Weight Loss - Differential Diagnosis Algorithm
Decreased Intake:
• GI illness (upper and lower)
• Psychiatric (Depression, eating disorders)
• Poverty
• Abuse
• Dementia
• Anorexia as an Adverse Drug Effect
Malabsorption:
• Small Bowel Disease (e.g. Crohn's Disease, Celiac Disease)
• Pancreatic Insufficiency
• Cholestatic Liver Disease
• Protein-losing Enteropathy (e.g. Inflammatory Bowel Disease)
Increased Expenditure:
• Increased Protein/Energy Requirements (e.g. Post-Surgical, Infections, Trauma, Burns)
• Cancer
• Hyperthyroidism
• Chronic Cardiac/Respiratory distress (e.g. COPD)
• Chronic Renal Failure
• Adrenal Insufficiency
• Poorly Controlled Diabetes Mellitus
• HIV
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