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Evaluate patient with weight loss - Coggle Diagram
Evaluate patient with weight loss
documented
NO
(verify wt loss through medical record or measurements)
YES
significance
Yes (≥5% of body weight in 6-12 months
unintentional
Increased Appetite
Yes: Consider metabolic conditions like diabetes or thyroid disorders and further evaluate.
DECREASE APPETITE Yes: Investigate possible causes such as GI disorders, depression,Endocrinal or chronic illness.
NORMAL APPETITE evaluate other symptoms
Intentional if yes then: Assess reasons for intentional weight loss (e.g., diet, exercise, medical or psychological reasons). Consider nutritional counselling
No (<5% of body weight in 6-12 months): Consider monitoring and re-evaluation
INITIAL ASSESSMENT
detailed hx
duration,doc/undoc,
significant, intentional/unintentional
drug hx eg anticonvulsants tpoiramate,antidepressants SSRI,antibiotics,laxatives
psychosocial hx eg access to food & availbility, neglect
diet hx eg about appetite, eating patterns,meal patterns
personal hx
past med hx eg endocrinopathies,serous infection
surgical hx eg bariatric surgery
substance use eg tobacco, alcohol
systemic illness inquiry eg fever, night sweats,diarhea,abd discomfort, gum pain
travel hx
PHYSICAL EXAMINATION
GPE,vitals, signs of malnutrion
mood
skin /lymphatics
MSK
Breast, prostate
pulmonary exam
CVS exam
abd exam including rectum
GU exam
Neurological including MMSE , Look signs of depressive disorders
DIAGNOSTIC STUDIES
not suspecting specific Dx do PSA,ESR,CRP,PAP smear,CXR, ABD IMAGING
IF suspect DX eg malignancy tissue bx,,GI workup based on clinical suspicion,neurological MRI/CT scan,co morbid illness,for infections antibodies,blood culturerheumatological condition antibodies /serum ig assay,serology,
initial investigationsCBC,ELECT,LFT,TSH,SERUM ALBUMIN,RBS,RFT,UDR,StoolDR
established Dx and manage treatable cause, consider nutrtional counselling, pharmacological therapy
Re evaluation & extensive FOLLOW UP 3-6 month