Weight
February 15th, 2021
Overview
Look for
- The patient's current weight
- Change in weight - compare to past weights
- Time course of weight change - sudden or over time
Causes of Weight Gain
- ↑ Dietary intake
- ↓ Physical exercise
- Endocrine - hypothyroidism, Cushing's, PCOS
- Medications - steroids, antidepressants, antipsychotics, OCP
- Fluid overload - excessive IV fluids, renal disease, heart failure
- Genetic (rare)
Causes of Weight Loss
- ↓ Dietary intake - anorexia, decreased access to food
- ↑ Physical activity
- Malignancy
- Malabsorption - obstruction, IBD, pancreatitis, coeliac disease
- Endocrine - hyperthyroidism, diabetes, phaeochromocytoma, addison's
- Neurological - stroke, Parkinson's, dementia
- Drugs - diuretics, chemotherapy, amphetamines, opioids
- Organ failure - renal failure, liver failure, CCF, respiratory failure
- Chronic infection - TB, HIV
- Psychiatric - eating disorders, depression, alcoholism, schizophrenia
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