WEIGHT GAIN

Question 1

weight gain key hx: timing

Answer 1

duration
relations to med changes, smoking cessation, depression
diet

Question 2

weight gain key hx: assoc sxs

Answer 2

hypothyroidism sxs (fatigue, constipation, skin/hair/nail changes)
menstrual irregularities
hirsuitism

Question 3

weight gain key hx: soc hx

Answer 3

sexual hx

alc/drug use

Question 4

weight gain key PE

Answer 4

VS
complete exam (HEENT, CV, pulm, abd, MSK, neuro)
signs of Cushing syndrome (HTN, central obesity, moon face, buffalo hump, supraclavicular fat pads, purple abdominal striae)
edema resulting from water retention in renal dz

Question 5

smoking cessation ddx

Answer 5

drug side fx
hypothyroidism
Cushing syndrome
PCOS
diabetes
atypical depression

Question 6

smoking cessation w/u

Answer 6

CBC
BMP, glucose
TSH
24-hour urine free cortisol
dexamethasone suppression test

Question 7

insulinoma ddx

Answer 7

reactive postprandial hypoglycemia
Cushing syndrome
pregnancy

Question 8

insulinoma w/u

Answer 8

blood glucose
plasma insulin after induced hypoglycemia
glucose tolerance test
24-hour urine free cortisol
urine b-hCG