Sandbox:Javaria: Difference between revisions
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{{ | <ref name="pmid8919685">{{cite journal |vauthors=Guigoz Y, Vellas B, Garry PJ |title=Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation |journal=Nutr. Rev. |volume=54 |issue=1 Pt 2 |pages=S59–65 |date=January 1996 |pmid=8919685 |doi=10.1111/j.1753-4887.1996.tb03793.x |url=}}</ref><ref name="pmid31330781">{{cite journal |vauthors=Reber E, Gomes F, Vasiloglou MF, Schuetz P, Stanga Z |title=Nutritional Risk Screening and Assessment |journal=J Clin Med |volume=8 |issue=7 |pages= |date=July 2019 |pmid=31330781 |pmc=6679209 |doi=10.3390/jcm8071065 |url=}}</ref><ref name="pmid12880610">{{cite journal |vauthors=Kondrup J, Allison SP, Elia M, Vellas B, Plauth M |title=ESPEN guidelines for nutrition screening 2002 |journal=Clin Nutr |volume=22 |issue=4 |pages=415–21 |date=August 2003 |pmid=12880610 |doi=10.1016/s0261-5614(03)00098-0 |url=}}</ref><ref name="pmid9673603">{{cite journal |vauthors=Gazewood JD, Mehr DR |title=Diagnosis and management of weight loss in the elderly |journal=J Fam Pract |volume=47 |issue=1 |pages=19–25 |date=July 1998 |pmid=9673603 |doi= |url=}}</ref> | ||
{{familytree/start |summary= | |||
{{familytree/start |summary=Weight loss Management Algorithm.}} | |||
{{familytree | | | | | | | | | | Z01 | | | | | | | |Z01=<div style="float: left; text-align: left; width: 20em; padding:1em;">'''History'''<div class="mw-collapsible mw-collapsed"><br> | {{familytree | | | | | | | | | | Z01 | | | | | | | |Z01=<div style="float: left; text-align: left; width: 20em; padding:1em;">'''History'''<div class="mw-collapsible mw-collapsed"><br> | ||
:❑[[Patient]] [[age]] | ❑ '''Source of history''':<br> [[Patient]] or well-informed caregiver ([[elderly]] may be unaware or deny weight loss).<br> | ||
❑ '''[[Patient]] [[age]]''':<br> Helps determine age-specific causes, such as [[malignancy]] among the elderly.<br> | |||
:❑ Past medical history | ❑ '''Duration of [[symptoms]]''':<br> (weeks in [[acute]]/severe versus years in [[chronic]] conditions).<br> | ||
:❑ | ❑ '''Associated [[symptoms]]''':<br> Assess if the [[patient]] is [[Nausea|nauseated]] or [[vomiting]]/ [[anorexia]]/ [[dysphagia]]/ [[odynophagia]]/ social reasons hindering food supply.<br> | ||
❑ '''Nutritional status''':<br> | |||
: | :❑ Dietary history: Food availability, diet adequacy in the quantity (daily caloric intake), and quality (balance of nutrition), and nutritional supplements.<br> | ||
:❑ Weight measurement records or best estimate of weight loss accessed by clothing size. <br> | |||
:❑ Mini Nutritional Assessment: To assess the nutritional risk among the elderly.<br> | |||
:❑ Assess the mental and functional status of the [[patient]].<br> | |||
:❑ Psychiatric illness screening. Geriatric Depression Scale may be utilized to assess for [[depression]] among elderly.<br> | |||
❑ '''Systemic review''':<br> Assess for [[cardiovascular system|cardiovascular]], [[respiratory system|respiratory]], [[renal system|renal]], [[hepatic system|hepatic]], and [[rheumatologic system]].<br> | |||
❑ '''Past medical history''':<br> Helps assess the nutritional status. May suggest of [[immunodeficiency]] (recurrent [[infections]]), diagnosed [[malignancy]], [[malabsorption]] (chronic [[diarrhea]]), [[HF]], [[dyspepsia]]. <br> | |||
❑ '''Past surgical history''':<br> Helps assess nutritional status.<br> | |||
❑ '''Medication history''': Assess the use of medications known to cause [[weight loss]]. [[Polypharmacy]] may cause [[anorexia]] or altered taste. | |||
❑ '''Family history''':<br> Certain malignant disorders ([[breast cancer]], [[ovarian cancer]], [[colon cancer]], or [[stomach cancer]]))<br> | |||
❑ '''Social history''':<br> [[Tobacco]], alcohol use, [[opioid]], [[cocaine]] use<br> | |||
❑ '''Sexual history''':<br> Suggestive of [[HIV AIDS history and symptoms|HIV AIDS]]<br> | |||
❑ '''Exposure''': Communicable [[infectious disease]]s/ travel to high-risk areas<br>}} | |||
{{familytree | | | | | | | | | | |!| | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | }} | ||
{{familytree | | | | | | | | | | M01 | | | | | | | M01=<div style="float: left; text-align: left; width: 20em; padding:1em;">'''[[Physical exam]]'''<div class="mw-collapsible mw-collapsed"><br>'''Appearance of the [[patient]]'''<br>[[Cachexia]] or surgical scar marks demonstrating previous malignancy treatment<br> | {{familytree | | | | | | | | | | M01 | | | | | | | M01=<div style="float: left; text-align: left; width: 20em; padding:1em;">'''[[Physical exam]]'''<div class="mw-collapsible mw-collapsed"><br>'''Appearance of the [[patient]]'''<br>[[Cachexia]] or surgical scar marks demonstrating previous malignancy treatment<br> | ||
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{{familytree | | | | | | | | | | | | | | | | | |}} | {{familytree | | | | | | | | | | | | | | | | | |}} | ||
{{familytree | | | | | | | | | | | | | | | | | |}} | {{familytree | | | | | | | | | | | | | | | | | |}} | ||
{{familytree/end}} |
Revision as of 14:05, 5 September 2020
History ❑ Source of history:
❑ Systemic review: | |||||||||||||||||||||||||||||||||||||
Physical exam Appearance of the patient Cachexia or surgical scar marks demonstrating previous malignancy treatment
❑ HEENT
❑ Extremities exam | |||||||||||||||||||||||||||||||||||||
Labs ❑ CBC with differential
| |||||||||||||||||||||||||||||||||||||
- ↑ Guigoz Y, Vellas B, Garry PJ (January 1996). "Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation". Nutr. Rev. 54 (1 Pt 2): S59–65. doi:10.1111/j.1753-4887.1996.tb03793.x. PMID 8919685.
- ↑ Reber E, Gomes F, Vasiloglou MF, Schuetz P, Stanga Z (July 2019). "Nutritional Risk Screening and Assessment". J Clin Med. 8 (7). doi:10.3390/jcm8071065. PMC 6679209 Check
|pmc=
value (help). PMID 31330781. - ↑ Kondrup J, Allison SP, Elia M, Vellas B, Plauth M (August 2003). "ESPEN guidelines for nutrition screening 2002". Clin Nutr. 22 (4): 415–21. doi:10.1016/s0261-5614(03)00098-0. PMID 12880610.
- ↑ Gazewood JD, Mehr DR (July 1998). "Diagnosis and management of weight loss in the elderly". J Fam Pract. 47 (1): 19–25. PMID 9673603.