GPA -Weight loss/Gain, Nausea/Vomiting Flashcards
1
Q
DDX - Weight loss
7kg wt loss within 2 months
Pulse 112
A
Hyperthyroid Cancer HIV Diet, drugs Anorexia Malabsorption
2
Q
Workup - Weight loss
7kg wt loss within 2 months
Pulse 112
A
TSH, FT4
CBC
CMP: Electrolytes
HIV antibodies
3
Q
Key PE and HX for wt loss
A
Complete physicial,
Hx of cancer, HIV, blood or urine in stool, Thyroid sx, mental health, constitutional sx
4
Q
Key PE for wt gain
A
Complete exam, Look for cushing syndrome: HTN, central obesity, moon face, buffalow hump, supraclavicular fat, purple abdominal striae, vital signs.
5
Q
DDX - Weight Gain Wt gain, 11kg 2 months recent quit smokeing amitriptyline for depression cold intolerance constipation
A
Smokeing cessation drug side effect Hypothyroid cushing syndrome PCOS DM atypical depression
6
Q
DDX - Weight Gain Wt gain, 11kg 2 months recent quit smokeing amitriptyline for depression cold intolerance constipation
A
CBC: CMP: electrolytes Glucose TSH 24-hour urine free cortisol. Dexamethasone supression test: CUshings:
7
Q
DDX - Nausea/Vomiting N/V, Fatigue Polyruia Last mensus 6 weeks ago Full and tender breasts Sexually active condom contraceptions
A
Pregnancy Gastritis Hypercalcemia: Excess urination, thirst, nausea, vomit, depression memory loss, irritability Diabetes Hypoglycemia UTI Depression
8
Q
Workup - Nausea/Vomiting N/V, Fatigue Polyruia Last mensus 6 weeks ago Full and tender breasts Sexually active condom contraceptions
A
Urine hCG: pregnancy Pelvic exam Pelvic ultrasound CBC/Electrolytes UA Papsmear, cultures HIV VDRL/RPR
