Diganosis gi

Empty stomach + nighttime epigastric burning

Duodenal ulcer

Heavy-meal attacks + persistent pain now + high amylase

Gallstone pancreatitis

Fever then jaundice + ALT 3440 + 30 acetaminophen tablets daily

Acute hepatitis with possible acetaminophen toxicity

Old blood transfusion + ascites + low albumin + low platelets

Cirrhosis possibly caused by hepatitis C

Bloody mucoid diarrhea + urgency + repeated attacks

Ulcerative colitis

Older patient + left lower abdominal pain + fever

Diverticulitis

Progressive jaundice + weight loss + itching + pale stools

Pancreatic cancer causing biliary obstruction

Bulky diarrhea + weight loss despite good appetite

Celiac disease

Right upper abdominal pain + positive Murphy sign

Acute cholecystitis

Older patient + changed bowel habit + anemia or weight loss

Colorectal cancer

Heavy alcohol use + thin limbs + ascites

Decompensated alcohol-related liver disease

Malaise and joint aches then jaundice + high liver enzymes

Acute viral hepatitis

Years of bloating and altered stools + pain improves after defecation

Irritable bowel syndrome

Right lower abdominal pain + fever + guarding

Acute appendicitis

Years of swallowing difficulty + undigested food regurgitation + recurrent pneumonia

Achalasia

Recurrent colicky upper abdominal pain + jaundice + dark urine

Obstructive jaundice likely from a common bile duct stone

Woman + itching + cholestatic liver tests + antimitochondrial antibodies

Primary biliary cholangitis

Years of heartburn + solids get stuck + benign distal stricture

GERD with peptic stricture

Brief recurrent yellow eyes + otherwise well + isolated indirect bilirubin elevation

Gilbert syndrome

Recurrent ulcers despite treatment + high fasting gastrin

Zollinger–Ellison syndrome

Severe epigastric pain radiating to back + vomiting + high lipase

Acute pancreatitis

Tender red shin nodules fading like bruises + bowel symptoms

Erythema nodosum associated with Crohn disease

Dark skin + diabetes + liver disease + sexual dysfunction

Hereditary hemochromatosis

Appetite loss + weight loss + persistent epigastric pain + vomiting after meals

Gastric cancer

Relapsing diarrhea + abdominal pain + significant weight loss

Crohn disease

Ascites + enlarged spleen + dilated abdominal wall veins

Cirrhosis with portal hypertension

Previous liver disease + weight loss + hard irregular liver

Hepatocellular carcinoma