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Is there associated hyperphagia? If the patient recognizes that he or she has a ravenous appetite or eats more than is necessary, the possibility of an insulinoma or Fröhlich's syndrome should be ... 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 ... DIAGNOSTIC WORKUP
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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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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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 serious medical or psychiatric illness. Numerous studies have... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Pediatric obesity is increasing at epidemic proportions. The Centers for Disease Control define “at risk of overweight” as a body mass index (BMI, kg/m... 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... 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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The differential diagnosis of obesity, like that of weight loss, is best developed using physiology because most cases of obesity are caused by an absolute increased intake of calories or a relative increased intake of
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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
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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 overeating,... 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,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Cessation of cigarette smoking
Congenital disorders
Alström syndrome
Biemond syndrome
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... Ankylosing spondylitis
Bilateral lesions of the lateral hypothalamus (hypothalamic anorexia)
Decreased food intake
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Obesity
(Professional Guide to Diseases (Eighth Edition))
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... Obesity is an excess of body fat, generally 20% above ideal body weight. The prognosis for correction of obesity is poor: Fewer than 30% of patients succeed in losing 20 lb (9 kg), and only half of these maintain the loss over a... Causes and incidence ... Diagnosis ... Treatment ... Special considerations
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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... 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 psychiatric... 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. Although malignancy is an... Approach. ... History: Initial data ... Basic physical examination ... Testing ... Diagnostic assessment. ... Pictures
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... Differential Overview
❑ Caloric excess
❑ Depression
❑ Drugs
... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
❑ Diabetes
❑ Depression
❑ Inadequate intake
❑ Drugs
❑... Diagnostic Approach ... Clinical Findings ... 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 results from overeating,... 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... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Obesity
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
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... Obesitycan be defined as an excess of body fat. Children with obesity are at risk fordevelopment of diabetes mellitus, hypertension, sleep apnea, anddyslipidemia. They also may lack confidence and self-esteem andcan develop... Principal Causes of Obesity ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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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... Principal Causes of Growth Deficiency: Weight and Height ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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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 overeating,... 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). Premature... 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, neoplastic, GI, and... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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The differential diagnosis of obesity, like that of weight loss, is
best developed using physiology because most cases of obesity are
caused by an absolute increased intake... 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), properly absorbed
and... Pictures
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... Stephen Ludwig
Approach to the Patient with Poor Weight Gain
I. Definition of the Complaint
... Pictures
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... I. History of Present Illness
A 16-month-old African-American boy was seen in an outpatient clinic and
admitted because of concern for FTT. He had also been
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... I. History of Present Illness
A 7-month-old white boy was admitted for evaluation of FTT. The patient was a
former twin B who was born at 37 weeks
' gestation. The ... Pictures
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... I. History of Present Illness
This 20-day-old Caucasian female infant was referred to the emergency department
by her primary care doctor for FTT. She was born after full-term ... Pictures
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... I. History of Present Illness
A 5-day-old Asian boy was brought to his pediatrician for poor feeding. Compared
with his siblings, his parents believed that he had been a poor feeder since
birth ... Pictures
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... I. History of Present Illness
A 3-month old girl was referred by her pediatrician to the emergency department
because of FTT. She had had problems gaining weight since 1 to 2 months of age
... Pictures
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... I. History of Present Illness
A 21-month-old boy presented with weight loss and crankiness. He had been well
until 5 months before admission, when he developed ... Pictures
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... I. History of Present Illness
An 18-month-old was brought to the emergency department with a chief complaint
of draining ear. In ... Pictures
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... Mark F. Ditmar, MD Weight Loss - BASICS Weight Loss - description A documented decrease in weight from a previous measurement. Outside of the newborn period (weight loss in the... Weight Loss - DIAGNOSIS ... Weight Loss - FOLLOW UP ... Weight Loss - bibliography ... Weight Loss - CODES ... Weight Loss - FAQ
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