ABSTRACT
In this chapter, we explore how to perform a thorough evaluation of patients with obesity. In the clinical setting, a comprehensive evaluation of patients with obesity is determinative to creating an effective, patient-centered treatment plan. Although there is no collective standard, there are numerous evidence-based methods from which to choose and personalize accordingly. Specifically, there are three main components to assess the extent and severity of disease: classification of obesity, clinical evaluation, and staging. Elements of the clinical evaluation include history taking, physical examination, and laboratory testing. Skilled, respectful communication with patients when discussing weight sets the stage for not only the present encounter, but also future interactions. This chapter highlights the importance of language in ascertaining an obesity-focused history and provides practical ways of engaging in conversations about weight. Considering 80% of diagnoses are made on history alone, it is critical to appreciate the pathophysiology of adiposity and its impact on other organ systems as well as clinical manifestations. Ultimately, due to the heterogeneity of the disease, a framework is critical to clinically assess and evaluate patients with obesity, and this chapter provides guidance on how to accomplish this.
