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Unintentional Weight Loss Causes


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161. Exocrine pancreatic dysfunction is common in hepatocyte nuclear factor 1β-associated renal disease and can be symptomatic (PubMed)

elastase-1 deficiency is a common feature of HNF1B-associated renal disease even when diabetes is not present and pancreatic exocrine deficiency may be more symptomatic than previously suggested. Faecal elastase-1 should be measured in all patients with known HNF1B-associated disease complaining of chronic abdominal pain, loose stools or unintentional weight loss. The discovery of a low faecal elastase-1 concentration in individuals with developmental kidney disease of uncertain cause should prompt (...) %) patients with HNF1B-associated renal disease. A total of 8/29 (28%) had a measurement suggestive of exocrine pancreatic insufficiency at  <200 μg/g stool; of these, 3 suffered with abdominal pain, loose stools and/or unintentional weight loss. All three experienced symptomatic improvement and weight gain after commencing pancreatic enzyme replacement therapy. Faecal elastase-1 was low in 7/15 (47%) HNF1B patients without diabetes compared with 11/14 (79%) of those with diabetes (P  =  0.1).Faecal

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2018 Clinical kidney journal

162. Massive splenomegaly due to B-cell lymphoma: A case report (PubMed)

of disseminated diffuse large B - cell lymphoma, clinical stage IV, with massive splenomegaly. A 53 - year old man complaining of unintentional major weight loss, palpable abdominal mass in the left hemiabdomen and cervical lymphadenopathy, was admited to Department of abdominal surgery, UMC Ljubljana. Abdominal CT scan showed massive spleen, enlarged retroperitoneal and upper mediastinal lymph nodes and cervical lymphadenopathy. Splenectomy was performed and spleen was sent on histological analysis (...) Massive splenomegaly due to B-cell lymphoma: A case report Massive splenomegaly is indicated by spleen weight exceeding 1000 g and largest spleen dimension greater than 20 cm Poulin et al. (1998). In many cases, splenectomy is the treatment of choice for massive splenomegaly because it releases the pressure on adjacent organs and also provides a definitive histopathological diagnosis of the underlying cause Iriyama et al. (2010), Radhakrishnan (2018).Herein we present a clinical case

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2018 International journal of surgery case reports

163. Evaluation of Nursing Facility Resident Safety During Implementation of the INTERACT Quality Improvement Program. (PubMed)

analysis data, and monthly telephonic support.Minimum data set (MDS) data for unintentional weight loss, malnutrition, hip fracture, pneumonia, wound infection, septicemia, urinary tract infection, and falls with injury for the intervention year and the year prior; unintentional weight loss, dehydration, changes in rates of falls, pressure ulcers, severe pain, and unexpected deaths obtained from the NFs participating in the intervention through monthly telephone calls.No adverse effects on resident (...) nonsignificant reduction in hospitalizations.NFs with adequate on-site medical, radiography, laboratory, and pharmacy services, and capability for online training and data input were eligible.264 NFs randomized into intervention and comparison groups stratified by previous INTERACT use and self-reported hospital readmission rates.NFs randomized to the intervention group received INTERACT materials, access to online training and a series of training webinars, feedback on hospitalization rates and root-cause

2018 Journal of the American Medical Directors Association Controlled trial quality: uncertain

164. Genetics of Breast and Ovarian Cancer (PDQ®): Health Professional Version

with Cowden syndrome), (associated with diffuse gastric and lobular breast cancer syndrome), and (associated with Peutz-Jeghers syndrome), confer a risk to either or both of these cancers with relatively high penetrance. Inherited endometrial cancer is most commonly associated with , a condition caused by inherited pathogenic variants in the highly penetrant mismatch repair genes MLH1 , MSH2 , MSH6 , PMS2 , and EPCAM . Colorectal cancer (and, to a lesser extent, ovarian cancer and stomach cancer) is also (...) in a separate window. ] [ Note: A concerted effort is being made within the genetics community to shift terminology used to describe genetic variation. The shift is to use the term “variant” rather than the term “mutation” to describe a genetic difference that exists between the person or group being studied and the reference sequence. Variants can then be further classified as benign (harmless), likely benign, of uncertain significance, likely pathogenic, or pathogenic (disease causing). Throughout

