Anorexia nervosa: Difference between revisions
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*Mortality 6-20% | *Mortality 6-20% | ||
==Symptoms== | ==Clinical Presentation== | ||
*Constipation | ===Symptoms=== | ||
*Abdominal pain | *[[Constipation]] | ||
*[[Abdominal pain]] | |||
*Fatigue | *Fatigue | ||
*Weakness | *[[Weakness]] | ||
*Amenorrhea | *Amenorrhea | ||
*Depression | *[[Depression]] | ||
*Hair loss | *Hair loss | ||
==Signs== | ===Signs=== | ||
*Fine facial and body hair (lanugo) | *Fine facial and body hair (lanugo) | ||
*Brittle hair and nails | *Brittle hair and nails | ||
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*Chem 10 | *Chem 10 | ||
*EKG | *EKG | ||
==Differential Diagnosis== | |||
==Management== | ==Management== | ||
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==Also See== | ==Also See== | ||
*Bulimia nervosa | *[[Bulimia nervosa]] | ||
*[[General psychiatric workup]] | |||
==Sources== | ==Sources== | ||
<references/> | |||
[[Category:Psych]] [[Category:Peds]] | [[Category:Psych]] [[Category:Peds]] | ||
Revision as of 23:50, 15 February 2015
Background
- Associated with body image disturbance
- Adolescent girls
- Life long risk
- Body image is predominate measure of self worth
- Mortality 6-20%
Clinical Presentation
Symptoms
- Constipation
- Abdominal pain
- Fatigue
- Weakness
- Amenorrhea
- Depression
- Hair loss
Signs
- Fine facial and body hair (lanugo)
- Brittle hair and nails
- Dry, scaly skin
- Loss of subcutaneous fat
- Breast and vaginal atrophy
Workup
- Exclude: Inflammatory bowel disease, hyperthyroidism, chronic infection, diabetes mellitus, and Addison’s disease[1]
- CBC
- Chem 10
- EKG
Differential Diagnosis
Management
- inpatient management
- Extremely low weight (<75% of expected body weight) or rapid weight loss
- Severe electrolyte imbalances
- Cardiac disturbances
- Acute medical disorders
- Severe or intractable purging
- Psychosis or a high risk of suicide
Also See
Sources
- ↑ John F. Bober, Scott E. Moser: Rakel: Textbook of Family Medicine, 8th ed., Saunders, 2011 (Ch)24: p452