burning GERD 94- 22 yo man with 1-year history of chronic recurrent lower quadrant pain Crohn disease 93- Repeated: A 40-year-old man with a 2-month history of intermittent upper abdominal pain Peptic Ulcer 92- Repeated: A 12-year-old girl presents with sudden-onset severe generalized abdominal pain Acute Appendicitis 91- Repeated: A 48-year-old woman with a history of migraine headaches Acute liver failure 90- 37 yoM with severe epigastric pain, nausea, vomiting peptic ulcer 89- 35 yo M presents with burning epigastric pain peptic ulcer 88- 56 yo M with severe midepigastric abdominal pain that radiates to the back Acute pancreatitis 87- 60 yo M presents with dull epigastric pain that radiates tot he back pancreatic cancer 86- 25 yo M presents with RUQ pain, fever, anorexia, nausea Acute cholecystitis 85- 43 yo obese F with RUQ pain, and jaundice cholangitis 84- 41 yo obese F with RUQ pain that radiates to the R scapula Acute cholecystitis 83- A 25yo female arrives at the hospital with a chief complaint of abdominal pain Acute Appendicitis 75- A 38-year-old man with nausea and vomiting Alcoholic liver disease 74- A 50-year-old man with complaints of fatigue for 2 mon Alcoholic liver disease 73- An 18-year-old woman presents with bilateral tremor of the hands Wilson disease 72- A 20-year-old previously healthy man has an episode of jaundice Wilson disease 71- A 70-year-old woman is brought to the emergency department from her nursing home Viral Gastroenteritis 70- A 35-year-old man comes to the emergency department with a history of nausea Viral Gastroenteritis 69- A 53-year-old man with a history of hepatitis C Spontaneous Bacterial Peritonitis 68- A 40-year-old man with a 2-month history of intermittent upper abdominal pain Peptic ulcer 67- A 43-year-old man with a history of mild ulcerative colitis Primary sclerosing cholangitis 66- A 50-year-old woman undergoing health screening is found to have a cholestatic pattern Primary Biliary Cirrhosis 65- A 12-year-old boy presents with a 1-week history of sudden-onset watery diarrhea Bacterial gastroenteritis 64- A 45-year-old woman presents to her physician with vague upper abdominal (epigastric) pain Pancreatic cancer 63- A 70-year-old man who smokes heavily presents with a 6-month history of intermittent abdominal pain Pancreatic cancer 62- A healthy 55-year-old man presents with a 1-week history of fevers Pyogenic Liver Abscess 61- A 25-year-old black woman presents with a decade-long history of intermittent diarrhea lactose intolerance 60- A 52-year-old man undergoes an elective sigmoid resection with primary colorectal anastomosis Ileus 59- A 27-year-old man with a 3-month history of rectal bleeding and diarrhea Ulcerative colitis 58- A 51-year-old man with moderate obesity is seen in consultation for heartburn Hiatus Hernia 57- A 40-year-old man presents with ascites. Hepatorenal Syndrome 56- A 55-year-old black man with a history of intravenous drug and heavy alcohol use Hepatocellular Carcinoma 55- A 60-year-old Asian man with a longstanding history of chronic hepatitis B Hepatocellular Carcinoma 54- A 62-year-old man presents for a routine initial visit in New York Chronic Hepatitis 53- A 60-year-old man presents with several months of gradually worsening abdominal swelling Chronic Hepatitis 52- A 40-year-old asymptomatic Chinese-American man Chronic Hepatitis 51- A 34-year-old man presents 2 weeks after returning from a month-long trip to India Chronic Hepatitis 50- A 58-year-old white woman of North European descen Gastritis 49- A 42-year-old man presents with a recent history of abdominal pain Gastritis 48- A 45-year-old man with a personal and family history of nephrocalcinosis Zollinger-Ellison Syndrome 47- A 45-year-old male presents with abdominal pain, diarrhea Zollinger-Ellison Syndrome 46- A 77-year-old man with weight loss Gastric Cancer 45- A 40-year-old housewife complains