Weight Loss Flashcards
1
Q
Key differentials for weight loss + INCREASED appetite
A
Increased demand
- growth
- dieting
- malnutrition
Reduced absorption
- coeliac
- IBD
- laxatives
Increased utilisation
- thyrotoxicosis
- infection
- phaeochromocytoma
- anxiety
Abnormal calorie loss
-uncontrolled DM
2
Q
Key differentials for weight loss + REDUCED appetite
A
Systemic infections e.g. TB HIV/AIDS Gastroenteritis Infective endocarditis
Systemic inflammation:
SLE
Systemic sclerosis
Vasculitis
GI causes:
peptic ulcer
Organ failure
Addison’s
Depression
Dementia
3
Q
Mnemonic for
A
SOAP BRAIN MD
Serositis (pleuritis/pericarditis)
Oral ulcers
Arthritis
Photosensitivity
Bloods - thrombocytopenia Renal disease ANA Immunological disorders (anti-dsDNA/antiphospholipid) Neurologic disease
Malar rash
Discoid rash
4
Q
Questions to ask about presenting complaint
A
Has it happened before? Intentional? Amount Onset and duration Have other people noticed? Diet/exercise
5
Q
Cancer symptoms
A
Lethargy Anaemia Change in bowel habits Haemoptysis Haematuria/rectal bleeding FLAWS Hoarseness
6
Q
Thyroid symptoms
A
Fever Rashes Palpitations Heat intolerancce Tremor Diarrhoea Polydipsia
7
Q
Malabsorption/DM symptoms
A
Polyuria/nocturia Diarrhoea Abdo pain NV PR bleeding
8
Q
Key drugs to ask about
A
Diet pills Thyroid meds Laxatives - drug induced weight loss Diuretics Antidepressants Levodopa Digoxin Metformin
9
Q
Social history
A
Alcohol Smoking Stress/occupation Sleeping problems Diet Travel
