Investigations | Potential results | Clinical management plan: abnormal results |
---|---|---|
Dietary assessment | Inadequate dietary intake |
|
Symptom assessment | No other GI symptoms present |
|
If GI symptoms present | Follow algorithm. | |
Routine and additional blood screen (pages 2–3) and myeloma screen | Abnormal results, eg, thyrotoxicosis, new onset diabetes mellitus, Addison's disease | Follow treatment of abnormal results (pages 2–3). |
OGD Colonoscopy CT chest abdomen and pelvis | Organic cause (eg, infection, inflammation, neoplastic) | Discuss with supervising clinician within 24 h. |
No organic cause identified | Refer to dietitian and review regularly. Consider psychological causes, eg, depression/eating disorder. Refer to appropriate cancer MDT for consideration of PET scan. |
GI, gastrointestinal; OGD, oesophago-gastroduodenoscopy; PET, position emission tomography.