of recurrent constipation Irritable bowel syndrome 44- A 34-year-old mother with a 3-week history of abdominal cramping pain Irritable bowel syndrome 43- A 63-year-old woman with new-onset ascites Non-Alcoholic Fatty Liver Disease 42- A 42-year-old man with mild elevation in aminotransferases Non-Alcoholic Fatty Liver Disease 41- A 23-year-old man with asthma and seasonal allergies esophagitis 40- A 75-year-old man with a past history of hypertension and ischemic Diverticulitis 39- A 53-year-old Asian man presents as an emergency patient with an acute onset Diverticulitis 38- A 32-year-old obese, but otherwise healthy Diverticulitis 36- A 57-year-old woman with a history of hypertension and hypercholesterolemia Diverticulitis 35- A 35-year-old woman presents with symptoms of worsening nausea Gastroparesis 34- A 25-year-old woman with history of type 1 diabetes mellitus Gastroparesis 33- A 16-year-old girl presents to emergency care with perianal pain Crohn disease 32- A 25-year-old white man presents to his primary care physician with cramping abdominal pain Crohn disease 31- A 54-year-old man presents with 2 days of worsening generalized abdominal pain Mesenteric Ischemia 30- A 48-year-old woman complains of intermittent diffuse abdominal pain Mesenteric Ischemia 29- A 60-year-old woman with a past medical history of obesity, diabetes Liver Cirrhosis 28- A 56-year-old male with a remote history of intravenous drug use Liver Cirrhosis 27- A 41-year-old alcoholic man has a 6-year history of recurrent attacks of pancreatitis Chronic pancreatitis 26- A 46-year-old obese woman presents with a 6-hour history of moderate steady pain Gallstones 25- A 65-year-old woman with a 4-month history of intermittent abdominal pain Cholangiocarcinoma 24- A 46-year-old woman presents with fatigue and is found to have iron deficiency Celiac disease 23- A 50-year-old man with a history of essential thrombocytosis of 12 years Budd Chiari syndrome 22- A 40-year-old woman presents with acute onset of upper abdominal pain and ascites Budd Chiari syndrome 21- A 43-year-old woman with a prior history of open cholecystectomy Intestinal Obstruction 20- A 27-year-old man presents with crampy abdominal pain of sudden onset Intestinal Obstruction 19- A man in his early 70s presents with acute onset, colicky, lower abdominal pain Intestinal Obstruction 18- A 60-year-old woman presents to the emergency department toxic megacolon 17- A 30-year-old man with a history of ulcerative colitis presents with severe abdominal pain toxic megacolon 16- A 70-year-old man presents to his primary care physician with a complaint of rectal bleeding Colorectal cancer 15- A 21-year-old woman presents with profuse watery diarrhea occurring up to 20 times per day Bacterial Gastroenteritis 14- A 42-year-old man presents with a 48-hour history of bloody diarrhea Bacterial Gastroenteritis 13- A 16-year-old boy presents with abdominal pain and diarrhea Bacterial Gastroenteritis 12- A 45-year-old woman presents with insidious onset of fatigue Autoimmune hepatitis 11- A 47-year-old overweight woman is admitted with generalized abdominal pain Acute pancreatitis 10- A 53-year-old man complaining of severe mid-epigastric abdominal pain Acute pancreatitis 9- A 48-year-old woman with a history of migraine headaches Acute liver failure 8- A 42-year-old woman has heartburn after meals Gastroesophageal reflux disease 7- A 58-year-old man with pancreatic adenocarcinoma Acute cholangitis 6- A 65-year-old woman with a 2-day history of progressive right upper quadrant (RUQ) pain Acute Cholangitis 5- A 70-year-old woman with known cirrhosis Abdominal compartment syndrome 4- A 20-year-old man presents in severe hemorrhagic shock Abdominal compartment syndrome 3- A 12-year-old girl Acute appendicitis 2- A 22-year-old male with abdominal pain Acute appendicitis 1- A 20-year-old obese woman Acute cholecystitis