What is the most likely diagnosis Flashcards
Rising BUN and creatinine with fever, rash, arthralgias, eosinophilia and eosinophiluria
Acute (allergic) Interstitial nephritis (AIN)
Epigastric burning pain radiating up into the chest, sore throat, bad taste (metallic), hoarseness, or cough
GERD
Multiple peptic ulcers, especially in duodenum that is large (> 1-2 cm) and recurrent even after H. pylori eradication. Sometimes diarrhea is present
Gastrinoma (Zollinger-Ellison syndrome)
Diabetic patient with chronic abdominal discomfort, “bloating”, and constipation. There may be anorexia, nausea, vomiting and early satiety
Diabetic gastroparesis
Abdominal pain with diarrhea, constipation or both, and without weight loss. The pain is relieved by a bowel movement, or a change in bowel habit and it is less at night
Irritable bowel syndrome
Old patient with left lower quadrant pain and tenderness, fever, leukocytosis and sometimes palpable mass
Diverticulitis
Acute epigastric pain radiating straight through to the back, with tenderness and nausea/vomiting
Acute pancreatitis
Woman in 40s or 50s with fatigue, itching, normal bilirubin but elevated alkaline phosphatase. Also there may be xanthelasma/xanthoma and osteoporosis
Primary biliary cirrhosis
Patient with IBD, pruritis, elevated alkaline phosphatase, GGTP and bilirubin
Primary sclerosing cholangitis
Young, nonsmoker patient with liver disease and COPD (emphysema)
Alpha-1 antitrypsin deficiency
Middle age patient with fatigue and joint pain (pseudogout), erectile dysfunction or amenorrhea, skin darkening, diabetes and cardiomyopathy
Hemochromatosis
Cirrhosis and hepatic insufficiency with neurological symptoms like psychosis, ataxia and tremor, Coombs negative hemolytic anemia and RTA or nephrolithiasis
Wilson disease
Hypertension in patients under 30 or above 60, or is not controlled by 2 anti-hypertensive drugs, or has a characteristic findings on history, physicals or labs
Secondary hypertension