Weight Loss History

• CC:
  • What is the current weight and height? (calculate BMI)
  • How much did you lose?
  • Over how long?
  • Was it intentional?
  • Onset: first time? Sudden\gradual? Continuous\intermittent?
  • Severity: interfering w\ ADL?

• Associated sx:
  • Constitutional: fever, loss of appetite, night sweats, chills?
  • GI: abdominal pain, N\V, change in bowel habits (diarrhea)?
  • Decreased oral intake: difficulty swallowing, painful mouth ulcers, early satiety?
  • Eating disorder: fear of gaining wt, feel fat, binge eating (episodes of uncontrollable eating), self-induced vomiting?
  • Depression: low mood, loss of interest?
  • Hyperthyroid: heat intolerance, palpitations, tremor, menstrual changes?
  • Cardiac failure: SOB, LL swelling?
  • Respiratory: chest pain, cough, hemoptysis?
  • Liver: jaundice?
  • DM: polyuria, polyphagia, polydipsia?
  • Urinary: dysuria, hematuria?

• Diet:
  • Recent change in diet habits?
  • How many meal\snacks per day?
  • What type of food do you usually eat?
  • Do you exercise?

• PMHx:
  • Diseases:
    • Chronic ds (HTN, DM, DLP)
    • Anemia, Hyperthyroidism
    • Infections, malignancy
  • Medications: laxatives, diuretics, OTC, herbals
  • Surgery, hospitalization, trauma
  • Blood transfusions, IV drug use, tattoos
  • Allergies

• FMHx:
  • Similar complaint?
  • Same diseases as in PMHx?

• Social Hx:
  • Occupation, marital status, children?
  • Smoking, alcohol, recreational drugs?
  • Travel Hx

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