2016 PDQ - NCI's Comprehensive Cancer Database

165. KHA-CARI adaptation of the KDIGO Guideline for the Care of Kidney Transplant Recipients

, the need for IS decreases overtime and it should be tailored accordingly: greater IS during the first weeks or months in order to improve acceptance to the graft and lower IS after months or a few years. (Evidence level C) D. Non-compliance with immunosuppressive drugs and its consequences (deterioration and loss of kidney function) have been clearly overlooked and its frequency is currently estimated at ~25% of the recipients. It could be one of the major causes of late graft failure. Therefore, every (...) in relation to diet and weight have been addressed separately in the KHA-CARI Nutrition in Kidney Transplant Recipients guideline and has not been addressed in the adaptation. Mental health. Relevant evidence from which to base recommendations and suggestions in relation to mental health in KTRs is limited and has therefore not been addressed in the adaptation. The transplant environment in Australia and New Zealand. There have been over 20,000 kidney transplant operations performed on approximately

2012 KHA-CARI Guidelines

166. Pain (PDQ®): Health Professional Version

. (Refer to the section of this summary for more information). Is the pain acute or chronic? Is it secondary to cancer, cancer treatment, other causes, or a combination? Is it somatic, visceral, neuropathic, or mixed? Is there an incidental component? Is there breakthrough pain? Determining whether the pain requires pharmacologic and/or other modalities of treatment. Pain is often multifactorial in nature, so factors that may modulate pain expression, such as psychological distress and substance use (...) , with exacerbations rated as high as 7. Causes of Cancer Pain: Cancer, Cancer Treatments, and Comorbidities A study evaluating the characteristics of patients (N = 100) with advanced cancer presenting to a palliative care service found the primary tumor as the chief cause of pain in 68% of patients.[ ] Most pain was somatic, and pain was as likely to be continuous as intermittent. Pain can be caused by cancer therapies, including surgery, radiation therapy, chemotherapy, targeted therapy, supportive care

2016 PDQ - NCI's Comprehensive Cancer Database

167. Composite Resin and Amalgam Dental Filling Materials: A Review of Safety, Clinical Effectiveness and Cost-effectiveness

health technologies, for which little information can be found, but which may in future prove to be effective. While CADTH has taken care in the preparation of the report to ensure that its contents are accurate, complete and up to date, CADTH does not make any guarantee to that effect. CADTH is not liable for any loss or damages resulting from use of the information in the report. Copyright: This report contains CADTH copyright material. It may be copied and used for non-commercial purposes (...) review failed to draw any conclusions about filling longevity due to various limitations in the included studies. 14 A probable cause of these limitations in the review might be the inclusion of low quality trials and pooling the results from trials of heterogeneous designs, both interventional randomized controlled trials (RCTs) and observational studies, without reporting stratified results by trial design or quality. Second, the use and handling proprieties of composite are operator sensitive

2012 Canadian Agency for Drugs and Technologies in Health - Rapid Review

168. Psychological, social and biological determinants of ill health (pSoBid)

potential explanatory variables. There are social gradients in a range of biological and psychosocial variables which indicate that living in a deprived environment may increase the propensity to develop chronic disease, through as yet unknown mechanisms. A potential underlying cause of increased prevalence of disease is chronic inflammation (Steptoe et al., 2002; Owen et al., 2003). This has been observed to be more common in deprived than affluent populations, linked to coronary heart disease (Ross (...) consistent gradients. These gradients have been shown for all-cause mortality, but also for a wide range of diseases, especially coronary heart disease, diabetes, respiratory diseases, arthritis, poor birth outcomes, and for accidents and violent deaths (Marmot and Wilkinson, 1999). The inverse relationship between socioeconomic position/status and health is one of the most consistent epidemiological findings. The social distribution of physiological risk is partly a reflection of the social patterning

2013 Glasgow Centre for Population Health

169. Psychosis and schizophrenia

-generation antipsychotic drugs cause significant weight gain. The majority of weight gain occurs in the first 3 years of treatment with an antipsychotic drug [ ]. Chronic obstructive pulmonary disease (COPD) — people with schizophrenia are more likely to smoke than the general population and less likely to receive smoking cessation advice, increasing the risk of smoking-related illnesses such as COPD and therefore premature death. Smoking rates for people with schizophrenia are around 70% compared (...) with 20% in the general population in the UK. Cancer — increased risk of early death is thought to be caused by late recognition and under-treatment. Infections such as HIV, hepatitis C and tuberculosis . Social disability — negative symptoms, such as emotional blunting, reduced speech, loss of motivation, self neglect, and social withdrawal, are often the major cause of social disability by impairing the person's ability to learn, work, and maintain relationships [ ]. Substance misuse — 9–35

