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Weight

 
 
 
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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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