Step II Bariatric surgery case

[lordman]

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A 45 yo obese woman with a history of diabetes, hypothyroidism and low back pain. She underwent bariatric surgery. Which of following is the fastest to improve?

1) hypothyroidism
2) Diabetes
3) Hypertension
4) low back pain


PS: Shouldn't low back pain to improve first? Probably the question is more deep and need to think of Diabetes?

 

[jakeislove]

Diabetes improves almost immediately in some cases.

Back pain wouldn't improve until the fat started falling off.

 

[lordman]

Diabetes improves almost immediately in some cases.

Back pain wouldn't improve until the fat started falling off.

Thanks! But still confused...Hmmm...any other thoughts?

 

[jakeislove]

Thanks! But still confused...Hmmm...any other thoughts?

Look on uptodate. I'm unable to access it from here without jumping through a ton of hoops.

 

[lordman]

Look on uptodate. I'm unable to access it from here without jumping through a ton of hoops.

Just checked it, nothing about back pain bro...

• Diabetes completely resolved in 77 percent and resolved or improved in 86 percent.
• Hyperlipidemia improved in 70 percent or more of patients.
• Hypertension resolved in 62 percent and resolved or improved in 79 percent.

 

[Phloston]

That's a very vague question, but I agree with you. I would put lower back pain as improving first. Diabetes is more complex. Who's to say whether someone is early or advanced in the disease. Sounds a bit dodgy if you ask me.