Unexplained Weight Loss

  • Mark E. Sexton

Abstract

The patient with unintentional weight loss (UWL) represents a challenging clinical situation. The patient and family members often fear the existence of cancer and request expensive and invasive diagnostic modalities. The family physician with an organized assessment plan may help prevent needless interventions.

Keywords

Anorexia Nervosa Eating Disorder Family Physician Human Immunodeficiency Virus Patient Unintentional Weight Loss 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Marton K, Sox H, Krupp J. Involuntary weight loss: diagnostic and prognostic significance. Ann Intern Med 1981;95:568–74.PubMedCrossRefGoogle Scholar
  2. 2.
    Holdcroft C. Evaluating involuntary weight loss in older adults. Nurse Pract 1988 March; 13:9–15.PubMedCrossRefGoogle Scholar
  3. 3.
    Rabinovitz M, Pitlik S, Leifer M, Garty M, Rosenfeld J. Unintentional weight loss. Arch Intern Med 1986;146:186–7.PubMedCrossRefGoogle Scholar
  4. 4.
    Campbell D. Failure to thrive [audiotape]. AAFP Home Study Self Assessment. Kansas City, MO: AAFP, May 1992.Google Scholar
  5. 5.
    Thompson M, Morris L. Unexplained weight loss in the ambulatory elderly. J Am Geriatr Soc 1991;39:497–500.PubMedGoogle Scholar
  6. 6.
    Morley J. Anorexia in older patients: its meaning and management. Geriatrics 1990;45(12):59–66.PubMedGoogle Scholar
  7. 7.
    Kaplan D, Mammel K. Adolescence: eating disorders. In: Hathaway W, Groothius J, Hay W, Paisley J, editors. Current pediatric diagnosis and therapy. Norwalk, CT: Appleton-Lange, 1991:236–9.Google Scholar
  8. 8.
    Clark RB. Psychosocial aspects of pediatrics: eating disorders. In: Hathaway W, Groothius J, Hay W, Paisley J, editors. Current pediatric diagnosis and therapy. Norwalk, CT: Appleton-Lange, 1991:754–6.Google Scholar
  9. 9.
    Olsen-Noll C, Bosworth M. Anorexia and weight loss in the elderly. Postgrad Med 1989;85(3): 140–4.PubMedGoogle Scholar
  10. 10.
    Weiss R. Unexplained weight loss in an elderly patient. Postgrad Med 1989;86(6): 177–81.PubMedGoogle Scholar
  11. 11.
    Boyko W, Schecter M, Craib K, et al. The Vancouver lymphadeno-pathy-AIDS study. 7. Clinical and laboratory features of 87 cases of primary HIV infection. Can Med Assoc J 1987;137:109–13.Google Scholar
  12. 12.
    Durnin J. The gastrointestinal system—nutrition. In: Brocklehurst JC, editor. Textbook of geriatric medicine and gerontology. New York: Churchill Livingstone, 1985:589–607.Google Scholar
  13. 13.
    Mooradian A, Reed R, Osterweil D, Clements N, Scuderi P. Lack of an association between the presence of tumor necrosis factor or interleukin-1 alpha in the blood and weight loss among elderly patients. J Am Geriatric Soc 1990;38:397–401.Google Scholar
  14. 14.
    Robbins L. Evaluation of weight loss in the elderly. Geriatrics 1990;44(4):31–37.Google Scholar
  15. 15.
    Haugstvedt T, Viste A, Eide G, et al. Factors related to and consequences of weight loss in patients with stomach cancer. Cancer 1991;67:722–9.PubMedCrossRefGoogle Scholar
  16. 16.
    Greenberger N, Toskes P, Isselbacher K. Diseases of the pancreas. In: Braunwald E, Isselbacher K, Petersdorf R, et al., editors. Harrison’s principles of internal medicine. New York: McGraw-Hill, 1987:1381–2.Google Scholar
  17. 17.
    Fischer J, Johnson M. Low body weight and weight loss in the aged. Perspect Pract 1990;90:1697–1706.Google Scholar
  18. 18.
    Broughton D. Non-organic failure to thrive. Am Fam Physician 1989;40 Suppl 5:63S–72S.Google Scholar
  19. 19.
    Steen S, Brownell K. Patterns of weight loss and regain in wrestlers: has the tradition changed? Med Sci Sports Exerc 1990;22: 762–8.PubMedGoogle Scholar
  20. 20.
    Frank R, Serdula M, Adame D. Weight loss and bulimic eating behavior: changing patterns within a population of young adult women. South Med J 1991;84:457–60.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Mark E. Sexton

There are no affiliations available

Personalised recommendations