Eating Hx - Key questions

Question 1

Weight history
-key areas to cover

Answer 1

Stages
-weight during childhood/teen/adult years
-any periods of drastic change

Loss
-any periods of rapid weight loss
-triggers for weight changes

Ideal
-current thoughts about their weight
-would they like to change their weight

Min and max
-how has weight changed over the past specific timeframe

Question 2

Eating behaviours
-key questions

Answer 2

Typical day’s intake
Comparison between their eating habits and their friends/family
Any concern expressed by others

Question 3

Adaptive behaviours
-key areas to consider

Answer 3

Exercise
-how much, what are they doing
-motivations and impact on calorie intake

Purging
-use of vomiting, laxatives
-misuse of insulin

Binge eating
-triggers
-how they feel afterwards

Question 3

Physical symptoms
-red flags

Answer 3

Rapid weight loss
HR U40
Significant orthostatic change in BP - feeling faint when you stand
Recurrent syncope - fainting
ECG abnormalities - palpitations
Severe dehydration
Low temp - cold all the time
Electrolyte disturbance
Inability to stand up from squatting or lying - difficulty getting up from lying or sitting

Question 4

Psychological key questions

Answer 4

Mood assessment
Anxiety assessment
-social
-obsessive, compulsive
SH/SI risk assessment

Question 5

Systemic enquiry
-key symptoms to screen for

Answer 5

Neuro
-memory/concentration
-numb/weak limbs
-dizzy on standing

Resp
-SOB especially on exercise

Cardiovascular
- palpitations, chest pain

GI
-bowel habit changes
-abdo pain
-reflux
-bloating

GU
-changes in urinary frequency/amenorrhea

Other
-hair loss/growth
-dry skin
-fatigue

Question 6

Possible other reasons for weight loss

Answer 6

GI
-IBD, coeliac

Question 7

SHx
-key additional areas to ask about

Answer 7

Stress
-coping

Social circle

Alcohol
-longstanding dependence => malnourishment, B12 folate deficiency risk

Impact of symptoms to attend work or school