Weight Loss

Question 1

Resp Causes

Answer 1

• Lung Cancer

- TB

Question 2

Gastro Causes

Answer 2

• Bowel Ca
• Oesophageal Ca
• Coeliac Disease
• Viral Hepatitis
• Chronic Liver disease
• IBD
• IBS

Question 3

Neuro Causes

Answer 3

• MND

Question 4

Endocrine Causes

Answer 4

• Hyperthyroid
• Addison’s
• Diabetes

Question 5

Renal/Urinary Causes

Answer 5

• CKD
• Prostate Ca
• Bladder Ca

Question 6

Haematology Causes

Answer 6

• Leukaemia/Lymphoma

- Myeloma

Question 7

Gynae Causes

Answer 7

• Ovarian Ca

Question 8

Psychiatric Causes

Answer 8

• Depression

- Eating Disorder/Anorexia

Question 9

Other Causes

Answer 9

• Exercise (intentional)

- Secondary metastasis

Question 10

Beside Ix

Answer 10

Urine dip

Question 11

Bloods

Answer 11

FBC, UEs, LFTs, TFTs, HBA1c, ESR

If appropriate

• Hepatitis serology
• bone profile
• Autoantibody screening (anti-CCP, RF)

Question 12

Imaging

Answer 12

• CXR

- USS/CT Scan Abdomen

Question 13

Special Tests

Answer 13

Upper/Lower Endoscopy

• Bowel Ca
• IBD
• Coeliac

Question 14

Stool + Urine Ix

Answer 14

Faecal Calprotectin ?IBD

Bence-Jones

Bowel screening for occult blood (60-69 every 2 years)

Question 15

Ask Patient to:

Answer 15

Record diet and exercise hx

Question 16

RED FLAGS

Answer 16

• Bleeding (PR, haemoptysis, haematuria)
• Fever, nightsweats, rapid loss
• Dysphagia
• Polyuria and polydipsia
• Bone pain

Question 17

Systems Review

Answer 17

• Change in bowel habit
• Polyuria/dipsia
• Skin changes, rashes, jaundice

Question 18

Family Hx

Answer 18

• Autoimmune (diabetes, addisons, thyroid)

- Cancer (bowel, oesophageal)

Question 19

Social Hx

Answer 19

• Smoking
• Alcohol
• IVDU/Hepatitis Risk
• Recent travel/vaccinations