2016 NICE Clinical Knowledge Summaries

170. Addison's disease

features of adrenal crisis. For more information, see the CKS topic on . Depression — chronic fatigue, malaise, and anorexia may mimic depression. It is not uncommon for the symptoms of Addison's disease to be wrongly diagnosed as mental health problems. If Addison's disease is not recognized, an adrenal crisis may be precipitated by antidepressant drug treatment, as some antidepressants are sodium depleting. For more information, see the CKS topic on . Eating disorders — unintentional weight loss (...) , areas of friction, palmar creases, and mucous membranes. Gastrointestinal symptoms — weight loss; loss of appetite and premature satiety; nausea and vomiting; abdominal pain; cravings for salt, soy sauce, or liquorice. Musculoskeletal symptoms — muscle weakness and cramps; joint pains. Cardiovascular symptoms — postural dizziness due to hypotension (blood pressure decrease of 20 mmHg between sitting and standing measurements). Other symptoms — headache, low-grade fever, increased thirst or urination

2016 NICE Clinical Knowledge Summaries

171. Diagnosis and Treatment of Peripheral Artery Diseases

. † Upper extremity exertional pain, particularly if associated with dizziness or vertigo. † Any transient or permanent neurological symptom. † History of hypertension or renal failure. † Post-prandial abdominal pain and diarhoea, particularly if related to eating and associated with weight loss. † Erectile dysfunction. This cannot be an exhaustive list, and a review of symptoms should include all domains. It is important to emphasize that history is a cornerstone of the vascular evaluation. One should (...) or procedure. Class IIa Weight of evidence/opinion is in favour of usefulness/ef?cacy. Should be considered Class IIb Usefulness/ef?cacy is less well established by evidence/opinion. May be considered Class III Evidence or general agreement that the given treatment or procedure is not useful/effective, and in some cases may be harmful. Is not recommended ESC Guidelines 2855 Downloaded from by guest on 02 April 2019patient, and, where

2011 European Society of Cardiology

172. Efficacy of Complementary and Alternative Medicine Therapies for Posttraumatic Stress Disorder

psychotherapies may provoke emotional responses, and some patients may have difficulty managing these reactions, or may choose not to engage in therapies that can cause emotional (albeit short-term) discomfort. Thus, the current V A/DoD Clinical Practice Guideline recommends careful screening of patients’ suitability for these modalities and recommends against their use with certain patients (e.g., those with current substance abuse, psychosis, or health problems for which intense physiological arousal (...) that nearly 27 percent of patients will prematurely discontinue SSRIs due to treatment failure or adverse side effects, including sexual dysfunction, weight gain, and sleep disturbance. 26 Finally, existing studies suggest that medications alone are often not sufficient to relieve symptoms, and there is some evidence that men are less likely than women to benefit from pharmacological PTSD treatments. 27 Therefore, current evidence-based treatments for PTSD are not always appropriate, well-tolerated

2011 Veterans Affairs Evidence-based Synthesis Program Reports

173. Cardiovascular disease prevention

for policy: a national framework for action 7 Recommendations for practice 19 2 Public health need and practice 31 CVD in England and the UK 31 Risk factors for CVD 32 How these risk factors cause many other illnesses 33 T ackling the risk factors 33 Government policy 34 3 Considerations 36 Introduction 36 Population versus individual approach 37 Population-based approaches: health inequalities 39 Population-level approaches: cost effectiveness 40 Epidemiology 40 Primordial prevention 42 Single risk (...) consumption. It aims to reduce the high incidence of cardiovascular disease. This, in turn, will help prevent other major causes of death and illness, such as type 2 diabetes and many cancers. Who is it for? National government NHS and local authorities Industry Commissioners, managers and practitioners working in the above and in the wider public, private, voluntary and community sectors Members of the public Cardiovascular disease prevention (PH25) © NICE 2019. All rights reserved. Subject to Notice

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

174. Family Practice Notebook Updates 2018

are late findings and their absence does not exclude limb threatening pressures Emergency fasciotomy delayed >4-6 hours may result in permanent injury or even limb loss (hemeonc, pharm, coags, adverse) Consider if ingestion within 1-2 hours (may be effective with s up to 8 hours) Intentional : Observe for bleeding for 24 hours (or per poison control) before medically cleared to psychiatry Unintentional : If small quantity (e.g. one extra dose) may discharge home with bleeding precautions Risk (...) to live in their home or community Specific approaches to common problems include , , aspiration, , behavior changes (gi, prevent, hemeonc, bowel) Screening options include every 10 years or (guiaic-based or FIT immunochemical) annually Although and are other screening options, they have significant disadvantages For average risk patients, screening starts at age 50 years and ends at 75-85 years old The only significantly effective lifestyle changes that have impact on CRC are weight loss

2019 FP Notebook

175. Entospletinib and Obinutuzumab in Treating Patients With Relapsed Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma, or Non-Hodgkin Lymphoma

