POMA: Examples - Weight loss

5 important questions on POMA: Examples - Weight loss

What kind of information should I be taking for weight loss?

1. Quantity, quality, appropriateness of diet
2. Appetite and defecation
3. Water intake and urination 
4. Activity level
5. Physiological conditions (pregnancy, growth)
6. GI signs
7. Medications
8. Toxins, poisons
9. Changes in environment
10. What the animal does when they approach the food bowl

Why is history collection for weight loss so important?

Could uncover malnutrition, metabolic disease, or mechanical disease

What would PE look like for weight loss?

1. Oropharyngeal exam
2. Abdominal palpation
3. Orthopedic and neurological exam
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How do we make an assessment in weight loss?

1. Patient factor: unexplained weight loss is urgent
2. Localization: Localize the system that needs treatment
  • Differential diagnoses: GI, endocrine, hepatic

How do we formulate a plan/treatment for anorexia?

Using the differential diagnoses from assessment, suggest CBC, biochemistry, electrolytes, urinalysis, AUS, x-rays, and specific bloodwork such as cPL/fPL. Treatment will depend on the results of the diagnostic plan

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