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Disease Definition

Def. An eating disorder is a mental health condition characterized by severe disturbances in eating behaviors and related thoughts and emotions. These disorders significantly impair physical health and psychosocial functioning

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Presentation

Risk Factors

Symptoms (HPI, Hx)

Delay in Growth in Adolescents (Puberty)

• Hight, weight,Weight loss
• Sexual: Oligo-amenorrhea, Hypogonadism
• Brain: low energy and concentration
• Electrolyte Imbalance
• Orthostatic hypotension

Signs

Falling on Pediatric Growth Assessment

Tanner Stages (I-IV)

• Images </aside>

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DDx work-up (r/o)

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❗❗❗Cannot Miss DDx ❗❗❗

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Explore Mimicker

• Consider DDx of the symptoms

  

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Screening

SCOFF Questionnaire → 2+ Yes = Positive Screen

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Investigation

• Assessment: Social Hx, Menstral Hx, Psych, FHx, Adolescent SHx (HEADSSS)

Diagnostic

1x/wk for 3 mon., DSM-5

Clinical Dx, Dx of exclusion

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Management

Disease-Modifying Treatment

• AN: All FBT
• BN: FBT, except young adult (CBT)

Symptomatic treatment

• Transdermal Estrogen (bypass liver)

Tm Complications/Sequela

!Re-feeding Syndrome

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