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    Involuntary Weight Loss

    IWL, unintentional, unexplained

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    Assessment & Plan (long)

    # Involuntary Weight Loss
    Involuntary weight loss (IWL) is typically defined as a loss of weight >10 lbs or >5% of one’s body weight over a period of 6-12 months. The differential diagnosis for IWL is wide, and includes neoplastic and psychiatric causes, as well as diseases in nearly every organ system. Notably, exhaustive investigation will not yield a definitive diagnosis in up to a quarter of patients.
    -- History, physical, MMSE, nutritional assessment, ADL/IADL assessment, medication review
    -- Age appropriate cancer screening
    -- CBC with diff, CMP, TFT, ESR, CRP, Ferritin, HIV testing
    -- Nutrition referral

    Description

    Adapted from Tim Dyster

    Organ systems
    • Gastrointestinal
    Medical field
    • Internal medicine
    Setting
    • Outpatient
    • Inpatient
    Author
    Patrick Sanger
    Page info

    Originally created: June 16, 2020 by Patrick Sanger

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    References
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