Sandbox:Javaria

Physical exam Appearance of the patient Cachexia or surgical scar marks demonstrating previous malignancy treatment ❑ Vital signs ❑ Temperature: Chronic low-grade fever may demonstrate chronic infection , malignancy. ❑ Heart rate: Tachycardia with regular pulse may demonstrate infection. ❑ Respiratory rate: Tachypnea may demonstrate respiratory system involvement (infection\ metastasis). ❑ Blood pressure: Chronic hypertension or hypotension is common among elders. ❑ Oxygen saturation: Low saturation may demonstrate respiratory system involvement or hematologic malignancies, such as multiple myeloma. ❑ BMI assessment or simply weight among immobile or bed-ridden patients. ❑ HEENT ❑ Cardiovascular examination ❑ Respiratory examination ❑ Gastrointestinal system exam includes oral examination, abdominal examination, and digital rectal exam. ❑ Splenomegaly) may demonstrate IM, hodgkin's/ non-Hodgkin's lymphoma, and sarcoidosis ❑ Observing the patient having a meal may demonstrate ❑ Distractions by external stimuli may demonstrate dementia. ❑ Inadequate movements of the patient to feed him/herself may demonstrate neuromuscular disorders or functional limitations. ❑ Mini mental state examination to assess the cognitive function, and mood assessment.

Labs ❑ CBC with differential ❑ ESR ❑ CMP ❑ Peripheral smaer ❑ LFTs Labs may be required at a later stage pf diagnosis