Anorexia nervosa physical examination

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Anorexia nervosa Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

Appearance of the patient

  • Extreme weight loss
  • Stunted growth
  • Body mass index less than 17.5 in adults, or 85% of expected weight in children

Vital Signs

Temperature

Pulse

Rate

Blood Pressure

Skin

Eyes

  • Sunken eyes

Extremities

  • Creaking joints and bones
  • Collection of fluid in ankles during the day and around eyes during the night
  • Nails become more brittle
  • Tooth decay
  • Very dry/chapped lips due to malnutrition

Miscellaneous

Behavioral

  • Excessive exercise, food restriction
  • Fainting
  • Secretive about eating or exercise behavior
  • Possible self-harm, substance abuse or suicide attempts
  • Very sensitive to references about body weight
  • Become very aggressive when forced to eat "forbidden" foods

References



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