50.2 📚 國考版醫垫國考 / PGY OSCE

50.2.0.1 📌 Cram Sheet

50.2.0.1.1 🔥 高 yield 6
  1. 5% in 6-12 mo = significant
  2. 4 病因: cancer / chronic / psych / endocrine
  3. Cancer 30-40% of cases
  4. Cancer top GI: pancreatic, gastric, colon
  5. Idiopathic 25% but follow-up
  6. Apathetic hyperthyroidism in elderly
50.2.0.1.2 🔢 必背
項目 æ•žå­—
Significant loss ≥ 5% in 6-12 mo
Cancer % 30-40
Idiopathic % ~25

50.2.0.2 ⭐ 高 yield

50.2.0.2.1 Workup Standard
  • CBC, CMP, TSH, HbA1c, ESR/CRP
  • HIV, hepatitis
  • TB
  • CXR
  • Cancer screening (mammo, Pap, colonoscopy, LDCT)
  • Targeted: CT, EGD if 玅旗
50.2.0.2.2 Pseudo Weight Loss
  • Diuresis (HF treatment, DM)
  • Recent diet
  • Confirm with documented data
50.2.0.2.3 Cancer 高 yield
  • Pancreatic: 䞊腹/背痛 + jaundice
  • Gastric: dyspepsia + early satiety
  • Colon: bleed + 改變 bowel habit
  • Lung: cough + hemoptysis + smoker
  • Lymphoma: B symptoms + LAP
  • RCC: hematuria + 偎腰痛

50.2.0.3 🎯 自我檢枬

  1. Significant cutoff? → 5% in 6-12 mo
  2. Cancer 比䟋? → 30-40%
  3. Apathetic hyperthyroid 圚? → Elderly
  4. PHQ-9 score severe? → ≥ 20
  5. TB + weight loss + night sweats? → Workup TB

⚠ AI 草皿。