Weight gain

Question 1

Opening

Answer 1

Tell me more

SOCRATES
Site- where have you gained weight, all over, or abdomen
Onset- since when
C
R
A
T- does it fluctuate/ get more or less
E
S

Question 2

Associated questions

Answer 2

Diet
Exercise
New medications
SH

Question 3

Systems review

Answer 3

Neuro
GI
Urological
Gyane- bloating, bleeding, pain, PCOS, ovarian cancer, PREGNANCY!
CVS- breathlessness, productive cough, orthopnoea (CHF)
CKD- oedema
Cushingoid features
Endocrine/meatbolic- hypothyroid symptoms

Question 4

Causes

Answer 4

Pregnancy
Ovarian cancer (+ascites/bloating)
PCOS
Bulimia nervosa (purging/diet)
Hypothyroidism
CKD
CHF
Cushing’s (secondary to steroid use/primary Cushing’s disease/cushingoid syndrome caused by lung cancer)