Assessment

Question 1

4 major manifestation of iwl

Answer 1

Anorexia
Cachexia
Sarcopenia
Dehydration

Question 2

What can mask sarcopenia

Answer 2

Excess adipose tissue deposits

It can delay awareness of cachexia dev

Question 3

Assessmemt

Answer 3

History 
Cbc 
Liver enzyme
Erythrocyte sedimentation rate
Renal function
Thyroid function test
Chest radiography
Abdominal ultra sound
C-REACTIV PROTEIN

Age sex
Mammography
Colonoscopy
hiv test
Check for dementia and depression using mini mental status exam or geriatric depression scale

Mini nuitriti0nal assessment and nutrition screening initiative for elderly

Question 4

First priority in iwl management

Answer 4

Identify and treat underlying causes
Treat of underlying metabolic psychiatric infectious disorders

Mediaction causing nausea or anorexia should be stopped

Give oral nutritional supply in addition

Antidepressant mirtazapine can cause weightgain

If with wasting condition, comply with appropriate exercise

Question 5

5% weight loss in 30day

Answer 5

Cbc

Question 6

10% weight loss in 180 day

Answer 6

Comprehensive electrolyte and metabolic panel, including renal and liver function test

Question 7

Bmi less than 21

Answer 7

Thyroid test

Question 8

25% food left uneaten after 7 day

Answer 8

Erythrocyte sedimentation rate

Question 9

Change in fitting

Answer 9

C-reactive protien