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15 Aug 2014
In the anamnesis from machine to look for signs or symptoms that are associated with tables usually produce weight loss, such as fever, pain, dyspnea or cough, palpitations, changes in urination and signs of a neurological disease. Gastrointestinal disorders, such as difficulty eating, dysphagia, anorexia, nausea and changes in bowel habit should also be sought.

You have to ask for travel and consumption of cigarettes, alcohol and all kinds of drugs, and also inquire about the background of other diseases or surgical procedures, as well as diseases of the family. We must assess the risk factors for HIV infection, and signs of depression or dementia also be sought, while taking into account social factors such as economic problems, may affect the acquisition or food intake

Physical examination must begin by quantifying the weight and record vital signs. Skin turgor have to explore and see if there is pallor, jaundice, scars of an earlier intervention or stigmata of systemic disease. Often clues that lead to further studies if lesions milkweed (thrush) in the mouth or dental disease, goiter, lymphadenopathy, respiratory or heart disease, or any details that are found in the thorough exploration of the abdomen are discovered are obtained. In males should be performed a rectal exam to feel the prostate and a study to identify fecal occult blood; and all women should undergo a gynecological touch, even if you have removed them by the parent. The neurological examination should be completed with the assessment of mental status and evidence of screening for depression.


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