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Weight loss

  • Common ddx

    • functional weight loss, hyperthyroidism, IBD, depression, malabsorption
  • Serious ddx

    • malignancy, HIV, TB
  • Labs

    • CBC, chem
    • TSH
    • consider ESR
    • colonoscopy if suspect IBD
    • FOBT if GI bleed
    • CT if suspect malignancy
    • TST if suspect TB
    • HIV test if suspicious sexual hx
    • cortisol level if suspect adrenal insufficiency
  • Malignancy ddx

    • GI, lung, occult, mets
  • Hemonc ddx

    • MM, lymphoma, leukemia
  • GI ddx

    • IBD, PUD, esophageal dz, scleroderma, motility, cirrhosis, HCC, parasites, malnutrition
  • Malabsorption ddx

    • celiac disease, pancreatic insufficiency, pancreatitis, cancer, biliary dz, lymphatic obstruction
  • Endo ddx

    • diabetes, hyperthyroidism, adrenal insufficiency, Addison's (hyperpigmentation)
  • Infectious ddx

    • HIV, TB, chronic infection
  • Autoimmune ddx

    • CTD, lupus, vasculitis
  • Cardio ddx

    • CHF
  • Pulm ddx

    • COPD, TB
  • Renal ddx

    • renal failure
  • Psych ddx

    • depression, eating d/o, anorexia, bulimia
  • Drugs (new meds)

  • HPI

    • onset
    • quantity
    • triggering event
  • ROS

    • fever, nightsweats
    • ENT: dysphagia
    • cardio: chest pain, dyspnea, peripheral edema
    • pulm: cough, hemoptysis
    • GI: abdominal pain, nausea, vomiting, diarrhea, constipation, hematochezia
    • bone pain
    • mass, lymphadenopathy
    • endo: polyuria, fatigue, heat/cold intolerance
    • psych: depression
  • PMH

    • HIV
    • CF
    • IBD
  • FH

  • SH

    • smoking, EtOH
    • changes in diet, activity
    • foreign travel
    • new partners
  • Meds

    • new meds
  • Allergies

  • Px

    • vitals
    • well nourished vs emaciated, mental status
    • skin: hyperpigmentation
    • ENT: thyroid, lymphadenopathy
    • cardio
    • pulm
    • abdmen: mass
    • lymphadenopathy

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.