: Unintentional weight loss > 10% within the previous 6 months prior to screening Extreme fatigue (unable to work or perform usual activities) Fevers of greater than 100.5 Fahrenheit (F) for >= 2 weeks without evidence of infection Night sweats without evidence of infection Evidence of progressive marrow failure as manifested by the development of, or worsening of anemia or thrombocytopenia Massive (i.e., > 6 cm below the left costal margin), progressive or symptomatic splenomegaly Massive nodes or clusters (...) Refractory Chronic Lymphocytic Leukemia Refractory Small Lymphocytic Lymphoma Richter Syndrome Splenomegaly Thrombocytopenia Weight Loss Drug: Entospletinib Other: Laboratory Biomarker Analysis Biological: Obinutuzumab Other: Pharmacological Study Phase 1 Phase 2 Detailed Description: PRIMARY OBJECTIVES: I. To evaluate the safety and tolerability of entospletinib administered in combination with obinutuzumab in patients with relapsed/refractory chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL

2017 Clinical Trials

176. Effects of Anamorelin on Cancer-Related-Fatigue in Patients With Advanced Cancer

to screening CRP must be >/= 3mg/l* in the absence of any other more likely cause of increased CRP like an infection or an autoimmune disorder. No evidence of moderate to severe depression as determined by a HADS depression score of unintentional weight loss ranging from >/= 2 - 25%) for at least 48 hours prior to study

2017 Clinical Trials

177. Spine Pain INtervention to Enhance Care Quality And Reduce Expenditure

delivered by a trained provider) History of spine surgery or spine injections/ablation in the past 6 months Severe, active psychosis or major depression inhibiting ability to physically participate in intervention Red Flag Symptoms (fever, night sweats, unintentional weight loss, bowel or bladder dysfunction, neurologic weakness, history of intravenous drug use) Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact (...) , 2018 See Sponsor: Brigham and Women's Hospital Collaborator: Stanford University Information provided by (Responsible Party): Niteesh K. Choudhry, MD, PhD, Brigham and Women's Hospital Study Details Study Description Go to Brief Summary: Low back and neck pain are among the leading causes of medical visits, lost productivity and disability. There is an urgent need to identify effective and efficient ways of helping subjects with acute spine pain while guiding practitioners towards high-value care

2017 Clinical Trials

178. Complete transmural migration of a retained surgical sponge: an atypical case in image mimicking intussusception: A case report. (PubMed)

Complete transmural migration of a retained surgical sponge: an atypical case in image mimicking intussusception: A case report. Intraluminal migration of a retained surgical sponge causing intestinal obstruction and fistula is extremely rare occurrence.A case of a 35-year-old male, who complaining a diffuse abdominal pain beginning three days earlier. He also complained of occasional vomiting, nonspecific abdominal pain, and an unintentional 15 kg weight loss during the past 2 years. However

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2017 Medicine

179. Individualized Exercise Program Plus Behavioral Change Enhancement Strategies for Managing Fatigue in Frail Older People

: To detect the change from baseline frailty level at mid-term programme (wk 8 after commences of the programme),and then 1 week, 6 month and 12 months months after the completion of the programme ] Fried Frailty Index includes: i) an unintentional loss of 10% of body weight in the past year; ii) exhaustion: by answering 'Yes' to either 'I felt that everything I did was an effort', or 'I could not get going in the last week'; iii) a slow walk time: with an average walking speed in the lowest quintile (...) that their mobility and balance is good enough to join the exercise training; and in a frail state with exhaustion as determined using the Fried Frailty Index (FFI), including: i) an unintentional loss of 10% of body weight in the past year; ii) exhaustion: by answering 'Yes' to either 'I felt that everything I did was an effort', or 'I could not get going in the last week'; iii) a slow walk time: with an average walking speed in the lowest quintile stratified by median body height; iv) reduced grip strength

2017 Clinical Trials

180. Protocol GELLC-7: Ibrutinib Followed by Ibrutinib Consolidation in Combination With Ofatumumab

margin) or progressive or symptomatic splenomegaly. Massive nodes (i.e. > 10 cm in longest diameter) or progressive or symptomatic lymphadenopathy. Progressive lymphocytosis with an increase of > 50% over a 2-month period, or lymphocyte doubling time (LDT) of less than 6 months. A minimum of any one of the following disease-related symptoms: unintentional weight loss ≥ 10% within the previous 6 months, significant fatigue (i.e., ECOG PS 2; cannot work or unable to perform usual activities), fevers (...) . Females of child bearing potential are defined as sexually mature women without prior hysterectomy or who have had any evidence of menses in the past 12 months. However, women who have been amenorrheic for 12 or more months are still considered to be of childbearing potential if the amenorrhea is possibly due to other causes, including prior chemotherapy, anti-estrogens, or ovarian suppression Exclusion Criteria: Prior treatment for CLL or SLL. Any serious medical condition, laboratory abnormality

2017 Clinical Trials

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