Weight loss Flashcards
1
Q
Key history in weight loss
A
Amount Duration \+/- Intention Diet and exercise history Body image Anxiety or depression Constitutional symptoms Hyperthyroid symptoms (palpitations, tremor, diarrhea) FHx of thyroid disease HIV risk factors Tobacco, alcohol and drug use Medications Hx of cancer Blood in urine or stool
2
Q
Key physical exam in weight loss
A
Vital signs and complete physical exam
3
Q
42 yo F with 16 pound weight loss over last two months
+ fine tremor
+ tachycardia
A
Hyperthyroidism
Cancer
HIV
Dieting/diet drugs
TSH, FT4, CBC, electrolytes, HIV antibody, urine toxicology