Eating disorder differential diagnosis: Difference between revisions
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Template:Atherosclerosis | Template:Atherosclerosis | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} [[User:Kanwal Khamuani|Kanwal Khamuani]],[[MD]] | ||
==Overview== | ==Overview== | ||
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3]. | [Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3]. | ||
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[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3]. | [Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3]. | ||
==Differentiating | ==Differentiating Eating Disorders from other Diseases== | ||
==BINGE EATING DISORDER== | |||
Binge Eating must be differentiated from: | |||
*[[Bulimia nervosa]] which exhibit compensatory behavior after eating to prevent [[weight gain]]. The compensatory behavior in Bulimics can be [[laxative abuse]], self-induced [[vomiting]] or [[fasting]]. | |||
*[[Kleine-Levin syndrome]] which is associated with excessive [[sleep]] along with episodes of binges. | |||
*[[Mood Disorder]] which has psychological features in addition to binge eating episodes. | |||
*[[Anxiety disorder]] which is associated with binge eating during episodes.<ref name="pmid31869164">{{cite journal| author=| title=StatPearls | journal= | year= 2021 | volume= | issue= | pages= | pmid=31869164 | doi= | pmc= | url= }} </ref> | |||
==BULIMIA NERVOSA== | |||
Bulimia nervosa is diagnosed only after excluding the medical causes of vomiting and excessive [[bowel]] activity. These medical conditions does not exhibit the features of binge eating or excessive preoccupation of weight and body image. | |||
Bulimia Nervosa must be differentiated from: | |||
*[[Biliary disease]] which will cause nausea and vomiting. It can be excluded by elevated [[bilirubin]] or [[transaminases]] in [[metabolic]] profile. | |||
*[[Irritable bowel syndrome]] which present with increased frequency of [[bowel]] movements but does not present with episodes of binge eating. | |||
*[[Neurological]] conditions which can cause [[vomiting]]; therefore, a detailed [[neurological]] [[examination]] should be done.<ref name="pmid32965849">{{cite journal| author=| title=StatPearls | journal= | year= 2021 | volume= | issue= | pages= | pmid=32965849 | doi= | pmc= | url= }} </ref> | |||
[ | ==ANOREXIA NERVOSA== | ||
The core feature of AN is weight loss or low [[BMI]]. The patient may not accept the avoidance of food or may not disclose the motives or a particular behavior. Therefore, it can challenging for a provider to know the exact cause of low BMI. The organic and other psychological causes should be ruled out. | |||
*A diabetic patient may attempt to restrict the [[insulin]] to lower the [[calories]]. | |||
*A patient with [[tumor]] limit the food intake and lose weight. | |||
*[[Depression]] should be ruled out by its other diagnostic features. | |||
*[[Chronic fatigue syndrome]] and [[post viral syndrome]] also limit food intake.<ref name="urlEating disorders - Eating Disorders - NCBI Bookshelf">{{cite web |url=https://www.ncbi.nlm.nih.gov/books/NBK49318/ |title=Eating disorders - Eating Disorders - NCBI Bookshelf |format= |work= |accessdate=}}</ref> | |||
===Differentiating [disease name] from other diseases on the basis of [symptom 1], [symptom 2], and [symptom 3]=== | ===Differentiating [disease name] from other diseases on the basis of [symptom 1], [symptom 2], and [symptom 3]=== | ||
Latest revision as of 10:38, 31 March 2021
Template:Atherosclerosis
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kanwal Khamuani,MD
Overview
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
OR
[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].
Differentiating Eating Disorders from other Diseases
BINGE EATING DISORDER
Binge Eating must be differentiated from:
- Bulimia nervosa which exhibit compensatory behavior after eating to prevent weight gain. The compensatory behavior in Bulimics can be laxative abuse, self-induced vomiting or fasting.
- Kleine-Levin syndrome which is associated with excessive sleep along with episodes of binges.
- Mood Disorder which has psychological features in addition to binge eating episodes.
- Anxiety disorder which is associated with binge eating during episodes.[1]
BULIMIA NERVOSA
Bulimia nervosa is diagnosed only after excluding the medical causes of vomiting and excessive bowel activity. These medical conditions does not exhibit the features of binge eating or excessive preoccupation of weight and body image. Bulimia Nervosa must be differentiated from:
- Biliary disease which will cause nausea and vomiting. It can be excluded by elevated bilirubin or transaminases in metabolic profile.
- Irritable bowel syndrome which present with increased frequency of bowel movements but does not present with episodes of binge eating.
- Neurological conditions which can cause vomiting; therefore, a detailed neurological examination should be done.[2]
ANOREXIA NERVOSA
The core feature of AN is weight loss or low BMI. The patient may not accept the avoidance of food or may not disclose the motives or a particular behavior. Therefore, it can challenging for a provider to know the exact cause of low BMI. The organic and other psychological causes should be ruled out.
- A diabetic patient may attempt to restrict the insulin to lower the calories.
- A patient with tumor limit the food intake and lose weight.
- Depression should be ruled out by its other diagnostic features.
- Chronic fatigue syndrome and post viral syndrome also limit food intake.[3]
Differentiating [disease name] from other diseases on the basis of [symptom 1], [symptom 2], and [symptom 3]
On the basis [symptom 1], [symptom 2], and [symptom 3], [disease name] must be differentiated from [disease 1], [disease 2], [disease 3], [disease 4], [disease 5], and [disease 6].
| Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Symptoms | Physical examination | ||||||||||||||
| Lab Findings | Imaging | Histopathology | |||||||||||||
| Symptom 1 | Symptom 2 | Symptom 3 | Physical exam 1 | Physical exam 2 | Physical exam 3 | Lab 1 | Lab 2 | Lab 3 | Imaging 1 | Imaging 2 | Imaging 3 | ||||
| Differential Diagnosis 1 | |||||||||||||||
| Differential Diagnosis 2 | |||||||||||||||
| Differential Diagnosis 3 | |||||||||||||||
| Diseases | Symptom 1 | Symptom 2 | Symptom 3 | Physical exam 1 | Physical exam 2 | Physical exam 3 | Lab 1 | Lab 2 | Lab 3 | Imaging 1 | Imaging 2 | Imaging 3 | Histopathology | Gold standard | Additional findings |
| Differential Diagnosis 4 | |||||||||||||||
| Differential Diagnosis 5 | |||||||||||||||
| Differential Diagnosis 6 | |||||||||||||||