Weight loss

Question 1

Key history in weight loss

Answer 1

Amount
Duration
\+/- Intention
Diet and exercise history
Body image
Anxiety or depression
Constitutional symptoms
Hyperthyroid symptoms (palpitations, tremor, diarrhea)
FHx of thyroid disease
HIV risk factors
Tobacco, alcohol and drug use
Medications
Hx of cancer
Blood in urine or stool

Question 2

Key physical exam in weight loss

Answer 2

Vital signs and complete physical exam

Question 3

42 yo F with 16 pound weight loss over last two months
+ fine tremor
+ tachycardia

Answer 3

Hyperthyroidism
Cancer
HIV
Dieting/diet drugs

TSH, FT4, CBC, electrolytes, HIV antibody, urine toxicology