Eating disorder history and symptoms

ANOREXIA NERVOSA

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:

• Do you think you bare too thin?
• What did you eat yesterday?
• Do you ever binge eat?
• Do you use any pills for losing weight?

Ask: 1.Do you think you are thin or too thin? 2.What did you eat yesterday? 3.Do you ever binge eat? 4. Do you use any medications such as laxatives or diuretics or diet pills?

Evaluate common symptoms 1.abdominal discomfort 2.bloating or constipation 3.cold intolerance 4.menstrual history 5.exercise habits 6.daytime hyperactivity and insomnia

Physical examination 1.look for orthostatic signs i-e bradycardia and hypotension 2.yellowskin and lanugo hair 3.irregular rhythm 4.peripheral edema 5.mitral valve prolapse it occurs due to size disporption between left ventricle and mitral valve but its reversible with weight gain

Laboratory investigations 1.complete blood count 2.Urea, creatinine and electrolytes 3.blood glucose 4.serum albumin 5.TSH,FSH,LH and prolactin 6.Bone Densitometry 7.Electrocardiogram