Weight Loss Flashcards

1
Q

What key history would you obtain from a patient who complains of weight loss?

A
Amount, duration, +/- intential,
Diet History
Body image
Anxiety or depression
Palpitation 
Tremor
Diarrhea
Family history of thyroid disease
HIV risk factors
Alcohol and drug use
Medications
History of cancer
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2
Q

What key physical exams would you do for a patient who complains of weight loss?

A

Vital signs

Complete physical exam

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3
Q

42 yo F presents with a 7 kg weight loss over the past two months. She has a fine tremor, and her pulse is 112. Differentials?

A
Hyperthyroidism
Cancer
HIV infection
Dieting/diet drugs
Anorexia nervosa
Malabsorption
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4
Q

42 yo F presents with a 7 kg weight loss over the past two months. She has a fine tremor, and her pulse is 112. Differentials: hyperthyroidism, cancer, HIV infection, dieting/diet drugs, anorexia nervosa, malabsorption. Workup?

A

TSH, FT4
CBC, electrolytes
HIV antibody
Urine toxicology

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