Eating Disorders
Workbook Questions
Case 1
A 15-year-old female presents with her mother, as she is concerned that her daughter is losing weight and is nauseous all the time. Over the last 6 months she has lost 6Kg and now weighs 49Kg and is 166cm tall.
Case 1
A 15-year-old female presents with her mother, as she is concerned that her daughter is losing weight and is nauseous all the time. Over the last 6 months she has lost 6Kg and now weighs 49Kg and is 166cm tall.
- Although you are suspicious of an eating disorder her mother is very concerned that there is an organic pathology. What other differentials would you need to consider and rule out?
- What questions could you ask in your history to identify abnormal thinking about weight, body image, diet and exercise?
- What would you be looking for specifically in her observations and on examination to suggest an eating disorder?
- You feel she is high risk for an eating disorder and decide to do some blood tests, what tests would you perform and why?
- What are the admission criteria for a medical admission to manage eating disorders?
- Describe the ECG and what this will mean for her management
- Her blood test returns and her potassium is 2.1, how will you manage this?
- This young lady meets admission criteria for a medical admission but her mother decides she disagrees and wants to take her home, how would you manage this situation?