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Is it focal or diffuse? Focal masses in the thyroid include thyroglossal cyst, toxic adenoma, colloid cyst, Riedel's struma, nontoxic adenoma, and malignancies.
Is there movement ... DIAGNOSTIC WORKUP
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Is there fever? The presence of fever would suggest an infectious disease, such as tuberculosis, AIDS, brucellosis, and typhoid fever, but collagen diseases and neoplasms should not be forgotten. ... DIAGNOSTIC WORKUP
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Unexplained, involuntary weight loss (defined as loss of 5% of baseline body weight over 6–12 months) is a common clinical presentation and is nearly always a sign of a... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Weight gain is a very common complaint in adult medicine and has a vast differential diagnosis. The key to diagnosis is often a good history and physical examination. It is important to quantify the degree and... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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The norm in infants and children is to gain weight, so weight loss in a pediatric patient (unless medically indicated) should demand evaluation. Acute weight loss, defined as loss of 3–5% of body mass in less than 30 days,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Chronic diarrhea (nonbloody, without weight loss) is defined as increased total daily stool output (greater than 10 g/kg/day), associated with increased stool water content; diarrhea is classified... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Diarrhea is considered chronic when it last longer than 14 days. Weight loss with diarrhea should always be concerning and deserves thorough investigation. Collectively the malabsorption syndromes are the most... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... As noted in Table 62, the diagnostic analysis of weight loss is best accomplished by applying physiology. Food and oxygen must be properly and regularly brought into the body (intake),
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, thyroid tumors, and drugs. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess or... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Weight gain occurs when ingested calories exceed body requirements for energy, causing increased adipose tissue storage. It can also occur when fluid retention causes edema.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Two groups of neonates are born weighing less than the normal minimum birth weight of 5½ lb (2,500 g) — those who are born prematurely (before 37 weeks’ gestation) and those who are small for... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... Weight loss can reflect decreased food intake, decreased food absorption, increased metabolic requirements, or a combination of the three. Its causes include endocrine, neoplastic, GI, and psychiatric disorders... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Ankylosing spondylitis
Bilateral lesions of the lateral hypothalamus (hypothalamic anorexia)
Decreased food intake/malnutrition
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... Cessation of cigarette smoking
Congenital disorders
Alström syndrome
Biemond syndrome
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, and thyroid tumors. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Weight gain occurs when ingested calories exceed body requirements for energy, causing increased adipose tissue storage. It can also occur when fluid retention causes edema. When weight gain results from... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Two groups of neonates are born weighing less than the normal minimum birth weight of 5½ lb (2,500 g)—those who are born prematurely (before the 37th week of gestation) and those who are small for... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... Weight loss can reflect decreased food intake, decreased food absorption, increased metabolic requirements, or a combination of the three. It may be caused by endocrine, neoplastic, GI, and... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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Weight Loss
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... David B. Graham
Involuntary weight loss is a challenging problem, often surrounded with fears by both patient and physician of an occult malignancy.... Approach. ... History: Initial data ... Basic physical examination ... Testing ... Diagnostic assessment. ... Pictures
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... Stephen F. Wheeler and David E. Bybee
Goiter, an enlarged thyroid gland, is the most common thyroid abnormality. Goiter is termed endemic if it occurs... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
❑ Diabetes
❑ Depression
❑ Inadequate intake
... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
Neck Mass
❑ Inflammatory lymphadenopathy
❑ Parotid swelling/tumor
❑ Laryngeal... Diagnostic Approach ... Clinical Findings
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, and thyroid tumors. Depending on the medical cause, hyperfunction or hypofunction may occur with... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Weight gain occurs when ingested calories exceed body requirements for energy, causing increased adipose tissue storage. It can also occur when fluid retention causes edema. When weight gain... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Weight loss can reflect decreased food intake, decreased food absorption, increased metabolic requirements, or a combination of the three. Its causes include endocrine, neoplastic, GI, and psychiatric disorders; nutritional... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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...Impaired weight gain and linear growth arecommon problems in the pediatric population and can occur separatelyor together. Disorders that significantly affect weight gain alsomay affect linear growth. ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... An enlarged thyroid can result from inflammation, physiologic changes, iodine deficiency, thyroid tumors, and drugs. Depending on the medical cause, hyperfunction or hypofunction may occur with resulting excess... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Weight gain occurs when ingested calories exceed body requirements for energy, causing increased adipose tissue storage. It can also occur when fluid retention causes edema. When... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Two groups of neonates are born weighing less than the normal minimum birth weight of 51⁄2 lb (2,500 g)—those who are born prematurely (before 37 weeks' gestation) and those who are small for gestational age (SGA).... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Weight loss can reflect decreased food intake, decreased food absorption, increased metabolic requirements, or a combination of the three. Its causes include endocrine,... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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...
As noted in Table 62, the diagnostic analysis of weight loss
is best accomplished by applying physiology. Food and oxygen must
be properly and regularly brought into the body (intake),... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
