WEIGHT GAIN Flashcards
1
Q
weight gain key hx: timing
A
duration
relations to med changes, smoking cessation, depression
diet
2
Q
weight gain key hx: assoc sxs
A
hypothyroidism sxs (fatigue, constipation, skin/hair/nail changes)
menstrual irregularities
hirsuitism
3
Q
weight gain key hx: soc hx
A
sexual hx
alc/drug use
4
Q
weight gain key PE
A
VS
complete exam (HEENT, CV, pulm, abd, MSK, neuro)
signs of Cushing syndrome (HTN, central obesity, moon face, buffalo hump, supraclavicular fat pads, purple abdominal striae)
edema resulting from water retention in renal dz
5
Q
smoking cessation ddx
A
drug side fx hypothyroidism Cushing syndrome PCOS diabetes atypical depression
6
Q
smoking cessation w/u
A
CBC BMP, glucose TSH 24-hour urine free cortisol dexamethasone suppression test
7
Q
insulinoma ddx
A
reactive postprandial hypoglycemia
Cushing syndrome
pregnancy
8
Q
insulinoma w/u
A
blood glucose plasma insulin after induced hypoglycemia glucose tolerance test 24-hour urine free cortisol urine b-hCG
