Anorexia nervosa
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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