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Unintentional Weight Loss Causes
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Unintentional Weight Loss Causes
, Meals on Wheels Mnemonic
See Also
Unintentional Weight Loss
Medications Associated with Unintentional Weight Loss
Causes
"Meals on Wheels" Mnemonic
Medication Effects
Emotional Problems (
Major Depression
)
Anorexia Nervosa
or
Alcoholism
Late-life paranoia
Swallowing Disorder
s (See
Dysphagia
)
Oral factors (e.g. Poorly fitting dentures)
No Money
Wandering (
Dementia
related behavior)
Hyperthyroidism
, Hyperparaythyroidism, Hypoadrenalism
Enteric problems (e.g. Malabsorption)
Eating problems (e.g. difficult self-feeding)
Low salt diet or low
Cholesterol
diet
Stones (
Cholecystitis
) or social problems (isolation)
References
Morley (1995) Ann Intern Med 123:850-9 [PubMed]
Causes
9Ds of Weight Loss Mnemonic
Dementia
Dentition
Depression
Diarrhea
Disease
Drugs
Dysfunction (e.g. ADL)
Dysgeusia
Dysphagia
Robbins (1989) Geriatrics 44(4): 31-7 [PubMed]
Causes
Common
Idiopathic in one quarter of cases
Malignancy (19 to 36%)
See
Cachexia in Cancer
Stomach Cancer
Pancreatic Cancer
Colon Cancer
Other cancers (e.g.
Breast Cancer
)
Non-malignant Gastrointestinal Causes (9 to 19%)
Cholecystitis
Peptic Ulcer Disease
Gastroesophageal Reflux
Disease and other Esophageal disorders (e.g.
Esophageal Dysmotility
)
Colitis
Mesenteric Ischemia
Celiac Sprue
and other malabsorption
Cardiopulmonary Disorders
Congestive Heart Failure
(5-10%)
Chronic Obstructive Pulmonary Disease
(5-10%)
Social Factors
Alcoholism
or other
Drug Abuse
(5-10%)
Major Depression
and other mental illness (9 to 24%)
Social isolation and loneliness
Financial contraints
Impaired
Activities of Daily Living
Causes
Other Causes
Endocrine Conditions
Diabetes Mellitus
Hyperthyroidism
Hypothyroidism
Connective Tissue Disease
Sarcoidosis
Rheumatoid Arthritis
Medication adverse effects
Polypharmacy
Medications Associated with Unintentional Weight Loss
Neurologic Diseases
Muscular Dystrophy
Bulbar Palsy
Cerebrovascular Accident
Myasthenia Gravis
Parkinson's Disease
Dementia
Delirium
Anorexia Nervosa
Chronic Infection
HIV Infection
Tuberculosis
Fever
(See also
Fever of Unknown Origin
)
Basal metabolic rate increases 7% per degree F
Malabsorption
Pancreatic Insufficiency
Celiac Sprue
References
Heizer in Dornbrand (1992) Ambulatory Care, p. 15-18
Karsh in Friedman (1991) Medical Diagnosis, p. 13-16
Gaddey (2014) Am Fam Physician 89(9):718-22 [PubMed]
Grazewood (1998) J Fam Pract 47(1): 19-25 [PubMed]
Huffman (2002) Am Fam Physician 65(4):640-50 [PubMed]
Morley (1995) Ann Intern Med 123:850-9 [PubMed]
White (1991) Am Fam Physician 44(6): 2087-97 [PubMed]
Zawada (1996) Postgrad Med 100(1):207-25 [PubMed]
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