Eating disorder history and symptoms: Difference between revisions

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==ANOREXIA NERVOSA==
HISTORY:
AN is particularly common in young females and weight loss is a main concern often expressed by family or parents. Apart from a detailed history, few questions that a physician should ask include:  
Eating disorders are particularly common in young females and change in weight is the main concern often expressed by the patient or a family member. Apart from a detailed history, few questions that a physician should ask include:  
*Do you think you bare too thin?
*Do you think you are too thin? or too fat?
*What did you eat yesterday?
*What did you eat yesterday?
*Do you ever binge eat?
*Do you ever binge eat?
*Do you use any pills for losing weight?
*Do you use any pills for losing weight?
*Do you ever eat in secret?
*Are you satisfied with your eating habits?
*Do you make yourself sick because you feel uncomfortably full?


 
SYMPTOMS: The main symptom is intentional  weight loss causing malnutrition and cachexia. Other symptoms include:
 
*abdominal discomfort
{{familytree/start}}
*[[bloating]] or [[constipation]]
{{familytree | | | | | | | | | | | | | A01 | | | | | | | | | | | | | | | | | | A01= '''Ask''':<br> 1.Do you think you are thin or '''too thin'''?<br> 2.What did you eat yesterday?<br>3.Do you ever '''binge eat'''?<br>4. Do you use any medications such as '''[[laxatives]]''' or '''[[diuretics]]''' or '''[[diet pills]]'''?}}
*[[cold intolerance]]
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | | | | | }}
*[[menstrual irregularities]]
{{familytree | | | | | | | | | | | | | B01 | | | | | | | | | | | | | | | | | |B01= '''Evaluate common symptoms''' <br>1.abdominal discomfort <br>2.[[bloating]] or [[constipation]] <br>3.[[cold intolerance]] <br>4.menstrual history <br>5.exercise habits <br>6.daytime hyperactivity and [[insomnia]]}}
*[[daytime hyperactivity]]
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | }}
*[[insomnia]]
{{familytree | | | | | | | | | | | | | B02 | | | | | | | | | | | | B02 = '''Physical examination'''<br>1.look for orthostatic signs i-e '''bradycardia''' and '''hypotension'''<br>2.yellow'''[[skin]]''' and '''[[lanugo hair]]'''<br>3.[[irregular rhythm]] <br>4.[[peripheral edema]] <br>5.'''[[mitral valve prolapse]]''' it occurs due to size disporption between [[left ventricle]] and [[mitral valve]] but its reversible with weight gain }}
*exercise habits
{{familytree | | | | | | | | | | | | | |!| | | | | | | | | | | | | }}
*use of [[alcohol]] or drugs
{{familytree | | | | | | | | | | | | | C01 | | | | | | | | | | | | C01= '''Laboratory investigations'''<br>1.[[complete blood count]]<br>2.[[Urea]], [[creatinine]] and [[electrolytes]]<br>3.blood [[glucose]]<br>4.serum [[albumin]]<br>5.'''[[TSH]]''','''[[FSH]]''','''[[LH]]''' and '''[[prolactin]]'''<br>6.[[Bone Densitometry]]<br>7.[[Electrocardiogram]]}}  
*personal history of [[sexual assault]] or [[childhood abuse]]
{{familytree/end}}
*family history of [[depression, alcohol use.<ref name="pmid22114627">{{cite journal| author=Herpertz S, Hagenah U, Vocks S, von Wietersheim J, Cuntz U, Zeeck A | display-authors=etal| title=The diagnosis and treatment of eating disorders. | journal=Dtsch Arztebl Int | year= 2011 | volume= 108 | issue= 40 | pages= 678-85 | pmid=22114627 | doi=10.3238/arztebl.2011.0678 | pmc=3221424 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22114627  }} </ref>

Latest revision as of 18:26, 8 April 2021

HISTORY: Eating disorders are particularly common in young females and change in weight is the main concern often expressed by the patient or a family member. Apart from a detailed history, few questions that a physician should ask include:

  • Do you think you are too thin? or too fat?
  • What did you eat yesterday?
  • Do you ever binge eat?
  • Do you use any pills for losing weight?
  • Do you ever eat in secret?
  • Are you satisfied with your eating habits?
  • Do you make yourself sick because you feel uncomfortably full?

SYMPTOMS: The main symptom is intentional weight loss causing malnutrition and cachexia. Other symptoms include:

  1. ↑ Herpertz S, Hagenah U, Vocks S, von Wietersheim J, Cuntz U, Zeeck A; et al. (2011). "The diagnosis and treatment of eating disorders". Dtsch Arztebl Int. 108 (40): 678–85. doi:10.3238/arztebl.2011.0678. PMC 3221424. PMID 22114627.
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