Anorexia nervosa physical examination: Difference between revisions

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==Overview==
==Overview==
==Physical Examination==
==Physical Examination==
===Appearance of the patient===
* Extreme weight loss
* Extreme weight loss
* Stunted [[puberty|growth]]
* Stunted [[puberty|growth]]
* [[Endocrine]] disorder, leading to cessation of periods in girls ([[amenorrhea]])
 
* Decreased [[libido]]; [[impotence]] in males
* [[Body mass index]] less than 17.5 in adults, or 85% of expected weight in children
* Starvation symptoms, such as reduced [[metabolism]], slow heart rate ([[bradycardia]]), [[hypotension]], [[hypothermia]] and [[anemia]]
 
===Vital Signs===
 
====Temperature====
 
*[[Hypothermia]]
 
====Pulse====
 
=====Rate=====
 
*[[Bradycardia]]
 
====Blood Pressure====
 
*[[Hypotension]]
 
===Skin===
* Growth of [[lanugo]] hair over the body
* Growth of [[lanugo]] hair over the body
* Abnormalities of mineral and [[electrolyte]] levels in the body
 
* [[Zinc]] deficiency
* Dry skin
* Often a reduction in [[white blood cell]] count
 
* Reduced [[immune system]] function
*Possibly with pallid [[complexion]]
* [[Body mass index]] less than 17.5 in adults, or 85% of expected weight in children
===Eyes===
* Possibly with pallid [[complexion]] and sunken eyes
* Sunken eyes
 
===Extremities===
* Creaking joints and bones
* Creaking joints and bones
* Collection of fluid in ankles during the day and around eyes during the night
* Nails become more brittle
* [[Tooth decay]]
* [[Tooth decay]]
* Collection of fluid in ankles during the day and around eyes during the night
 
* [[Constipation]]
* Very dry/chapped lips due to malnutrition
* Very dry/chapped lips due to malnutrition
* Poor circulation, resulting in common attacks of 'pins and needles' and purple extremities
* In cases of extreme weight loss, there can be nerve deterioration, leading to difficulty in moving the feet
* Headaches, due to malnutrition
* Thinning of the hair
* Nails become more brittle
* Constantly feeling "cold"
* Bruise easily
* Dry skin


===Behavioral===
===Miscellaneous===
====Behavioral====
* Excessive exercise, food restriction
* Excessive exercise, food restriction
* [[Fainting]]
* [[Fainting]]
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==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Needs overview]]
[[Category:Psychiatry]]
[[Category:Eating disorders]]
[[Category:Endocrinology]]
[[Category:Gastroenterology]]
{{WH}}
{{WH}}
{{WS}}
{{WS}}

Revision as of 18:34, 14 March 2013

Anorexia nervosa Microchapters

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

Overview

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

  • Growth of lanugo hair over the body
  • Dry 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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