Endo/Metab PCP presentations Flashcards
Weight loss:
Two key initial questions
Intentional vs unintentional
Decreased vs increased appetite
Weight loss:
Severity questions
Kilograms lost
Change in how clothing fits
Weight loss:
What’s considered clinically significant weight loss?
5% over 6-12 months
Weight loss:
Context questions
Change in diet/exercise Stress, depression Dysphagia/odynophagia Recent travel Medication changes
Weight loss:
Associated features
Vomiting or diarrhoea Cancer stuff Hyperthyroid stuff Diabetes stuff Malabsorption stuff
“Diabetes stuff”
Associated features
Polyphagia Polyuria Polydipsia Visual changes Candidiasis Fatigue
“Cancer stuff”
Associated features
Fever
Night sweats
“Hyperthyroid stuff”
Associated features
Heat intolerance
Tremors
Palpitations
Menstrual irregularity
“Malabsorption stuff”
Associated features
Change in stools
Bloating, flatulence
Recent travel/fever
Weight loss:
Family history questions
Cancer
Diabetes
Coeliac disease
Dysuria:
Quality questions
Urine quality (bloody, cloudy or malodorous)
Dysuria:
Associated features:
Frequency (& volume)
Urgency
Nocturia
Fever & abdo pain
Dysuria:
Context
Catheterisation
“Honeymoon cystitis”
Pregnancy
Obstructive voiding:
Associated features
Hesitancy Straining Dribbling Nocturia Irritative symptoms Cancer stuff (prostate cancer)
Polyuria:
Context
Change in intake
Caffeine/alcohol
Medications (lithium. diuretics)
