Weight loss

Question 1

What is true weight loss?

Answer 1

Not muscle atrophy, getting sufficient calories and have palatable food

Question 2

What is the main question?

Answer 2

Normal/increased/decreased appetite

Question 3

Two reasons if decreased appetite

Answer 3

Cant eat / wont eat

Question 4

Cant eat reason

Answer 4

oral disease

Question 5

wont eat reasons

Answer 5

primary or secondary CNS disease affecting satiety centre in hypothalamus e.g toxins, pyriexia, hepatic/renal disease, neoplasia, CNS tumour

Question 6

Three reasons with normal/increased appetite

Answer 6

maldigestion, malabsorption, malutilisation

Question 7

Maldigestion examples

Answer 7

dia(small bowel)/vom.
EPI
poor lumen conditions (brush border etc)
bile acid deficient

Question 8

Malabsorption examples

Answer 8

dia/vom
primary structural disease (infiltrative diseases) - IBD, GI lymphoma, bacterial overgrowth, dry FIP, parasites

Secondary metabolic disease - hepatic disease, r sided cardiac disease, hyperthyroidism

Question 9

Malutilisation examples

Answer 9

NO dia/vom
diabetes mellitus
congestive heart failure
dirofilariasis
neoplasia
hyperthyroidism
liver disease / renal diseases if losing protein