09-24-2009, 04:01 AM
Ddx:Hyperthroidism mcc,anorexia nervosa,malignancy
Today's case "weight loss" - cis2010
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09-24-2009, 04:01 AM
Ddx:Hyperthroidism mcc,anorexia nervosa,malignancy
09-24-2009, 11:00 AM
how much weight lost, in what time
any thing u feel causing it was it intentional is there any other thing associated ask gen, symp. like fever nausea vomiting , cough ,chest pain, nightsweats,diarrhea ,constipation than specific glands enlarged tremors cold preference,anxiety,racing heart,menstrual abn,etc, dieting , execessive exercise . depression (faceslips) pmh (dm,thyroid ,bp) amhugs foss,complete menstrual and sexual hist (HIV)occupation, stress examination eye pallor and jaundice neck swellings heart and lung aus abdo palpation minimental status closure for depression,hiv,anorexia nervosa. anyone pls correct me
09-24-2009, 11:34 AM
differential diagnosis. endocrine, hyperthyroidism, DM, Addison disease, malignancy, infection, tuberculosis, HIV, malabsorption, chronic pancreatitis, celiac dx,etc emotional , depression, anorexia nervosa
09-24-2009, 06:39 PM
wt loss in young differs from old pt.in young we mostly think hyperthy. or wt obsession and excessive exercise or depression or HIV.in old pt we also should consider malignancy and even elderly abuse.
Onset,Progression,Intentional,appetite,how many lbs,physical activity,mense if indicated,fatigue,palpitaion,sweating,tremor,bowel habits,urinary habits,any emotional change recently, **the pt guides you with first descriptions,so ask relevant questions regarding that special Dx i mean when the pt mood/appetite is ok don"t ask about depression more. PAMSoSxFa the same scenario repeats: greeting-draping-eye contact-paraphrase-clarify-transition-empathy-open q's-summarize-any question-any concern-hand wash permission,proper wash-permit for PE,EXPLAIN DURING PE,help him in PE-TELL IF NL or abnl finding-counsel,IMpression-plan-follow up- PE:THY.LYMPHNODE;ABD,if indicated pelvic exam w/up cbc diff TSH HIV ab if indicated FSH/LH if indicated Abd CT //
09-25-2009, 06:22 AM
email me ppatel23499
09-25-2009, 06:50 AM
for what?ppatal
09-30-2009, 06:55 AM
great
09-30-2009, 05:24 PM
cool
10-13-2009, 07:31 PM
up
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